Specific measures to address training issues highlighted in the BSG trainees’ survey
| Area of interest | Specific issue | Measures taken for improvement |
| Training lists | Access to lists | Grade B requirement in the GRS for base hospitals to provide a minimum of 20 training lists per year to every trainee |
| Case selection | Grade B requirement in the GRS for evidence of baseline training needs assessment and adjusting of lists to meet training needs | |
| Progress of basic training | Accelerated upper GI training | Adoption by all deaneries of training programme adaptations which facilitate completion of upper GI endoscopic training within 12 months ‘Immersion training’ currently being evaluated |
| Review of colonoscopy certification | JAG currently reviewing the certification requirements for colonoscopy, including basic polypectomy using competency-based approach | |
| Appraisal of endoscopy training | Grade B requirement in the GRS for local training leads to perform regular appraisal and set goals for training | |
| Supervision/assessment/ recording of training | Trainee feedback on JETS DOPS forms JETS e-portfolio | Trainees are encouraged to leave feedback on training lists on JETS—GRS requires local training leads to review this data annually with trainers JAG have updated a suite of DOPS forms for diagnostic and therapeutic procedures New e-learning tools, for example, SLATE, are being considered JETS database to have update of procedural information forms |
| Therapeutic and subspecialty endoscopy training | Certification of therapeutic training Development of training pathways Access to training opportunities | JAG and BSG Endoscopy are developing certification standards and KPIs for GI bleeding and subspecialty endoscopy (ERCP, EUS, DBE, WCE) Specific courses and training resources are being developed to support certification requirements Increased regional cooperation between TPDs and regional training leads; review of national subspecialty training pathways and fellowships |
BSG, British Society of Gastroenterology; DBE, double balloon enteroscopy; DOPS, direct observation of procedural skills; ERCP, endoscopic retrograde cholangiopancreatography; EUS, endoscopic ultrasound; GI, gastrointestinal; GRS, Global Rating Scale; JAG, Joint Advisory Group in Gastrointestinal Endoscopy; JETS, JAG Endoscopy Training System; KPI, key performance indicator; SLATE, Standardised Lesion Assessment Tests in Endoscopy; TPD, training programme director; WCE, wireless capsule enteroscopy.