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首页> 外文期刊>Endoscopy International Open >Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio
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Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio

机译：英国胃肠道内镜医师的认证以及学员专业之间的差异：JETS电子档案的结果

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Introduction In the UK, endoscopy certification is administered by the Joint Advisory Group on Gastrointestinal Endoscopy (JAG). Since 2011, certification for upper and lower gastrointestinal endoscopy has been awarded via a national (JETS) e-portfolio to the main training specialties of: gastroenterology, gastrointestinal surgeons (GS) and non-medical endoscopists (NME). Trends in endoscopy certification and differences between trainee specialties were analyzed. Methods This prospective UK-wide observational study identified trainees awarded gastroscopy, sigmoidoscopy, colonoscopy (provisional and full) certification between June 2011?–?2017. Trends in certification, procedures and time-to-certification, and key performance indicators (KPIs) in the 3-month pre- and post-certification period were compared between the three main training specialties. Results Three thousand one hundred fifty-seven endoscopy-related certifications were awarded to 1928 trainees from gastroenterology (52.3?%), GS (28.4?%) and NME (16.5 %) specialties. During the study period, certification numbers increased for all modalities and specialties, particularly NME trainees. For gastroscopy and colonoscopy, procedures-to-certification were lowest for GS ( P ?0.001), whereas time-to-certification was consistently shortest in NMEs ( P ?0.001). A post-certification reduction in mean cecal intubation rate (95.2?% to 93.8?%, P ?0.001) was observed in colonoscopy, and D2 intubation (97.6?% to 96.2 %, P ?0.001) and J-maneuver (97.3?% to 95.8?%, P ?0.001) in gastroscopy. Overall, average pre- and post-certification KPIs still exceeded national minimum standards. There was an increase in PDR for NMEs after provisional colonoscopy certification but a decrease in PDR for GS trainees after sigmoidoscopy and full colonoscopy certification. Conclusion Despite variations among trainee specialties, average pre- and post-certification KPIs for certified trainees met national standards, suggesting that JAG certification is a transparent benchmark which adequately safeguards competency in endoscopy training.
机译：简介在英国，内窥镜检查证书由胃肠道内窥镜检查联合咨询小组（JAG）进行管理。自2011年以来，上，下消化道内窥镜检查的证书已通过国家（JETS）电子期刊授予主要培训专业：胃肠病学，胃肠外科医生（GS）和非医学内窥镜检查师（NME）。分析了内窥镜检查认证的趋势以及学员之间的差异。方法这项前瞻性英国范围内的观察性研究确定了受训人员在2011年6月至2017年6月期间获得了胃镜检查，乙状结肠镜检查，结肠镜检查（临时和全程）证书。比较了三个主要培训专业在三个月的认证前和认证后期间的认证，程序和认证时间以及关键绩效指标（KPI）的趋势。结果向1928名受过肠胃病学培训的学员颁发了157个内镜相关证书，分别为52.3％，GS（28.4％）和NME（16.5％）。在研究期间，所有方式和专业，特别是NME受训者的认证数量都有所增加。对于胃镜和结肠镜检查，GS的认证程序最低（P <0.001），而NME的认证时间始终最短（P <0.001）。在结肠镜检查中，发现盲肠插管后平均盲肠插管率降低（95.2％至93.8％，P <0.001），而D2插管（97.6％至96.2％，P <0.001）和J操纵降低。胃镜检查为97.3％至95.8％，P <0.001）。总体而言，认证前和认证后的平均KPI仍超过国家最低标准。临时结肠镜检查合格证后，NMEs的PDR增加，但乙状结肠镜检查和完全结肠镜检查合格证后，GS学员的PDR减少。结论尽管受训学员的专业有所不同，但受训学员的平均认证前和认证后KPI符合国家标准，这表明JAG认证是一个透明的基准，可以充分保障内窥镜检查培训的能力。

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