Mahmood, T.; Darzi, A.; Boucier-Hayes, D.; Bann, S.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA6
Academic Journal
Objectives: To measure the training standards in gastrointestinal endoscopy from the perspective of the specialist registrars (SpRs) and the trainers. Design: Content validated, computer coded, mailed questionnaire. Setting: Academic Surgical Unit, Imperial College of Medicine, London. Participants: Randomly selected 100 SpRs and 100 consultants throughout the United Kingdom from attendants of BSG meeting 2000 or members of the society. Main Outcomes: Level of training already achieved in endoscopy, according to the year of training, compared with the standard expected by the SpRs and the consultant trainers. Results: There was an unequivocal lack of training n gastroscopy flexible sigmoidoscopy and colonoscopy acknowledged by both the trainees and the traine'rs. (p < 0.000). The SpRs in the final year of training had not achieved level five training (therapeutic endoscopy) in 4% gastroscopy, 15.4% flexible sigmoidoscopy, and 37.5% colonoscopy (p < 0.000 for all). Conclusions: Almost one third of the SpRs n the final year of training (appointable as a consultant), and their trainers did not feel that appropriate level of training had been achieved in colonoscopy to run independent endoscopy lists. Courses and ongoing objective assessment in endoscopy should be an integral part of training n gastroenteroogy. Guidelines regarding standards required should be validated. Should we have a system of training and assessment in Gl endoscopy with basic, therapeutic, and advanced.


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