Siau Keith, Beales Ian L P, Haycock Adam, Alzoubaidi Durayd, Follows Rachael, Haidry Rehan, Mannath Jayan, McConnell Susan, Murugananthan Aravinth, Ravindran Srivathsan, Riley Stuart A, Williams R N, Trudgill Nigel John, Veitch Andrew M
Department of Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Frontline Gastroenterol. 2022 Jan 24;13(3):193-205. doi: 10.1136/flgastro-2021-101907. eCollection 2022.
Training and quality assurance in oesophagogastroduodenoscopy (OGD) is important to ensure competent practice. A national evidence-based review was undertaken to update and develop standards and recommendations for OGD training and certification.
Under the oversight of the Joint Advisory Group (JAG), a modified Delphi process was conducted with stakeholder representation from British Society of Gastroenterology, Association of Upper Gastrointestinal Surgeons, trainees and trainers. Recommendations on OGD training and certification were formulated following literature review and appraised using Grading of Recommendations Assessment, Development and Evaluation. These were subjected to electronic voting to achieve consensus. Accepted statements were incorporated into the updated certification pathway.
In total, 32 recommendation statements were generated for the following domains: definition of competence (4 statements), acquisition of competence (12 statements), assessment of competence (10 statements) and post-certification support (6 statements). The consensus process led to following certification criteria: (1) performing ≥250 hands-on procedures; (2) attending a JAG-accredited basic skills course; (3) attainment of relevant minimal performance standards defined by British Society of Gastroenterology/Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, (4) achieving physically unassisted D2 intubation and J-manoeuvre in ≥95% of recent procedures, (5) satisfactory performance in formative and summative direct observation of procedural skills assessments.
The JAG standards for diagnostic OGD have been updated following evidence-based consensus. These standards are intended to support training, improve competency assessment to uphold standards of practice and provide support to the newly-independent practitioner.
食管胃十二指肠镜检查（OGD）的培训和质量保证对于确保熟练操作至关重要。开展了一项基于全国证据的审查，以更新和制定OGD培训与认证的标准及建议。
在联合咨询小组（JAG）的监督下，与英国胃肠病学会、上消化道外科医生协会、学员和培训师的利益相关者代表进行了改良德尔菲法。在文献综述后制定了关于OGD培训与认证的建议，并使用推荐分级评估、制定和评价进行评估。这些建议进行了电子投票以达成共识。被接受的声明被纳入更新后的认证途径。
总共为以下领域生成了32条推荐声明：能力定义（4条声明）、能力获得（12条声明）、能力评估（10条声明）和认证后支持（6条声明）。共识过程产生了以下认证标准：（1）进行≥250次实操程序；（2）参加JAG认可的基本技能课程；（3）达到英国胃肠病学会/大不列颠及爱尔兰上消化道外科医生协会定义的相关最低性能标准；（4）在最近≥95%的程序中实现无需他人协助的D2插管和J手法；（5）在形成性和总结性程序技能评估的直接观察中表现令人满意。
JAG诊断性OGD标准已根据循证共识进行更新。这些标准旨在支持培训、改进能力评估以维持实践标准，并为新独立的从业者提供支持。
