16 WORLD GASTROENTEROLOGY NEWS OCTOBER 2014 Editorial | Expert Point of View | Gastro 2015: AGW/WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events International Training Colonoscopy Trainers, Wolverhampton, UK, June, 2014 Andrew Veitch, MD, FRCP Consultant Gastroenterologist Clinical Director of Endoscopy and Bowel Cancer Screening, New Cross Hospital, Wolverhampton, UK Endoscopy Vice President, British Society of Gastroenterology Over the past 18 months, the British Society of Gastroenterology (BSG) and World Gastroenterology Organ-isation (WGO) have been working together to support and develop endoscopy training internationally. One aspect of this has been to jointly support an endoscopy training center in Malawi, which will soon become one of the WGO training centers. Another important aspect has been to explore improved methods of endoscopy training using aspects of the methodology of the UK Joint Advisory Group on Endoscopy (JAG), which have transformed endoscopy practice in the UK. To take this forward, we held a Training Colonoscopy Trainers course in the UK at the West Midlands Endoscopy Training Center, Wolverhampton, for WGO training center representatives. Twenty-one WGO delegates from 12 countries attended, including Damon Bizos, WGO TTT Committee chair, and Mark Topazian and Lars Aabak-kan, co-chairs of WGO Endoscopy Interest Group, together with a num-ber of WGO training center directors. The UK faculty included myself, six UK training center directors and John Stebbing, the chairman of JAG. Background Endoscopy training in the UK has developed over the past 10 to 15 years to provide a uniform, high qual-ity, validated and accredited system throughout the country. In particu-lar, colonoscopy training became a national government priority in order to deliver a national bowel cancer screening program based on faecal occult blood testing and colonos-copy. A colonoscopy audit of 9,000 colonoscopies in 68 units conducted in 19991, revealed a reported cae-cal intubation rate of 76.9% and perforation rate of 1:769. This was clearly unsatisfactory for a number of reasons, and it was clear that we were not in a position to deliver a national bowel cancer screening program at that time. With government invest-ment, and a network of national and regional training centers established, standards improved to a level where bowel cancer screening commenced in 2006. A national audit of 20,000 colonoscopies from 300 units in 20112, demonstrated a caecal intuba-tion rate of 95.8% and perforation rate of 1:2510. Endoscopy training is overseen by JAG, which also has developed a key role in quality assurance of endoscopy units and services. JAG was founded in 1994 and includes representatives from the BSG, upper GI surgeons, colorectal surgeons, Royal College of Nursing and radiologists. There were originally three national training centers and seven regional centers, but the total has expanded to 23. Mandatory basic skills courses are run in gastroscopy and colonoscopy, but other courses include ERCP, therapeu-tic endoscopy, advanced polypectomy and colonoscopy up-skilling courses. There is also the Training Colonosco-py Trainers course which was adapted for the WGO in the recent course in Wolverhampton. Most courses are hands-on with patients, but thera-peutic courses are supported with synthetic or animal tissue models. Training in day-to-day practice, as well as in courses, is supported by the JAG Endoscopy Training System (JETS), a sophisticated web-based training resource which allows record-ing of all procedures performed by trainees, with assessment, feedback and summative outcomes. Attendees at the International Training Colonoscopy Trainers, Wolverhampton, UK.
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