ENDOSCOPY 2006

ENDOSCOPY 2006ENDOSCOPY 2006

A NEW WORLD BEGINSA NEW WORLD BEGINS

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PMETBPMETB JCHMT, JCHSTJCHMT, JCHST RCP, RCPedRCP, RCPed RCPSglasRCPSglas RCS, RCSedRCS, RCSed RCPGPRCPGP RCNRCN BSGBSG ACP, AUGISACP, AUGIS

TRAINING SITESTRAINING SITES

3 NATIONAL CENTRES3 NATIONAL CENTRES POLICY DECISIONPOLICY DECISION COURSE DEVELOPMENTCOURSE DEVELOPMENT

7 REGIONAL CENTRES7 REGIONAL CENTRES TRAINING DELIVERYTRAINING DELIVERY

JAG APPROVED UNITSJAG APPROVED UNITS

NOWHERE ELSE CAN TRAINNOWHERE ELSE CAN TRAIN

COURSESCOURSES

JAG APPROVEDJAG APPROVED

JAG COMPLIANTJAG COMPLIANT MUST DO SPECIFIC COURSESMUST DO SPECIFIC COURSES

APPLIES TO ALL ENDOSCOPISTSAPPLIES TO ALL ENDOSCOPISTS

COURSESCOURSES

BASIC ENDOSCOPYBASIC ENDOSCOPY UPPER GI DIAGNOSTICUPPER GI DIAGNOSTIC FLEXIBLE SIGMOIDOSCOPYFLEXIBLE SIGMOIDOSCOPY

COLONOSCOPYCOLONOSCOPY ERCPERCP THERAPEUTIC UPPERTHERAPEUTIC UPPER EUSEUS TTE / STTTTE / STT

TRAINEESTRAINEES

SpR AND ABOVE – NOT SHOSpR AND ABOVE – NOT SHO NURSESNURSES PERMANENT STAFFPERMANENT STAFF GP’SGP’S OTHERSOTHERS

TRAINEESTRAINEES

START WITH BASIC COURSE (Sp1)START WITH BASIC COURSE (Sp1)

MORE SPECIALIST COURSES LATERMORE SPECIALIST COURSES LATER Sp2/3 gastro traineesSp2/3 gastro trainees At sub-specialisation – surgical (Sp3/4)At sub-specialisation – surgical (Sp3/4)

Only appropriate coursesOnly appropriate courses No tick boxingNo tick boxing

TRAINEESTRAINEES

BASIC COURSEBASIC COURSE COMPLETE CONSOLIDATIONCOMPLETE CONSOLIDATION DECLARATION OF COMPETENCEDECLARATION OF COMPETENCE

ONLY THEN - MOVE ON TO NEXTONLY THEN - MOVE ON TO NEXT

TRAINERSTRAINERS

ON COURSES – TTT / TTEON COURSES – TTT / TTE

AT BASE – TTT/TTE or STTAT BASE – TTT/TTE or STT

AIMAIM LOCAL TTT RESPONSIBLE LOCAL TTT RESPONSIBLE LOCAL TTT / STT DELIVERYLOCAL TTT / STT DELIVERY

TRAINERSTRAINERS

MAJOR CHANGES IMMINENTMAJOR CHANGES IMMINENT

NO TTT/TTE/STTNO TTT/TTE/STT = NO TRAINEES= NO TRAINEES

TRAINERS MUST BE IN ROOM AT ALL TIMESTRAINERS MUST BE IN ROOM AT ALL TIMES

TRAINING COLONOSCOPY COUNTS IN TRAINING COLONOSCOPY COUNTS IN TRAINERS FIGURESTRAINERS FIGURES

ASSESSMENTASSESSMENT

MEDICAL/SURGICAL MEDICAL/SURGICAL VIA RITA PROCESSVIA RITA PROCESS ? CERTFICATION? CERTFICATION

TRAINING LOG TRAINING LOG DOPS FORMS DOPS FORMS CONSOLIDATION FORMSCONSOLIDATION FORMS

www.thejag.org.ukwww.thejag.org.uk

ASSESSMENTASSESSMENT

OTHER MEDICALOTHER MEDICAL NURSESNURSES OTHER ENDOSCOPISTSOTHER ENDOSCOPISTS

REGISTER WITH JAGREGISTER WITH JAG PROVIDE LOG/DOPS EVIDENCEPROVIDE LOG/DOPS EVIDENCE ?CERTIFICATION?CERTIFICATION

ENDOSCOPY QAENDOSCOPY QA

ENDOSCOPY UNITSENDOSCOPY UNITS GLOBAL RATING SCALEGLOBAL RATING SCALE JAG VISITS / REGISTRATIONJAG VISITS / REGISTRATION

ENDOSCOPISTSENDOSCOPISTS ALL ENDOSCOPISTS ARE EQUALALL ENDOSCOPISTS ARE EQUAL PERSONAL QA – BEGINS NOWPERSONAL QA – BEGINS NOW

ENDOSCOPY QAENDOSCOPY QA

STARTING WITH COLONOSCOPYSTARTING WITH COLONOSCOPY

PRECIPITATED BY BSG AUDITPRECIPITATED BY BSG AUDIT MADE ESSENTIAL BY SCREENINGMADE ESSENTIAL BY SCREENING

SCREENING QA (screen bar) SCREENING QA (screen bar) DECIDEDDECIDED

TWO TIER SERVICE INCONCEIVABLETWO TIER SERVICE INCONCEIVABLE

THE SCREEN BARTHE SCREEN BAR

MINIMUM OF 150 PER YEARMINIMUM OF 150 PER YEAR LIFETIME PERF RATE < 1:1000LIFETIME PERF RATE < 1:1000 ADENOMA DETECTION >15%ADENOMA DETECTION >15%

BASED ON PRIMARY DIAGNOSTIC SCOPEBASED ON PRIMARY DIAGNOSTIC SCOPE 85% CAECAL INTUBATION RATE85% CAECAL INTUBATION RATE

BASED ON LIST DESCRIPTORBASED ON LIST DESCRIPTOR NO DISCOUNTING ALLOWEDNO DISCOUNTING ALLOWED 90% IF YOU DISCOUNT90% IF YOU DISCOUNT

THE SCREEN BARTHE SCREEN BAR

MCQ BASED ON LESION MCQ BASED ON LESION RECOGNITIONRECOGNITION

HANDS ON ASSESSMENT – HANDS ON ASSESSMENT – RECORDED LIST OF 4 WITH IMAGER RECORDED LIST OF 4 WITH IMAGER AND TRI-SCREENAND TRI-SCREEN

APPEALS POSSIBLEAPPEALS POSSIBLE

THE SCREENTHE SCREEN

10 – 15% NON NHS DELIVERY10 – 15% NON NHS DELIVERY

SAME ASSESSMENT WILL APPLYSAME ASSESSMENT WILL APPLY

THE SCREEN BARTHE SCREEN BAR

WILL EVENTUALLY APPLY TO ALL WILL EVENTUALLY APPLY TO ALL COLONOSCOPISTS:COLONOSCOPISTS:

IN NHS UNITSIN NHS UNITS IN DIAGNOSTIC CENTRESIN DIAGNOSTIC CENTRES IN PRIVATE HOSPITALSIN PRIVATE HOSPITALS

WELCOME TO THE FUTUREWELCOME TO THE FUTURE

QA IS ESSENTIALQA IS ESSENTIAL QA IS HERE TO STAYQA IS HERE TO STAY

UPDATE YOUR PRACTICE NOWUPDATE YOUR PRACTICE NOW DEMAND MASTERCLASSES/UPDATESDEMAND MASTERCLASSES/UPDATES

MAKE SURE YOUR UNIT IS JAG’dMAKE SURE YOUR UNIT IS JAG’d MAKE SURE YOU CAN TRAINMAKE SURE YOU CAN TRAIN

TRAINING IN THE FUTURETRAINING IN THE FUTURE DIDACTIC SESSIONS – ELECTRONICDIDACTIC SESSIONS – ELECTRONIC CENTRALIZED SIMULATED TRAININGCENTRALIZED SIMULATED TRAINING UNIT BASED PRACTICE (TTE/STT)UNIT BASED PRACTICE (TTE/STT) LESS TIME AWAY FROM BASELESS TIME AWAY FROM BASE

RITA / JAG CERTIFICATIONRITA / JAG CERTIFICATION

CENTRAL FUNDING ENDSCENTRAL FUNDING ENDS LOCAL FUNDING BEGINS 2007 (WDD/WDC LOCAL FUNDING BEGINS 2007 (WDD/WDC

or DEANERY)or DEANERY)

TRAINING IN THE FUTURETRAINING IN THE FUTURE

TRAINING MEANS TRAININGTRAINING MEANS TRAINING

IN THE ROOMIN THE ROOM HANDS ONHANDS ON NOT JUST “available”NOT JUST “available”

UNTIL CERTIFIEDUNTIL CERTIFIED