Cover Page PEDIATRIC GASTROENTEROLOGY DICTIONARY This dictionary is copyright protected xx-xxxx PHSA. For information contact [email protected]. 4 May 2018 Please find attached the final draft of the privileging dictionary for Pediatric Gastroenterology REVIEW PANEL COMPOSITION The panel was composed of two co-chairs with expertise in the provincial privileging dictionaries and 3 subject matter experts from one health authority. RECORD OF REVIEW PANEL DECISIONS AND CRITERIA IDENTIFIED: Below are decisions made by the review panel and/or criteria identified by the panel to guide discussion of clinical practice and standards. 1. Recommended current experience The panel decided to revise the recommended current experience from within the last 12 months to 24 months. 2. Selectable non-core advanced endoscopic techniques The panel decided to make the list of non-core advanced endoscopic techniques procedures as selectable 3. Age for telephone consultation raised from 16 to 17 years The panel decoded in the case of patients under the age of 17 years telephone consultation with a pediatric gastroenterologist is recommended before beginning invasive investigations and management should normally be in conjunction with a pediatric gastroenterologist. 4. New non-core advanced procedure added – Capsule Endoscopy The panel added a new non-core advanced procedure for Capsule Endoscopy 5. Non-core ERCP volumes to remain at 75 The panel decided to leave current experience and renewal volume for ERCP at 75 procedures. The group recognized that adults GIs with this skill and maintenance of competence will continue to do the procedure for pediatric gastroenterologists. We welcome your input to this revised Pediatric Gastroenterology dictionary Please see the dictionary revisions highlighted in the attached draft and submit your feedback by May 25, 2018 Send feedback to: [email protected]Get more info: bcmqi.ca
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Cover Page
PEDIATRIC GASTROENTEROLOGY DICTIONARY
This dictionary is copyright protected xx-xxxx PHSA. For information contact [email protected].
4 May 2018
Please find attached the final draft of the privileging dictionary for Pediatric Gastroenterology
REVIEW PANEL COMPOSITION
The panel was composed of two co-chairs with expertise in the provincial privileging dictionaries and 3 subject matter experts from one health authority.
RECORD OF REVIEW PANEL DECISIONS AND CRITERIA IDENTIFIED:
Below are decisions made by the review panel and/or criteria identified by the panel to guide discussion of clinical practice and standards.
1. Recommended current experience The panel decided to revise the recommended current experience from within the last 12 months to 24 months.
2. Selectable non-core advanced endoscopic techniques The panel decided to make the list of non-core advanced endoscopic techniques procedures as selectable
3. Age for telephone consultation raised from 16 to 17 years The panel decoded in the case of patients under the age of 17 years telephone consultation with a pediatric gastroenterologist is recommended before beginning invasive investigations and management should normally be in conjunction with a pediatric gastroenterologist.
4. New non-core advanced procedure added – Capsule Endoscopy The panel added a new non-core advanced procedure for Capsule Endoscopy
5. Non-core ERCP volumes to remain at 75 The panel decided to leave current experience and renewal volume for ERCP at 75
procedures. The group recognized that adults GIs with this skill and maintenance of competence will continue to do the procedure for pediatric gastroenterologists.
We welcome your input to this revised
Pediatric Gastroenterology dictionary
Please see the dictionary revisions highlighted in the attached draft and submit
This dictionary is copyright protected xx-xxxx PHSA. For information contact [email protected].
Description: Gastroenterology is the medical subspecialty that deals specifically with the investigation, diagnosis and management of disorders of the digestive system including the pancreas, liver and nutrition. The subspecialty is further defined by pediatric and adult disciplines. There is overlap in some aspects of the two disciplines at the late adolescent transition.
Qualifications for pediatric gastroenterology
Initial privileges: To be eligible to apply for privileges in pediatric gastroenterology, the applicant should normally meet the following criteria: Certification as a Pediatric Gastroenterologist by the Royal College of Physicians and Surgeons of Canada (RCPSC)
OR
Recognition as a pediatric gastroenterologist by the College of Physicians and Surgeons
of British Columbia by virtue of credentials earned in another jurisdiction that are
acceptable to both the College and the governing body of the Health Authority and its
Affiliate(s).
AND
Validation of procedural skills for any new recruit is required by direct observation from a
senior pediatric gastroenterologist.
AND
Recommended current experience: Inpatient or consultative services for at least 100
pediatric GI patients, reflective of the scope of privileges requested, during the past 24
months or successful completion of a RCPSC (or equivalent) or clinical fellowship in
pediatric Gastroenterology within the past 24 months.
Renewal of privileges: To be eligible to renew privileges in pediatric gastroenterology,
the applicant should normally meet the following criteria:
Current demonstrated skill and an adequate volume of experience (three months a year
averaged over the previous three years), with acceptable results reflective of the scope
This dictionary is copyright protected xx-xxxx PHSA. For information contact [email protected].
AND
Current demonstrated skill and an adequate volume of experience (three months a year averaged over the previous three years), with acceptable results reflective of the scope of privileges requested
Renewal of privileges: Current demonstrated skill and an adequate volume of experience (three months a year averaged over the previous three years), with acceptable results reflective of the scope of privileges requested
Return to practice: Assessment acceptable to appropriate medical leader
Non-Core Privileges: ERCP
❑ Requested
Initial privileges: Meet criteria for core privileges in pediatric gastroenterology and have
completed a one-year full time training program in advanced endoscopy, which includes
ERCP at a site that routinely trains specialty residents. Certification of skill by the site
residency director, department head, or program medical director for each of these
procedures.
AND
Current demonstrated skill and an adequate volume of experience (three months a year averaged over the previous three years), with acceptable results reflective of the scope of privileges requested
Renewal of privileges: Performance of 75 ERCPs a year averaged over three years
with acceptable results.
Return to practice: Assessment acceptable to appropriate medical leader
Non-Core Privileges: Endoscopic ultrasound
❑ Requested
Comment [KJ1]: It is important to note that for ERCP and endoscopic ultrasound
we generally don’t do enough of these
procedures in pediatrics to maintain competency. Consequently we get our
This dictionary is copyright protected xx-xxxx PHSA. For information contact [email protected].
Initial privileges: Meet criteria for core privileges in pediatric gastroenterology and for
most of the core privileges listed above and have completed a one-year full time training
program in advanced endoscopy, which includes endoscopic ultrasound at a site that
routinely trains specialty residents. Certification of skill by the site residency director,
department head, or program medical director for each of these procedures.
AND
Current demonstrated skill and an adequate volume of experience (three months a year averaged over the previous three years), with acceptable results reflective of the scope of privileges requested
Renewal of privileges: Current demonstrated skill and an adequate volume of experience (three months a year averaged over the previous three years), with acceptable results reflective of the scope of privileges requested
Return to practice: Assessment acceptable to appropriate medical leader
Non-core privileges: Capsule endoscopy
❑ Requested:
Initial privileges: Complete appropriate training including at least supervised 25 cases
acceptable to the appropriate medical leader.
AND/OR
Recommended current experience: Current demonstrated skill in capsule endoscopy
and performance of at least 10 procedures per year averaged over the past three years
with acceptable results.
Renewal of privileges: Current demonstrated skill in capsule endoscopy and
performance of at least 10 procedures per year averaged over the past three years with
This dictionary is copyright protected xx-xxxx PHSA. For information contact [email protected].
Return to practice: Individualized assessment with a period of direct supervision to
demonstrate skills relevant to the intended scope of practice.
Renewal of privileges: Performance of 35 procedures a year averaged over three years with acceptable results. Return to practice: Assessment acceptable to appropriate medical leader
Context Specific Privileges Context refers to the capacity of a facility to support an activity
Context-specific privileges: Procedural Sedation
❑ Requested See “Hospital Policy for Sedation and Analgesia by Non-