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Evaluating changes in gastrointestinal endoscopy training over 5 years: closing the audit loop.

Adam V Haycock¹, Jaymin H Patel, Paris P Tekkis

¹Wolfson Unit for Endoscopy, St Mark's Hospital, Imperial College London, Watford Road, Harrow, UK. ahaycock@imperial.ac.uk

European Journal of Gastroenterology & Hepatology

|July 22, 2009

Summary

The UK National Endoscopy Training Programme improved colonoscopy training quality. Trainees reported better skills acquisition and lower complication rates following the program

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Area of Science:

Medical Education
Gastroenterology
Endoscopy Training

Background:

A 2002 audit revealed suboptimal colonoscopy training standards, including poor supervision and high complication rates in a London region.
The UK National Endoscopy Training Programme was established in 2004 to standardize training and enhance colonoscopy quality through accredited courses and assessment tools.

Purpose of the Study:

To assess the impact of a national training program on colonoscopy training quality over five years.
To evaluate changes in training structure, skill acquisition, and complication rates among gastroenterology trainees.

Main Methods:

Updated questionnaires from a 2002 study were electronically administered to gastroenterology trainees in the region.
Data collection included trainee self-assessment of training adequacy, formal instruction in colonoscopy and polypectomy, and reported complication rates.

Main Results:

A significant increase in formal training for colonoscopy, polypectomy, and extubation was reported by trainees (91% vs. 65%, P=0.02; 81% vs. 52%, P=0.02; 88% vs. 56%, P=0.01, respectively).
Trainee-reported complication rates decreased, and course attendance significantly increased (84% vs. 48%, P=0.003).
Eighty-seven percent of trainees found their training adequate or better, a substantial improvement from 25% in 2002.

Conclusions:

The centrally funded national training program significantly improved colonoscopy training quality and access to specialist courses.
These improvements in training are likely transferable across England, highlighting the program's positive impact.
Continued investment in such programs is crucial for maintaining high standards in colonoscopy training and patient care.