JAG consensus statements for training and certification in oesophagogastroduodenoscopy

Area of Science:

• Gastroenterology
• Medical Education
• Surgical Training

Background:

• Effective training and quality assurance are crucial for competent oesophagogastroduodenoscopy (OGD) practice.
• A national review was conducted to update OGD training and certification standards.

Purpose of the Study:

• To develop evidence-based standards and recommendations for OGD training and certification.
• To establish a consensus-driven certification pathway for OGD practitioners.

Main Methods:

• A modified Delphi process involving stakeholders from relevant professional societies and trainees/trainers.
• Literature review and appraisal using Grading of Recommendations Assessment, Development and Evaluation (GRADE).
• Electronic voting to achieve consensus on 32 recommendation statements.

Main Results:

• Generated 32 recommendation statements across competence definition, acquisition, assessment, and post-certification support.
• Established certification criteria including performing ≥250 hands-on procedures and attending a JAG-accredited course.
• Included attainment of minimal performance standards and satisfactory procedural skills assessments.

Conclusions:

• Updated Joint Advisory Group (JAG) standards for diagnostic OGD based on evidence and consensus.
• Standards aim to support training, improve competency assessment, and uphold practice standards.
• Provide support for newly independent OGD practitioners.