Training pathway for small bowel capsule endoscopy in the UK.

Area of Science:

• Gastroenterology
• Medical Training and Education
• Diagnostic Endoscopy

Background:

• Increasing demand for small bowel capsule endoscopy (CE) in the UK.
• Significant variation in CE procedure rates across different UK centers.
• Absence of a standardized national training pathway and certification for SB CE.

Purpose of the Study:

• To introduce a standardized national training and accreditation program for small bowel capsule endoscopy (SB CE).
• To ensure consistent competency and accessibility of SB CE training across all professional groups in the UK.

Main Methods:

• Development and approval of a 1-year training and accreditation program by the Joint Advisory Group (JAG) on Gastrointestinal Endoscopy.
• Structured training curriculum incorporating JAG-accredited CE courses and an e-learning module.
• Requirement of reading a minimum of 50 SB CE cases with a trainer and documented proficiency via Direct Observation of Procedural Skill (DOPS) assessments before knowledge-based evaluation.

Main Results:

• Establishment of a national, standardized 1-year training and accreditation program for SB CE.
• Integration of structured learning through accredited courses and e-modules.
• Implementation of practical competency assessment using DOPS and case reviews.

Conclusions:

• The new JAG-approved program provides a clear pathway for SB CE training and accreditation in the UK.
• Standardized training aims to reduce procedural variations and improve quality of care.
• The program ensures all trainees achieve documented competency through supervised practice and assessment.