JAG consensus statements for training and certification in flexible sigmoidoscopy.

Area of Science:

• Gastroenterology
• Medical Education
• Endoscopic Training

Background:

• Joint Advisory Group (JAG) certification in endoscopy requires trainees to meet minimum competency standards for independent practice.
• A national review was conducted to update training and certification standards for flexible sigmoidoscopy (FS).

Purpose of the Study:

• To update the national evidence-based standards for flexible sigmoidoscopy (FS) training and certification.
• To ensure trainees attain minimum competency standards for independent practice in FS.

Main Methods:

• A modified Delphi process involving experts and trainees was conducted from 2019-2020.
• Literature review and Grading of Recommendations, Assessment, Development and Evaluations (GRADE) appraisal informed recommendation statements.
• Anonymous voting and peer review by national stakeholders achieved consensus on revised criteria.

Main Results:

• Forty-one recommendation statements were generated across competence definition, acquisition, assessment, and post-certification support.
• Revised criteria include achieving key performance indicators (e.g., >90% rectal retroversion, >90% polyp retrieval, <10% severe discomfort).
• Minimum procedure count (≥175), recent practice (15+ procedures in 3 months), specific training courses, formative and summative assessments (DOPS), and reflective practice are required.

Conclusions:

• UK standards for flexible sigmoidoscopy (FS) training and certification have been updated.
• The updated standards aim to support training, uphold FS and polypectomy standards, and assist newly independent practitioners.