Evidence map›Paper›PMID 37056324›Full record

ArticleFrontline gastroenterology2023

JAG consensus statements for training and certification in flexible sigmoidoscopy.

Keith Siau, Stavroula Pelitari, Susi Green, Brian McKaig, Arun Rajendran, Mark Feeney, Mo Thoufeeq, John Anderson, Vathsan Ravindran, Paul Hagan and 18 more

Abstract read
In one paragraph

Article in Frontline gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Keith SiauDepartment of Gastroenterology, Royal Cornwall Hospital, Truro, UK.
Stavroula PelitariDepartment of Gastroenterology, Royal Free London NHS Foundation Trust, London, UK.
Susi GreenDepartment of Gastroenterology, University Hospitals Sussex NHS Foundation Trust, Worthing, UK.
Brian McKaigDepartment of Gastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Arun RajendranDepartment of Gastroenterology, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK.
Mark FeeneyDepartment of Gastroenterology, Torbay and South Devon NHS Foundation Trust, Torquay, UK.
Mo ThoufeeqDepartment of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
John AndersonDepartment of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, UK.ORCID 0000-0002-7053-197X
Vathsan RavindranDepartment of Gastroenterology, St Mark's Hospital and Academic Institute Wolfson Unit for Endoscopy, Harrow, UK.
Paul HaganEndoscopy, Royal Derby Hospital, Derby, UK.
Neil CrippsColorectal Surgery, University Hospitals Sussex NHS Foundation Trust, Worthing, UK.
Ian L P BealesUniversity of East Anglia, Norwich, UK.
Karen ChurchEndoscopy, NHS Lothian, Edinburgh, UK.
Nicholas I ChurchDepartment of Gastroenterology, NHS Lothian, Edinburgh, UK.
Elizabeth RatcliffeDepartment of Gastroenterology, Wrightington Wigan and Leigh NHS Foundation Trust, Wigan, UK.
Said DinDepartment of Gastroenterology, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
Rupert D PullanColorectal Surgery, Torbay and South Devon NHS Foundation Trust, Torquay, UK.
Sharon PowellEndoscopy, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Catherine ReganDepartment of Gastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Wee Sing NguColorectal Surgery, City Hospitals Sunderland NHS Foundation Trust, South Shields, UK.
Eleanor WoodGastroenterology, Homerton University Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-7467-5698
Sarah MillsColorectal Surgery, Chelsea and Westminster Hospital, London, UK.
Neil HawkesDepartment of Gastroenterology, Royal Glamorgan Hospital, Llantrisant, UK.
Paul DunckleyDepartment of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Marietta IacucciUniversity of Birmingham College of Medical and Dental Sciences, Birmingham, UK.
Siwan Thomas-GibsonImperial College London, London, UK.ORCID 0000-0001-8922-6249
Christopher WellsDepartment of Gastroenterology, North Tees and Hartlepool NHS Foundation Trust, Hartlepool, UK.
Aravinth MurugananthanDepartment of Gastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Joint Advisory Group (JAG) certification in endoscopy is awarded when trainees attain minimum competency standards for independent practice. A national evidence-based review was undertaken to update standards for training and certification in flexible sigmoidoscopy (FS). Methods: A modified Delphi process was conducted between 2019 and 2020 with multisociety representation from experts and trainees. Following literature review and Grading of Recommendations, Assessment, Development and Evaluations appraisal, recommendation statements on FS training and certification were formulated and subjected to anonymous voting to obtain consensus. Accepted statements were peer-reviewed by national stakeholders for incorporation into the JAG FS certification pathway. Results: In total, 41 recommendation statements were generated under the domains of: definition of competence (13), acquisition of competence (17), assessment of competence (7) and postcertification support (4). The consensus process led to revised criteria for colonoscopy certification, comprising: (A) achieving key performance indicators defined within British Society of Gastroenterology standards (ie, rectal retroversion >90%, polyp retrieval rate >90%, patient comfort <10% with moderate-severe discomfort); (B) minimum procedure count ≥175; (C) performing 15+ procedures over the preceding 3 months; (D) attendance of the JAG Basic Skills in Lower gastrointestinal Endoscopy course; (E) satisfying requirements for formative direct observation of procedural skill (DOPS) and direct observation of polypectomy skill (SMSA level 1); (F) evidence of reflective practice as documented on the JAG Endoscopy Training System reflection tool and (G) successful performance in summative DOPS. Conclusion: The UK standards for training and certification in FS have been updated to support training, uphold standards in FS and polypectomy, and provide support to the newly independent practitioner.

Indexed as

ENDOSCOPY

Identifiers

PMID37056324
PMCPMC10086722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.