Evidence map›Paper›PMID 37739777›Full record

ArticleGut2023

UK and Ireland Joint Advisory Group (JAG) consensus statements for training and certification in diagnostic endoscopic ultrasound (EUS).

Tareq El Menabawey, Raymond McCrudden, Dushyant Shetty, Andrew D Hopper, Matthew T Huggett, Noor Bekkali, Nicholas R Carroll, Elaine Henry, Gavin J Johnson, Margaret G Keane and 9 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Gut, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

19 authors.

Tareq El MenabaweyPancreatobiliary Medicine Unit, University College London Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0002-6577-1311
Raymond McCruddenDepartment of Gastroenterology, University Hospitals Dorset NHS Trust, Bournemouth, UK.
Dushyant ShettyDepartment of Radiology, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Andrew D HopperDepartment of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Matthew T HuggettGastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Noor BekkaliDepartment of Gastroenterology and Hepatology, University of Oxford, Translational Gastroenterology Unit, Oxford, UK.
Nicholas R CarrollRadiology, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Elaine HenryDepartment of Gastroenterology, NHS Tayside, Dundee, UK.
Gavin J JohnsonPancreatobiliary Medicine Unit, University College London Hospitals NHS Foundation Trust, London, UK.
Margaret G KeaneGastroenterology and Hepatology, Johns Hopkins, Baltimore, Maryland, USA.
Mark LoveRadiology, Belfast City Hospital, Belfast, UK.
Colin J McKayWest of Scotland Pancreatic Unit, Glasgow Royal Infirmary, Glasgow, UK.
Sally NortonUpper Gastrointestinal Surgery, Bristol Royal Infirmary, Bristol, UK.
Kofi OppongHPB Unit & Department of Gastroenterology, Newcastle upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, UK.ORCID 0000-0002-7381-7412
Ian PenmanCentre for Liver & Digestive Disorders, Royal Infirmary Edinburgh, Edinburgh, UK.
Jayapal RameshDepartment of Gastroenterology, Royal Liverpool Hospital NHS Trust, Liverpool, UK.
Barbara RyanDepartment of Gastroenterology, Trinity College Dublin, Dublin, Ireland.
Keith SiauGastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Manu NayarDepartment of Gastroenterology, Freeman Hospital, Newcastle upon Tyne, UK manu.nayar@nhs.net.ORCID 0000-0002-1196-3406

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsInternational endoscopy societies vary in their approach for credentialing individuals in endoscopic ultrasound (EUS) to enable independent practice; however, there is no consensus in this or its implementation. In 2019, the Joint Advisory Group on GI Endoscopy (JAG) commissioned a working group to examine the evidence relating to this process for EUS. The aim of this was to develop evidence-based recommendations for EUS training and certification in the UK.

methodsUnder the oversight of the JAG quality assurance team, a modified Delphi process was conducted which included major stakeholders from the UK and Ireland. A formal literature review was made, initial questions for study were proposed and recommendations for training and certification in EUS were formulated after a rigorous assessment using the Grading of Recommendation Assessment, Development and Evaluation tool and subjected to electronic voting to identify accepted statements. These were peer reviewed by JAG and relevant stakeholder societies before consensus on the final EUS certification pathway was achieved.

results39 initial questions were proposed of which 33 were deemed worthy of assessment and finally formed the key recommendations. The statements covered four key domains, such as: definition of competence (13 statements), acquisition of competence (10), assessment of competence (5) and postcertification mentorship (5). Key recommendations include: (1) minimum of 250 hands-on cases before an assessment for competency can be made, (2) attendance at the JAG basic EUS course, (3) completing a minimum of one formative direct observation of procedural skills (DOPS) every 10 cases to allow the learning curve in EUS training to be adequately studied, (4) competent performance in summative DOPS assessments and (5) a period of mentorship over a 12-month period is recommended as minimum to support and mentor new service providers.

conclusionsAn evidence-based certification pathway has been commissioned by JAG to support and quality assure EUS training. This will form the basis to improve quality of training and safety standards in EUS in the UK and Ireland.

Indexed as

Clinical CompetenceEducational MeasurementCertificationEndoscopy, GastrointestinalHumansIrelandUnited KingdomBiliary endoscopyDiagnostic and therapeutic endoscopyEndoscopic ultrasonographyEndoscopyGastrointesinal endoscopy

Identifiers

PMID37739777
PMCPMC10715553

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.