Please see link for endoscopy fellowship opportunities

https://www.bsg.org.uk/endorsed-endoscopy-fellowships

ESD training opportunities

Pradeep Bhandari:

Endoport - hands on training session. https://endoport.org (27th Feb - 1st Mar 2025)

Olympus ESD academy - runs over a year, see ‘X’/Linkedin for advertisement.

Amyn Haji:

King’s Live – includes hands on ESD training, every November

Aquilant/Fuji at King’s College Hospital three times per year – 2 day ESD courses

Pentax Forward program every 6 months – takes 15-16 candidates each time and fully funded. https://www.pentaxmedical.com/en/endoscopy-training/forward-academy

Other:

There are many excellent European courses – Leuven, Rotterdam and Athens

General advice:

Learning curves will vary but are not short. Mentorship is critical beyond basic courses and model work. It may take over a year with a session every week. Early exposure to as much as possible as soon as possible is key. Consider a placement or sabbatical to gain adequate exposure.

Colonoscopy Training

JAG Accreditation

Certification in colonoscopy is not yet a requirement for CCT in General Surgery with a colorectal interest, however, there is a requirement to complete 200 colonoscopies. It is important that trainees aim to attain full certification as it is likely to be a desired (if not essential) part of the person specification for a consultant post. Furthermore, it is much more difficult to complete colonoscopy training after CCT and you will not be eligible to have independent lists.

A logbook of trainees’ procedures and the certification process is conducted through JETS (the JAG Endoscopy Training System). The certification process changed in 2022 to a single pathway.  A minimum of 280 procedures with a caecal intubation rate of >90% is required for full certification.  Trainees must also complete a ‘basic skills in colonoscopy’ course, bookable through the JETS website. The number of DOPS has increased to at least 25 with at least 12 DOPyS for polypectomies. Detailed requirements are available in the ‘Certification’ section of the JETS website, https://jetsapp.thejag.org.uk/certificationoverview

Once all of the criteria are met, four summative DOPS must be performed with at least two different trainers for certification.  Once approved, trainees may scope independently. It is recommended that trainees continue to engage with training lists as colonoscopy is a lifelong learning process with opportunity to progress to advanced procedures.

Optimising your colonoscopy training

Here are some tips on how to get the most out of your endoscopy training:

1. Register with JETS:  This is very important as any procedures/training performed will not be recognised unless it is recorded on JETS. Once registered locally, procedures will automatically upload to JETS, however, you may need to manually add procedures performed in theatre.
    
2. Start early in your training: It is easy to focus on the operating in the early years but your endoscopy numbers need to steadily tick over! Take advantage of ‘immersion weeks’ – a great way to accelerate skills.
    
3. Do the Basic Skills Course early. You will need it anyway, and it will encourage trainers to train you.
    
4. As soon as you’ve decided on a colorectal interest, make sure you have regular access to endoscopy.  If you are not getting any access, report it to your AES ± TPD – it’s an important part of your training!
    
5. Meet with the endoscopy lead early on in your new placement. JAG views this person as being responsible for training and training forms part of the unit’s JAG Global Rating Scale. This person can ensure you are registered to log procedures, and can help plan access to endoscopy lists for you and needs to know if you’re having any problems.
    
6. Discuss problems with endoscopy training in your ARCP. Endoscopy data isn’t on the ISCP system so it can be easily forgotten.
    
7. Aim to do a DOPS every list.  Similarly, aim to do a DOPyS for every case you perform a polypectomy. These assessments are often squeezed in when getting closer to the 280, but it’s typical to go 20 cases without a polyp when you need one!
    
8. On the new junior doctor’s contract, shortcomings in training need to be reported as an exception. Trusts are potentially fined for exceptions. If endoscopy trainees are promised 20 training lists a year and don’t get it, then report it!

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