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JAG training pathway and certification standards

The JAG endoscopy training system (JETS) currently has the following certification pathways available to endoscopy trainees:

  • OesophagoGastroDuodenoscopy (OGD)
  • Flexible sigmoidoscopy
  • Colonoscopy
  • Paediatric OGD
  • Paediatric colonoscopy
  • Endoscopic retrograde cholangiopancreatography (ERCP)
  • Endoscopic ultrasound (EUS).

A new pathway for device assisted enteroscopy (DAE) launched on 1 February 2024.

In 2009, to improve outcomes and experience for endoscopy patients, the JAG Endoscopy Training System (JETS) was developed to standardise practice and training across the UK.

The JETS ePortfolio supports trainees through the entirety of their endoscopy training. The web-based system allows trainees to log their endoscopy procedures and complete a training form with a trainer to evidence their progress and identify development needs. They can then apply for JAG certification to demonstrate their competence.

The JETS ePortfolio provides a format for:

  • recording recent and historic endoscopic activity
  • recording direct observation of practical skills (DOPS) assessments
  • creating personal development plans
  • automatically creating performance data summaries
  • providing anonymous feedback on training received.

JAG certification is awarded to trainees who use the ePortfolio and undergo assessments to demonstrate their competence. Certification demonstrates competence, not only in carrying out the procedure safely and ensuring the comfort of the patient, but also looks at non-technical skills such as decision making, problem solving and list management.

DAE acts a therapeutic arm to capsule endoscopy. The main indication for DAE is to treat lesions bleeding in the small bowel, and to obtain histology on lesions in suspected inflammatory bowel disease and lesions deemed suspicious of cancer seen on radiology or prior capsule endoscopy.(1) 

DAE pathway clinical lead, Reena Sidhu: ‘This DAE certification will be the first pathway for formal DAE accreditation in Europe, paving the way for high standards of training and delivery of high-quality endoscopy for our patients.’

This pathway was created with the aim of ensuring high-quality endoscopy and patient safety, following recognition from the European Society of Gastroenterology Endoscopy (ESGE) that there was a need to formalise small bowel endoscopy across Europe.  

You can read more about the DAE certification standards at JAG training pathway and certification standards – Device assisted enteroscopy (DAE)

References

1. Pennazio M, Spada C, Eliakim R et al. Small bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2015;47:352–76.