Dataset Information

Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio.

ABSTRACT: Introduction? In the UK, endoscopy certification is administered by the Joint Advisory Group on Gastrointestinal Endoscopy (JAG). Since 2011, certification for upper and lower gastrointestinal endoscopy has been awarded via a national (JETS) e-portfolio to the main training specialties of: gastroenterology, gastrointestinal surgeons (GS) and non-medical endoscopists (NME). Trends in endoscopy certification and differences between trainee specialties were analyzed. Methods? This prospective UK-wide observational study identified trainees awarded gastroscopy, sigmoidoscopy, colonoscopy (provisional and full) certification between June 2011?-?2017. Trends in certification, procedures and time-to-certification, and key performance indicators (KPIs) in the 3-month pre- and post-certification period were compared between the three main training specialties. Results? Three thousand one hundred fifty-seven endoscopy-related certifications were awarded to 1928 trainees from gastroenterology (52.3?%), GS (28.4?%) and NME (16.5 ?%) specialties. During the study period, certification numbers increased for all modalities and specialties, particularly NME trainees. For gastroscopy and colonoscopy, procedures-to-certification were lowest for GS ( P ?P ?P ?P ?P ?Conclusion? Despite variations among trainee specialties, average pre- and post-certification KPIs for certified trainees met national standards, suggesting that JAG certification is a transparent benchmark which adequately safeguards competency in endoscopy training.

SUBMITTER: Siau K

PROVIDER: S-EPMC6449159 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio.

Siau Keith K Anderson John T JT Valori Roland R Feeney Mark M Hawkes Neil D ND Johnson Gavin G McKaig Brian C BC Pullan Rupert D RD Hodson James J Wells Christopher C Thomas-Gibson Siwan S Haycock Adam V AV Beales Ian L P ILP Broughton Raphael R Dunckley Paul P

Endoscopy international open 20190404 4

<b>Introduction </b> In the UK, endoscopy certification is administered by the Joint Advisory Group on Gastrointestinal Endoscopy (JAG). Since 2011, certification for upper and lower gastrointestinal endoscopy has been awarded via a national (JETS) e-portfolio to the main training specialties of: gastroenterology, gastrointestinal surgeons (GS) and non-medical endoscopists (NME). Trends in endoscopy certification and differences between trainee specialties were analyzed. <b>Methods </b> This pro ...[more]

PMID: 30957005

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Project description:ContextCertification by an American Board of Medical Specialties (ABMS) member board is emerging as a measure of physician quality.ObjectiveTo identify demographic and educational factors associated with ABMS member board certification of US medical school graduates.Design, setting, and participantsRetrospective study of a national cohort of 1997-2000 US medical school graduates, grouped by specialty choice at graduation and followed up through March 2, 2009. In separate multivariable logistic regression models for each specialty category, factors associated with ABMS member board certification were identified.Main outcome measureABMS member board certification.ResultsOf 42,440 graduates in the study sample, 37,054 (87.3%) were board certified. Graduates in all specialty categories with first-attempt passing scores in the highest tertile (vs first-attempt failing scores) on US Medical Licensing Examination Step 2 Clinical Knowledge were more likely to be board certified; adjusted odds ratios (AORs) varied by specialty category, with the lowest odds for emergency medicine (87.4% vs 73.6%; AOR, 1.82; 95% CI, 1.03-3.20) and highest odds for radiology (98.1% vs 74.9%; AOR, 13.19; 95% CI, 5.55-31.32). In each specialty category except family medicine, graduates self-identified as underrepresented racial/ethnic minorities (vs white) were less likely to be board certified, ranging from 83.5% vs 95.6% in the pediatrics category (AOR, 0.44; 95% CI, 0.33-0.58) to 71.5% vs 83.7% in the other nongeneralist specialties category (AOR, 0.79; 95% CI, 0.64-0.96). With each $50,000 unit increase in debt (vs no debt), graduates choosing obstetrics/gynecology were less likely to be board certified (AOR, 0.89; 95% CI, 0.83-0.96), and graduates choosing family medicine were more likely to be board certified (AOR, 1.13; 95% CI, 1.01-1.26).ConclusionDemographic and educational factors were associated with board certification among US medical school graduates in every specialty category examined; findings varied among specialty categories.

Dataset Information

Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio.

Publications

Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio.

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