SP11.5 Maximising Efficient Endoscopy Training: a MEET tool initiative

Abstract

Abstract Background Endoscopy training is sub-optimal (two thirds of dedicated training lists fall short of demand) and if competency trajectories are to improve, capacity must amplify. The aim was to develop a semi-automated web-based Application (App) to maximise training. Methods A blended Clinical and Digital Services App team used integrated list planning, built with open-source PHP framework Laravel and TALL Stack, and cloud hosted with Microsoft Azure. User profiles were aligned with Joint Advisory Group on Endoscopy (JAG) Training terminology - six users with diverse functionality (Planner, Training Lead, Trainer, Trainee, Viewer, and Administrator) supplying endoscopy list planning linked to e-invitation, to create a prototype MEET tool. Results Real time prototype testing proved MEET was accessible on all modern web browser platforms (on-line wired, Wi-Fi and broadband) with an App icon available on iOS and Android. Endoscopy list use was assessed prospectively over two months, one before (114 lists, 22.8% training dedicated) and one after MEET tool introduction (108 lists, 22.2% training dedicated). MEET could improve full training list use from 19.2% (5 lists) before, to 41.7% (10 lists) after introduction (Chi2 46.4, p<0.001; Cramer’s V 0.457, p<0.001). Moreover, the potential for ad-hoc training improved from 10.4% (10 lists) to 48.9% (44 lists, p<0.01). Conclusion MEET tool assessment within a development test area was workable with two- to four-fold better training opportunity. MEET has important promise and roll-out potential to all medical training - an opportune COVID recovery tool.