TU6.7 How to solve the problem of endoscopy training for General Surgery trainees

Abstract

Abstract Introduction COVID-19 has negatively impacted on all aspects of surgical training, compounding longstanding issues with surgical trainees achieving required endoscopy training standards. Innovative approaches are required to ensure trainees progress appropriately. Aims We aim to present an ideal immersive training pathway for endoscopy training for general surgery trainees. Results JAG certification has strict criteria which are achievable during a six month “immersive” training period with six, half day, sessions per week. JAG basic skills courses should be booked in advance and ideally complete in the 2nd to 3rd month of training. Weeks 1–2: Supervised simulator training to introduce basic scope handling and manipulation. Observation of “upper” and “lower” lists to grasp understanding of patient journey. Weeks 3–4: Attend at least 3 dedicated training sessions per week with DOPS discussion and completion. Ongoing simulator practice (1–2 sessions per week). Attendance at service lists with recognised trainers (1–2 sessions per week); likely to be opportunities for trainees to participate on ad Hoc basis. Weeks 4–20: As per weeks 3–4 with an increased attendance of ad Hoc lists and reduction of simulation to one session per week. Weeks 20–24: Consolidation of learning, endoscopies undertaken with minimal assistance from trainer. Weeks 24–26: Reduced capacity lists with trainer in the department but out-with scope room in preparation of independent lists after JAG certification. Conclusions We have described the ideal immersive endoscopy training pathway. Consideration should be given to incorporating this into the general surgical curriculum around on-call commitments, elective operating and clinics.