Browse by author
Lookup NU author(s): Dr Sarah Hearnshaw
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. Introduction: Trainees report inadequate exposure and training barriers in acute upper gastrointestinal bleed (AUGIB) endoscopic management. This UK-wide survey evaluated the experiences of trainees and trainers in AUGIB endoscopy training. Methods: A questionnaire was distributed to UK upper GI endoscopy trainees and trainers in 2022-2023. Results: We received responses from 137 trainees (23%) and 115 trainers (76%). Trainees reported higher exposure to diagnostic oesophagogastroduodenoscopies (OGDs) than AUGIB endoscopy (median 300, IQR 203-441 vs 15, IQR 2.5-35.5 lifetime procedures), with variations among grades and regions. Among trainees, 55% were specialist trainee (ST)3-5 and 28% ST6-7; 73% had Joint Advisory Group (JAG) certification for OGDs, and 32% attended a JAG-approved haemostasis course. For ST6-7 trainees, the highest lifetime procedure counts were for band ligation (median 20, IQR 8.5-39) and injection therapy (median 10, IQR 6.5-29.5); the lowest counts were for glue, over-the-scope clip and Danis stent (median 0). ≤41% of ST6-7 trainees felt confident in independent haemostatic procedures. Most trainees (68%) and trainers (64%) reported difficulties in AUGIB endoscopy training. Key barriers included lack of structured training (94% trainees), not being part of the AUGIB on-call rota (78% trainees and 72% trainers) and intensive acute-take commitments (75% trainees and 85% trainers). Suggested improvements included mandatory AUGIB on-call rota participation (89% trainees and 85% trainers), access to JAG-approved haemostasis courses (85% trainees and 84% trainers), simulation-based training (83% trainees and 72% trainers) and reduced acute-take commitments (80% trainees and trainers). Conclusion: This survey highlights limited exposure to haemostasis procedures and low perceived competence among UK trainees. Addressing these challenges provides an opportunity for targeted improvements, ensuring a more comprehensive training experience.
Author(s): Nigam GB, Marfin A, Ratcliffe E, Grant-Casey J, Leithead JA, Oakland K, Morris AJ, Travis S, Hearnshaw S, Stanley AJ, Douds AC
Publication type: Article
Publication status: Published
Journal: Frontline Gastroenterology
Year: 2025
Volume: 16
Issue: 2
Pages: 108-115
Print publication date: 01/03/2025
Online publication date: 23/11/2024
Acceptance date: 23/09/2024
Date deposited: 27/01/2025
ISSN (print): 2041-4137
ISSN (electronic): 2041-4145
Publisher: BMJ Publishing Group
URL: https://doi.org/10.1136/flgastro-2024-102818
DOI: 10.1136/flgastro-2024-102818
Data Access Statement: Data are available upon reasonable request.
Altmetrics provided by Altmetric
