THE MODERN ENDOSCOPY UNIT Organisation

THE MODERN ENDOSCOPY UNIT Organisation

A well-designed endoscopy unit sta ff ed by trained endoscopy nurses and dedicated administrative sta ff is essential to support good endoscopic practice and training. Clinical governance with regular appraisal and assessment of performance should be embedded within the unit’s philosophy . Endoscopist train - ing demands particular attention, with a transparent process of skills- and theory-based education centred on practical experi - - ence and dedicated training courses. Experienced supervision of all trainees is essential until competency has been obtained and assessed by an appropriately v alidated technique, such as ). dir ect observation of practical skills (DOPS) and review of procedure logbooks. All endoscopists should record diagnostic - and therapeutic procedure numbers and markers of compe - tency such as colonoscopy completion rates, polyp detection rates, mean sedation use and complication rates. Central to this ovides outcome is an e ffi cient data management system that pr analysis for all aspects of endoscopy , including adherence to guidelines, near misses, patient satisfaction, decontamination processes and scope tracking, as well as the more obvious completion and complication rates. In the UK the Joint Advisory Group (JAG) provides guid - ance for endoscopist competence assessment and operates a certification system of individual endoscopic competencies, based on procedure numbers, key performance indicators (e.g . caecal intubation rate, adenoma detection, sedation levels, complications), course attendance and peer assessment. THE MODERN ENDOSCOPY UNIT Organisation

A well-designed endoscopy unit sta ff ed by trained endoscopy nurses and dedicated administrative sta ff is essential to support good endoscopic practice and training. Clinical governance with regular appraisal and assessment of performance should be embedded within the unit’s philosophy . Endoscopist train - ing demands particular attention, with a transparent process of skills- and theory-based education centred on practical experi - - ence and dedicated training courses. Experienced supervision of all trainees is essential until competency has been obtained and assessed by an appropriately v alidated technique, such as ). dir ect observation of practical skills (DOPS) and review of procedure logbooks. All endoscopists should record diagnostic - and therapeutic procedure numbers and markers of compe - tency such as colonoscopy completion rates, polyp detection rates, mean sedation use and complication rates. Central to this ovides outcome is an e ffi cient data management system that pr analysis for all aspects of endoscopy , including adherence to guidelines, near misses, patient satisfaction, decontamination processes and scope tracking, as well as the more obvious completion and complication rates. In the UK the Joint Advisory Group (JAG) provides guid - ance for endoscopist competence assessment and operates a certification system of individual endoscopic competencies, based on procedure numbers, key performance indicators (e.g . caecal intubation rate, adenoma detection, sedation levels, complications), course attendance and peer assessment. THE MODERN ENDOSCOPY UNIT Organisation

A well-designed endoscopy unit sta ff ed by trained endoscopy nurses and dedicated administrative sta ff is essential to support good endoscopic practice and training. Clinical governance with regular appraisal and assessment of performance should be embedded within the unit’s philosophy . Endoscopist train - ing demands particular attention, with a transparent process of skills- and theory-based education centred on practical experi - - ence and dedicated training courses. Experienced supervision of all trainees is essential until competency has been obtained and assessed by an appropriately v alidated technique, such as ). dir ect observation of practical skills (DOPS) and review of procedure logbooks. All endoscopists should record diagnostic - and therapeutic procedure numbers and markers of compe - tency such as colonoscopy completion rates, polyp detection rates, mean sedation use and complication rates. Central to this ovides outcome is an e ffi cient data management system that pr analysis for all aspects of endoscopy , including adherence to guidelines, near misses, patient satisfaction, decontamination processes and scope tracking, as well as the more obvious completion and complication rates. In the UK the Joint Advisory Group (JAG) provides guid - ance for endoscopist competence assessment and operates a certification system of individual endoscopic competencies, based on procedure numbers, key performance indicators (e.g . caecal intubation rate, adenoma detection, sedation levels, complications), course attendance and peer assessment.