JRCPTB SPECIALIST ADVISORY COMMITTEE IN GASTROENTEROLOGY
TiG representative: Jess Williams

JAG forms for DOPS, MSF and Mini-CEX (required for RITAs) can be found at:
http://www.jrcptb.org.uk/forms/Pages/default.aspx

Updated November 2007

I recently attended the SAC meeting as trainees’ representative. From the trainees’ perspective, the most important issue addressed was that of the mandating of endoscopy courses. It was recently suggested by the SAC that the basic endoscopy course and colonoscopy course should be made mandatory for all gastroenterology trainees. This had been brought to the attention of the TiG committee prior to the meeting, and after canvassing opinion from many trainees in many regions, we submitted a response to the committee. A copy of this letter is attached.

A long discussion took place regarding whether or not these courses should be made mandatory. There were significant concerns from members of the committee that without such courses there would be massive variation in the quality of training across the UK particularly in view of the fact that only 25-30% of those consultants who provide endoscopic training have completed the ‘Train the Trainers’ course themselves. There was also felt to be a significant risk that standards of training would drop if the courses were not mandated. Therefore, in spite of the objections of the trainees, the basic endoscopy and colonoscopy courses are to be mandated for all gastroenterology trainees in the future and the curriculum will be amended to reflect this. The costs, however, are to be slightly reduced to around £700 for the basic endoscopy course and £950 for the colonoscopy course.

The other main issue related to trainees discussed at the meeting was that JAG are updating the way in which accreditation is achieved for endoscopy. For further information on this please see the JAG reports on the TiG website and the JAG website itself (www.thejag.org.uk).

Updated June 2007

At the recent SAC meeting which I attended as Trainees’ representative, discussion was mainly based around the changes in training which will become apparent with the advent of the new ST trainees.

The first cohort of ST3 trainees have now been selected and will be starting their training in August of this year. It was felt that, in the future, some degree of selection will take place to recruit ST3s and that this is likely to take place on a national level. MRCP will be a desirable criterion for those applying to ST3 from 2008 onwards, but will not be essential.

Assessment methods throughout ST training will remain similar to those which are in use currently. DOPS, Mini-CEX and MSF/360 degree appraisal will all remain in place but in the next few years, these are likely to be undertaken in the form of an e-portfolio. Please note that new forms for DOPS assessment are soon to be issued from JAG so do watch their website www.thejag.org.uk for these as you will be expected to use them.

The main addition to the assessment methods is the introduction of the Knowledge Based Assessment (KBA) in Gastroenterology. This will lead to the award of the Diploma of the Royal College of Physicians (Gastroenterology) or DipRCP(Gastro). The first diet of the examination is due to take place in May 2008 and question writing is in full flow! Thereafter, the examination will take place twice yearly in May and November. Although not compulsory for those of us currently in training, it is anticipated that in the future, it will be necessary to have passed the KBA by ST6. Candidates must have passed MRCP(UK) before they can attempt the specialist exam. The assessment will be a “best of five” format and will be undertaken online at several regional centres. There will be two papers of 100 questions, each lasting for 3 hours. Around 80-90% of candidates will pass the exam at each sitting, although it will be judged against a predetermined pass mark and not a pass rate. The cost to the candidate to sit the exam is likely to be in the region of £800.