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Endoscopic retrograde cholangiopancreatography (ERCP) and Endoscopic ultrasound (EUS) certification pathways launch
29 September 2023

We have launched two new certification pathways in Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS). An evidence-based certification pathway was commissioned by JAG to support and quality assure EUS training. This pathway will help to improve the quality of training and safety standards for EUS in the UK. ERCP is a complex and technically demanding procedure. Over the last three decades, ERCP has become almost exclusively therapeutic. The ERCP pathway has been created with the intention of quality assuring training and to improve ERCP standards of care in the UK.

Here’s what you need to know if you will be training in either or both pathways:

Existing procedures

Procedures added to JETS, either through NED or manually, will be counted toward the lifetime procedure number KPI for both pathways.

New procedures

After the launch of these pathways on JETS, only procedures that have the mandatory JETS fields filled in will count towards any KPI, including lifetime procedure count. This is relevant for NEDi2 procedures that automatically feed through to JETS. While these will appear for users at a NEDi2 site, these will not count towards certification until the mandated fields are completed on JETS.

Procedures uploaded to NED prior to the launch of these pathways will count towards some KPIs, as detailed below:

ERCP

Criteria

Will existing procedures count? (Added BEFORE launch)

Do procedures automatically uploaded from NEDi2 count AFTER the launch?

ERCP lifetime procedure count

Yes - procedures uploaded through JETS and NEDi2 prior to the launch date will count toward this KPI

Yes – after mandatory fields completed on JETS

Procedures (for Schutz 1- 2 procedures) in preceding 6 months

Only procedures uploaded through NEDi2 prior to the launch date will count toward this KPI. This is because this field is captured in NED i2. Historic JETS manual uploads will not count

Yes – after mandatory fields completed on JETS

Cannulation (native papilla)

Only procedures uploaded through NEDi2 prior to the launch date will count toward this KPI. This is because this field is captured in NED i2. Historic JETS manual uploads will not count

Yes – after mandatory fields completed on JETS

Complete stone clearance

No – not counted from NEDi2 or manual upload

Yes – after mandatory fields completed on JETS

Rated competent in last 5 formative DOPS

Yes – DOPS added through JETS prior to the launch date will count toward this KPI
N/A for NED – can only be added on JETS

N/A for NED – can only be added on JETS

Successful biliary stenting

Only procedures uploaded through NEDi2 prior to the launch date will count toward this KPI. This is because this field is captured in NED i2. Historic JETS manual uploads will not count

Yes – after mandatory fields completed on JETS

Physically unassisted

Yes – counts for both NEDi2 procedures and manual uploads

Yes – after mandatory fields completed on JETS

Basic skills course

N/A

N/A

Reflections

No - Reflections are only generated on procedures completed after the JETS launch of the pathways

Yes – after mandatory fields completed on JETS

 

EUS

Criteria

Will existing procedures count? (Added BEFORE launch)

Do procedures automatically uploaded from NEDi2 count AFTER the launch

EUS lifetime procedure count

Yes - procedures uploaded through JETS and NEDi2 prior to the launch date will count toward this KPI

Yes – after mandatory fields completed on JETS

Lifetime pancreatic cases*

No – not counted from NEDi2 or manual upload

Yes – after mandatory fields completed on JETS

75 cases involving EUS FNA(B)

No – not counted from NEDi2 or manual upload

Yes – after mandatory fields completed on JETS

50 of the EUS FNA(B) cases are pancreatic/solid lesion**

No – not counted from NEDi2 or manual upload

Yes – after mandatory fields completed on JETS

Cases in last 6 months

Yes - procedures uploaded through JETS and NEDi2 prior to the launch date will count toward this KPI

Yes – after mandatory fields completed on JETS

Photo documentation of anatomical ultrasound landmarks***

No – not counted from NEDi2 or manual upload

Yes – after mandatory fields completed on JETS

Physically unassisted

Yes - procedures uploaded through JETS and NEDi2 prior to the launch date will count toward this KPI

Yes – after mandatory fields completed on JETS

Rated competent in last five formative DOPS (none requiring maximum supervision)

Yes – DOPS added through JETS prior to the launch date will count toward this KPI
N/A for NED – can only be added on JETS

N/A for NED – can only be added on JETS

DOPS – three cases of pancreas, bile ducts, ampulla of Vater

No – Only DOPS added after launch date will be counted toward this KPI

N/A for NED – can only be added on JETS

DOPS – one case of oesophagogastric and posterior mediastinal/lymph node assessment

No – Only DOPS added after launch date will be counted toward this KPI

N/A for NED – can only be added on JETS

Basic skills course

N/A

N/A

Reflections

No - Reflections are only generated on procedures completed after the JETS launch of the pathways

Yes – after mandatory fields completed on JETS

 

You can find out more information about both pathways in the JETS certification pathway document available on our website.

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