When beginning the certification process, paediatric trainees should select the appropriate adult
certification, but must meet the criteria listed below and not those given on www.jets.nhs.uk (which
relate to adult endoscopy).
All applications will be for full JAG certification. The green ticks and red crosses shown on the
certification page indicating performance against the criteria are not relevant to paediatrics.
Once the criteria are met, the trainee will need to contact the JAG office (askJAG@rcp.ac.uk) to be
able to add summative DOPS.
Specific paediatric DOPS forms have now been developed and added to the JETS website for use by
paediatric trainees during their training.
Eligibility criteria are shown in the tables below. The previous three months of procedural data on
the e-portfolio should be used. Formative DOPS are not time restricted, the last 10 added to JETS
should be used. However assessors may wish to see evidence of recent DOPS.
Paediatric OGD Criteria
Paediatric colonoscopy criteria
Additional information on paediatrics eligibility criteria
Age of patients
Some endoscopy training and experience can be in the adult setting. However, it is the responsibility
of the trainee and their primary endoscopic trainer to ensure that they have suitable experience of
an age appropriate case mix and this must include some infants and children below 10kg. This aspect
will be scrutinized by the Regional Endoscopy Lead during the review process and prior to the award
of the JAG certificate.
Polypectomy in Paediatric Practice
Trainees should be aware that the Paediatric JAG Trainee Certification in Colonoscopy allows for an
individual to be signed off as fully independent at Ileocolonoscopy without an assessment of their
polypectomy skills. Unlike adult practice, polypectomies are rarely undertaken in children. Trainees
may have gained sufficient expertise to perform diagnostic colonoscopy proficiently but had little
exposure to polypectomy.
A polypectomy DOPS (the DOPyS) has been developed and is being validated for this purpose. We
propose that all endoscopists can be assessed for polypectomy competency whilst concurrently
undertaking independent practice, in a similar fashion as is undertaken with therapeutic upper GI
The additional DOPS criteria of “unassisted physically” has been included to ensure that when a
trainee is assisted by a trainer for a part of the procedure, but the trainee completes the procedure,
the trainee does not add that as an independently completed procedure. The “unassisted physically”
criteria reflect the previous three month’s endoscopic practice.
JAG approved Basic Skills course
Trainees applying for paediatric JAG Certification must have completed a JAG Approved Basic Skills
Course in the procedure that they are applying for.
- JAG_GDP3(P) Basic Skills Upper GI (Paediatric)
- JAG_CDP3(P) Basic Skills in Lower GI (Paediatric) Course