When beginning the certification process, paediatric trainees should select the corresponding adult
certification pathway on JETS. However, paediatric trainees must meet the criteria listed below - not those that display on their JETS certification page (where the criteria reflects adult endoscopy requirements).
All applications will be for full JAG certification. The green ticks and red crosses shown on the
certification page indicating the trainee's performance against the criteria are not relevant for paediatric pathways, since the criteria will not be the same as those for adults.
Once the criteria are met, the trainee will need to contact the JAG office to be able to begin their summative DOPS.
Specific paediatric DOPS forms have now been developed and added to the JETS website for paediatric trainees to use during their training.
Eligibility criteria
The eligibility criteria for paediatric pathways are shown in the tables below. When calculating KPI requirements, the previous three months of procedural data entered into JETS should be used. For more information on how KPIs are calculated, please click here.
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 - this must include some infants and children below 10kg in weight. 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 in 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 whilst having had little exposure to polypectomy.
A polypectomy DOPS (known as 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 approach to that undertaken with therapeutic upper GI
endoscopy procedures.
“Unassisted Physically”
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”
criterion is assessed based on endoscopic procedure data from the previous three months.
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
For more information, please see pages 12-14 of the JETS certification pathways guidance document.