Currently, there is not a JAG certified colon capsule endoscopy certification pathway. Although small bowel capsule endoscopy (SBCE) is well-established with a defined training and certification process, there is no comparable process for CCE. Each Cancer Alliance and employer will therefore be responsible for ensuring local clinical governance arrangements are in place to assure the clinical quality of the procedures that are undertaken, and that the staff delivering the service are adequately trained and maintain their performance, as monitored through their professional appraisal processes.
The JAG Quality Assurance of Training working group, in collaboration with appropriate specialty leads, are developing training pathways. These will include certification. There is no set timeframe for these being available. Updates will be published on the JAG website and cascaded to stakeholders and endoscopy services.
Training requirements
In the absence of a defined training pathway JAG recommends the following:
Those wishing to undertake CCE should, as a recommended minimum, be able to demonstrate evidence against the criteria in the following table (Ref. 1):
Certification Standard |
Evidence required |
Evidence of core knowledge |
Workplace based assessments or a reflective practice portfolio demonstrating an understanding of the procedure, including indications, risks, and identification and management of colonic pathologies. Attendance at local or regional teaching on luminal gastroenterology, colonic pathology and the role of capsule endoscopy. To meet this requirement an appropriate, recent example should be uploaded to an appraisal, training or CPD platform. This could be supervisor report, a record of attendance at local teaching or reflection / WBPA from portfolio. |
Course requirement – attend basic skills in colon capsule endoscopy course or online alternative* |
Course attendance certificate covering:
|
Knowledge based competency - complete e-Learning modules# |
Certificates of completion of JAG approved e-Learning modules. |
Procedural competency** |
Lifetime minimum number of 15 cases. Double reading of videos with feedback via C-RX DOPS from an expert in CCE. |
Procedural skills assessment |
A minimum number of 5 C-RX CCE DOPS with demonstrable ability to define normal and abnormal and understanding of the need to seek appropriate advice if there is diagnostic doubt. |
Ref 1.: Please see JAG's statement on CCE training for more information and a full account of JAG's position.
DOPS Forms and Training
For UK trainees, JAG have developed DOPS forms which are available via the JETS website.
For non-UK trainees, a PDF of the DOPS form can be downloaded from the JAG download centre.