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 performance, monitored through their professional appraisal processes.
In the absence of a defined training pathway JAG recommends the following:
Training requirements
Those wishing to undertake CCE should, as a recommended minimum, be able to demonstrate evidence against the criteria in table 1.
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Certification Standard |
Evidence required |
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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
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Course requirement – attend basic skills in colon capsule endoscopy course or online alternative* |
Course attendance certificate covering · Indications, risks, alternatives, patient assessment/ selection · Ability to outline the relative benefits and risks of each diagnostic colonic imaging test (Colonoscopy, CTC, CCE) · Describe the procedure · Use of reader and reporting software · Recognition of the key landmarks indicating a complete procedure · Recognition of normal colonic mucosa and pathology · Ability to report on the ongoing management of any abnormality seen
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Knowledge based competency - complete e-Learning modules# |
Certificates of completion of JAG approved e-Learning modules |
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Procedural competency** |
Lifetime minimum number of 15 cases
Double reading of videos with feedback via C-RX DOPS from an expert in CCE |
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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.
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