{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T01:16:01Z","timestamp":1783127761833,"version":"3.54.6"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction UK demand for gastrointestinal (GI) endoscopy exceeds capacity, with trainee access to dedicated training lists below the Joint Advisory Group on GI Endoscopy (JAG) recommendation of \u226520 lists per year [1\u20135]. Barriers include rota conflicts and limited trainer availability, which restrict equitable access [6\u201312]. Improving visibility of training opportunities may improve access to supervised procedures.<\/jats:p>\n                  <jats:p>Methods The Maximising Efficient Endoscopy Training (MEET) tool is a web-based planner built using Laravel PHP and the TALL stack. It matches trainees to suitable training lists and records reasons for missed sessions. Piloted in a district general hospital in Wales, feasibility was examined using the ERIC framework, Programme Theory, and PRISM. A six-week retrospective review of endoscopy activity was compared with a six-week simulated prospective phase; results are displayed as counts, percentages, and 95% confidence intervals. Narrative and Likert feedback captured user perspectives.<\/jats:p>\n                  <jats:p>Results Potential dedicated training lists rose two-fold (19.2\u201341.7%) and potential ad hoc training opportunities four-fold (14.3\u201366.7%). Residents engaged readily; trainers required targeted onboarding. Barriers included perceived administrative burden, digital literacy variation, and misalignment between consultant and trainee schedules. Managers valued MEET\u2019s ability to highlight available backfilling.<\/jats:p>\n                  <jats:p>Conclusion MEET may offer a scalable, adaptable approach to identifying training opportunities. Although the findings arose from a simulated environment, the exercise provided insights into implementation barriers that can inform and strengthen subsequent real-world deployment. Further evaluation in routine clinical settings is necessary to determine its potential to support progression towards JAG certification and Certificate of Completion of Training (CCT).<\/jats:p>","DOI":"10.1055\/a-2895-3166","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T23:17:57Z","timestamp":1782170277000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Maximising Efficient Endoscopy Training\u2014Implementation Analysis of a Tool to Improve Endoscopy Training"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3485-0834","authenticated-orcid":false,"given":"Catherine","family":"Eley","sequence":"additional","affiliation":[{"name":"The Grange University Hospital, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Cwmbran"],"department":["General Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil D.","family":"Hawkes","sequence":"additional","affiliation":[{"name":"NHS Wales Health Education and Improvement Wales, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Nantgarw"]},{"name":"Royal Glamorgan Hospital, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Llantrisant"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard John","family":"Egan","sequence":"additional","affiliation":[{"name":"Morriston Hospital, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Swansea"]},{"name":"Swansea University, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Swansea"]},{"name":"North Wales Medical School, Bangor University, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Bangor"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wyn Griffith","family":"Lewis","sequence":"additional","affiliation":[{"name":"North Wales Medical School, Bangor University, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Bangor"]},{"name":"University Hospital of Wales, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Cardiff"]},{"name":"NHS Wales Health Education and Improvement Wales, Wales, United Kingdom of Great Britain and Northern Ireland","place":["Nantgarw"],"department":["School of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1136\/flgastro-2020-101538","article-title":"National census of UK endoscopy services in 2019","volume":"12","author":"S Ravindran","year":"2021","journal-title":"Frontline Gastroenterol"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1136\/flgastro-2022-102145","article-title":"UK endoscopy workload and workforce patterns: is there potential to increase capacity? A BSG analysis of the national endoscopy database","volume":"14","author":"D Beaton","year":"2023","journal-title":"Frontline Gastroenterol"},{"key":"ref4","first-page":"1","article-title":"Career intentions of the UK endoscopy workforce: results from the 2023 UK-wide pan-workforce survey","author":"K Siau","year":"2025","journal-title":"Frontline Gastroenterol"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1007\/s11938-018-0191-1","article-title":"Training in endoscopy","volume":"16","author":"K Siau","year":"2018","journal-title":"Curr Treat Options Gastroenterol"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"E321","DOI":"10.1055\/a-1728-9187","article-title":"Hospital compound-level endoscopy training quality performance: scoping the spectrum","volume":"10","author":"C Eley","year":"2022","journal-title":"Endosc Int Open"},{"issue":"11","key":"ref10","first-page":"1746","article-title":"An analysis of the learning curve to achieve competency at colonoscopy using the JETS database","volume":"63","author":"S T Ward","year":"2014"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1136\/flgastro-2020-101734","article-title":"Endoscopy training in the UK pre-COVID-19 environment: a multidisciplinary survey of endoscopy training and the experience of reciprocal feedback","volume":"13","author":"E Ratcliffe","year":"2022","journal-title":"Frontline Gastroenterol"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1308\/003588415X14181254790400","article-title":"National survey on endoscopy training in the UK","volume":"97","author":"R P Jones","year":"2015","journal-title":"Ann R Coll Surg Engl"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1136\/flgastro-2023-102468","article-title":"UK-wide survey of gastroenterology and hepatology trainees in 2022: endoscopy, workforce planning and the shape of things to come","volume":"15","author":"E Saunsbury","year":"2023","journal-title":"Frontline Gastroenterol"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1136\/flgastro-2017-100848","article-title":"Trends in UK endoscopy training in the BsG trainees\u2019 national survey and strategic planning for the future","volume":"9","author":"S Biswas","year":"2018","journal-title":"Frontline Gastroenterol"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1136\/flgastro-2023-102557","article-title":"UK endoscopy trainer survey: perspectives on current endoscopy training delivery, experience, barriers and opportunities","volume":"15","author":"F Brown","year":"2024","journal-title":"Frontline Gastroenterol"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1136\/bmjqs-2014-003627","article-title":"Demystifying theory and its use in improvement","volume":"24","author":"F Davidoff","year":"2015","journal-title":"BMJ Qual Saf"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1093\/heapol\/czp010","article-title":"PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems","volume":"24","author":"A Aqil","year":"2009","journal-title":"Health Policy Plan"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1308\/rcsbull.TB2024.1","article-title":"A glimmer of hope","volume":"106","author":"T Mitchell","year":"2024","journal-title":"Bull R Coll Surg Engl"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2895-3166.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:22:16Z","timestamp":1783124536000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2895-3166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,22]]},"references-count":14,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a28953166"],"URL":"https:\/\/doi.org\/10.1055\/a-2895-3166","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6,22]]},"published":{"date-parts":[[2026,6,22]]}}}