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- W4381112864 abstract "<h3>Introduction</h3> Contributing to the on-call Upper Gastrointestinal Bleed (UGIB) rota is a crucial part of a consultant gastroenterologist’s role. There is no standardised training in managing UGIB as part of the gastroenterology curriculum in the UK, with wide variation in experience amongst registrars by completion of training. Furthermore, with UK Gastroenterology training now reduced to four years, there are fewer opportunities for trainees to gain experience in UGIB. The Bristol Endoscopy Training Collaborative (BETC) developed an Upper Gastrointestinal Haemostasis Course to provide delegates with formal upper gastrointestinal bleeding training. The JAG pilot Upper GI Haemostasis course developed by BSG EQIP initiative was used as template (http://dx.doi.org/10.1136/gutjnl-2019-BSGAbstracts.484). <h3>Methods</h3> We ran four 1-day courses at Vesalius Clinical Training Centre, Bristol, between November 2021 and November 2022, with 8 delegates & 4 faculty per course. Each course cost approximately £3000 to deliver, including venue hire and porcine models, and was fully funded by the Southwest Endoscopy Training Academy & Health Education England. The course programme included small group, hands-on training for use of adrenaline injection, heater probe, clip placement, haemostatic powder, variceal banding and sclerotherapy. Porcine models (MedMeats) with simulated bleeds were used with accessory & equipment support from industry partners. Hands-on training for Sengstaken Tube (Steris) insertion and oesophageal stent (Danis) placement was demonstrated with plastic models. Non-technical skills were taught using small group discussions covering topics including on-call role play, prioritisation in UGIB, pathology recognition, and report writing. Pre- and post- course confidence surveys were sent to delegates, and comparisons were made with the Mann-Whitney-U test. <h3>Results</h3> 31 delegates attended the four courses, with fully completed questionnaires obtained from 23 delegates. Most (21 of 23) participants were gastroenterology registrars; surgical registrars, consultant gastroenterologists and clinical endoscopists also attended. All delegates stated they would recommend the course to a colleague. Self-reported improvements were seen for all learning objectives: recognising pathology, technical skills and report writing. Most notably, confidence in holding the out of hours on call phone for UGIBs improved from an average of 4/10 to 8/10 (p value < 0.005). <h3>Conclusion</h3> We describe a cost-effective single-day course to improve training in management of UGIB. This course can be reproduced at other regional centres. Those looking to refresh or up-skill UGIB management would also benefit." @default.
- W4381112864 created "2023-06-19" @default.
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- W4381112864 date "2023-06-01" @default.
- W4381112864 modified "2023-09-27" @default.
- W4381112864 title "P353 Improving training in endoscopic management of upper GI bleeds (UGIB)" @default.
- W4381112864 doi "https://doi.org/10.1136/gutjnl-2023-bsg.417" @default.
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