The New JAG Trainee Certification Process

Dear Trainee,

Over the last 18 months, the JAG has carried out an extensive review and consultation on the way that trainees are assessed as competent at endoscopy. This article aims to inform you of the changes, provide you with the rationale for the changes and give you a timeline for implementation.

Firstly, the term accreditation is changing to certification to help distinguish this process from the endoscopy unit accreditation process.

Trainees have fed back that the application process for certification can be paper heavy and cumbersome. In response to this, the JAG have designed and released the JETS e-portfolio. From mid March 2011 the application process will be streamlined; you will be able to apply through the JETS e-portfolio. From September 2011, all applications will have to be submitted through the JETS e-portfolio. If needed, supplementary paper evidence will be permitted until at least 2012.

If you are not sure whether your trust has set up the JETS e-portfolio click on this link:

Details on how to set up the JETS e-portfolio can be found here:


The purpose of the JAG trainee certification process is to assess your competence at performing an endoscopic procedure. You will be expected to show sufficient expertise to allow you to perform that procedure independently. DOPS assessments test competence using the standard of an independent endoscopist as a benchmark. E.g. a score of '3' represents a competent performance for an independent endoscopist. Formative DOPS scores have therefore been included in the new certification process. To be eligible for a summative assessment you will need to be scoring '3's or '4's for over 90% of formative DOPS (>95% in diagnostic gastroscopy). For flexible sigmoidoscopy and colonoscopy, you will need to have shown competency at polypectomy also. A new DOPS form (the DOPyS) has been designed for this and will be accessible on the JETS e-portfolio shortly.

To simplify the process, the provisional certification stage has been removed from upper GI endoscopy, however in colonoscopy demonstration of competence at removing larger polyps will be required for full certification. Due to a lack of validated assessment tools, JAG has suspended certification in therapeutic gastroscopy. The JAG Working Group for the Quality Assurance of Training is actively developing new assessment tools for this purpose.

Further details on the requirements for the new certification process for each procedure can be found here:

The JAG office may be contacted on:

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Mr John Stebbing: JAG Chairman
Dr Roland Valori: National Clinical Director for Endoscopy Services in England
Dr Siwan Thomas-Gibson: Chair of the Quality Assurance of Training Working Group
Dr Paul Dunckley, Lead for the JETS e-portfolio