Maximising Efficient Endoscopy Training -implementation analysis of a tool to improve endoscopy training

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 ≥20 lists per year [1–5]. Barriers include rota conflicts and limited trainer availability, that restrict equitable access [6–12]. Improving visibility of training opportunities may improve access to supervised procedures. 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 displayed as counts, percentages and 95% confidence intervals. Narrative and Likert feedback captured user perspectives. Results: Potential dedicated training lists rose two-fold (19.2% to 41.7%) and potential ad hoc training opportunities four-fold (14.3% to 66.7%). 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’s ability to highlight available backfilling. 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).