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Results of the United Kingdoms first pilot study for nonmedical endoscopy practitioners

Gardiner, A. B.


A. B. Gardiner


Spencer and Ready published the first description of nonmedically qualified endoscopists in 1977 [Dis Colon Rectum 1977; 20: 94]. Since then there has been an explosion of interest in this concept. Duthie et al. [Gut 1998; 43: 711] first described Nurse Endoscopy (NE) in the UK in 1998. In recent years, endoscopy services in England have been subject to review as a consequence of perceived inadequacies in service provision and delivery. Increasing pressure on endoscopic services led the Modernisation Agency to commission a pilot study evaluating nontraditional individuals to practice flexible sigmoidoscopy (FS). A science graduate, basic grade nurse and nonclinical member of staff were successfully trained. As a result, a second pilot scheme was introduced, whereby nine nonmedically qualified individuals received education and training in FS. A curriculum was designed, developed and implemented to create an endoscopic practitioner (EP) who was both safe and competent to undertake FS. The student backgrounds included administration, health-care assistants, phlebotomist, junior doctor assistant and clinical physiologist. In the context of academic achievement, prescribed learning outcomes were achieved at a rate of 93% (101 from 108) of success in first attempt at assessment. In terms of practical achievement, each student demonstrated competency in FS. The curriculum designed provides a suitable framework to develop individuals with the necessary knowledge, skills and attitudes required for safe, competent practice within FS. This indicates that the curriculum provides a broad range of learning, teaching and assessment strategies befitting to a range of individuals.


Gardiner, A. B. (2009). Results of the United Kingdoms first pilot study for nonmedical endoscopy practitioners. Colorectal Disease, 11(2), 208-214. doi:10.1111/j.1463-1318.2008.01555.x

Journal Article Type Article
Acceptance Date Apr 3, 2008
Online Publication Date May 4, 2008
Publication Date 2009-02
Print ISSN 1462-8910
Electronic ISSN 1463-1318
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 11
Issue 2
Pages 208-214
Keywords Flexible sigmoidoscopy; Non-medical endoscopy; Endoscopy training
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