PWE-114 Upper GI haemostasis course improves delegate confidence in theoretical and practical aspects of haemostasis management

IntroductionIt is recognised that training in the endoscopic management of upper gastrointestinal bleeding (UGIB) is not delivered in a standardised form in gastroenterology training programmes. A standardised Upper GI Haemostasis course was developed as part of the BSG EQIP initiative in conjunction with JAG.MethodsFollowing pilot courses at the West of Scotland Endoscopy Training Centre, 3 one-day industry-subsidised haemostasis courses were run at 2 sites (West Midlands Endoscopy Training Centre, Sheffield Endoscopy Teaching Centre) between July-October 2018. The programme included lecture-based components on risk assessment, pre-endoscopic management, management of variceal, non-variceal and atypical UGIB, role of interventional radiology and surgery, report writing and rebleed plan. In addition, hands-on model training was delivered via porcine or plastic models covering adrenaline injection, thermocoagulation, clip placement, variceal banding, haemostatic powder and Sengstaken tube placement. Feedback questionnaires were offered to trainees to provide self-assessed pre and post course ratings in knowledge, skills and behaviours relevant to UGIB. Pairwise comparisons were made using Wilcoxon rank tests.ResultsThe haemostasis courses were attended by 27 trainees who varied in seniority between ST–. 25 had JAG certification in UGI endoscopy with an average lifetime procedure count of 553. Feedback datasheets were returned by 22 trainees. Following the course, significant improvements were reported in knowledge-based, hands-on skills and behavioural elements, and in the outcome of being “confident in independently managing UGIB” (table 1).Abstract PWE-114 Table 1 Course objective Median score (range) p-value Pre-course Post-course Knowledge Risk stratification systems 8 (–0) 9 (–0) < 0.001 Medical management 9 (–0) 9 (–0) 0.003 Interventional radiology and surgery 7.5 (–) 9 (–0)