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Assessment strategies in gastroenterology by Neel Sharma

22 Aug, 16 | by abhichauhan

All doctors regardless of specialty are assessed regularly – after all assessment drives learning. From a UK standpoint assessment comprises the MRCP (UK) examinations and SCE. During GI training there is the JAG accreditation of simple and more advanced endoscopic intervention as well as portfolio based records.

In the field of medical education there are currently talks concerning the lack of potential value in a high stakes examination. In essence the current argument is that such a form of assessment can potentially limit a supervisor’s judgement if the candidate is unsuccessful. In this regard, the concept of programmatic assessment has come to the forefront where in essence a more holistic judgement of a candidate’s performance takes place. In brief continuous forms of learning, assessment and feedback are offered. And all elements of the learning/ assessment process are compiled to provide a fairer judgment of a learner’s abilities.
The next movement that has occurred in the US is that of entrustment or entrustable professional activities. Whilst competency based medical education has been cemented for some time, there have been concerns with the lack of entrustment decisions. Here supervisors would make the added assessment of when a learner can be entrusted to perform a competency unsupervised. The GI curriculum in the US has embedded this approach and it is likely that this phenomenon will snowball globally.

Further reading
Van der Veluten et al. A model for programmatic assessment. https://www.amee.org/getattachment/AMEE-Initiatives/ESME-Courses/AMEE-ESME-Face-to-Face-Courses/ESME/ESME-Online-Resources-China-Dec-2015/A-model-for-programmatic-assessment-fit-for-purpose.pdf

Neel Sharma is currently a gastroenterology trainee in Singapore having worked in a medical education setting across the UK, Asia and the US

‘The flipped classroom’-future of endoscopic training?

8 Aug, 16 | by abhichauhan

Read our latest blog on pedagogical strategies in gastroenterological training from Dr Neel Sharma. Neel Sharma is currently a gastroenterology trainee in Singapore having worked in a medical education setting across the UK, Asia and the US

Medical education is now a well-recognised academic discipline. However, compared to traditional basic science it is still fairly premature having recently celebrated 50 years in the making.

Despite this prematurity, we must start to understand the advances in the field and attempt to uncover the potential evidence or lack of in terms of pedagogy. Here I highlight some current trends in the hope that the GI community can determine their potential worth.

Team based learning is one example where by learners are provided cases and problem solve with the addition of written assessments and expert feedback. In gastroenterology there has been little formal research into the value of TBL. One of its positives is that of feedback, unlike its counterpart PBL where feedback was typically lacking.

The next movement making waves is that of the flipped classroom. In fact this approach has been adopted wholeheartedly by Harvard Medical School during their recent curriculum reform. In brief videos are provided to learners pre class, with class time spent problem solving. Its potential benefits have been the ability to receive the so called ‘homework’ element before class so that in class learners can focus more on problem solving applications. Again little has been done in the form of flipped learning in gastroenterology.

How can such pedagogies be utilised? Well countless examples exist but one potential use is in image enhanced endoscopy – with the advances in NBI, confocal imaging and OCT, problem solving cases could prove useful, particularly as the classification systems in endoscopy become more complex.

I look forward to further movement in the field.

Acute-on-Chronic Liver Failure: All you need to know

25 Apr, 16 | by Kelly Horwood, BMJ

Following the March #FGDebate with Dr Richard Hansen and Ms Joan Gavin ‘Nutrition in IBD – what to do in theory and practice’, we are delighted to announce our next #FGDebate will be on Thursday 28th April 2016 8-9 BST with Dr Gautam Mehta. The topic this month will be ‘Acute-on-Chronic Liver Failure: All you need to know’.

GM pic

Dr Mehta is a Hepatologist, with interests in cirrhosis, acute-on-chronic liver failure and alcohol-related liver disease. He completed his PhD in portal hypertension at UCL, and has recently been appointed Honorary Consultant and Senior Lecturer in Hepatology at UCL. Gautam tweets regularly @drgautammehta, and also has an interest in Digital Health – starting one of the first secondary prevention m-Health trials in the UK @alcochange.

This #FGDebate @FrontGastro_BMJ promises to be an interesting and educational one and we look forward to hearing your questions.

Missed the #FGDebate with Dr Anton Emmanuel? Catch up with the Podcast and Storify summary of the debate here – ‘Frontline IBS: An approach to treatment pathways?’

18 Jan, 16 | by Dr Philip J Smith, Frontline Gastroenterology Trainee Editor

If you missed the #FGDebate with Dr Anton Emmanuel, ‘Frontline IBS: An approach to treatment pathways?’ you can catch up with the Storify summary of the #FGDebate at:

 

https://storify.com/FrontGastro_BMJ/frontline-ibs-an-approach-to-treatment-pathways

 

The podcast with Dr Anton Emmanuel can be listened to here:

 

https://soundcloud.com/bmjpodcasts/frontline-ibs-an-approach-to-treatment-pathways?in=bmjpodcasts/sets/frontline-gastroenterology

 

Don’t forget to join us for the next #FGDebate which is with Ms Kay Greveson (@IBDPassport) on Tuesday 19th January 2016, at 8-9pm GMT and will discuss, ‘Frontline IBD: Travel and IBD – advice from IBD Passport’.

 

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Missed the #FGDebate with Dr David Patch and Dr Dhiraj Tripathi? Catch up with the Podcast and Storify summary of the debate here – ‘Frontline Hepatology: Variceal Bleeding Guidelines’

7 Dec, 15 | by Dr Philip J Smith, Frontline Gastroenterology Trainee Editor

If you missed the #FGDebate with Professor Rebecca Fitzgerald on ‘Frontline Barrett’s: Screening, surveillance and therapy,’ you can catch up with the Storify summary of the #FGDebate at:

https://storify.com/FrontGastro_BMJ/frontline-hepatology-variceal-bleeding-guidelines 

The podcast with Dr David Patch can be listened to here:

 

 

Don’t forget to join us for the next #FGDebate which is out Xmas Special Debate with Dr Anton Emmanuel (@AntonEmmanuel2) on Tuesday 29th December 2015, at 8-9pm GMT and will discuss, ‘Frontline IBS: An approach to treatment pathways’.

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Missed the #FGDebate with Professor Rebecca Fitzgerald? Catch up with the Storify summary and the Podcast of the debate here – ‘Frontline Barrett’s: Screening, surveillance and therapy’

22 Nov, 15 | by Dr Philip J Smith, Frontline Gastroenterology Trainee Editor

If you missed the #FGDebate with Professor Rebecca Fitzgerald on ‘Frontline Barrett’s: Screening, surveillance and therapy,’ you can catch up with the Storify summary of the #FGDebate at:

https://storify.com/FrontGastro_BMJ/frontline-barrett-s-screening-surveillance-and-the

The podcast with Professor Fitzgerald can be listened to here:

https://soundcloud.com/bmjpodcasts/frontline-barretts-screening-surveillance-and-therapy

Don’t forget to join us for the next #FGDebate which is with Dr David Patch (@DavidPatch1) and Dr Dhiraj Tripathi (@dtrip2015) on Tuesday 24th November 2015, at 8-9pm GMT and will discuss, ‘Frontline Hepatology: Variceal Bleeding Guidelines’.

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Missed the #FGDebate with BSG-SWiG team? Catch up with the Podcast and Storify summary of the debate here – ‘Frontline Gastroenterology: Supporting Women in Gastroenterology’

5 Oct, 15 | by Dr Philip J Smith, Frontline Gastroenterology Trainee Editor

If you missed the #FGDebate with the BSG-SWiG team on ‘Frontline Gastroenterology: Supporting Women in Gastroenterology,’ you can catch up with the:

Podcast after the #FGDebate at

https://soundcloud.com/bmjpodcasts/supporting-women-in-gastroenterology/s-Xkqfj

Or the Storify summary of the #FGDebate at

https://storify.com/FrontGastro_BMJ/frontline-gastroenterology-supporting-women-in-gas

Don’t forget to join us for the next #FGDebate is with Professor Rebecca Fitzgerald (@RC_Fitzgerald) on Tuesday 6th October 2015, at 7-8pm GMT and will discuss, ‘Frontline Barrett’s: Screening, surveillance and therapy’.

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‘Frontline Nutrition: The management of intestinal failure’

12 Apr, 15 | by Dr Philip J Smith, Frontline Gastroenterology Trainee Editor

After the great success of the Endolive Special #FGDebate with Professor Brian Saunders, we are delighted to announce our next #FGDebate will be lead by Dr Simon Gabe (@simongabe), Consultant Gastroenterologist and Intestinal Failure Specialist, St. Mark’s Hospital, London, on Tuesday 14th April 2015, at 8-9pm GMT and will discuss, ‘Frontline Nutrition: The management of intestinal failure’.

FG Twitter E-Card April 2015 (1)

Dr Simon Gabe is a Consultant Gastroenterologist at St Mark’s Hospital in Harrow, London.  He Co-Chairs the Nationally commissioned Intestinal Failure service at St Mark’s, one of two centres in the UK currently funded to provide this service.

Dr Gabe has a wide clinical experience in the management of intestinal failure, clinical nutrition, home parenteral nutrition and consideration of intestinal transplantation.  He co-founded the National Adult Small Intestinal Transplant Forum together with Addenbrooke’s Hospital and has an honorary contract at Addenbrooke’s as a visiting specialist.  His academic and research interests include nutrition (parenteral & enteral nutrition in intestinal failure and also with enterocutaneous fistulae), home parenteral nutrition (survival & growth factors), intestinal transplantation and intestinal tissue engineering.

Dr Gabe has been actively involved in BAPEN (British Association of Parenteral and Enteral Nutrition), having been Honorary Treasurer, Executive Officer, Chair of BAPEN regional representatives as well as Treasurer of BAPEN Medical.  He is now President elect of BAPEN.

Dr Simon Gabe

Dr Simon Gabe

In advance of the #FGDebate, Dr Gabe says:

“Intestinal failure is increasingly recognised as a clinical condition and is divided into different subtypes. There are a number of different causes and although it is still rare for patients to require long-term parenteral nutrition, it is high cost, very demanding and requires an experienced MDT to manage such patients. There has been a desire to set up an intestinal failure network (HIFNET) in order to develop the service and set standards. Unfortunately, patients in different countries and different regions are managed in very different ways and some are not always offered this life-saving treatment.

This #FGDebate aims to cover the different types of intestinal failure and its causes as well as issues related to the management of intestinal failure. Feeding patients using unused segments of intestine often present practical difficulties. The placement and selection of jejunal feeding tubes are often not straightforward. Parenteral nutrition formulation offers many challenges including different lipid types. New developments are also afoot with small bowel lengthening surgery, the introduction of intestinal growth factors and intestinal transplantation. These exciting areas will be addressed and relevant questions will be answered.”

Join us on Tuesday 14th April 2015, 8-9pm GMT for the #FGDebate

Missed the #FGDebate with Dr Alex Ford? Catch up with the Podcast and Storify summary of the debate here – ‘Frontline Neurogastroenterology: Evidence based therapeutics in irritable bowel syndrome’

9 Feb, 15 | by Dr Philip J Smith, Frontline Gastroenterology Trainee Editor

If you missed the #FGDebate with Dr Alex Ford on ‘Frontline Neurogastroenterology: Evidence based therapeutics in irritable bowel syndrome’ you can catch up with the:

Podcast after the #FGDebate at:

https://soundcloud.com/bmjpodcasts/frontline-neurogastroenterology-evidence-based-therapeutics-in-ibs

Or the Storify summary of the #FGDebate at:

https://storify.com/FrontGastro_BMJ/frontline-neurogastroenterology-evidence-based-the

Don’t forget to join us for the next debate with Professor Mark Prictchard (@gastrolivuni), Professor and Head of Department of Gastroenterology and Honorary Consultant Gastroenterologist at the University of Liverpool, on Tuesday 10th February 2015 at 8-9pm GMT and will discuss, ‘Frontline Gastrointestinal NETs: The approach to diagnosis and initial management’.

Missed the #FGDebate with Prof Marshall and Prof El-Omar? Catch up with the Podcast and the Storify summary of the debate here – ‘Frontline Research: The highs and lows of academic life – the basics, the barriers and the breakthroughs’

13 Jan, 15 | by Dr Philip J Smith, Frontline Gastroenterology Trainee Editor

If you missed the #FGDebate with Nobel Professor Barry Marshall and Professor Emad El-Omar , ‘Frontline Research: The highs and lows of academic life – the basics, the barriers and the breakthroughs’, you can catch up with the:

Podcast with Prof Marshall and Prof El-Omar, after the #FGDebate:

https://soundcloud.com/bmjpodcasts/frontline-research-the-highs-and-lows-of-academic-life?in=bmjpodcasts/sets/frontline-gastroenterology

Or the Storify summary of the #FGDebate at:

https://storify.com/FrontGastro_BMJ/frontline-research-the-highs-and-lows-of-academic-1

Don’t forget to join us for the next debate with Dr Alex Ford, for the #FGDebate on ‘Frontline Neurogastroenterology: Evidence based therapeutics in irritable bowel syndrome’

 

FG Twitter E-Card Jan 2015

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