{
  "abstract": "Introduction Higher speciality training specifies competence in emergency diagnostic endoscopies and haemostatic interventions for the management of upper gastrointestinal bleeding (UGIB). Trainee exposure to emergency endoscopy has been limited by factors including the lack of structured training opportunities and competing general internal medicine commitments. This research, combining a Wessex regional trainee survey, and an UGIB audit at Basingstoke and North Hampshire Hospital (BNHH), aimed to identify trainee involvement in emergency endoscopy, evaluate trainee experience and confidence, and highlight barriers to training.Methods A retrospective audit of inpatient upper GI endoscopies performed at BNHH for suspected or confirmed UGIB between 2024–2025. Data was accessed from the local endoscopy reporting system. Parameters included; number of inpatients scoped, indications for scoping, time to endoscopy, trainee involvement, haemostatic intervention, rebleeding rates and mortality.Following the identification of limited trainee involvement, a questionnaire was designed to obtain feedback from trainees regarding emergency endoscopy experience in UGIB. A Google Form survey was distributed electronically to Wessex gastroenterology trainees during a regional training day. Responses were collected anonymously and analysed using Microsoft Excel.Results 182 inpatient emergency endoscopies for UGIB were performed at BNHH between 2024-2025. 39% were performed on females (N=71), and 61% (N=111) were on male patients. Median age overall was 68 years (IQR=58-82). Gastroenterology trainees were formally involved in the endoscopy in 16% (N=29) of these endoscopies.Survey results demonstrated trainees were not on a formal emergency endoscopy rota. Across the deanery, the majority of trainees reported limited UGIB exposure, with 46% involved in only 1-5 emergency UGIB endoscopies over the last 12 months. Approximately 85% of respondents felt they had insufficient exposure to emergency endoscopy, even though 100% of respondents expressed willingness to be involved with supervision. Consequently, 50% of trainees lacked confidence in emergency endoscopy. Commonly identified barriers to training included service pressures, lack of formal rostering for emergency endoscopies, and competing clinical commitments.Conclusions Gastroenterology trainee involvement in emergency UGIB endoscopy is limited, as highlighted in the BNHH endoscopy audit. As emergency endoscopy is a core component of the gastroenterology consultant role, ensuring trainees develop competence and confidence in this setting is essential. Integrating audit findings with trainee-reported barriers highlights the need for structured, supervised emergency endoscopy opportunities to support training progression.",
  "authors": [
    {
      "affiliations": [
        "Hampshire Hospitals Foundation Trust, Basingstoke, United Kingdom"
      ],
      "name": "Lina Boughetane"
    },
    {
      "affiliations": [
        "Hampshire Hospitals Foundation Trust, Basingstoke, United Kingdom"
      ],
      "name": "Phoebe Creswell"
    },
    {
      "affiliations": [
        "Hampshire Hospitals Foundation Trust, Basingstoke, United Kingdom"
      ],
      "name": "Ker Tan"
    },
    {
      "affiliations": [
        "Hampshire Hospitals Foundation Trust, Basingstoke, United Kingdom"
      ],
      "name": "Benjamin White"
    }
  ],
  "title": "P436 The involvement of gastroenterology trainees in emergency endoscopy: outcomes from a district general hospital audit and trainee feedback",
  "uid": "8ceebda9-0c99-5675-bac7-72405064faad"
}