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, which 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 are displayed as counts, percentages, and 95% confidence intervals. Narrative and Likert feedback captured user perspectives. Results Potential dedicated training lists rose two-fold (19.2-41.7%) and potential ad hoc training opportunities four-fold (14.3-66.7%). 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).