Apply for Recognition

**Before applying please read through the Guidelines for Recognition**

The next meeting is being planned for August 2023.

The deadline for receiving applications to review at the above noted meeting is Friday 14 July 2023.

To apply for recognition please complete the below application form. To review the forms to be uploaded and submitted with the application please see the Information and Forms for Endoscopy Training Recognition

Please note ALL forms including supervisor reports are required prior to the meeting.

Incomplete applications will be held for future meetings.

 

Those applying under the International Practitioner Pathway for JAG or Australian CCRTGE recognised endoscopists must upload documentary evidence also (e.g. JAG certificate, CCRTGE letter). NZCCRTGE reserves the right to confirm the authenticity of these documents where required. A small application fee will be applied to cover administration costs.

Applications for recognition must submit their documents via the on-line form below. 

The Application Fee of $300.00 is payable for each pathway applied for with the exception of a $50 administration fee for those applying for recognition of GESA/JAG recognised training.  An invoice will be sent once the application is received.

If you have already gained recognition of training in Gastrointestinal Endoscopy via the NZCCRTGE (including Grandfathering) you may request that your details be included in the online searchable register. Inclusion on the register is voluntary and will display your name and limited information about your pathway to recognition of training. If you wish to withdraw your details from the register you may send the request via this form. Please upload your recognition of training letter, which NZCCRTGE will then cross-reference with the records held. If you do not have a copy of your letter, please provide details in the notes regarding endoscopy type, pathway and year that you hold recognition for and we will try to confirm your details in the database. There is no additional application fee to opt into the register for endoscopists who have gained recognition of training via NZCCRTGE.

Online Application Form for Recognition of Training in Endoscopy

Personal Details

Name is required
Phone is required
Email is required
Pathway is required

Training and Procedures

Training Scheme is required
Training dates from is required
Training dates to is required
Provide details with the following format (1 per line): Date from, Date to, Hospital, Supervisor
Training hospitals and supervisors is required
Hospital is required
Years of endoscopy practice from is required
Years of endoscopy practice to is required
NZ Vocational Scope type is required
NZ Vocational Scope year of qualification is required
Type of procedures is required

Gastroscopy Section

Adult/Paediatric is required
Total Number is required
D2 intubation rate is required
Provide details in this space to clarify the interventional procedures that you have undertaken, particularly if these are not clear from your log. If you are including haemostatic procedures in the colon for this requirement please list these with the following format : Date, Patient age, Patient gender, Hospital, Type of procedure, Supervisor. You may be asked to provide further evidence (e.g. endoscopy reports) to support this information.
Interventional Procedures is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Upload gastroscopy logbook/spreadsheet is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Add another file
Upload gastroscopy DOPS files is required

Referee 1

Name is required
Email is required
Hospital is required
Number of Gastroscopies supervised is required

Referee 2

Name is required
Email is required
Hospital is required
Number of Gastroscopies supervised is required

Colonoscopy Section

Adult/Paediatric is required
Total Number is required
CCR rate (for final 50) is required
TI intubation rate (for final 50) is required
Provide details in this space to clarify the advanced polypectomies that you have undertaken, particularly if these are not clear from your log. If listing individual procedures please include Date, Patient age, Patient gender, Hospital, Type of polypectomy, Supervisor. You may be asked to provide further evidence (e.g. endoscopy reports) to support this information.
Advanced polypectomy is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Upload colonoscopy logbook/spreadsheet is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Add another file
Upload colonoscopy DOPS files is required

Referee 1

Name is required
Email is required
Hospital is required
Number of Colonoscopies supervised is required

Referee 2

Name is required
Email is required
Hospital is required
Number of Colonoscopies supervised is required

ERCP Section

Total Number is required
Target duct cannulation rate (for final 50) is required
Number of unassisted sphincterotomies is required
Provide details with the following format (1 per line): Type(Biliary - plastic, Biliary - metal, Pancreatic), Number change to List the number of stents placed by type - Biliary - plastic, biliary - metal and pancreatic.
Stents is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Upload ERCP logbook/spreadsheet is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Add another file

Referee 1

Name is required
Email is required
Hospital is required
Number of ERCPs supervised is required

Referee 2

Name is required
Email is required
Hospital is required
Number of ERCPs supervised is required

Supporting Documents

Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Upload supporting information on international training is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
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File is too big
Upload safe sedation training certificate is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Upload scope cleaning log is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Upload logbook/spreadsheet is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Add another file
Upload DOPS is required
Accepted file types: png, jpg, jpeg, docx, xlsx, pdf. Max file size: 5MB
Invalid file extension
File is too big
Upload EUG affidavit is required

Referee 1

Name is required
Email is required
Hospital is required
Number of procedures supervised is required

Referee 2

Name is required
Email is required
Hospital is required
Number of procedures supervised is required

Declaration