774 Perceptions of Training Among Program Directors and Trainees in Complex Endosopic Procedures (CEPs): A Nationwide Survey of US ACGME Accredited Gastroenterology Training Programs

Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography, From Training Through Independent Practice

“…1 These fellowships were created to address inadequate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) training during standard 3-year Accreditation Council for Graduate Medical Education (ACGME)-accredited gastroenterology fellowships. 2,3 There is widespread acknowledgement that EUS and ERCP are operator-dependent, technically challenging procedures requiring unique technical, cognitive, and integrative skills. 3,4 Thus, it is imperative that AEFPs produce endoscopists who safely and effectively perform these high-risk endoscopic procedures in independent practice.…”

ERCP (Ensuring Really Competent Practice): enough words—action please!

“…6 It would be nice to think that the situation would be better 12 years later, but another recent survey showed that 40% of third-year fellows believed that they will able to perform ERCP independently, even though 66% will be involved with fewer than 100 ERCPs during training, and only 19% with more than 200. 7 One of our recent fellows, when entering practice, was asked to join the ERCP roster, having done precisely 7 procedures in training. And, to add insult to injury, we have seen the guidelines for recredentialing from a wellrespected large community hospital that sets the bar at 1 ERCP in the previous year.…”