Assessment of technical competence during ERCP training

Endoscopic retrograde cholangiopancreatography is useful and safe in children

“…Some published studies demonstrate a lower complication rate for children [5,22,23], whereas others depict rates similar to adults [18,[24][25][26]. The ERCP-related complication rates are similar to those associated with other upper gastrointestinal tract endoscopic procedures [17].…”

Training surgeons in endoscopic retrograde cholangiopancreatography

“…• Relatively few surgeons are involved in the practice and teaching of ERCP [6]. • ERCP has a long learning curve that demands extensive training [3,6,8,10,16,18]. • There are strict hospital credentialing requirements for the practice of ERCP [1,13,14].…”

Training and Credentialing in Gastrointestinal Endoscopy

“…Therefore, while it is difficult to infer that fellows will achieve competency at ERCP by 180 cases, this data demonstrates that previous recommendations of 100 cases grossly underestimated the experience required to master this procedure. Another study analyzed the learning curve of 21 trainees during their first 100 ERCPs and similarly found that no fellow reached sustained acceptable biliary cannulation success rates during the study [66]. Because so little data has been collected on trainees' performance as they reach higher procedure numbers, the true number of ERCPs required to achieve competency remains uncertain except that it is far greater than 100.…”