Does trainee participation impact critical outcomes in ERCP?

Wani, Sachin

doi:10.1055/a-1084-6525

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Despite the opportunities and commitment demonstrated by these experts, accomplishing all the requirements of the ERCP training curriculum [5] has become increasingly challenging in current settings [7]. Legal considerations around training on actual patients, alongside increasing procedure complexy due to technological advance, long learning curves to achieve competency in ERCP [3,8,9], and lack of validation regarding the relationship between trainee involvement and clinical outcomes in ERCP [10] contribute to these difficulties. Acknowledging these challenges, simulation training, although underutilized by experts, may emerge as a promising solution.…”

Section: Discussionmentioning

confidence: 99%

Vade Mecum in ERCP, a roadmap to success: Tips from experts for excelling in ERCP

Teles de Campos,

Arvanitaki,

Boskoski

et al. 2024

Endosc Int Open

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Background and study aims Training in endoscopic retrograde cholangiopancreatography (ERCP) is operator-dependent and traditionally, the apprenticeship model, in which experts are considered to be role models, has been adopted for it. The aim of this study was to develop a practical guide compiling tips from experts to help guide trainees to succeed in ERCP. Methods A web-based survey was created to understand the professional development of ERCP experts, the investments they made, the obstacles they overcame, and the quotes that guided their professional life. ERCP experts worldwide were invited to participate. Results Fifty-three experts (of 71; 74.6%) from 24 countries answered the survey. Experts started ERCP training early (average age 31 years; range, 24–52 years) and it often was combined with training for endoscopic ultrasound. A long training period (average 21 months; range, 3–120 months) was needed to achieve competence, frequently in another department, and it was commonly complemented with research in the field (76.5%). “Time and practice” were the most worthwhile investments they made to achieve success. “Sports” were an area outside endoscopy frequently considered to be important to acquire the skills necessary to excel in ERCP. “Lack of dedicated time for training” and “peer competition” were the biggest obstacles the experts faced. Several pieces of advice were given to the experts, such as to be resilient, careful, patient, responsible, and hard-working. “Personal life” was mentioned as an undeniably crucial factor for achieving long-term success that should not be forgotten. Conclusions This survey is the first to provide insight regarding the professional trajectory of renowned ERCP experts worldwide, providing valuable recommendations to help trainees excel in ERCP.

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Section: Discussionmentioning

confidence: 99%

Vade Mecum in ERCP, a roadmap to success: Tips from experts for excelling in ERCP

Teles de Campos,

Arvanitaki,

Boskoski

et al. 2024

Endosc Int Open

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“… 2 Consequently, there is an increasing need for dedicated ERCP/EUS training to develop these specialized competencies, reflecting the growing number of training programs in the United States and Europe. 3 However, we must also consider the potential additional impact of trainee participation in critical outcomes of already risky procedures such as ERCP and EUS, 4 , 5 , 6 , 7 further raising the requirement for high standards of quality in these programs.…”

Section: Introductionmentioning

confidence: 99%

A portrait of Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound training programs in Europe: Current practices and opportunities for improvement

2023

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Background: Endoscopic retrograde cholangiopancreatography (ERCP) and EUS are challenging procedures requiring a high level of expertise to provide effective and safe patient care. Thus, high-quality training is needed to achieve competence. We aimed to evaluate the status of European ERCP/EUS training programs, to evaluate adherence to international recommendations, and to propose possible solutions for future improvements. Methods: A web-based survey was developed and ERCP/EUS experts and trainees across Europe were invited to participate. Results: Forty-one experts (out of 50; 82%) and 30 trainees (out of 70; 42.9%) from 18 countries answered the questionnaire. The training program application process is mainly driven by individual requests (87.8%). All surveyed departments offer combined ERCP/EUS training and the majority have adequate facilities and trainers. Although centers are high-volume and provide long-term fellowships, trainee hands-on exposure is not very high (43% expect to do (or did) 100-150 ERCPs and 69% up to 150 EUSs). A formal curriculum is in place in 53.7% centers, including simulation-training in 27.3%. Competence is assessed in 65.7% of centers, but validated tools are applied in only 33.3%. Conclusions: This survey first provides an overview of ERCP/EUS training programs across Europe. It shows that there is adherence to international guidelines to a certain degree, but several gaps in the application process, use of simulators for training, training curriculum and assessment of performance have been recognized. Overcoming these shortcomings could serve as a basis for further improvement in ERCP/EUS training.

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Endoscopic Retrograde Cholangiopancreatography Performed by Trainees Is Not Associated with Increased Immediate Adverse Events or Technical Failure Rates

et al. 2022

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Does trainee participation impact critical outcomes in ERCP?

Cited by 3 publications

References 6 publications

Vade Mecum in ERCP, a roadmap to success: Tips from experts for excelling in ERCP

Vade Mecum in ERCP, a roadmap to success: Tips from experts for excelling in ERCP

A portrait of Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound training programs in Europe: Current practices and opportunities for improvement

Endoscopic Retrograde Cholangiopancreatography Performed by Trainees Is Not Associated with Increased Immediate Adverse Events or Technical Failure Rates

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