“…A program for advanced fellow training has not yet been established but is certainly under consideration. Many logistical hurtles, primarily funding, remain, but the interest is there, the number of faculty trained to train using the models is growing, and to some extent, data is emerging to demonstrate benefit on the models [102,110,120,121]. Improvements in ERCP and EUS simulator training should make workshops in these areas possible without the need for live animal work.…”