Sistema de Salut de Catalunya
Institut Català de la Salut
[Hamesch K] Medical Clinic III, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital RWTH Aachen, Aachen, Germany. Interdisciplinary Endoscopy, University Hospital RWTH Aachen, Aachen, Germany. Junge Gastroenterologie (JuGa) – German Young Gastroenterology Study Group of the DGVS – German Society for Digestive and Metabolic Diseases, Berlin, Germany. [Cahyadi O] Junge Gastroenterologie (JuGa) – German Young Gastroenterology Study Group of the DGVS – German Society for Digestive and Metabolic Diseases, Berlin, Germany. Department of Gastroenterology, St. Josef‐Hospital, A Hospital of the Ruhr‐ University Bochum, Bochum, Germany. [Dimitriadis S] Junge Gastroenterologie (JuGa) – German Young Gastroenterology Study Group of the DGVS – German Society for Digestive and Metabolic Diseases, Berlin, Germany. Gastroenterology Clinic, University Hospitals Coventry and Warwickshire, Coventry, UK. [Hollenbach M] Junge Gastroenterologie (JuGa) – German Young Gastroenterology Study Group of the DGVS – German Society for Digestive and Metabolic Diseases, Berlin, Germany. Department of Gastroenterology, Endocrinology, Infectious Diseases, University of Marburg UKGM, Marburg, Germany. [Acedo P] Division of Medicine, Institute for Liver and Digestive Health, Royal Free Hospital, University College London, London, UK. [Ayari M] Gastroenterology and Hepatology Department, Internal Security Forces Hospital La Marsa, Tunis, Tunisia. [Pellino G] Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy
Vall d'Hebron Barcelona Hospital Campus
2025-04-28T06:53:01Z
2025-04-28T06:53:01Z
2025-04
Formació avançada en endoscòpia; Educació en endoscòpia; Formació estructurada
Advanced endoscopy training; Endoscopy education; Structured training
Formación avanzada en endoscopia; Educación en endoscopia; Formación estructurada
Background: Endoscopic retrograde cholangiopancreatography (ERCP) still has a relatively high complication rate, underscoring the importance of high‐quality training. Despite existing guidelines, real‐world data on training conditions remain limited. This pan‐European survey aims to systematically explore the perceptions surrounding ERCP training. Methods: A survey was distributed through the friends of United European Gastroenterology (UEG) Young Talent Group network to physicians working in a UEG member or associated states who regularly performed ERCPs. Results: Of 1035 respondents from 35 countries, 649 were eligible for analysis: 228 trainees, 225 trainers, and 196 individuals who regularly performed ERCP but were neither trainees nor trainers. The mean age was 43 years, with 72.1% identifying as male, 27.6% as female, and 0.3% as non‐binary. The majority (80.1%) agreed that a structured training regiment is desirable. However, only 13.7% of trainees and 28.4% of trainers reported having such a structured program in their institutions. Most respondents (79.7%) supported the concept of concentrating training in centers meeting specific quality metrics, with 64.1% suggesting a threshold of 200 annual ERCPs as a prerequisite. This threshold revealed that 36.4% of trainees pursued training in lower volume centers performing <200 ERCPs annually. As many as 70.1% of trainees performed <50 annual ERCPs, whereas only 5.0% of trainers performed <50 ERCPs annually. A low individual trainee caseload (<50 ERCPs annually) was more common in lower‐volume centers than in higher‐volume centers (82.9% vs. 63.4%). Conclusions: The first pan‐European survey investigating ERCP training conditions reveals strong support for structured training and the concentration of training efforts within centers meeting specific quality metrics. Furthermore, this survey exposes the low availability of structured training programs, with many trainees practicing at lower‐volume centers and 71% of all trainees having little hands‐on exposure. These data should motivate to standardize ERCP training conditions further and ultimately improve patient care throughout.
Open Access funding enabled and organized by Projekt DEAL.
Article
Published version
English
Enquestes; Competència clínica; Conductes biliars - Radiografia; CPRE; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Radiography::Radiography, Abdominal::Cholangiography::Cholangiopancreatography, Endoscopic Retrograde; Other subheadings::Other subheadings::Other subheadings::/adverse effects; HEALTH CARE::Health Services Administration::Quality of Health Care::Clinical Competence; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::diagnóstico por imagen::radiografía::radiografía abdominal::colangiografía::colangiopancreatografía retrógrada endoscópica; Otros calificadores::Otros calificadores::Otros calificadores::/efectos adversos; ATENCIÓN DE SALUD::administración de los servicios de salud::calidad de la atención sanitaria::competencia clínica
Wiley
United European Gastroenterology Journal;13(3)
https://doi.org/10.1002/ueg2.12684
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
Articles científics - HVH [3440]
