Training pathways and competency assessment in endoscopic retrograde cholangiopancreatography

• Type: Another Publication in an International Scientific Journal
• Date: 2017

Authors

Rodrigues Pinto, E (Author) Other; Macedo G (Author) FMUP; Baron, TH (Author) Other

Journal

Title: Techniques in Gastrointestinal Endoscopy

Vol. 19

Pages: 117-124

ISSN: 1096-2883

Publisher: W. B. Saunders

Indexing

ISI Web of Knowledge - 1 Citation

Other information

Authenticus ID: P-00N-CDP

DOI: 10.1016/j.tgie.2017.07.001

Abstract (EN): Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most technically demanding and high-risk procedures performed by gastrointestinal endoscopists. It requires significant focused training and experience to maximize success and to minimize poor outcomes. Ensuring competence in ERCP has recently emerged as an area of intense scrutiny as training programs and hospital credentialing committees attempt to approve, respectively, adequately trained endoscopists. Despite this, universally accepted standards for competence in ERCP have not been established. It is not a question of overall numbers, although we know that more is better. With the appreciation that different trainees develop endoscopic skills at different rates, there has been a shift toward competency-based training and certification. An assessment of individual performance is probably more robust than the use of minimum numbers for defining competence. It is still not clear what the exact measures should be and how to measure them, and no one has defined how trainee involvement in a procedure count as a case for the trainee. In this review, we sought to define ERCP competence, performance measures, quality indicators for training, maintenance of competency, and credentialing to help ensure that future ERCPists receive adequate quality and quantity of training to achieve procedural competency.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 8