Hamesch, Karim and Cahyadi, Oscar and Dimitriadis, Stavros and Hollenbach, Marcus and Acedo, Pilar and Ayari, Myriam and Dauvarte, Helena and Dieninyte, Egle and Domislovic, Viktor and Dugic, Ana and Duricek, Martin and Elshaarawy, Omar and Fennessy, Anne and Geissler, Mark Enrik and Gorcheva, Zornitsa and Hadi, Amer and Hamza, Valon and Hasukic, Ismar and Heinrich, Henriette and Levink, Iris J. M. and Kral, Jan and Kunovsky, Lumir and Mandorfer, Mattias and Moris, Maria and Nikiforova, Yana and Ouaya, Hassan and Pellino, Gianluca and Pisani, Anthea and Qejvani, Odri and Sadigov, Hasan and Salaga, Maciej and Sidiropoulos, Orestis and Simsek, Cem and Sousa, Paula and Stojkovic Lalosevic, Milica and Straume, Zane and Tepes, Katja and Voiosu, Andrei and Wauters, Lucas and Zanetto, Alberto and Schlosser-Hupf, Sophie and Staudacher, Jonas Jaromir (2025) Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality. UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, 13 (3). pp. 474-487. ISSN 2050-6406, 2050-6414
Full text not available from this repository. (Request a copy)Abstract
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 regimen 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 Europe.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ERCP; PERFORM; advanced endoscopy training; complications; endoscopic quality improvement; endoscopy education; ERCP training; guidelines; performance measures; real-world; structured training; training measures |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 Apr 2026 12:19 |
| Last Modified: | 07 Apr 2026 12:19 |
| URI: | https://pred.uni-regensburg.de/id/eprint/65745 |
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