Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Hamesch Karim, Cahyadi Oscar, Dimitriadis Stavros, Hollenbach Marcus, Acedo Pilar, Ayari Myriam, Dauvarte Helena, Dieninyte Egle, Domislovic Viktor, Dugic Ana, Ďuriček Martin, Elshaarawy Omar, Fennessy Anne, Geissler Mark Enrik, Gorcheva Zornitsa, Hadi Amer, Hamza Valon, Hasukić Ismar, Heinrich Henriette, Levink Iris J M, Kral Jan, Kunovsky Lumir, Mandorfer Mattias, Moris Maria, Nikiforova Yana, Ouaya Hassan, Pellino Gianluca, Pisani Anthea, Qejvani Odri, Sadigov Hasan, Salaga Maciej, Sidiropoulos Orestis, Simsek Cem, Sousa Paula, Stojkovic Lalosevic Milica, Straume Zane, Tepes Katja, Voiosu Andrei, Wauters Lucas, Zanetto Alberto, Schlosser Sophie, Staudacher Jonas Jaromir
Аннотация
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.