ERCP and EUS Volumes During Training: How Many Cases Is Enough?

The average advanced endoscopy trainee attained core competence after performing 250 ERCPs and 225 endoscopic ultrasounds.

Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are complex endoscopic procedures that are recognized as high-risk undertakings. The ideal number and type of ERCP and EUS procedures a trainee needs to perform to become competent remains undefined; the traditional threshold of 200 procedures is viewed by many as inadequate.

With an eye toward informing minimum training standards, researchers analyzed data from 37 trainees in 32 U.S. advanced endoscopy training programs to assess the number of ERCP and EUS procedures the average trainee requires to achieve competence. Instructors graded fellows using a validated tool during every fifth ERCP and EUS procedure.

The median numbers of EUS and ERCP procedures pe…

Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

ERCP and EUS Volumes During Training: How Many Cases Is Enough?

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