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Curriculum for ERCP...
Curriculum for ERCP and endoscopic ultrasound training in Europe : European Society of Gastrointestinal Endoscopy (ESGE) Position Statement
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- Johnson, Gavin (author)
- University College London Hospitals, 235 Euston Rd, London, United Kingdom
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- Webster, George (author)
- University College London Hospitals, 235 Euston Rd, London, United Kingdom
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- Boškoski, Ivo (author)
- Gastroenterology and Digestive Endoscopy, Fondazione Policlinico Gemelli, Rome, Italy
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- Campos, Sara (author)
- Gastroenterology Department, Digestive Unit, Champalimaud Foundation, Lisbon, Portugal
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- Gölder, Stefan Karl (author)
- Department of Internal Medicine III, University Hospital Augsburg, Augsburg, Germany
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- Schlag, Christoph (author)
- Department of Gastroenterology and Hepatology, University Hospital Zurich, Switzerland
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- Anderloni, Andrea (author)
- Division of Gastroenterology, Digestive Endoscopy Unit, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy
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- Arnelo, Urban (author)
- Karolinska Institutet,Umeå universitet,Kirurgi
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- Badaoui, Abdenor (author)
- Department of Gastroenterology and Hepatology, Université Catholique de Louvain, CHU UCL Namur, Yvoir, Belgium
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- Bekkali, Noor (author)
- John Radcliffe Hospital, Oxford University Hospitals Foundation Trust, Oxford, United Kingdom
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- Christodoulou, Dimitrios (author)
- Department of Gastroenterology, Medical School and University Hospital of Ioannina, Ioannina, Greece
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- Czakó, László (author)
- Department of Medicine, University of Szeged, Szeged, Hungary
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- Fernandez Y Viesca, Michael (author)
- Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
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- Hritz, Istvan (author)
- Centre for Therapeutic Endoscopy, 1st Department of Surgery and Interventional Gastroenterology, Semmelweis University, Budapest, Hungary
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- Hucl, Tomas (author)
- Department of Gastroenterology and Hepatology, IKEM, Prague, Czech Republic
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- Kalaitzakis, Evangelos (author)
- Department of Gastroenterology, University Hospital of Heraklion, University of Crete, Heraklion, Greece; Digestive Disease Center, University Hospital of Copenhagen/Herley, University of Copenhagen, Copenhagen, Denmark
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- Kylänpää, Leena (author)
- Department of Gastrointestinal Surgery, Helsinki University Hospital, Helsinki, Finland
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- Nedoluzhko, Ivan (author)
- Moscow Clinical Scientific Center N.a. A.S. Loginov, Moscow, Russian Federation
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- Petrone, Maria Chiara (author)
- Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy
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- Poley, Jan-Werner (author)
- Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, Netherlands
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- Seicean, Andrada (author)
- Regional Institute of Gastroenterology and Hepatology Cluj-Napoca, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania
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- Vila, Juan (author)
- Endoscopy Unit, Gastroenterology Department, Complejo Hospitalario de Navarra, Instituto de Investigaciones Sanitarias de Navarra (IDISNA), Pamplona, Spain
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- Arvanitakis, Marianna (author)
- Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
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- Dinis-Ribeiro, Mario (author)
- Gastroenterology Department, IPO Porto, Porto, Portugal
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- Ponchon, Thierry (author)
- Gastroenterology Division, Edouard Herriot Hospital, Lyon, France
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- Bisschops, Raf (author)
- Department of Gastroenterology and Hepatology, University Hospitals Leuven, TARGID, KU Leuven, Leuven, Belgium
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(creator_code:org_t)
- 2021-07-26
- 2021
- English.
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In: Endoscopy. - : Georg Thieme Verlag KG. - 0013-726X .- 1438-8812. ; 53:10, s. 1071-1087
- Related links:
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http://www.thieme-co...
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https://urn.kb.se/re...
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Abstract
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- The European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need to formalize and enhance training in endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). This manuscript represents the outcome of a formal Delphi process resulting in an official Position Statement of the ESGE and provides a framework to develop and maintain skills in ERCP and EUS.This curriculum is set out in terms of the prerequisites prior to training; recommended steps of training to a defined syllabus; the quality of training; and how competence should be defined and evidenced before independent practice. 1 Trainees should be competent in gastroscopy prior to commencing training. Formal training courses and the use of simulation in training are recommended. 2 Trainees should keep a contemporaneous logbook of their procedures, including key performance indicators and the degree of independence. Structured formative assessment is encouraged to enhance feedback. There should be a summative assessment process prior to commencing independent practice to ensure there is robust evidence of competence. This evidence should include a review of a trainee's procedure volume and current performance measures. A period of mentoring is strongly recommended in the early stages of independent practice. 3 Specifically for ERCP, all trainees should be competent up to Schutz level 2 complexity (management of distal biliary strictures and stones >10mm), with advanced ERCP requiring a further period of training. Prior to independent practice, ESGE recommends that a trainee can evidence a procedure volume of >300 cases, a native papilla cannulation rate of ≥80% (90% after a period of mentored independent practice), complete stones clearance of ≥85%, and successful stenting of distal biliary strictures of ≥90% (90% and 95% respectively after a mentored period of independent practice). 4 The progression of EUS training and competence attainment should start from diagnostic EUS and then proceed to basic therapeutic EUS, and finally to advanced therapeutic EUS. Before independent practice, ESGE recommends that a trainee can evidence a procedure volume of >250 cases (75 fine-needle aspirations/biopsies [FNA/FNBs]), satisfactory visualization of key anatomical landmarks in ≥90% of cases, and an FNA/FNB accuracy rate of ≥85%. ESGE recognizes the often inadequate quality of the evidence and the need for further studies pertaining to training in advanced endoscopy, particularly in relation to therapeutic EUS.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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Endoscopy
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- By the author/editor
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Johnson, Gavin
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Webster, George
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Boškoski, Ivo
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Campos, Sara
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Gölder, Stefan K ...
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Schlag, Christop ...
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show more...
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Anderloni, Andre ...
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Arnelo, Urban
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Badaoui, Abdenor
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Bekkali, Noor
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Christodoulou, D ...
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Czakó, László
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Fernandez Y Vies ...
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Hritz, Istvan
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Hucl, Tomas
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Kalaitzakis, Eva ...
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Kylänpää, Leena
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Nedoluzhko, Ivan
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Petrone, Maria C ...
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Poley, Jan-Werne ...
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Seicean, Andrada
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Vila, Juan
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Arvanitakis, Mar ...
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Dinis-Ribeiro, M ...
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Ponchon, Thierry
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Bisschops, Raf
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Endoscopy
- By the university
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Umeå University
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Karolinska Institutet