Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

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Curriculum for ERCP and endoscopic ultrasound training in Europe : European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Johnson, Gavin (författare): University College London Hospitals, 235 Euston Rd, London, United Kingdom

Webster, George (författare): University College London Hospitals, 235 Euston Rd, London, United Kingdom

Boškoski, Ivo (författare): Gastroenterology and Digestive Endoscopy, Fondazione Policlinico Gemelli, Rome, Italy

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Campos, Sara (författare): Gastroenterology Department, Digestive Unit, Champalimaud Foundation, Lisbon, Portugal

Gölder, Stefan Karl (författare): Department of Internal Medicine III, University Hospital Augsburg, Augsburg, Germany

Schlag, Christoph (författare): Department of Gastroenterology and Hepatology, University Hospital Zurich, Switzerland

Anderloni, Andrea (författare): Division of Gastroenterology, Digestive Endoscopy Unit, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy

Arnelo, Urban (författare): Karolinska Institutet,Umeå universitet,Kirurgi

Badaoui, Abdenor (författare): Department of Gastroenterology and Hepatology, Université Catholique de Louvain, CHU UCL Namur, Yvoir, Belgium

Bekkali, Noor (författare): John Radcliffe Hospital, Oxford University Hospitals Foundation Trust, Oxford, United Kingdom

Christodoulou, Dimitrios (författare): Department of Gastroenterology, Medical School and University Hospital of Ioannina, Ioannina, Greece

Czakó, László (författare): Department of Medicine, University of Szeged, Szeged, Hungary

Fernandez Y Viesca, Michael (författare): Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

Hritz, Istvan (författare): Centre for Therapeutic Endoscopy, 1st Department of Surgery and Interventional Gastroenterology, Semmelweis University, Budapest, Hungary

Hucl, Tomas (författare): Department of Gastroenterology and Hepatology, IKEM, Prague, Czech Republic

Kalaitzakis, Evangelos (författare): 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

Kylänpää, Leena (författare): Department of Gastrointestinal Surgery, Helsinki University Hospital, Helsinki, Finland

Nedoluzhko, Ivan (författare): Moscow Clinical Scientific Center N.a. A.S. Loginov, Moscow, Russian Federation

Petrone, Maria Chiara (författare): Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy

Poley, Jan-Werner (författare): Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, Netherlands

Seicean, Andrada (författare): Regional Institute of Gastroenterology and Hepatology Cluj-Napoca, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania

Vila, Juan (författare): Endoscopy Unit, Gastroenterology Department, Complejo Hospitalario de Navarra, Instituto de Investigaciones Sanitarias de Navarra (IDISNA), Pamplona, Spain

Arvanitakis, Marianna (författare): Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium

Dinis-Ribeiro, Mario (författare): Gastroenterology Department, IPO Porto, Porto, Portugal

Ponchon, Thierry (författare): Gastroenterology Division, Edouard Herriot Hospital, Lyon, France

Bisschops, Raf (författare): Department of Gastroenterology and Hepatology, University Hospitals Leuven, TARGID, KU Leuven, Leuven, Belgium

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2021-07-26
2021
Engelska.
Ingår i: Endoscopy. - : Georg Thieme Verlag KG. - 0013-726X .- 1438-8812. ; 53:10, s. 1071-1087

Relaterad länk:: http://www.thieme-co...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; visa färre...

Tidskriftsartikel (refereegranskat)

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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.

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Curriculum for ERCP and endoscopic ultrasound training in Europe : European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

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