Endoscopic retrograde cholangiopancreatography training
conditions, results from a pan-European survey: Between vision
and reality

J 2025

Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality

HAMESCH, Karim; Oscar CAHYADI; Stavros DIMITRIADIS; Marcus HOLLENBACH; Pilar ACEDO et. al.

Základní údaje

Originální název

Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality

Autoři

Vydání

UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, CHICHESTER, JOHN WILEY & SONS LTD, 2025, 2050-6406

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30219 Gastroenterology and hepatology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 6.700 v roce 2024

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1002/ueg2.12684

UT WoS

001364670700001

EID Scopus

2-s2.0-85210385931

Klíčová slova anglicky

advanced endoscopy training; complications; endoscopic quality improvement; endoscopy education; ERCP training; guidelines; performance measures; real-world; structured training; training measures

Štítky

14110223

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 14. 2. 2025 09:51, Mgr. Tereza Miškechová

Anotace

V originále

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.

Citovat

HAMESCH, Karim; Oscar CAHYADI; Stavros DIMITRIADIS; Marcus HOLLENBACH; Pilar ACEDO; Myriam AYARI; Helena DAUVARTE; Egle DIENINYTE; Viktor DOMISLOVIC; Ana DUGIC; Martin DURICEK; Omar ELSHAARAWY; Anne FENNESSY; Mark Enrik GEISSLER; Zornitsa GORCHEVA; Amer HADI; Valon HAMZA; Ismar HASUKIC; Henriette HEINRICH; Iris J M LEVINK; Jan KRAL; Lumír KUNOVSKÝ; Mattias MANDORFER; Maria MORIS; Yana NIKIFOROVA; Hassan OUAYA; Gianluca PELLINO; Anthea PISANI; Odri QEJVANI; Hasan SADIGOV; Maciej SALAGA; Orestis SIDIROPOULOS; Cem SIMSEK; Paula SOUSA; Stojkovic Lalosevic MILICA; Zane STRAUME; Katja TEPES; Andrei VOIOSU; Lucas WAUTERS; Alberto ZANETTO; Sophie SCHLOSSER a Jonas Jaromir STAUDACHER. Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality. UNITED EUROPEAN GASTROENTEROLOGY JOURNAL. CHICHESTER: JOHN WILEY & SONS LTD, 2025, 14 s. ISSN 2050-6406. Dostupné z: https://doi.org/10.1002/ueg2.12684.

@article{2457870,
   author = {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 Kunovský, Lumír 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 Milica, Stojkovic Lalosevic and Straume, Zane and Tepes, Katja and Voiosu, Andrei and Wauters, Lucas and Zanetto, Alberto and Schlosser, Sophie and Staudacher, Jonas Jaromir},
   article_location = {CHICHESTER},
   doi = {https://doi.org/10.1002/ueg2.12684},
   keywords = {advanced endoscopy training; complications; endoscopic quality improvement; endoscopy education; ERCP training; guidelines; performance measures; real-world; structured training; training measures},
   language = {eng},
   issn = {2050-6406},
   journal = {UNITED EUROPEAN GASTROENTEROLOGY JOURNAL},
   title = {Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality},
   url = {https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12684},
   year = {2025}
}

TY  - JOUR
ID  - 2457870
AU  - Hamesch, Karim - Cahyadi, Oscar - Dimitriadis, Stavros - Hollenbach, Marcus - Acedo, Pilar - Ayari, Myriam - Dauvarte, Helena - Dieninyte, Egle - Domislovic, Viktor - Dugic, Ana - Duricek, Martin - Elshaarawy, Omar - Fennessy, Anne - Geissler, Mark Enrik - Gorcheva, Zornitsa - Hadi, Amer - Hamza, Valon - Hasukic, Ismar - Heinrich, Henriette - Levink, Iris J M - Kral, Jan - Kunovský, Lumír - Mandorfer, Mattias - Moris, Maria - Nikiforova, Yana - Ouaya, Hassan - Pellino, Gianluca - Pisani, Anthea - Qejvani, Odri - Sadigov, Hasan - Salaga, Maciej - Sidiropoulos, Orestis - Simsek, Cem - Sousa, Paula - Milica, Stojkovic Lalosevic - Straume, Zane - Tepes, Katja - Voiosu, Andrei - Wauters, Lucas - Zanetto, Alberto - Schlosser, Sophie - Staudacher, Jonas Jaromir
PY  - 2025
TI  - Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality
JF  - UNITED EUROPEAN GASTROENTEROLOGY JOURNAL
PB  - JOHN WILEY & SONS LTD
SN  - 20506406
KW  - advanced endoscopy training
KW  - complications
KW  - endoscopic quality improvement
KW  - endoscopy education
KW  - ERCP training
KW  - guidelines
KW  - performance measures
KW  - real-world
KW  - structured training
KW  - training measures
UR  - https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12684
N2  - 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.
ER  -

HAMESCH, Karim; Oscar CAHYADI; Stavros DIMITRIADIS; Marcus HOLLENBACH; Pilar ACEDO; Myriam AYARI; Helena DAUVARTE; Egle DIENINYTE; Viktor DOMISLOVIC; Ana DUGIC; Martin DURICEK; Omar ELSHAARAWY; Anne FENNESSY; Mark Enrik GEISSLER; Zornitsa GORCHEVA; Amer HADI; Valon HAMZA; Ismar HASUKIC; Henriette HEINRICH; Iris J M LEVINK; Jan KRAL; Lumír KUNOVSKÝ; Mattias MANDORFER; Maria MORIS; Yana NIKIFOROVA; Hassan OUAYA; Gianluca PELLINO; Anthea PISANI; Odri QEJVANI; Hasan SADIGOV; Maciej SALAGA; Orestis SIDIROPOULOS; Cem SIMSEK; Paula SOUSA; Stojkovic Lalosevic MILICA; Zane STRAUME; Katja TEPES; Andrei VOIOSU; Lucas WAUTERS; Alberto ZANETTO; Sophie SCHLOSSER a Jonas Jaromir STAUDACHER. Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality. \textit{UNITED EUROPEAN GASTROENTEROLOGY JOURNAL}. CHICHESTER: JOHN WILEY \&{} SONS LTD, 2025, 14 s. ISSN~2050-6406. Dostupné z: https://doi.org/10.1002/ueg2.12684.

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