-
Something wrong with this record ?
Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement
G. Johnson, G. Webster, I. Boškoski, S. Campos, SK. Gölder, C. Schlag, A. Anderloni, U. Arnelo, A. Badaoui, N. Bekkali, D. Christodoulou, L. Czakó, M. Fernandez Y Viesca, I. Hritz, T. Hucl, E. Kalaitzakis, L. Kylänpää, I. Nedoluzhko, MC. Petrone,...
Language English Country Germany
Document type Journal Article, Review
PubMed
34311472
DOI
10.1055/a-1537-8999
Knihovny.cz E-resources
- MeSH
- Cholangiopancreatography, Endoscopic Retrograde * MeSH
- Endosonography * MeSH
- Endoscopy, Gastrointestinal MeSH
- Catheterization MeSH
- Curriculum MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
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 > 10 mm), 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.
Department of Gastroenterology and Hepatology IKEM Prague Czech Republic
Department of Gastroenterology and Hepatology University Hospital Zurich Switzerland
Department of Gastroenterology Medical School and University Hospital of Ioannina Ioannina Greece
Department of Gastroenterology University Hospital of Heraklion University of Crete Heraklion Greece
Department of Gastrointestinal Surgery Helsinki University Hospital Helsinki Finland
Department of Internal Medicine 3 University Hospital Augsburg Augsburg Germany
Department of Medicine University of Szeged Szeged Hungary
Department of Surgical and Perioperative Sciences Surgery Umeå University Umeå Sweden
Gastroenterology and Digestive Endoscopy Fondazione Policlinico Gemelli Rome Italy
Gastroenterology Department Digestive Unit Champalimaud Foundation Lisbon Portugal
Gastroenterology Department IPO Porto Porto Portugal
Gastroenterology Division Edouard Herriot Hospital Lyon France
John Radcliffe Hospital Oxford University Hospitals Foundation Trust Oxford UK
Moscow Clinical Scientific Center n a A S Loginov Moscow Russia
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc22003562
- 003
- CZ-PrNML
- 005
- 20220127150112.0
- 007
- ta
- 008
- 220113s2021 gw f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1055/a-1537-8999 $2 doi
- 035 __
- $a (PubMed)34311472
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a gw
- 100 1_
- $a Johnson, Gavin $u University College London Hospitals, London, UK
- 245 10
- $a Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement / $c G. Johnson, G. Webster, I. Boškoski, S. Campos, SK. Gölder, C. Schlag, A. Anderloni, U. Arnelo, A. Badaoui, N. Bekkali, D. Christodoulou, L. Czakó, M. Fernandez Y Viesca, I. Hritz, T. Hucl, E. Kalaitzakis, L. Kylänpää, I. Nedoluzhko, MC. Petrone, JW. Poley, A. Seicean, J. Vila, M. Arvanitakis, M. Dinis-Ribeiro, T. Ponchon, R. Bisschops
- 520 9_
- $a 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 > 10 mm), 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.
- 650 _2
- $a katetrizace $7 D002404
- 650 12
- $a cholangiopankreatografie endoskopická retrográdní $7 D002760
- 650 _2
- $a kurikulum $7 D003479
- 650 _2
- $a gastrointestinální endoskopie $7 D016099
- 650 12
- $a endosonografie $7 D019160
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a přehledy $7 D016454
- 700 1_
- $a Webster, George $u University College London Hospitals, London, UK
- 700 1_
- $a Boškoski, Ivo $u Gastroenterology and Digestive Endoscopy, Fondazione Policlinico Gemelli, Rome, Italy
- 700 1_
- $a Campos, Sara $u Gastroenterology Department, Digestive Unit, Champalimaud Foundation, Lisbon, Portugal
- 700 1_
- $a Gölder, Stefan Karl $u Department of Internal Medicine III, University Hospital Augsburg, Augsburg, Germany
- 700 1_
- $a Schlag, Christoph $u Department of Gastroenterology and Hepatology, University Hospital Zurich, Switzerland
- 700 1_
- $a Anderloni, Andrea $u Division of Gastroenterology, Digestive Endoscopy Unit, Humanitas Clinical and Research Center-IRCCS, Rozzano, Italy
- 700 1_
- $a Arnelo, Urban $u Department of Surgical and Perioperative Sciences/Surgery, Umeå University, Umeå, Sweden
- 700 1_
- $a Badaoui, Abdenor $u Department of Gastroenterology and Hepatology, Université catholique de Louvain, CHU UCL Namur, Yvoir, Belgium
- 700 1_
- $a Bekkali, Noor $u John Radcliffe Hospital, Oxford University Hospitals Foundation Trust, Oxford, UK
- 700 1_
- $a Christodoulou, Dimitrios $u Department of Gastroenterology, Medical School and University Hospital of Ioannina, Ioannina, Greece
- 700 1_
- $a Czakó, László $u Department of Medicine, University of Szeged, Szeged, Hungary
- 700 1_
- $a Fernandez Y Viesca, Michael $u Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
- 700 1_
- $a Hritz, Istvan $u Centre for Therapeutic Endoscopy, 1st Department of Surgery and Interventional Gastroenterology, Semmelweis University, Budapest, Hungary
- 700 1_
- $a Hucl, Tomas $u Department of Gastroenterology and Hepatology, IKEM, Prague, Czech Republic
- 700 1_
- $a Kalaitzakis, Evangelos $u Department of Gastroenterology, University Hospital of Heraklion, University of Crete, Heraklion, Greece $u Digestive Disease Center, University Hospital of Copenhagen/Herley, University of Copenhagen, Copenhagen, Denmark
- 700 1_
- $a Kylänpää, Leena $u Department of Gastrointestinal Surgery, Helsinki University Hospital, Helsinki, Finland
- 700 1_
- $a Nedoluzhko, Ivan $u Moscow Clinical Scientific Center n.a. A.S. Loginov, Moscow, Russia
- 700 1_
- $a Petrone, Maria Chiara $u Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute IRCCS, Milan, Italy
- 700 1_
- $a Poley, Jan-Werner $u Department of Gastroenterology & Hepatology, Erasmus MC, University Medical Center Rotterdam, The Netherlands
- 700 1_
- $a Seicean, Andrada $u Regional Institute of Gastroenterology and Hepatology Cluj-Napoca, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania
- 700 1_
- $a Vila, Juan $u Endoscopy Unit, Gastroenterology Department, Complejo Hospitalario de Navarra, Instituto de Investigaciones Sanitarias de Navarra (IDISNA), Pamplona, Spain
- 700 1_
- $a Arvanitakis, Marianna $u Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
- 700 1_
- $a Dinis-Ribeiro, Mario $u Gastroenterology Department, IPO Porto, Porto, Portugal
- 700 1_
- $a Ponchon, Thierry $u Gastroenterology Division, Edouard Herriot Hospital, Lyon, France
- 700 1_
- $a Bisschops, Raf $u Department of Gastroenterology and Hepatology, University Hospitals Leuven, and TARGID, KU Leuven, Leuven, Belgium
- 773 0_
- $w MED00009605 $t Endoscopy $x 1438-8812 $g Roč. 53, č. 10 (2021), s. 1071-1087
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/34311472 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20220113 $b ABA008
- 991 __
- $a 20220127150108 $b ABA008
- 999 __
- $a ok $b bmc $g 1751122 $s 1154711
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2021 $b 53 $c 10 $d 1071-1087 $e 20210726 $i 1438-8812 $m Endoscopy $n Endoscopy $x MED00009605
- LZP __
- $a Pubmed-20220113
