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Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality
K. Hamesch, O. Cahyadi, S. Dimitriadis, M. Hollenbach, P. Acedo, M. Ayari, H. Dauvarte, E. Dieninyte, V. Domislovic, A. Dugic, M. Ďuriček, O. Elshaarawy, A. Fennessy, ME. Geissler, Z. Gorcheva, A. Hadi, V. Hamza, I. Hasukić, H. Heinrich, IJM....
Jazyk angličtina
Typ dokumentu časopisecké články, práce podpořená grantem
Grantová podpora
ALTA award
Grifols
NLK
Free Medical Journals
od 2013
PubMed Central
od 2013
Europe PubMed Central
od 2013
ProQuest Central
od 2021-02-01
Health & Medicine (ProQuest)
od 2021-02-01
Wiley Free Content
od 2013
Wiley-Blackwell Open Access Titles
od 2013
ROAD: Directory of Open Access Scholarly Resources
od 2013
PubMed
39601382
DOI
10.1002/ueg2.12684
Knihovny.cz E-zdroje
- MeSH
- cholangiopankreatografie endoskopická retrográdní * normy škodlivé účinky MeSH
- dospělí MeSH
- gastroenterologie * výchova MeSH
- klinické kompetence normy MeSH
- lidé středního věku MeSH
- lidé MeSH
- průzkumy a dotazníky statistika a číselné údaje MeSH
- studium lékařství specializační postgraduální * normy metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
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.
Berlin Institute of Health at Charité Berlin Germany
Carol Davila University of Medicine and Pharmacy Bucharest Romania
Department of Biochemistry Medical University of Lodz Lodz Poland
Department of Gastroenterology and Hepatology Hacettepe University Faculty of Medicine Ankara Turkey
Department of Gastroenterology and Hepatology University Hospital Centre Zagreb Zagreb Croatia
Department of Gastroenterology and Hepatology University Hospitals Leuven Leuven Belgium
Department of Gastroenterology Azerbaijan Medical University Baku Azerbaijan
Department of Gastroenterology Colentina Clinical Hospital Bucharest Romania
Department of Gastroenterology Diagnostic Center Rogaska Rogaška Slatina Slovenia
Department of Gastroenterology East Tallinn Central Hospital Tallinn Estonia
Department of Gastroenterology Liverpool University Hospitals Foundation Trust Liverpool UK
Department of Gastroenterology NIMTS Hospital Athens Greece
Department of Gastroenterology St Vincent's University Hospital Dublin Ireland
Department of Internal Medicine 1 University Hospital Regensburg Regensburg Germany
Department of Internal Medicine 2nd Faculty of Medicine Charles University Prague Czech Republic
Department of Medicine 4 Heidelberg University Hospital Heidelberg Germany
Division of Gastroenterology Department of Medicine Mater Dei Hospital Msida Malta
Faculty of Medicine and Pharmacy University Hospital Mohamed 6 of Tangier Tangier Morocco
Gastroenterology and Hepatology Department Internal Security Forces Hospital La Marsa Tunis Tunisia
Gastroenterology and Multivisceral Transplant Unit Padova University Hospital Padova Italy
Gastroenterology Clinic University Clinical Center of Kosova Prishtine Kosova
Gastroenterology Clinic University Hospitals Coventry and Warwickshire Coventry UK
Gastroenterology Department Hospital São Teotónio ULS Viseu Dão Lafões Viseu Portugal
Gastroenterology Hepatology and Nutrition Clinic Riga East Clinical University Hospital Riga Latvia
Hospital Riga Stradins University Riga Latvia
Institute of Systems Molecular and Integrative Biology Liverpool University Liverpool UK
Interdisciplinary Endoscopy University Hospital RWTH Aachen Aachen Germany
Pancreatitis Centre East Gastrounit Copenhagen University Hospital Hvidovre Copenhagen Denmark
University Clinical Center of Serbia Belgrade Serbia
Vilnius University Hospital Santara Clinics Vilnius Lithuania
Citace poskytuje Crossref.org
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