Time Given to Trainees to Attempt Cannulation During Endoscopic Retrograde Cholangiopancreatography Varies by Training Program and Is Not Associated With Competence

Anna Duloy; Rajesh Keswani; Matt Hall; Andrew Y Wang; Gregory A Cote; Eva M Aagaard; Linda Carlin; Christopher J DiMaio; Steven Edmundowicz; Swan Ellert; Samuel Han; Sri Komanduri; Raman Muthusamy; Amit Rastogi; Raj J Shah; Violette Simon; Sachin Wani

doi:10.1016/j.cgh.2019.09.039

Time Given to Trainees to Attempt Cannulation During Endoscopic Retrograde Cholangiopancreatography Varies by Training Program and Is Not Associated With Competence

Clin Gastroenterol Hepatol. 2020 Dec;18(13):3040-3042.e1. doi: 10.1016/j.cgh.2019.09.039. Epub 2019 Oct 4.

Authors

Anna Duloy¹, Rajesh Keswani², Matt Hall³, Andrew Y Wang⁴, Gregory A Cote⁵, Eva M Aagaard⁶, Linda Carlin¹, Christopher J DiMaio⁷, Steven Edmundowicz¹, Swan Ellert⁸, Samuel Han¹, Sri Komanduri⁹, Raman Muthusamy¹⁰, Amit Rastogi¹¹, Raj J Shah¹, Violette Simon¹, Sachin Wani¹²

Affiliations

¹ Department of Gastroenterology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
² Department of Gastroenterology and Hepatology, Northwestern University, Chicago, Illinois.
³ Department of Biostatistics and Informatics, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
⁴ Division of Gastroenterology and Hepatology, University of Virginia, Charlottesville, Virginia.
⁵ Department of Gastroenterology and Hepatology, Medical University of South Carolina, Charleston, South Carolina.
⁶ Division of Internal Medicine, Washington University in St Louis, St Louis, Missouri.
⁷ Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York City, New York.
⁸ Colorado Clinical and Translational Sciences Institute, Aurora, Colorado.
⁹ Department of Gastroenterology and Hepatology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
¹⁰ Department of Gastroenterology, University of California-Los Angeles, Los Angeles, California.
¹¹ Department of Gastroenterology, Hepatology, and Motility, University of Kansas, Kansas City, Kansas.
¹² Department of Gastroenterology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado. Electronic address: [email protected].

PMID: 31589970
DOI: 10.1016/j.cgh.2019.09.039

Abstract

Advanced endoscopy training programs (AETPs) were developed as a result of the lack of comprehensive endoscopic retrograde cholangiopancreatography (ERCP) training during gastroenterology fellowships. There is no standardized curriculum for AETPs and the influence of program- and trainer-associated factors on trainee competence in ERCP has not been investigated adequately. In prior work, we showed that advanced endoscopy trainees (AETs) achieve ERCP competence at varying rates.^1,2 The aims of this study were to measure the variability in time given to AETs to attempt cannulation between AETPs and throughout the 1-year training period, and to determine the association between AET cannulation time and AET competence at the end of training.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Catheterization
Cholangiopancreatography, Endoscopic Retrograde*
Clinical Competence
Gastroenterology* / education
Humans
Prospective Studies