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A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study.


ABSTRACT: BACKGROUND & AIMS:On the basis of the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) by using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers. METHODS:ASGE recognized training programs were invited to participate, and AETs were graded on ERCP and EUS exams by using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done by using a 4-point scoring system, and a comprehensive data collection and reporting system was built to create learning curves by using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly. RESULTS:Of the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range, 155-650) and 350 (125-500), respectively. Overall, 3786 exams were graded (EUS, 1137; ERCP-biliary, 2280; ERCP-pancreatic, 369). Learning curves for individual end points and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS, 82%; ERCP, 60%) and cognitive (EUS, 76%; ERCP, 100%) competence at conclusion of training. CONCLUSIONS:These results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP. ClinicalTrials.gov: NCT02509416.

SUBMITTER: Wani S 

PROVIDER: S-EPMC7042954 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study.

Wani Sachin S   Keswani Rajesh R   Hall Matt M   Han Samuel S   Ali Meer Akbar MA   Brauer Brian B   Carlin Linda L   Chak Amitabh A   Collins Dan D   Cote Gregory A GA   Diehl David L DL   DiMaio Christopher J CJ   Dries Andrew A   El-Hajj Ihab I   Ellert Swan S   Fairley Kimberley K   Faulx Ashley A   Fujii-Lau Larissa L   Gaddam Srinivas S   Gan Seng-Ian SI   Gaspar Jonathan P JP   Gautamy Chitiki C   Gordon Stuart S   Harris Cynthia C   Hyder Sarah S   Jones Ross R   Kim Stephen S   Komanduri Srinadh S   Law Ryan R   Lee Linda L   Mounzer Rawad R   Mullady Daniel D   Muthusamy V Raman VR   Olyaee Mojtaba M   Pfau Patrick P   Saligram Shreyas S   Piraka Cyrus C   Rastogi Amit A   Rosenkranz Laura L   Rzouq Fadi F   Saxena Aditi A   Shah Raj J RJ   Simon Violette C VC   Small Aaron A   Sreenarasimhaiah Jayaprakash J   Walker Andrew A   Wang Andrew Y AY   Watson Rabindra R RR   Wilson Robert H RH   Yachimski Patrick P   Yang Dennis D   Edmundowicz Steven S   Early Dayna S DS  

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 20170616 11


<h4>Background & aims</h4>On the basis of the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) by using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers.<h4>Methods</h4>ASGE recogni  ...[more]

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