Abstract
Background and study aims Training in endoscopic retrograde cholangiopancreatography (ERCP) is operator-dependent
and traditionally, the apprenticeship model, in which experts are considered to be
role models, has been adopted for it. The aim of this study was to develop a practical
guide compiling tips from experts to help guide trainees to succeed in ERCP.
Methods A web-based survey was created to understand the professional development of ERCP
experts, the investments they made, the obstacles they overcame, and the quotes that
guided their professional life. ERCP experts worldwide were invited to participate.
Results Fifty-three experts (of 71; 74.6%) from 24 countries answered the survey. Experts
started ERCP training early (average age 31 years; range, 24–52 years) and it often
was combined with training for endoscopic ultrasound. A long training period (average
21 months; range, 3–120 months) was needed to achieve competence, frequently in another
department, and it was commonly complemented with research in the field (76.5%). “Time
and practice” were the most worthwhile investments they made to achieve success. “Sports”
were an area outside endoscopy frequently considered to be important to acquire the
skills necessary to excel in ERCP. “Lack of dedicated time for training” and “peer
competition” were the biggest obstacles the experts faced. Several pieces of advice
were given to the experts, such as to be resilient, careful, patient, responsible,
and hard-working. “Personal life” was mentioned as an undeniably crucial factor for
achieving long-term success that should not be forgotten.
Conclusions This survey is the first to provide insight regarding the professional trajectory
of renowned ERCP experts worldwide, providing valuable recommendations to help trainees
excel in ERCP.
Keywords
Quality and logistical aspects - Training - Pancreatobiliary (ERCP/PTCD) - Performance
and complications
