Original ArticlesA direct comparison of ERCP teaching models☆,☆☆,★
Section snippets
Materials
The American Society for Gastrointestinal Endoscopy (ASGE) sponsored a “hands-on” advanced ERCP training course in February 2002. In a prospective descriptive study, 20 endoscopists (10 students, 10 faculty) drawn randomly from volunteers among the course participants were surveyed. The subjects included 48 “students” and 17 expert faculty. The subjects had varying levels of endoscopic experience, but each had prior training in ERCP, current hospital privileges to perform ERCP, and was
Results
All 20 subjects used each of the 3 models and completed the comparison survey. One faculty subject failed to complete a portion of the realism scores for the Erlangen model.
Median scores for realism in comparison to ERCP in patients are shown in Table 1.
Model Tissue pliability Papillary anatomy Visual realism Cannulation realism Overall experience Combined group (all subjects) Erlangen (n = 19) 6.0 (5.0-7.0) 6.0 (4.0-7.0) 6.0 (6.0-7.0) 6.0 (4.0-7.0) 5.0
Discussion
Training in procedures is coming under increasing scrutiny in all specialties, as attention is focused on errors, outcomes, and complications. Although experience and training in ERCP are closely associated with outcome of success versus failure, the participation of fellows and performance of ERCPs within a training environment have not been associated with increased complications.6 One result of the increased attention to training and outcomes is the growing interest in non-human training
Disclosure
The authors Bret Petersen and Kenneth Binmoeller served as the course director and co-director for the ASGE hands-on ERCP course where the data for this study was collected. None of the authors have any commercial association with the companies mentioned in this manuscript.
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Funding for this project was provided by the ASGE.
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Reprint requests: Bret T. Petersen, MD, Eisenberg 8w-GI Endoscopy, Mayo Clinic, Rochester, MN 55905.
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0016-5107/2003/$30.00 + 0