Boškoski Ivo, Webster George, Tringali Andrea, Familiari Pietro, Perri Vincenzo, Costamagna Guido
Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Rome, Italy.
Università Cattolica del Sacro Cuore di Roma, Center for Endoscopi Research Therapeutics and Training (CERTT), Rome, Italy.
Endosc Int Open. 2020 Feb;8(2):E186-E188. doi: 10.1055/a-1066-8880. Epub 2020 Jan 22.
Endoscopic retrograde cholangiopancreatography (ERCP) requires extensive hands-on training. Currently in ERCP training there are two very important problems that need attention: lack of standardized commands for communication, and misunderstanding between the trainee and the trainer. A method of "blind-eye" cannulation was developed with two paired trainees using the Boškoski-Costamagna ERCP Trainer. The trainee who was holding the duodenoscope was blind-folded and the other trainee gave instructions on what maneuvers were necessary to achieve cannulation, under the supervision of a trainer. Before starting cannulation, a standard list of commands was agreed by the operators. The blind-eye method of cannulation teaches the operator trainee to listen and the assistant trainee to teach. Trainees use standardized commands. During the training session the two trainees swapped roles. Currently, we do not have proof that this type of training is useful, therefore, scientific studies are needed for confirmation. However, we believe that this ERCP model may provide an entirely safe means of improving communication and technical proficiency.
内镜逆行胰胆管造影术（ERCP）需要大量的实践操作培训。目前在ERCP培训中有两个非常重要的问题需要关注：缺乏标准化的沟通指令，以及学员与培训师之间的误解。 使用博什科夫斯基-科斯塔马尼亚ERCP训练器，让两名配对的学员开发了一种“蒙眼”插管方法。手持十二指肠镜的学员被蒙上眼睛，另一名学员在培训师的监督下，就实现插管所需的操作给出指示。在开始插管之前，操作人员商定了一份标准指令清单。 蒙眼插管方法教会操作学员倾听，辅助学员教学。学员使用标准化指令。在培训过程中，两名学员互换角色。 目前，我们没有证据证明这种培训是有用的，因此，需要进行科学研究来证实。然而，我们相信这种ERCP模式可能提供一种完全安全的方法来改善沟通和技术熟练程度。
