Hamesch Karim, Cahyadi Oscar, Dimitriadis Stavros, Hollenbach Marcus, Acedo Pilar, Ayari Myriam, Dauvarte Helena, Dieninyte Egle, Domislovic Viktor, Dugic Ana, Ďuriček Martin, Elshaarawy Omar, Fennessy Anne, Geissler Mark Enrik, Gorcheva Zornitsa, Hadi Amer, Hamza Valon, Hasukić Ismar, Heinrich Henriette, Levink Iris J M, Kral Jan, Kunovsky Lumir, Mandorfer Mattias, Moris Maria, Nikiforova Yana, Ouaya Hassan, Pellino Gianluca, Pisani Anthea, Qejvani Odri, Sadigov Hasan, Salaga Maciej, Sidiropoulos Orestis, Simsek Cem, Sousa Paula, Stojkovic Lalosevic Milica, Straume Zane, Tepes Katja, Voiosu Andrei, Wauters Lucas, Zanetto Alberto, Schlosser Sophie, Staudacher Jonas Jaromir
Medical Clinic III, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital RWTH Aachen, Aachen, Germany.
Interdisciplinary Endoscopy, University Hospital RWTH Aachen, Aachen, Germany.
United European Gastroenterol J. 2025 Apr;13(3):474-487. doi: 10.1002/ueg2.12684. Epub 2024 Nov 27.
Endoscopic retrograde cholangiopancreatography (ERCP) still has a relatively high complication rate, underscoring the importance of high-quality training. Despite existing guidelines, real-world data on training conditions remain limited. This pan-European survey aims to systematically explore the perceptions surrounding ERCP training.
A survey was distributed through the friends of United European Gastroenterology (UEG) Young Talent Group network to physicians working in a UEG member or associated states who regularly performed ERCPs.
Of 1035 respondents from 35 countries, 649 were eligible for analysis: 228 trainees, 225 trainers, and 196 individuals who regularly performed ERCP but were neither trainees nor trainers. The mean age was 43 years, with 72.1% identifying as male, 27.6% as female, and 0.3% as non-binary. The majority (80.1%) agreed that a structured training regimen is desirable. However, only 13.7% of trainees and 28.4% of trainers reported having such a structured program in their institutions. Most respondents (79.7%) supported the concept of concentrating training in centers meeting specific quality metrics, with 64.1% suggesting a threshold of 200 annual ERCPs as a prerequisite. This threshold revealed that 36.4% of trainees pursued training in lower-volume centers performing <200 ERCPs annually. As many as 70.1% of trainees performed <50 annual ERCPs, whereas only 5.0% of trainers performed <50 ERCPs annually. A low individual trainee caseload (<50 ERCPs annually) was more common in lower-volume centers than in higher-volume centers (82.9% vs. 63.4%).
The first pan-European survey investigating ERCP training conditions reveals strong support for structured training and the concentration of training efforts within centers meeting specific quality metrics. Furthermore, this survey exposes the low availability of structured training programs with many trainees practicing at lower-volume centers and 71% of all trainees having little hands-on exposure. These data should motivate to standardize ERCP training conditions further and ultimately improve patient care throughout Europe.
内镜逆行胰胆管造影术（ERCP）的并发症发生率仍然相对较高，这凸显了高质量培训的重要性。尽管有现有指南，但关于培训条件的实际数据仍然有限。这项泛欧洲调查旨在系统地探索围绕ERCP培训的看法。
通过欧洲胃肠病学联合会（UEG）青年人才小组网络的朋友向在UEG成员国或相关国家工作且定期进行ERCP的医生分发了一份调查问卷。
来自35个国家的1035名受访者中，649名符合分析条件：228名学员、225名培训师以及196名定期进行ERCP但既不是学员也不是培训师的人员。平均年龄为43岁，其中72.1%为男性，27.6%为女性，0.3%为非二元性别。大多数人（80.1%）同意需要有结构化的培训方案。然而，只有13.7%的学员和28.4%的培训师报告称其所在机构有这样的结构化项目。大多数受访者（79.7%）支持将培训集中在符合特定质量指标的中心这一概念，64.1%的人建议将每年200例ERCP作为一个门槛条件。这一门槛显示，36.4%的学员在每年进行ERCP例数少于200例的低容量中心接受培训。多达70.1%的学员每年进行的ERCP例数少于50例，而只有5.0%的培训师每年进行的ERCP例数少于50例。低容量中心的单个学员病例量较低（每年<50例ERCP）比高容量中心更为常见（82.9%对63.4%）。
第一项调查ERCP培训条件的泛欧洲调查显示，人们大力支持结构化培训以及将培训工作集中在符合特定质量指标的中心。此外，这项调查揭示了结构化培训项目的可用性较低，许多学员在低容量中心实习，并且所有学员中有71%几乎没有实际操作机会。这些数据应促使进一步规范ERCP培训条件，并最终改善整个欧洲的患者护理。
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