Montanelli Julieta, Hernandez Lara Ariosto Honorio, Uribe Rivera Ana Karla, Verde Juan Manuel, Burmester Eike, Al-Haddad Mohammad A, Hollerbach Stephan, Vilmann Peter, Abu-Suboh Abadia Monder, Badaoui Abdenor, Arcidiacono Paolo Giorgio, Schlag Christoph, Poley Jan-Werner, Grandval Philippe, Sosa-Valencia Leonardo, Swanström Lee
IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.
ICube, UMR 7357 CNRS, University of Strasbourg, Strasbourg, France.
Surg Endosc. 2025 May 23. doi: 10.1007/s00464-025-11783-5.
Endoscopic ultrasound (EUS) training is strongly correlated with procedure quality and improved patient outcomes. However, EUS fellowship curricula and the environment in which training should take place are not well defined. A well-structured training curriculum should aim to establish a universally accepted competence framework before endosonographers are allowed to start independent practice. This systematic review seeks to identify the essential components of an EUS training curriculum, determine the optimal environment for this training, and highlight gaps and inconsistencies in current guidelines.
A comprehensive literature review was performed using different databases (PubMed, Science Direct, Cochrane library, Directory of Open Access Journals, and Google Scholar) using Mesh methodology for keyword search in the field of EUS training and following PRISMA guidelines. Inclusion criteria were review articles, original research articles, international societal guidelines, book chapters, and expert consensus addressing EUS educational aspects published in the last two decades (January 2002-August 2023) in peer-reviewed journals in English.
A total of 49 papers were included according to the inclusion criteria in the 20-year period range, from which 31 assessed diagnostic EUS curricula content and 19 any aspect of the therapeutic EUS curricula. The requisites, duration, and/or competence demonstration strategies were addressed in 28 publications, whereas 15 referred to the adequate environment for EUS training. Overall, there was a consensus on the need for a structured, formal EUS curriculum along with standardized and properly supervised training and assessment to ensure competence.
The establishment of a structured EUS fellowship curricula should aim to produce competent practitioners, thereby ensuring safe and effective patient-care, uniformly and at the international level. While there is general agreement in the literature on the major aspects of a training curriculum, which we synthesize here, the ideal EUS training context deserves further study and better definition.
内镜超声（EUS）培训与操作质量及改善患者预后密切相关。然而，EUS进修课程以及培训应开展的环境尚未明确界定。一个结构完善的培训课程应旨在在内镜超声检查医师开始独立执业前建立一个普遍认可的能力框架。本系统评价旨在确定EUS培训课程的基本组成部分，确定该培训的最佳环境，并突出当前指南中的差距和不一致之处。
使用不同数据库（PubMed、科学Direct、Cochrane图书馆、开放获取期刊目录和谷歌学术）进行全面的文献综述，采用医学主题词（Mesh）方法在EUS培训领域进行关键词搜索，并遵循系统评价和Meta分析的首选报告项目（PRISMA）指南。纳入标准为过去二十年（2002年1月至2023年8月）在同行评审英文期刊上发表的关于EUS教育方面的综述文章、原创研究文章、国际社会指南、书籍章节和专家共识。
在20年的时间范围内，根据纳入标准共纳入49篇论文，其中31篇评估了诊断性EUS课程内容，19篇涉及治疗性EUS课程的任何方面。28篇出版物涉及要求、持续时间和/或能力证明策略，而15篇提到了EUS培训的适宜环境。总体而言，对于需要结构化、正规的EUS课程以及标准化且经过适当监督的培训和评估以确保能力达成了共识。
建立结构化的EUS进修课程应旨在培养有能力的从业者，从而在国际层面统一确保安全有效的患者护理。虽然文献中对于培训课程的主要方面已达成普遍共识，我们在此进行了综合，但理想的EUS培训环境仍值得进一步研究和更明确的界定。
