Quantitative Assessment of Procedural Competence: A Prospective Study of Training in Endoscopic Retrograde Cholangiopancreatography
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TL;DR
The learning curve for ERCP was studied by prospectively evaluating gastroenterology fellows at a tertiary medical center by determining the percentage of the total time of the ERCPs that was done by the fellow.
Abstract
At least 180 ERCPs were required before these gastroenterology fellows could be considered competent in ERCP. This number is much greater than that previously recommended, and these findings have substantial implications for training guidelines and issues of competence and certification in ERCP. The methods used to define and evaluate competence in ERCP could also be used to assess competence in other medical procedures.