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Changhai advanced endoscopy courses for ERCP (CHANCE) training program: A short-term training model in China - 20/08/22

Doi : 10.1016/j.clinre.2022.101987 
Di Zhang a, Dan Wang a, Tian-Jiao Wang a, Ren-Pei Wu a, Lu Hao a, b, Ya-Wei Bi a, Hong-Lei Guo a, Xiang-Peng Zeng a, Yu Liu a, Teng Wang a, Lin He a, Huai-Yu Yang a, Dong Wang a, Zhen-Dong Jin a, Duo-Wu Zou a, c, Zhuan Liao a, Yi-Qi Du a, Luo-Wei Wang a, Xin-Gang Shi a, Jie Chen a, Kai-Xuan Wang a, Yu Bai a, Lei Xin a, , Liang-Hao Hu a, , Zhao-Shen Li a,

Chinese Society of Digestive Endoscopy, China Endoscopists Association

a Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China 
b Department of Gastroenterology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China 
c Department of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China 

Corresponding authors.

Abstract

Background

There is huge shortage of ERCP practitioners (ERCPists) in China, and ERCP training is urgently needed. ChangHai Advanced eNdoscopy Courses for ERCP (CHANCE) is a 4-month program for ERCP training since 2004. This study evaluated the efficiency of this short-term training model, and reported on the ERCP careers of the trainees following completion of the CHANCE program.

Methods

This study was a retrospective investigation included all the CHANCE trainees from Jan 2004 to Dec 2014. Questionnaires were sent to all trainees. The career competence percentage, ERCP careers and predictive factors of career competence were investigated and analyzed.

Results

A total of 413 trainees participated in the CHANCE program over 11 years covered by the survey and 258 questionnaires were valid for the study. The mean (SD) age of the trainees was 35.36 (4.17), and the male to female ratio was 4.4:1. The average follow-up time was 7.77 (3.44) years. A total of 173 (67.1%) trainees had achieved career competence. In terms of ERCP careers, the mean annual ERCP volume was 120.60 (96.67), with a complication percentage of 8.2%. Hospital qualification, compliance with follow-up learning guidance, participating academic activity, and practitioner type were identified predictive factors of career competence.

Conclusions

As a short-term training program, the CHANCE achieved an acceptable career competence percentage, providing endoscopists more chances to learn ERCP and giving them appropriate training guidance for career competence. This training mode is worth promoting in developing countries with shortage of ERCPists.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : ERCP, Short-term training model, Career competence, Developing countries


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Vol 46 - N° 7

Articolo 101987- Agosto 2022 Ritorno al numero
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