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A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography.

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Presentation on theme: "A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography."— Presentation transcript:

1 A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study  Sachin Wani, Rajesh Keswani, Matt Hall, Samuel Han, Meer Akbar Ali, Brian Brauer, Linda Carlin, Amitabh Chak, Dan Collins, Gregory A. Cote, David L. Diehl, Christopher J. DiMaio, Andrew Dries, Ihab El-Hajj, Swan Ellert, Kimberley Fairley, Ashley Faulx, Larissa Fujii- Lau, Srinivas Gaddam, Seng-Ian Gan, Jonathan P. Gaspar, Chitiki Gautamy, Stuart Gordon, Cynthia Harris, Sarah Hyder, Ross Jones, Stephen Kim, Srinadh Komanduri, Ryan Law, Linda Lee, Rawad Mounzer, Daniel Mullady, V. Raman Muthusamy, Mojtaba Olyaee, Patrick Pfau, Shreyas Saligram, Cyrus Piraka, Amit Rastogi, Laura Rosenkranz, Fadi Rzouq, Aditi Saxena, Raj J. Shah, Violette C. Simon, Aaron Small, Jayaprakash Sreenarasimhaiah, Andrew Walker, Andrew Y. Wang, Rabindra R. Watson, Robert H. Wilson, Patrick Yachimski, Dennis Yang, Steven Edmundowicz, Dayna S. Early  Clinical Gastroenterology and Hepatology  Volume 15, Issue 11, Pages e11 (November 2017) DOI: /j.cgh Copyright © 2017 AGA Institute Terms and Conditions

2 Figure 1 Example of graphic representation of learning curves provided to participating center on quarterly basis that includes individual learning curves for the participating AET (green) and in comparison with the national average (orange). Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

3 Figure 2 Graphic representation of learning curves among AETs by using CUSUM analysis for overall technical and cognitive aspects of EUS by using acceptable and unacceptable failure rates of 10% and 30%, respectively. Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

4 Figure 3 Graphic representation of learning curves for ERCP (overall technical and cognitive aspects). Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

5 Figure 4 Graphic representation of learning curves for cannulation of bile duct in native papilla cases and sphincterotomy. Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

6 Supplementary Figure 1 Baseline questionnaire.
Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

7 Supplementary Figure 2 Post-study questionnaire.
Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

8 Supplementary Figure 3 The EUS and ERCP Skills Assessment Tool (TEESAT). Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

9 Supplementary Figure 3 The EUS and ERCP Skills Assessment Tool (TEESAT). Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

10 Supplementary Figure 3 The EUS and ERCP Skills Assessment Tool (TEESAT). Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

11 Supplementary Figure 3 The EUS and ERCP Skills Assessment Tool (TEESAT). Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

12 Supplementary Figure 4 Cannulation rates with time.
Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions

13 Supplementary Figure 5 Scatter plot demonstrating no change in the time allowed for the advanced endoscopy trainee to cannulate cases with a native papilla during the 1-year training period. Clinical Gastroenterology and Hepatology  , e11DOI: ( /j.cgh ) Copyright © 2017 AGA Institute Terms and Conditions


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