Blind-eye cannulation as a new method for ERCP training: Can we do more than merely teach?

Area of Science:

• Gastroenterology
• Medical Education
• Surgical Simulation

Background:

• Endoscopic retrograde cholangiopancreatography (ERCP) demands significant hands-on training.
• Current ERCP training faces challenges with standardized communication and trainee-trainer misunderstandings.

Purpose of the Study:

• To develop and evaluate a novel training method for ERCP.
• To address communication barriers and enhance technical proficiency in ERCP trainees.

Main Methods:

• A "blind-eye" cannulation technique was implemented using the Boškoski-Costamagna ERCP Trainer.
• Trainees worked in pairs: one blind-folded, directing cannulation maneuvers, while the other provided instructions under trainer supervision.
• A standardized list of commands was established prior to the procedure.

Main Results:

• The "blind-eye" method fostered active listening in the operator trainee and teaching skills in the assistant trainee.
• Trainees successfully utilized standardized commands during the cannulation exercises.
• Trainee roles were alternated during the training sessions.

Conclusions:

• The "blind-eye" ERCP training model shows potential for enhancing communication and technical skills safely.
• Further scientific studies are required to validate the efficacy of this training approach.
• This method may offer a safe environment for improving ERCP procedural competency.