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Published on: August 11, 2023
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Training and certification of EUS operators in China
Xun Hou1, Jinyu Liang2, Lars Konge3
1Clinical Competence Training Center; Gastrointestinal Surgery Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong Province, China.
Endoscopic Ultrasound
|April 30, 2022
Summary
Traditional apprenticeship remains the primary method for endoscopic retrograde cholangiopancreatography (ERCP) training in China, with significant variation in required practice. Experts advocate for standardized curricula and competency assessments for ERCP operators.
Area of Science:
- Gastroenterology
- Medical Education
Background:
- Endoscopic ultrasound (EUS) is a crucial diagnostic and therapeutic tool.
- Skilled EUS operators are vital for patient safety and procedure outcomes.
- Efficient training and certification programs are essential for EUS competency.
Purpose of the Study:
- To investigate the past, present, and future of EUS competency acquisition and assessment in China.
- To understand the training methodologies and experiences of key opinion leaders in EUS in China.
Main Methods:
- A survey was distributed to key opinion leaders (KOLs) in EUS across major Chinese cities.
- The survey included 43 questions covering demographics, EUS experience, training as a trainee and supervisor, and future training preferences.
- Descriptive statistics were used to analyze the collected data.
Main Results:
- Eleven men and five women with 0.5-20 years of EUS experience participated.
- Most KOLs (13/16) learned EUS via apprenticeship, and this model is still predominantly used for training.
- Simulation-based training and standardized assessments are rarely used, but desired by most KOLs for the future.
Conclusions:
- Apprenticeship remains the dominant EUS training method in China, with considerable variability in independent practice requirements.
- There is a strong demand from KOLs for improved training conditions, standardized curricula, and certification based on validated competency assessments.

