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Changhai advanced endoscopy courses for ERCP (CHANCE) training program: A short-term training model in China
Di Zhang1, Dan Wang1, Tian-Jiao Wang1
1Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China.
Summary
The ChangHai Advanced eNdoscopy Courses for ERCP (CHANCE) program effectively trains endoscopists in ERCP, with 67.1% achieving competence. This short-term model is valuable for countries needing more ERCP practitioners.
Area of Science:
- Gastroenterology
- Medical Education
- Surgical Training
Background:
- Significant shortage of Endoscopic Retrograde Cholangiopancreatography (ERCP) practitioners in China.
- Urgent need for effective ERCP training programs.
- The ChangHai Advanced eNdoscopy Courses for ERCP (CHANCE) program offers 4-month ERCP training.
Purpose of the Study:
- To evaluate the efficiency of the CHANCE short-term ERCP training model.
- To report on the subsequent ERCP careers of CHANCE program graduates.
- To identify predictive factors for career competence in ERCP.
Main Methods:
- Retrospective investigation of CHANCE trainees from 2004 to 2014.
- Data collection via questionnaires sent to all trainees.
- Analysis of career competence, ERCP volume, complication rates, and predictive factors.
Main Results:
- 258 out of 413 trainees (67.1%) achieved career competence after training.
- Average annual ERCP volume was 120.60 procedures with an 8.2% complication rate.
- Hospital qualification, adherence to guidance, academic activity, and practitioner type predicted competence.
Conclusions:
- The CHANCE program demonstrates acceptable career competence rates for a short-term ERCP training model.
- It provides valuable opportunities and guidance for endoscopists seeking ERCP skills.
- This training model is recommended for developing countries facing ERCPist shortages.
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