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Related Experiment Video

Updated: Aug 9, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Validity evidence for observational ERCP competency assessment tools: a systematic review.

Rishad Khan1, Hoomam Homsi2, Nikko Gimpaya3

  • 1Division of Gastroenterology and Hepatology, Department of Medicine, University of Toronto, Toronto, Canada.

Endoscopy
|February 23, 2023
PubMed
Summary

This study systematically evaluated endoscopic retrograde cholangiopancreatography (ERCP) assessment tools. The Bethesda ERCP Skills Assessment Tool (BESAT), ERCP Direct Observation of Procedural Skills Tool (ERCP DOPS), and The Endoscopic Ultrasound (EUS) and ERCP Skills Assessment Tool (TEESAT) demonstrate strong validity evidence for competency assessment.

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Area of Science:

  • Medical Education
  • Gastroenterology
  • Assessment Science

Background:

  • Competence assessment in Endoscopic Retrograde Cholangiopancreatography (ERCP) is crucial for training and skill documentation.
  • Systematic evaluation of validity evidence for ERCP observational assessment tools is lacking.

Approach:

  • Conducted a systematic literature search (inception-August 2021) for studies on ERCP performance assessment tools.
  • Utilized a unified validity framework (content, response process, internal structure, relations to other variables, consequences) to score evidence (0-3 per domain).
  • Assessed educational utility and methodological quality using established frameworks.

Key Points:

  • 17 studies evaluating 7 assessment tools were included.
  • Validity evidence scores ranged from 2 to 12.
  • The Bethesda ERCP Skills Assessment Tool (BESAT), ERCP Direct Observation of Procedural Skills Tool (ERCP DOPS), and The Endoscopic Ultrasound (EUS) and ERCP Skills Assessment Tool (TEESAT) showed the strongest validity (scores 10, 12, 11).
  • Tools generally demonstrated good educational utility and strong methodological quality.

Conclusions:

  • BESAT, ERCP DOPS, and TEESAT possess robust validity evidence for ERCP competency assessment.
  • Integrating these validated tools into training programs can enhance learner development and inform competency decisions.