Endoscopic ultrasound training: Current state, challenges, and the path to proficiency

Endoscopic ultrasound (EUS) is an indispensable tool for the diagnosis and management of various diseases, particularly biliopancreatic disorders, as it provides detailed visualization of the gastrointestinal tract and surrounding structures. As the demand for diagnostic and interventional EUS procedures increases, ensuring high-quality training for endoscopists is essential to improve patient outcomes. This mini-review provides an overview of the current state of EUS training and emphasizes the importance of a structured approach that integrates theoretical knowledge and hands-on experience. We discuss different training methods, focusing on the main courses available worldwide, and highlight their advantages and limitations. In addition, we examine the challenges of training for diagnostic and interventional EUS, such as limited access to training centers and the need for personalized feedback. Overall, improving EUS training programs is essential to enhance physician skills and ensure this advanced technique is used safely and efficiently in clinical practice.