ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2017
A Prospective Multicenter Study Evaluating Learning Curves and Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees: The Rapid Assessment of Trainee Endoscopy Skills Study.
Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 55 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Rapid Assessment of Trainee Endoscopy Skills (RATES) Study Two: A Prospective Multicenter Study Evaluating Competence in Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatogram Among Advanced Endoscopy Trainees
Prospective Multicenter Study Evaluating Learning Curves and Competence in Colorectal Endoscopic Mucosal Resection Among Advanced Endoscopy Trainees Using A Standardized Assessment Tool: A Quality Improvement Initiative
Who cites it
55 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- An optimal curriculum for training in endoscopic ultrasound: a summarized evidence-based literature systematic review.Surgical endoscopy · 2025Pooled it
- What Would Be the Appropriate Number of Clinical ERCP Cases for Trainees to Acquire Basic Competence? A Systematic Review and Meta-Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021Pooled it
- ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis.Gastrointestinal endoscopy · 2019Guideline
- Measuring trainee competence in performing endoscopic retrograde cholangiopancreatography: A systematic review of the literature.United European gastroenterology journal · 2019Pooled it
- Trial
- Efficacy and determinants of success in a structured ERCP training program: a retrospective cohort study from a national training center in China.Surgical endoscopy · 2026Article
- Validation of the American Society for Gastrointestinal Endoscopy's Complexity Grading System for Endoscopic Procedures.Clinical and translational gastroenterology · 2026Article
- Learning curve for endoscopic retrograde appendicitis therapy: a multicenter retrospective study with different levels of trainees.Gastroenterology report · 2026Article
- Advanced Biliary Cannulation Masterclasses Improve Self-reported Knowledge and Teaching Confidence in Needle-knife Fistulotomy.Endoscopy international open · 2026Article
- Efficacy of endoscopic ultrasound-guided biliary drainage of malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials.Clinical endoscopy · 2025Article
- Leucine-rich alpha-2 glycoprotein for detecting small bowel lesions in Crohn's disease: A critical review and the path forward.World journal of gastrointestinal endoscopy · 2025Article
- Might be over-evaluated: Predicting choledocholithiasis in patients with acute biliary pancreatitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- An international survey on the geographical differences in practice patterns and training of endoscopic ultrasound.Journal of translational internal medicine · 2025Article
- Minimum standards for training in colorectal endoscopic mucosal resection among advanced endoscopy trainees.Endoscopy international open · 2025Article
- Validity evidence for endoscopic ultrasound competency assessment tools: Systematic review.Endoscopy international open · 2024Review
- Deep Learning in Endoscopic Ultrasound: A Breakthrough in Detecting Distal Cholangiocarcinoma.Cancers · 2024Article
- Endoscopic ultrasound-guided biliary drainage after failed endoscopic retrograde cholangiopancreatography: The road is open for almighty biliopancreatic endoscopists!World journal of gastrointestinal surgery · 2024Article
- Effect of the extrahepatic bile duct anatomy on choledocholithiasis and its clinical significance.World journal of gastrointestinal surgery · 2024Article
- Vade Mecum in ERCP, a roadmap to success: Tips from experts for excelling in ERCP.Endoscopy international open · 2024Article
- The Bethesda ERCP Skills Assessment Tool (BESAT) can reliably differentiate endoscopists of different experience levels.Endoscopy international open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
53 authors.
Funding
Abstract
BACKGROUND &
aimsOn the basis of the Next Accreditation System, trainee assessment should occur on a continuous basis with individualized feedback. We aimed to validate endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) learning curves among advanced endoscopy trainees (AETs) by using a large national sample of training programs and to develop a centralized database that allows assessment of performance in relation to peers.
methodsASGE recognized training programs were invited to participate, and AETs were graded on ERCP and EUS exams by using a validated competency assessment tool that assesses technical and cognitive competence in a continuous fashion. Grading for each skill was done by using a 4-point scoring system, and a comprehensive data collection and reporting system was built to create learning curves by using cumulative sum analysis. Individual results and benchmarking to peers were shared with AETs and trainers quarterly.
resultsOf the 62 programs invited, 20 programs and 22 AETs participated in this study. At the end of training, median number of EUS and ERCP performed/AET was 300 (range, 155-650) and 350 (125-500), respectively. Overall, 3786 exams were graded (EUS, 1137; ERCP-biliary, 2280; ERCP-pancreatic, 369). Learning curves for individual end points and overall technical/cognitive aspects in EUS and ERCP demonstrated substantial variability and were successfully shared with all programs. The majority of trainees achieved overall technical (EUS, 82%; ERCP, 60%) and cognitive (EUS, 76%; ERCP, 100%) competence at conclusion of training.
conclusionsThese results demonstrate the feasibility of establishing a centralized database to report individualized learning curves and confirm the substantial variability in time to achieve competence among AETs in EUS and ERCP. ClinicalTrials.gov: NCT02509416.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.