ArticleDEN open2027
Current Status and Unmet Needs of EUS Education in Japan: A Nationwide Survey Focusing on Screening EUS, EUS-Guided Sampling, and Interventional EUS.
Article in DEN open, 2027. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
13 authors.
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Abstract
Objectives: Endoscopic ultrasound (EUS) plays a central role in the management of pancreaticobiliary diseases. However, EUS training in Japan remains highly dependent on the experience and educational capacity of individual institutions and supervisors, and the nationwide status of EUS education has not been comprehensively evaluated. This study investigated the current status and unmet educational needs of EUS training in Japan through a nationwide survey. Methods: An anonymous nationwide questionnaire was distributed to 120 institutions performing EUS across Japan through the investigators' professional network. Institutions routinely performing diagnostic and/or therapeutic EUS were invited to participate in the survey. Survey items included institutional characteristics and educational practices related to screening EUS, EUS-guided sampling, and interventional EUS (I-EUS). Data regarding annual procedure volumes, criteria for trainee initiation, training systems, and educational challenges were collected. Results: In total, 114 institutions participated. Median annual procedure volumes were 510 for screening EUS, 135 for EUS-guided sampling, and 25 for I-EUS. The number of supervising physicians increased with procedural complexity. Most institutions reported that I-EUS was performed by physicians with >10 years of clinical experience. Criteria for trainee initiation varied substantially among institutions, and no standardized educational pathway was identified. Major challenges included limited case volume, concerns regarding adverse events, and a lack of simulation-based training resources. Only three institutions reported permanent access to dedicated phantom models. Conclusions: EUS education in Japan remains largely apprenticeship-based, with considerable interinstitutional variability. Standardized curricula, objective competency assessment, and simulation-based training systems are needed to optimize future EUS education.
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