{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:08:47Z","timestamp":1789103327843,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2027,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An anonymous nationwide questionnaire was distributed to 120 institutions performing EUS across Japan through the investigators\u2019 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\u2010guided sampling, and interventional EUS (I\u2010EUS). Data regarding annual procedure volumes, criteria for trainee initiation, training systems, and educational challenges were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 114 institutions participated. Median annual procedure volumes were 510 for screening EUS, 135 for EUS\u2010guided sampling, and 25 for I\u2010EUS. The number of supervising physicians increased with procedural complexity. Most institutions reported that I\u2010EUS was performed by physicians with &gt;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\u2010based training resources. Only three institutions reported permanent access to dedicated phantom models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EUS education in Japan remains largely apprenticeship\u2010based, with considerable interinstitutional variability. Standardized curricula, objective competency assessment, and simulation\u2010based training systems are needed to optimize future EUS education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/deo2.70430","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:02:16Z","timestamp":1789102936000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Current Status and Unmet Needs of EUS Education in Japan: A Nationwide Survey Focusing on Screening EUS, EUS\u2010Guided Sampling, and Interventional EUS"],"prefix":"10.1002","volume":"7","author":[{"given":"Susumu","family":"Hijioka","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ichiro","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Third Department of Internal Medicine University of Toyama  Toyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Irisawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology School of Medicine Dokkyo Medical University  Mibu Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Katanuma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology School of Medicine Sapporo Medical University  Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shomei","family":"Ryozawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Kitano","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine Wakayama Medical University  Wakayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Isayama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine Juntendo University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Aichi Cancer Center Hospital  Nagoya Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousuke","family":"Nakai","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Institute of Gastroenterology Tokyo Women's Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuji","family":"Iwashita","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Shiga University of Medical Science  Shiga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiki","family":"Yamashige","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuji","family":"Okusaka","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Oncology National Cancer Center Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takao","family":"Itoi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl\u20102017\u2010314341"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20101537\u20108999"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20102224\u20108704"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010025\u201011783\u20105"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ueg2.12399"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl\u20102023\u2010329800"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14927"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.01.030"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14881"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14667"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20102465\u20107283"}],"container-title":["DEN 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