{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:58:05Z","timestamp":1790855885479,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100016387","name":"Grifols","doi-asserted-by":"publisher","award":["ALTA award"],"award-info":[{"award-number":["ALTA award"]}],"id":[{"id":"10.13039\/501100016387","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Endoscopic retrograde cholangiopancreatography (ERCP) still has a relatively high complication rate, underscoring the importance of high\u2010quality training. Despite existing guidelines, real\u2010world data on training conditions remain limited. This pan\u2010European survey aims to systematically explore the perceptions surrounding ERCP training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey was distributed through the friends of United European Gastroenterology (UEG) Young Talent Group network to physicians working in a UEG member or associated states who regularly performed ERCPs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1035 respondents from 35 countries, 649 were eligible for analysis: 228 trainees, 225 trainers, and 196 individuals who regularly performed ERCP but were neither trainees nor trainers. The mean age was 43\u00a0years, with 72.1% identifying as male, 27.6% as female, and 0.3% as non\u2010binary. The majority (80.1%) agreed that a structured training regimen is desirable. However, only 13.7% of trainees and 28.4% of trainers reported having such a structured program in their institutions. Most respondents (79.7%) supported the concept of concentrating training in centers meeting specific quality metrics, with 64.1% suggesting a threshold of 200 annual ERCPs as a prerequisite. This threshold revealed that 36.4% of trainees pursued training in lower\u2010volume centers performing &lt;200 ERCPs annually. As many as 70.1% of trainees performed &lt;50 annual ERCPs, whereas only 5.0% of trainers performed &lt;50 ERCPs annually. A low individual trainee caseload (&lt;50 ERCPs annually) was more common in lower\u2010volume centers than in higher\u2010volume centers (82.9% vs. 63.4%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The first pan\u2010European survey investigating ERCP training conditions reveals strong support for structured training and the concentration of training efforts within centers meeting specific quality metrics. Furthermore, this survey exposes the low availability of structured training programs with many trainees practicing at lower\u2010volume centers and 71% of all trainees having little hands\u2010on exposure. These data should motivate to standardize ERCP training conditions further and ultimately improve patient care throughout Europe.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ueg2.12684","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T12:30:35Z","timestamp":1732710635000},"page":"474-487","source":"Crossref","is-referenced-by-count":6,"title":["Endoscopic retrograde cholangiopancreatography training conditions, results from a pan\u2010European survey: Between vision and reality"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1702-2746","authenticated-orcid":false,"given":"Karim","family":"Hamesch","sequence":"first","affiliation":[{"name":"Medical Clinic III Gastroenterology, Metabolic Diseases and Intensive Care University Hospital RWTH Aachen  Aachen Germany"},{"name":"Interdisciplinary Endoscopy University Hospital RWTH Aachen  Aachen Germany"},{"name":"Junge Gastroenterologie (JuGa) \u2013 German Young 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