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Are low-volume ERCPists a problem in the United States? A plea to examine and improve ERCP practice-NOW.

机译:在美国,小批量ERCP专家是否存在问题?现在,请检查和改进ERCP实践。

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摘要

In this issue of the Journal, Cote et al report their assessment of current ERCP practice and attitudes toward it from an online survey of U.S. gastroenterologists.1 More than 1000 American Society for Gastrointestinal Endos-copy (ASGE) members responded. An important feature is that they asked practitioners to categorize themselves by annual volume, defining low volume as fewer than 50 ERCPs per year, moderate at 50 to 200, and high as more than 200. Their most striking and worrying data are that 40% of the respondents were in the low-volume category. They had less training (77% had not performed 180 ERCPs in fellowship); only 58% "enjoyed" and only 60% were "very comfortable" with ERCP. Because only 18% responded to the survey, it seems likely that the overall situation is even worse than stated. This raises fundamental and sensitive questions. Should low-volume ERCPists (and hospitals) be doing it? Are we comfortable with the state of ERCP practice in the United States?
机译:在本期《杂志》中,Cote等人通过对美国胃肠病学家的在线调查报告了他们对当前ERCP做法和态度的评估。1美国胃肠道内镜复制协会(ASGE)的1000多名会员对此做出了回应。一个重要的功能是,他们要求从业者按年数量对自己进行分类,将低数量定义为每年少于50个ERCP,中等数量为50到200个,最高为200个以上。他们最惊人的数据是40%的ERCP。受访者属于小批量类别。他们受过较少的培训(77%的学生未进行180份ERCP奖学金);只有58%的人“享受”,只有60%的人对ERCP感到“非常满意”。因为只有18%的人对调查做出了回应,所以总体情况似乎比所陈述的还要糟糕。这就提出了基本和敏感的问题。小批量的ERCP专家(和医院)应该这样做吗?我们是否对美国的ERCP实践状况感到满意?

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