Abstract
ERCP requires high technical skills and sometimes induces serious complication. Therefore it is important for trainees to undergo adequate training of procedure. However there is no written curriculum which is widely used in Japan. The aim of report was as to introduce current situation of education in our institution.
Trainees must be learned preprocedural management, which include correct diagnosis, indication of treatment, complication, appropriate informed consent before performing ERCP. Trainees learn to perform ERCP step by step according to our own curriculum. An expert endoscopist stands by a trainee during ERCP, frequently picks up an endoscope from a trainee, and provides advices ("pick-up education") . Trainees can review the videotapes of procedure after ERCP. All the procedural reports are checked by attending expert endoscopists.
One of the problems of high volume centers with many trainees, numbers of experienced cases per trainee may smaller. However, the qualified training can be achieved by our own curriculum and coaching of expert endoscopists.
