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Training in Endoscopic Ultrasound

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ERCP and EUS

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Abstract

Endoscopic ultrasound (EUS) is an established technique with a variety of applications. With increasing use of EUS, there is a need to assure the adequacy of endosonography training. Achieving proficiency in EUS typically requires additional training beyond the scope of a traditional 3-year Gastroenterology fellowship program. A 1-year Advanced Endoscopy fellowship following completion of an accredited Gastroenterology training program is the most common training pathway for most endosonographers in the United States. The American Society for Gastrointestinal Endoscopy (ASGE) has published minimum procedure numbers for credentialing in EUS procedures and proposed an EUS core curriculum. There are several factors to consider in choosing an advanced endoscopy program including faculty expertise and interests and procedure volumes and complexity. The goal is to achieve proficiency in both the technical and cognitive aspects of EUS. There are several components of EUS practice that require varying levels of experience; for example, gastrointestinal tumor staging and pancreaticobiliary EUS require greater experience as compared to the evaluation of subepithelial lesions. Objective assessment criteria are being developed to assess trainee performance. Electronic resources such as DVDs and endoscopy video websites and training on simulators can be useful adjuncts to clinical training under the supervision of an experienced endosonographer.

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Authors and Affiliations

  1. Department of Gastroenterology, Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ 85259, USA

    Asst. Prof. Rahul Pannala MD, MPH & Prof. Douglas O. Faigel MD

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  1. Asst. Prof. Rahul Pannala MD, MPH
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  2. Prof. Douglas O. Faigel MD
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Correspondence to Douglas O. Faigel MD .

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  1. Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Linda S. Lee

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Pannala, R., Faigel, D. (2015). Training in Endoscopic Ultrasound. In: Lee, L. (eds) ERCP and EUS. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2320-5_21

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  • DOI: https://doi.org/10.1007/978-1-4939-2320-5_21

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