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Standards in Gastrointestinal Endoscopy Training

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<strong>Standards</strong> <strong>in</strong> Gastro<strong>in</strong>test<strong>in</strong>al <strong>Endoscopy</strong> Tra<strong>in</strong><strong>in</strong>g 30<br />

4. ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY<br />

OBJCTIVE: TO PROVIDE TRAINEES WITH THE KNOWLEDGE AND SKILLS TO<br />

UNDERTAKE ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY<br />

[ERCP]<br />

ERCP<br />

SUBJECT<br />

MATTER<br />

KNOWLEDGE SKILLS ATTITUDES<br />

Indications,<br />

contra<strong>in</strong>dications,<br />

complications and<br />

their management,<br />

patient preparation<br />

and documentation.<br />

Endoscopies<br />

sph<strong>in</strong>cterotomy and<br />

its complications,<br />

<strong>in</strong>sertion and<br />

replacement of<br />

biliary stents,<br />

comb<strong>in</strong>ed<br />

endoscopic and<br />

radiological<br />

procedures<br />

Able to undertake<br />

ERCP and cannulate<br />

pancreatic and bile<br />

ducts <strong>in</strong> >90% of<br />

procedures when<br />

deemed competent.<br />

Able to undertake<br />

sph<strong>in</strong>cterotomy and<br />

stent <strong>in</strong>sertion<br />

ommensurate with<br />

their experience<br />

Able to identify the<br />

papilla <strong>in</strong> >95% of<br />

patients who have<br />

not undergone<br />

gastric surgery.<br />

Will<strong>in</strong>g to undertake<br />

ERCP <strong>in</strong> such a way<br />

as to m<strong>in</strong>imize risk<br />

and discomfort to<br />

patients and obta<strong>in</strong><br />

help when needed.

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