Training in EUS and ERCP: standardizing methods to assess competence

Postgraduate interventional endoscopy fellowships were created in response to the burgeoning portfolio of therapeutic endoscopy.1,2 Many programs recognized that comprehensive training in ERCP and EUS could not be achieved within the 3-year curriculum of an Accreditation Council for Graduate Medical Education (ACGME)–accredited fellowship in gastroenterology, hepatology, and nutrition. Although these postgraduate fellowships initially focused on ERCP and/or EUS, these postgraduate fellowships have evolved to include various combinations of training in ERCP and EUS, complex endoscopic resection (eg, large polyp EMR and endoscopic submucosal dissection [ESD]), endoluminal stent placement, advanced closure techniques, and bariatric endoscopy.

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