Stricter national standards are required for credentialing of endoscopic-retrograde-cholangiopancreatography in the United States

Table 6 Proposed standardized gastroenterology fellowship report card for endoscopic-retrograde-cholangiopancreatography training and performance

Proposed standardized gastroenterology fellowship report card for ERCP
Achievements:
______ Number of ERCPs in which trainee was only a passive observer.
______ Number of ERCPs in which trainee actively participated (excludes ERCPs in which trainee was only a passive observer)
______ Number and ______% of ERCPs in which trainee personally successfully cannulated at least one duct (includes either common bile duct or pancreatic duct)
______ Number and ______% of ERCPs in which trainee personally successfully performed sphincterotomy
______ Number and ______% of ERCPs in which trainee successfully personally performed stone retrieval by basket or balloon pull through
______ Number of ERCPs in which trainee successfully dilated a biliary or pancreatic stricture
______ Number of ERCPs in which trainee successfully personally deployed a stent
______ Number of ERCPs in which trainee successfully retrieved a stent
______ Number of ERCPs in which trainee successfully used daughter endoscope (e.g., Spyscope) technology
Adverse events:
Number and percent of total ERCPs in which trainee participated in which adverse events occurred:
For fatal complication: Number_____ Percent of total ______
For major adverse events: Number ______ Percent of total ______
For minor adverse events: Number ______ Percent of total ______
Has the trainee been a defendant in a medical malpractice suit in any ERCP in which the trainee participated? _____ Yes ______ No.
Has the trainee had privileges in ERCP revoked or restricted or received a written warning? _____Yes _______No
Has the trainee voluntarily given up ERCP privileges in lieu of these privileges being revoked or restricted? ___Yes ______No

ERCP: Endoscopic retrograde cholangiopancreatography.