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Effect of ERCP Mechanical Simulator (EMS) Practice on Endoscopic Retrograde Cholangiopancreatography (ERCP) Training

Effect of Simulator Practice on Trainees' ERCP (Endoscopic Retrograde Cholangiopancreatography) Performance in the Early Learning Period: a Multi-center Randomized Controlled Observational Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01080833
Acronym
ERCP
Enrollment
16
Registered
2010-03-04
Start date
2008-07-31
Completion date
2009-12-31
Last updated
2010-03-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Training

Keywords

EMS, ERCP, Training, Trainees

Brief summary

Trainees who are offered ERCP Mechanical Simulator (EMS) training in addition to routine training (study group) will demonstrate improved clinical outcomes compared to those undergoing routine ERCP training only (control group).

Detailed description

Hypothesis #1: Trainees who are offered simulator training in addition to routine training (study group) will demonstrate improved clinical outcomes compared to those undergoing routine ERCP training only (control group). Hypothesis #2: Trainees who are initially in the control arm, but receive the simulator training after the initial 30 procedures (delayed intervention) will have significantly greater improvement of clinical outcomes in the second phase of the study (steeper learning curve) compared to the initial period. STUDY DESIGN & OUTCOMES * Controlled randomized observational study. * Immediate intervention (simulator training in the beginning of or just prior to the trainees' ERCP rotation) and delayed intervention (simulator training after 30 clinical procedures) will be studied * Primary outcome: diagnostic biliary cannulation and deep biliary cannulation success rates Secondary outcomes: cannulation time, subjective competency score (5-point scale) graded by supervising physicians.

Interventions

DEVICEERCP mechanical simulator practice

Trainees will receive ERCP mechanical simulator practice in addition to routine ERCP training

Sponsors

University of California, Davis
CollaboratorOTHER
University of California, Irvine
CollaboratorOTHER
University of Arizona
CollaboratorOTHER
Phoenix VA Health Care System
CollaboratorFED
University of New Mexico
CollaboratorOTHER
United States Naval Medical Center, San Diego
CollaboratorFED
Kaiser Permanente
CollaboratorOTHER
East Bay Institute for Research and Education
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
30 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Gastrointestinal fellows receiving ERCP training

Exclusion criteria

* Gastrointestinal fellows who are not receiving ERCP training

Design outcomes

Primary

MeasureTime frameDescription
Diagnostic biliary cannulation and deep biliary cannulation success rates12 monthsThe ability of the trainees to perform solo diagnostic biliary cannulation and deep biliary cannulation

Secondary

MeasureTime frameDescription
Trainer assessment12 monthsSubjective competency (5-point score) graded by supervising physicians.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026