Edward Nicol, Debbie Bradshaw, Tamsin Phillips, Lilian Dudley
Human factors affecting the quality of routinely collected data in South Africa
Studies in health technology and informatics
european society gastrointestinal endoscopy esge recognized need formalize enhance training diagnostic endoscopic ultrasound eus manuscript represents outcome formal delphi process resulting official position statement esge provides framework develop maintain skills diagnostic eus curriculum set terms prerequisites prior training recommended steps training defined syllabus quality training competence defined evidenced independent practice 1 trainees achieved competence upper gastrointestinal endoscopy training diagnostic eus 2 development diagnostic eus skills methods involve patients advisable mandatory prior commencing formal training diagnostic eus 3 trainees principal trainer performing adequate volumes diagnostic euss demonstrate maintenance competence 4 training centers diagnostic eus offer expertise well high volume procedures per year ensure optimal level quality training conditions training centers able provide trainees sufficient wealth experience diagnostic eus least 12 months 5 trainees engage formal training supplement range learning resources diagnostic eus including eusguided fineneedle aspiration biopsy fnafnb 6 eus training follow structured syllabus guide learning program 7 minimum procedure volume offered trainees diagnostic eus training ensure opportunity achieve competence technique evaluate competence diagnostic eus trainees completed minimum 250 supervised eus procedures 80 luminal tumors 20 subepithelial lesions 150 pancreaticobiliary lesions least 75 eusfnafnbs performed including mostly pancreaticobiliary lesions 8 competence assessment diagnostic eus take consideration technical skills also cognitive integrative skills reliable valid assessment tool used regularly diagnostic eus training track acquisition competence support trainee feedback 9 period supervised practice follow start independent activity supervision delivered either site colleagues already practicing eus maintaining contacts training center andor eus experts 10 key performance measures including annual number procedures frequency obtaining diagnostic sample eusfnafnb adverse events recorded within electronic documentation system evaluated