Who will excel in advanced endoscopy? A study assessing the criteria and perceptions of experts with regard to selection of ERCP and EUS trainees

Background and study aims Training program directors (TPDs) and experts play a crucial role in selecting ERCP/ EUS trainees and determining the workforce in endoscopy. Additionally, prospective trainees should know what TPDs/ experts expect from them. Nonetheless, the criteria and perceptions used in this selection have not been clarified. The aim of this study was to identify TPD/expert values/beliefs regarding personal attributes needed for selecting trainees that can excel and those which may lead to disqualification; compare perspectives between TPDs/experts and trainees regarding the selection process and critical trainee characteristics; and investigate the general approach and satisfaction regarding current application process for ERCP/ EUS training. Methods We conducted a web-based survey to collect general opinion and data regarding the application process and trainee selection and disqualification from training. European TPDs/experts and trainees were invited to participate. Results Thirty-six TPDs/ experts and 25 trainees from 18 countries responded. The application process is mainly driven by individual request (86.1%). Almost half of TPDs/experts felt only moderately (38.9%) to slightly (8.3%) satisfied with the current application process. TPDs/experts value a diversity of trainee characteristics, but mainly traits such as honesty, being a team player, and self-awareness (72.2% each). Technical skills ranked seventh as considered extremely important. Disregard for patient welfare and lack of work ethic were the most common reasons for disqualification. TPDs/experts and trainees agreed in most questions. Conclusions This survey outlines trainee selection criteria for ERCP/EUS training. Non-technical skills are the most valued by TPDs/experts. While knowledge and technical expertise are clearly important, understanding that professional attitudes are highly regarded may help direct the application process more effectively.

Automated summary

This study aimed to identify the selection criteria for ERCP/EUS trainees and investigate the satisfaction of the application process. The results showed that personal attributes, such as honesty, team player skills, and self-awareness, were highly valued by the training program directors/experts. However, there is room for improvement in the current application process, as the satisfaction level was moderate.