Table 1.

Recommendations from national societies regarding training requirements for endoscopic retrograde cholangio-pancreatography (ERCP)

Variable	Data recorded
British Society of Gastroenterology: Joint Advisory Group on Gastrointestinal Endoscopy4	•No specific number of procedures prescribed
	•Emphasis on the number of procedures a centre performs with the recommended number being 250 annually (or fewer if trainees are assured adequate exposure)
	•At the time of assessment for credentialing the trainee must be:
	–aware of the indications, limitations and complications of diagnostic and therapeutic ERCP
	–able to identify the papilla in >95% of patients who have not undergone gastric surgery.
	–competent in those manoeuvres which facilitate cannulation of the biliary tree and the pancreatic duct
	–able to independently perform sphincterotomy, stone extraction and stenting and display a safe and potentially successful approach to these technical skills.
American Society for Gastrointestinal Endoscopy2	•Must perform at least 180 procedures
	•At least 50% of procedures should be therapeutic
Gastoenterological society of Australia: Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy (CCRTGE)5	•Must perform a total of 200 unassisted ERCP examinations in patients with intact papillary sphincters
	•Must include a minimum of 80 supervised, independently performed, sphincterotomies in patients with intact papillary sphincters
	•A minimum of 60 stents