我国内镜下逆行胰胆管造影技术培训现状的调研报告

A national survey of ERCP training in China

目的了解我国ERCP培训工作的现状。方法在专业调研网站上建立问卷调研，设计问题48道，涉及基本信息、培诽信息、开展ERCP工作情况、对培训的建议等。调研对象是曾在国内任何内镜中心接受过ERCP专项培训且培训结业已超过1年的医生，调研采用非署名方式。结果共有464人参加调查，其中362人完成全部问题，含盖中国大陆各地区，超过2／3的受调查者评价培训内容充足，反映经培训后ERCP的操作例数大幅增加和增加的人数分别占27．4％和64．3％，根据相关指标推算出能胜任常规ERCP工作的占84．5％，其中十分出色者占12．2％。结论本项调研显示我国ERCP培训工作近年来已取得了长足进步，但仍存在准入标准不一、培训周期过短、课程不够系统、缺乏规范化评估与跟踪机制等不足。

Objective To investigate the current popularity of ERCP training in China. Methods A questionnaire-based survey was performed on a professional survey website. A total of 48 questions were designed, including personal information, training information, current status of ERCP performance and suggestions to ERCP training. The questionnaire was completed anonymously by physicians who fulfilled full- time ERCP training in any Chinese endoscopy center for at least 1 year before. Results A total of 464 physicians, from all the regions of China's Mainland, among which 362 people completed all the questions. More than two thirds trainees thought that they had got fruitful training and 27.4% trainees had their ERCP volumes greatly increased and 64. 3% trainees increased practice. According to related index, the physicians who were competent in routine ERCP performance were 84. 5%, with outstanding operators of 12. 2%. Conclusion China has made great progress in the training program of ERCP technique in recent decades, but problems still remain such as various admission standard, insufficient training duration, incomprehensive program, as well as lack of evaluation and follow-up system.