title: [Influencing factors for the performance of trainees after hands-on training of endoscopic retrograde cholangiopancreatography].
abstract: OBJECTIVE
  To evaluate the performance of trainees after finishing hands-on training of endoscopic retrograde cholangiopancreatography (ERCP) at our hospital.
  
  
  METHODS
  Questionnaire was distributed to 46 trainees of ERCP training over the past 5 years. And the effects of training duration, case volume and hospital facilities on ERCP performance were examined.
  
  
  RESULTS
  A total of 41 valid questionnaires (89.1%) were retrieved. And 34 trainees (82.9%) worked at tertiary medical centers. The mean training duration was 8.9 months. Compared with trainees with less annual ERCP volume (TL) (< 4 cases per month, n = 23), trainees with more volume (TM) (≥ 4 cases per month, n = 18) had a higher rate of successful cannulation and precut by a needle knife (both P < 0.05). More endoscopists could perform ERCP and more duodenoscopes were stocked at hospitals of TM compared with TL (both P < 0.05). The results of trainee self-evaluation showed that the major influencing factors of post-training ERCP performance were hospital supports, handling capacity and case volume.
  
  
  CONCLUSIONS
  After hands-on training, the trainee performance of ERCP is influenced by such multiple factors as handling capacity and hospital supports, etc.
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Rongchun
authors.initials: R
authors.lastname: Zhang
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Yanglin
authors.initials: Y
authors.lastname: Pan
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Qin
authors.initials: Q
authors.lastname: Tao
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Zhiguo
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Luo
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Xiangping
authors.initials: X
authors.lastname: Wang
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Biaoluo
authors.initials: B
authors.lastname: Wang
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Shuhui
authors.initials: S
authors.lastname: Liang
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China.
authors.forename: Anhua
authors.initials: A
authors.lastname: Sun
authors.affiliation: Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi'an 710032, China; Email: xuegangguo@gmail.com.
authors.forename: Xuegang
authors.initials: X
authors.lastname: Guo
mesh_terms: D002404:Catheterization; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006761:Hospitals; D006801:Humans; D011795:Surveys and Questionnaires