Evaluation of the effect of simulator practice on trainees' clinical endoscopic retrograde cholangio-pancreatography performance

Different simulators are available to supplement clinical endoscopic retrograde cholangio-pancreatography (ERCP) training. The ERCP computer-based simulator (ECS) is thought to be useful for understanding the anatomy, duodenal motility and basic orientation for canulation. We have previously demonstrated that ECS can differentiate between endoscopists with lack or high level of competence. Furthermore, it has been suggested that simulator practice improves clinical performance of trainees hence can augment the ERCP training, however limited information is available in terms of ECS practice. This study aimed to e…