Canadian Credentialing Guidelines for Endoscopic Retrograde Cholangiopancreatography

Abstract

A series of credentialing guidelines for gastrointestinal endoscopic procedures performed in the management of adult patients has been developed by the Canadian Association of Gastroenterology (CAG) Endoscopy Committee. After review, the guidelines were approved by the Clinical Affairs Committee and endorsed by the Executive Board. In the present article, the CAG suggests specific guidelines for credentialing endoscopic retrograde cholangiopancreatography (ERCP). It is intended to be read in conjunction with the introductory article that outlines the principles of credentialing (1). The CAG does not credential individuals for endoscopic procedures; that is the responsibility of the endoscopist’s local institution or facility. The purpose of these guidelines is to provide a framework that will allow organizations to assess the training and competence of applicants to perform ERCP, as part of the credentialing process for the granting of privileges. ERCP is an advanced endoscopic procedure that is used for the management of many pancreaticobiliary conditions. It is one of the most technically demanding and highest-risk procedures performed by endoscopists. Therefore, it requires comprehensive training and experience to perform competently. The CAG credentialing criteria for ERCP apply to the investigation of adult patients, aged 18 years or older; the basic principles also apply to ERCP in pediatric patients but, because the number of procedures required to achieve and maintain competence may differ, guidance on credentialing for pediatric endoscopy is considered to be the responsibility of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Dr Jonathon Springer