Abstract
Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) requires extensive hands-on
training. Currently in ERCP training there are two very important problems that need
attention: lack of standardized commands for communication, and misunderstanding between
the trainee and the trainer.
Methods A method of “blind-eye” cannulation was developed with two paired trainees using
the Boškoski-Costamagna ERCP Trainer. The trainee who was holding the duodenoscope
was blind-folded and the other trainee gave instructions on what maneuvers were necessary
to achieve cannulation, under the supervision of a trainer. Before starting cannulation,
a standard list of commands was agreed by the operators.
Results The blind-eye method of cannulation teaches the operator trainee to listen and the
assistant trainee to teach. Trainees use standardized commands. During the training
session the two trainees swapped roles.
Conclusions Currently, we do not have proof that this type of training is useful, therefore,
scientific studies are needed for confirmation. However, we believe that this ERCP
model may provide an entirely safe means of improving communication and technical
proficiency.
