Do Surgeons and Gastroenterologists Describe Endoscopic Retrograde Cholangiopancreatography Differently? A Qualitative Study

Journal of Surgical Education
Margaret BoehlerJohn Mellinger

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a technically challenging procedure performed by both surgeons and gastroenterologists. There is controversy in the field regarding the training necessary to perform ERCP. Widely disparate requisite volumes of experience to achieve proficiency have been published by representatives of each specialty. The basis for these differences has not been fully explored, with particular reference to the cognitive mindset of the different specialties. Structured cognitive task analytic interviews were conducted with 7 expert gastroenterologists and 4 expert surgeons from 4 institutions, each of whom performs ERCP as a common procedure in their clinical practice. A qualitative analysis and grounded theory approach was used, focusing specifically on duct cannulation as a critical procedural element. Transcripts were analyzed using Atlas.ti software. The qualitative analysis of 11 transcripts identified 173 unique codes from a total of 653 quotes. In all, 5 themes were found to describe the codes: judgment, teaching, techniques, principles, and equipment. Significant differences were noted between gastroenterologists and surgeons across these themes. Gastroenterologists placed emphasis ...Continue Reading

References

Dec 8, 2005·Surgical Endoscopy·G C VitaleG M Larson
Dec 26, 2006·American Journal of Surgery·Maura E SullivanTiffany Grunwald
Jan 26, 2010·Journal of Biomedical Informatics·Carla M PughRichard E Clark
Sep 18, 2013·Journal of the American College of Surgeons·Amy L HalversonDavid B Hoyt
Dec 2, 2014·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Ahmad AlharbiMajid Almadi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.