Post written by Ivo Boškoski, MD, PhD, from the Fondazione Policlinico Gemelli, Rome, Italy, and IHU, Istitut de Chirurgie Guidée par l’Image, Strasbourg, France.
This is a unique video case in which we used the Boškoski-Costamagna ERCP trainer, a duodenoscope and a specially designed pen, to write the word ERCP. This video shows to young endoscopists aiming to learn ERCP that any axis and any direction can be reached with the tip of an accessory.
Writing is something that we learn at the age of five or under. It is a part of our behavior and expresses our nature. When we write, we never think how to do it; it comes natural. Cannulating the papilla is something that is skill demanding; it requires movements, coordination, and knowledge. For beginners in ERCP, it is important to learn how to coordinate the movements of the big and small wheel, the elevator, and the shaft of the scope. In this video, we showed that two very different things can be merged and become one: writing with the duodenoscope! Training to write before trying to cannulate the papilla could become essential in learning ERCP.
Essentially, the impact on other endoscopists of this video should be to push them to “think out of the box.” This simple method of training can be reproduced very easily and with almost no cost.
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