ERCP training - the potential role of simulation practice.

Clinical ERCP training is limited by the availability of patients. Different ERCP simulators are available to supplement the basic training of novice trainees. An IDEAL simulation practice should provide trainees with the opportunity to Improve basic skills, Demonstrates realism, with Ease of incorporating into a training program and Application in teaching therapeutic techniques, and allows Learning with real scope and accessories including the use of simulation fluoroscopy. Whether simulation practice will impact trainee performance and clinical outcome of ERCP procedures will require prospective evaluation with randomized controlled studies.