PT  - JOURNAL ARTICLE
AU  - Keith Siau
AU  - George Webster
AU  - Mark Wright
AU  - Ben Maher
AU  - Brian Stedman
AU  - Gavin Johnson
AU  - Saqib Ahmad
AU  - Nadeem Tehami
TI  - Attitudes to radiation safety and cholangiogram interpretation in endoscopic retrograde cholangiopancreatography (ERCP): a UK survey
AID  - 10.1136/flgastro-2020-101521
DP  - 2021 Dec 01
TA  - Frontline Gastroenterology
PG  - 550--556
VI  - 12
IP  - 7
4099  - http://fg.bmj.com/content/12/7/550.short
4100  - http://fg.bmj.com/content/12/7/550.full
SO  - Frontline Gastroenterol2021 Dec 01; 12
AB  - Background Fluoroscopy during endoscopic retrograde cholangiopancreatography (ERCP) exposes staff and patients to potentially harmful ionizing radiation. We performed a UK survey to explore trainee and trainer attitudes to radiation protection and cholangiogram interpretation in ERCP.Methods An electronic 10-point survey was prospectively distributed to endoscopy unit leads, training programme directors between October and November 2019. Only UK-based ERCP trainees and trainers with hands-on procedural exposure were eligible for the survey.Results The survey was completed by 107 respondents (58 trainees and 49 trainers), with an estimated overall response rate of 46%. Overall, 49% of respondents were up to date with their radiation protection course, 38% were aware of European Basic safety standards directive (BSSD), 38% wore radiation protection goggles, and 40% were aware of the average radiation screening dose per ERCP procedure. Compared with trainers, trainees were less likely to routinely wear thyroid protection shields (76% vs 92%; p=0.028), have awareness of the BSSD (20% vs 49%; p=0.037) or know their average procedural radiation dosages (21% vs 63%; p<0.001). With regard to cholangiogram interpretation, only 26% had received formal training, with 97% of trainees expressing a desire for further training.Conclusion This survey highlights a relative complacency in safety attitudes to radiation protection during ERCP. These data provide impetus to improve training and quality assurance in radiation protection, which should be regarded as a mandatory safety aspect prior to commencing hands-on ERCP training.Data are available upon reasonable request.