449 Variation in Learning Curves and Competence for Endoscopic Retrograde Cholangiopancreatography Among Advanced Endoscopy Trainees (AETs) Using Cumlative Sum Analysis (CUSUM)- Implication for American Scoiety for Gastrointestinal Endoscopy Society for Gastrointestinal Endoscopy Recommendations for Training

There are limited data on learning curves and competence in ERCP and the guidelines set forth by the ASGE are largely based on expert opinions and biliary cannulation rates (180 total procedures). These guidelines have not been validated, do not account for different rates of learning, and other relevant quality indicators in ERCP.AimTo prospectively define learning curves and measure competency among AETs at multiple training centers using a standardized data collection tool.