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ERCP Bootcamp: Cutting Edge Comprehensive Training ...
Enslin_Build a Strong and Robust ERCP Team
Enslin_Build a Strong and Robust ERCP Team
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Pdf Summary
The presentation argues that building a strong ERCP program depends on building a strong multidisciplinary team, with advanced practice providers (APPs) playing a central role. It opens by describing the current pressures facing advanced endoscopy practices: rising patient complexity, workforce shortages, longer wait times, greater administrative burden, and increasing demands for coordinated, patient-centered, value-based care.<br /><br />APPs are positioned as key contributors across the entire patient pathway, not just in clinic support. Their roles include referral review, diagnostic evaluation, determining indications and contraindications, optimizing medications and comorbidities, patient education, informed consent, recognizing complications, reviewing results, and managing pathology follow-up and surveillance planning. They may also perform or assist with selected procedures and testing, depending on practice scope.<br /><br />The presentation emphasizes the value APPs bring in both “hard ROI” and “soft ROI.” Hard ROI includes increased clinic access, greater practice capacity, and improved RVU generation. Soft ROI includes more efficient workflows, reduced wait times, better patient satisfaction, lower provider burnout, improved quality of care, and the potential to develop specialized service lines.<br /><br />A major theme is workflow optimization. APPs can help with pre-procedure readiness, in-basket and consult management, standardized post-procedure follow-up, and reducing delays, cancellations, and bottlenecks. Their work should be aligned with high-value, non-duplicative tasks and measured using broader outcomes such as access, length of stay, complications, and patient experience rather than RVUs alone.<br /><br />The presentation also highlights key questions for practices to consider: who reviews referrals, how urgent cases are identified, what pre-procedure workup is standardized, who manages surveillance and post-procedure communication, and how to create a seamless patient experience. Ultimately, the talk stresses that a high-functioning team depends on standardized processes, mutual trust, and clear communication.
Keywords
ERCP
advanced practice providers
multidisciplinary team
workflow optimization
patient-centered care
value-based care
referral review
post-procedure follow-up
practice capacity
patient satisfaction
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