Integrating ERCP Within UK Higher Surgical Training: A Structured, Curriculum-Embedded Model

This study demonstrates that ERCP competence can be achieved within UK higher surgical training when exposure is intentionally integrated into HPB rotations and supported by structured planning, longitudinal mentorship, and access to high-volume endoscopy services. The training model highlights transferable strategies to overcome systemic barriers to surgical ERCP training and may inform future curriculum development to support sustainable ERCP service provision.