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Endoscopic submucosal dissection (ESD) is technically challenging, has a longer learning curve and a greater complication rate than most new endoscopic procedures. Formal training and credentialing guidelines for ESD are currently lacking in the United States (US). To survey ESD experts across the US to determine their learning process and obtain their opinion on how training and credentialing for ESD should develop. Anonymous electronic survey. ASGE members who are practicing US endoscopists. The survey was developed by iterative revisi