Yeah, that is not the case here either. EUS-FNA for the initial diagnosis of pancreatic lesions is the standard of care in our area. Our GI docs are so good at it that we make the diagnosis in the first 2 passes >60% of the time. Our pulmonologists seem slightly less skilled but can usually get diagnostic material. Surprisingly, if they fail to get an answer for a lymph node by EBUS they will send the patient the next day for EUS by the GI docs (who more often than not are successful).
We were the only center in our area doing EUS for years, but now 4 hospitals in the surrounding area have recently started doing them. I don't think they are going away any time soon.