Specialties & Topics
- Arthritis/Rheumatic Disease
- Breast Cancer
- GERD/Peptic Ulcers
February 25th, 2010
Who Is Better Qualified to Perform Colonoscopy?
Consider this: The American Society for Gastrointestinal Endoscopy requires physicians to perform at least 200 colonoscopies before it will assess their competency (much less grant them privileges), and most fellows complete at least 500 during their 3-year training programs.
However, the American Board of Surgery now “mandates” that surgical residents need to perform only 50 colonoscopies during their 5-year surgical residency programs, and some surgeons continue to perform these procedures after completing their training.
Granted, we do not know the minimum number of colonoscopies that should be performed during training to ensure competency, but when two different specialty groups vary by a factor of 4 to 10 (50 vs. 200 to 500), something is clearly wrong.
Let me put this in another way. Who do you want to do your exam: the physician who did 50 colonoscopies during training and now does 50 a year, or the one who did 500 during training and now does 500 a year?