Clinical Competence in Colonoscopy
Journal: Annals of Internal Medicine (1987)

Position Papers1 November 1987Clinical Competence in ColonoscopyHEALTH AND PUBLIC POLICY COMMITTEEHEALTH AND PUBLIC POLICY COMMITTEESearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-5-772 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe selective granting of clinical staff privileges to physicians is one of the primary mechanisms used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Health Organizations requires that the granting of initial or continuing medical staff privileges be based on assessments of applicants against professional criteria that are specified in the medical staff bylaws. Physicians themselves are thus charged with identifying the criteria that constitute professional competence and with evaluating their peers on the basis of such criteria. Yet the process of evaluating a physician's knowledge and competence is often constrained by the evaluator's...References1. OVERHOLT B. Colonoscopy: a review. Gastroenterology. 1975;68:1308-20. CrossrefMedlineGoogle Scholar2. MACRAETANWILLIAMS FKC. Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut. 1983;24:376-83. CrossrefMedlineGoogle Scholar3. ROGERSSILVISNEBELSUGAWAMANDELSTAM BSOCP. Complications of flexible fiberoptic colonoscopy and polypectomy. Gastrointest Endosc. 1975;22:73-7. CrossrefMedlineGoogle Scholar4. WEBBMCDANIELJONES WLL. Experience with 1000 colonoscopic polypectomies. Ann Surg. 1985;201:626-32. CrossrefMedlineGoogle Scholar5. GEENENSCHMITTHOGAN JWW. Complications of colonoscopy. Gastrointest Endosc. 1974;66:812. Google Scholar6. . Appropriate Use of Gastrointestinal Endoscopy. Manchester, Massachusetts: American Society for Gastrointestinal Endoscopy; 1986. Google Scholar7. . Statement on Role of Short Courses in Endoscopic Training: The Standards of Training and Practice Committee. Manchester, Massachusetts: American Society for Gastrointestinal Endoscopy; 1983. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: AMERICAN COLLEGE OF PHYSICIANS Philadelphia, Pennsylvania*This paper is the second in a series being published as a position of the American College of Physicians. It was authored by James. L Achord, M.D., and Robert S. Wigton, M.D., and was developed for the Clinical Privileges Project Steering Committee by the Clinical Privileges Subcommittee on Gastroenterology: Daniel Ellis, M. D., Chairman; James L. Achord, M.D. (representing the American College of Gastroenterology); Sidney Cohen, M.D. (representing the American Gastroenterological Association); Katherine L. Kahn, M.D.; and Jack A. Vennes, M.D. (representing the American Society for Gastrointestinal Endoscopy). Members of the Clinical Privileges Project Steering Committee were Eugene A. Hildreth, M.D., Chairman; Whitney W. Addington, M.D.; James A. Cowan, M.D.; William E. Golden, M.D.; William A. Reynolds, M.D.; James S. Roberts, M.D.; Sankey V. Williams, M.D.; and Linda L. Blank (Consultant). This paper was approved by the Health and Public Policy Committee on 25 March 1987 and the Board of Regents on 30 March 1987.This series will be published, along with other privilege delineation guidelines, in a collection, the availability of which will be announced later. The collection will include the "Guide to the Use of American College of Physicians Statements on Clinical Competence," which appeared on pages 588-9 of the October issue. 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Wigton, MD, Linda L. Blank, BA, Howard Monsour, MD, Jo A. Nicolas, BAProcedural Skills of the General Internist A Survey of 2500 PhysiciansRobert S. Wigton, MD, Jo A. Nicolas, BA, Linda L. Blank, BAColonoscopy in the pediatric patientEndoscopic simulation for trainingClinical competence in the performance of fiberopt laryngoscopy and endotracheal intubation: A study of resident instructionSmall Polyps Found during Fiberoptic Sigmoidoscopy in Asymptomatic PatientsEdgar Achkar, MD, William Carey, MDPresidential address 1988: The future of gastrointestinal endoscopy and the A/S/G/E: will we continue to lead or be led? 1 November 1987Volume 107, Issue 5Page: 772-774KeywordsColonoscopyEndoscopyHealth care qualityMedical staffPrevention, policy, and public healthPublic policy ePublished: 1 December 2008 Issue Published: 1 November 1987 Copyright & Permissions©1987 American College of PhysiciansPDF downloadLoading ...