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Ensuring Competence in Endoscopy - American College of ...

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How to Use This<br />

Guide<br />

About ASGE<br />

and ACG<br />

About ASGE<br />

and ACG<br />

This guide was created by the ASGE Taskforce on <strong>Competence</strong> <strong>in</strong> <strong>Endoscopy</strong><br />

with the support <strong>of</strong> ACG. It was created to help hospitals, credential<strong>in</strong>g<br />

organizations, <strong>in</strong>surers and healthcare providers who have questions<br />

regard<strong>in</strong>g competence <strong>in</strong> and privileg<strong>in</strong>g for gastro<strong>in</strong>test<strong>in</strong>al endoscopy.<br />

ASGE has created several guidel<strong>in</strong>es on privileg<strong>in</strong>g, credential<strong>in</strong>g, and tra<strong>in</strong><strong>in</strong>g<br />

for GI endoscopy. We have <strong>in</strong>cluded for you a primer—a guide to the<br />

guidel<strong>in</strong>es—to help f<strong>in</strong>d the <strong>in</strong>formation you need. We have also <strong>in</strong>cluded<br />

examples <strong>of</strong> credential<strong>in</strong>g issues to illustrate how the ASGE guidel<strong>in</strong>es<br />

might be applied to specific circumstances. Next, we have provided you<br />

with an update on hospital liability demonstrat<strong>in</strong>g how hospitals can be<br />

held liable if undertra<strong>in</strong>ed <strong>in</strong>dividuals are granted privileges to perform<br />

endoscopy. F<strong>in</strong>ally, This analysis the ASGE prepared Policy and by Williams Procedure & Manual Connolly, for Gastro<strong>in</strong>test<strong>in</strong>al<br />

<strong>Endoscopy</strong> premier litigation Guidel<strong>in</strong>es law for firms, Tra<strong>in</strong><strong>in</strong>g was orig<strong>in</strong>ally and Practice, commissioned available by the on<br />

one <strong>of</strong> the<br />

nation’s<br />

<strong>American</strong> CD-ROM, <strong>College</strong> <strong>in</strong>cludes <strong>of</strong> the Gastroenterology full-text version <strong>in</strong> <strong>of</strong> 1992. each <strong>of</strong> It the was ASGE recently guidel<strong>in</strong>es. updated<br />

and rewritten by Williams & Connolly, aga<strong>in</strong> under the direction and with<br />

It is our <strong>in</strong>tention that these guidel<strong>in</strong>es be used by hospitals and ambulatory<br />

endoscopy centers<br />

the support <strong>of</strong> the ACG. F<strong>in</strong>ally, the ASGE Policy and Procedure Manual for<br />

Gastro<strong>in</strong>test<strong>in</strong>al <strong>Endoscopy</strong><br />

to guide<br />

Guidel<strong>in</strong>es<br />

them<br />

for<br />

<strong>in</strong> creat<strong>in</strong>g<br />

Tra<strong>in</strong><strong>in</strong>g<br />

policies<br />

and Practice,<br />

as to who<br />

available<br />

will be<br />

on<br />

allowed<br />

CD-ROM,<br />

to perform<br />

<strong>in</strong>cludes<br />

procedures<br />

the full-text<br />

<strong>in</strong> their<br />

version<br />

facilities.<br />

<strong>of</strong> each<br />

Accredit<strong>in</strong>g<br />

<strong>of</strong> the ASGE<br />

organizations<br />

guidel<strong>in</strong>es.<br />

will f<strong>in</strong>d them useful <strong>in</strong> ensur<strong>in</strong>g that all <strong>in</strong>stitutions have appropriate policies<br />

It is<br />

that<br />

our <strong>in</strong>tention<br />

apply equally<br />

that<br />

to<br />

these<br />

all practitioners.<br />

guidel<strong>in</strong>es be<br />

And<br />

used<br />

third-party<br />

by hospitals,<br />

payers<br />

ambulatory<br />

should<br />

endoscopy<br />

f<strong>in</strong>d them useful<br />

centers,<br />

<strong>in</strong><br />

payers<br />

sett<strong>in</strong>g<br />

and<br />

reimbursement<br />

other credential<strong>in</strong>g<br />

policy<br />

bodies<br />

so that<br />

to<br />

only<br />

guide<br />

the<br />

them<br />

highest<br />

<strong>in</strong><br />

creat<strong>in</strong>g<br />

quality <strong>of</strong><br />

policies<br />

care is provided<br />

as to who<br />

to<br />

will<br />

their<br />

be<br />

patients.<br />

allowed to perform procedures <strong>in</strong> their<br />

facilities. Accredit<strong>in</strong>g organizations will f<strong>in</strong>d them useful <strong>in</strong> ensur<strong>in</strong>g that<br />

all <strong>in</strong>stitutions have appropriate policies that apply equally to all practitioners.<br />

And third-party payers should f<strong>in</strong>d them useful <strong>in</strong> sett<strong>in</strong>g reimburse-<br />

ASGE is recognized as the premier specialty society dedicated to the education<br />

<strong>of</strong> its physician members <strong>in</strong> the appropriate use <strong>of</strong> endoscopic techniques<br />

for the diagnosis and treatment <strong>of</strong> gastro<strong>in</strong>test<strong>in</strong>al diseases. ACG<br />

ment policy so that only the highest quality <strong>of</strong> care is provided to their<br />

patients.<br />

was formed <strong>in</strong> 1932 to advance the scientific study and medical treatment<br />

<strong>of</strong> disorders <strong>of</strong> the GI tract. The <strong>College</strong> promotes the highest standards <strong>in</strong><br />

ASGE is recognized as the premier specialty society dedicated to the educa-<br />

medical education and is guided by its commitment to meet<strong>in</strong>g the needs<br />

tion <strong>of</strong> its physician members <strong>in</strong> the appropriate use <strong>of</strong> endoscopic tech-<br />

<strong>of</strong> cl<strong>in</strong>ical gastroenterology practitioners. Membership <strong>in</strong> these societies<br />

niques for the diagnosis and treatment <strong>of</strong> <strong>of</strong> gastro<strong>in</strong>test<strong>in</strong>al diseases. ACG<br />

consists <strong>of</strong> over 8,000 domestic and <strong>in</strong>ternational gastroenterologists, surgeons,<br />

and other medical specialists who utilize endoscopy as a diagnostic<br />

was formed <strong>in</strong> 1932 to advance the scientific study and medical treatment<br />

<strong>of</strong> disorders <strong>of</strong> the GI tract. The The <strong>College</strong> promotes the the highest standards <strong>in</strong><br />

and therapeutic method <strong>of</strong> treatment for diseases <strong>of</strong> the digestive tract and<br />

<strong>in</strong> medical education and and is is guided by by its its commitment to meet<strong>in</strong>g the needs<br />

the cl<strong>in</strong>ical practice <strong>of</strong> gastroenterology more specifically. Eligibility for<br />

<strong>of</strong> cl<strong>in</strong>ical gastroenterology practitioners. Membership <strong>in</strong> these societies<br />

membership requires formal tra<strong>in</strong><strong>in</strong>g <strong>in</strong> gastro<strong>in</strong>test<strong>in</strong>al endoscopy adm<strong>in</strong>istered<br />

by physicians and/or surgeons dur<strong>in</strong>g a residency/fellowship <strong>in</strong> an<br />

consists <strong>of</strong> over 8,000 domestic and <strong>in</strong>ternational gastroenterologists, surgeons,<br />

and other medical specialists who utilize endoscopy as a diagnostic<br />

adult or pediatric program. Neither ASGE nor ACG are credential<strong>in</strong>g organizations<br />

but are educational and advocacy societies serv<strong>in</strong>g the needs <strong>of</strong><br />

and therapeutic method <strong>of</strong> treatment for diseases <strong>of</strong> the digestive tract and<br />

the cl<strong>in</strong>ical practice <strong>of</strong> gastroenterology more specifically. Eligibility for<br />

endoscopists and their patients.<br />

membership requires formal tra<strong>in</strong><strong>in</strong>g <strong>in</strong> <strong>in</strong> gastro<strong>in</strong>test<strong>in</strong>al gastroenterology, endoscopy gastro<strong>in</strong>test<strong>in</strong>al adm<strong>in</strong>istered<br />

by physicians adm<strong>in</strong>istered and/or by physicians surgeons dur<strong>in</strong>g and/or a surgeons residency/fellowship dur<strong>in</strong>g a residen-<br />

<strong>in</strong> an<br />

endoscopy<br />

cy/fellowship adult or pediatric <strong>in</strong> an program. adult or Neither pediatric ASGE program. nor ACG Neither are credential<strong>in</strong>g ASGE nor ACG organizations<br />

credential<strong>in</strong>g but are organizations educational and but advocacy are educational societies and serv<strong>in</strong>g advocacy the needs societies <strong>of</strong><br />

are<br />

serv<strong>in</strong>g endoscopists the needs and their <strong>of</strong> gastroenterologists, patients. endoscopists and their patients.<br />

4 <strong>Ensur<strong>in</strong>g</strong> <strong>Competence</strong> <strong>in</strong> <strong>Endoscopy</strong>

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