Ensuring Competence in Endoscopy - American College of ...
Ensuring Competence in Endoscopy - American College of ...
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>