Indications, findings, and technical performance of colonoscopies by a single general surgeon in a small rural hospital

A successful assessment of a general surgeon performing colonoscopies in a small rural hospital setting was performed. Adenoma detection rate and cecal intubation are above the recommended guidelines by the US Multisociety Task Force on Colorectal Cancer. Documentation for withdrawal times, adequate bowel preparation, and photographic documentation of cecal landmarks were lacking. As quality improvement measures are becoming more prevalent in health care it is important to continuously evaluate performance.