Incorporating quality metrics into training

There have been a number of factors that have led to a reexamination of how health care is delivered with the specific goals of improving quality and reducing cost. As gastroenterologists who are also proceduralists, it is imperative that we not only respond to these increasing pressures but also lead in what is a noble and necessary endeavor. The training of future gastroenterologists must take into account such realities. This chapter attempts to provide the groundwork as to how to incorporate quality metrics into training.