Ensuring competency through privileging and reprivileging

The increased focus on endoscopic quality has highlighted the need to ensure that endoscopists are competent to perform the procedures. Institutions that grant endoscopic privileges must assess endoscopists' credentials as well as their competence for individual types of endoscopy through a peer review process that may also include proctoring. In the event that minimal competence cannot be assured, retraining and/or restriction of privileges may be required.