Clinical Competence in the Use of Flexible Sigmoidoscopy for Screening Purposes

Position Papers1 October 1987Clinical Competence in the Use of Flexible Sigmoidoscopy for Screening PurposesHEALTH AND PUBLIC POLICY COMMITTEEHEALTH AND PUBLIC POLICY COMMITTEESearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-4-589 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe selective granting of clinical staff privileges to physicians is one of the primary mechanisms used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Hospitals requires that the granting of initial or continuing medical staff privileges be based on assessments of applicants against professional criteria that are specified in the medical staff bylaws. Physicians themselves are thus charged with identifying the criteria that constitute professional competence and with evaluating their peers on the basis of such criteria. Yet the process of evaluating a physician's knowledge and competence is often constrained by the evaluator's own...References1. RODNEYBEABERJOHNSONQUAN WRRM. Physician compliance with colorectal cancer screening (1978-1983): the impact of flexible sigmoidoscopy. J Fam Pract. 1985;20:265-9. MedlineGoogle Scholar2. DUBOWKATONBENNERVAN DIJKKOVALSMITH RRKCGF. Short (35-cm) versus long (60-cm) flexible sigmoidoscopy: a comparison of findings and tolerance in asymptomatic patients screened for colorectal neoplasia. Gastrointest Endosc. 1985;31:305-8. CrossrefMedlineGoogle Scholar3. ZUCKERMADURACHMIELOLINGER GMJE. The advantages of the 30-cm flexible sigmoidoscope over the 60-cm flexible sigmoidoscope. Gastrointest Endosc. 1984;30:59-64. CrossrefMedlineGoogle Scholar4. . Appropriate Use of Gastrointestinal Endoscopy. Manchester, Massachusetts: American Society for Gastrointestinal Endoscopy; 1986. Google Scholar5. . Statement on Role of Short Courses in Endoscopic Training: The Standards of Training and Practice Committee. Manchester, Massachusetts: American Society for Gastrointestinal Endoscopy; 1983. Google Scholar6. KATONKEEFEMELNYK REC. Flexible Sigmoidoscopy. Orlando: Grune & Stratton; 1985. Google Scholar7. HAWESLEHMANHAST RGJ. Training resident physicians in fiberoptic sigmoidoscopy: how many supervised examinations are required to achieve competence? Am J Med. 1986;80:465-70. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *This paper is the first in a series being published as a position of the American College of Physicians. It was authored by Robert S. Wigton, M.D., and was developed for the Clinical Privileges Project Steering Committee by the Clinical Privileges Subcommittee on Gastroenterology: Daniel Ellis, M. D., Chairman; James L. Achord, M.D. (representing the American College of Gastroenterology); Sidney Cohen, M.D. (representing the American Gastroenterological Association); Katherine L. Kahn, M.D.; and Jack A. Vennes, M.D. (representing the American Society of Gastrointestinal Endoscopy). Members of the Clinical Privileges Project Steering Committee were Eugene A. Hildreth, M.D., Chairman; Whitney W. Addington, M.D.; James A. Cowan, M.D.; William E. Golden, M.D.; William A. Reynolds, M.D.; James S. Roberts, M.D.; Sankey V. Williams, M.D.; and Linda L. Blank (Consultant). This paper was approved by the Health and Public Policy Committee on 25 March 1987 and the Board of Regents on 30 March 1987.This series will be published, along with other privilege delineation guidelines, in a collection, the availability of which will be announced later. The collection will include the "Guide for the Use of the American College of Physicians Statements on Clinical Competence," which appears on pages 588-589 of this issue. 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WRENN, M.D. 1 October 1987Volume 107, Issue 4Page: 589-591KeywordsEndoscopyFlexible sigmoidoscopyHealth care qualityMedical staffPrevention, policy, and public healthPublic policy ePublished: 1 December 2008 Issue Published: 1 October 1987 PDF downloadLoading ...