National screening guidelines for colon cancer include a number of options. Colonoscopy is the most commonly used screening tool to detect colorectal cancer. To meet this important public health challenge, communities must have adequate numbers of physicians capable of performing colonoscopy.
Hospital governing boards, outpatient facilities, or other clinical settings with the input of their medical staffs, or other credentialing committees, must determine who should be granted colonoscopy privileges at their institutions. The basis for such decisions is a review of the education, training, experience and current competence of the practitioner applying for the privilege. Where family physicians meet the institution’s privileging criteria for colonoscopy, they should be granted this privilege. This decision should be based solely on the candidate’s ability to meet established criteria. All medical staff members should recognize that overlap occurs among specialities and that no one department "owns" or has exclusive rights to any particular privileges. (2003) (2018 October BOD)