Table 1 American Society for Gastrointestinal Endoscopy core motor and cognitive skills required for competence in colonoscopy [9]

Correctly holding the colonoscope

Anatomy

Use of the colonoscope controls

Patient selection

Colonoscope insertion

Preparation

Colonoscope advancement

Colonoscope selection

 Tip control

Informed consent

 Torque

Sedation management

Lumen identification

Assessment of indication and risks

Withdrawal/mucosal inspection

Pathology identification

Loop reduction

Therapeutic device settings

Angulated turns

Integration of findings into management plans

Terminal ileum intubation

Report generation and communication

Biopsy

Complication management

Snare polypectomy

Quality improvement

Professionalism