Response

We thank Drs Gkolfakis, Tziatzios, and Triantafyllou1 for their interest and their thoughtful comments on our study.2 A retrospective analysis of their colonoscopy cohort yielded similar results as to the lack of difference in the adenoma detection rate (ADR) between procedures involving trainees and those performed by attendings only. We agree with their conclusion that involvement by fellows should cause no worsening in ADR. Effectively, similar ADRs attest to an adequate training environment under proper supervision by attendings.

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