Benchmarking sessile serrated lesion detection in colonoscopy: individual endoscopist performance has greater impact than specialty training - a retrospective analysis of 12,064 procedures

Individual endoscopist factors have greater impact on SSL detection than specialty training. The dramatic reversal of specialty advantage after excluding just two practitioners demonstrates that apparent specialty-based differences may be driven by a small number of high-performing individuals. Quality improvement initiatives should focus on identifying and disseminating practices of high-performing individuals rather than emphasizing specialty distinctions. We propose benchmarks that align with the 2024 ASGE-ACG guidelines while accounting for Australian detection patterns and provide a quality improvement framework for clinical implementation.