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Dr. Francis is associate professor of medicine, division of gastroenterology and hepatology, Mayo Clinic, Jacksonville, Fla.; Dr. Kane is professor of medicine, department of gastroenterology and hepatology, Mayo Clinic, Rochester, Minn; Ms.Prabhakar is a quality improvement advisor, department of gastroenterology and hepatology, Mayo Clinic, Rochester, Minn; Dr. Petersen is a professor of medicine, department of gastroenterology and hepatology; Mayo Clinic, Rochester, Minn. This study was funded by an American Society for Gastrointestinal Endoscopy Crystal Award. The authors disclose no conflicts of interest.