Duloy AM, et al. - Objectives of this study were to evaluate polypectomy competency among a cohort of gastroenterologists and to measure the relationship between polypectomy competency and established colonoscopy quality metrics (adenoma detection rate [ADR] and withdrawal time [WT]). Among colonoscopists, polypectomy competency varied significantly and did not sufficiently correlate with established quality metrics. Given the clinical implications of suboptimal polypectomy, efforts to educate in polypectomy techniques and develop a metric of polypectomy quality were needed.