Currently, gastrointestinal (GI) endoscopy training is not a standardized and is variable from country to country. A number of certifying authorities in different countries grant privileges of performing GI endoscopy according to predefined rules, requisites and regulations, especially in the Western countries (1-4). However, in many other countries, physicians who perform GI endoscopy as part of their medical practice may not require to be certified or acknowledged by a relevant regulatory body (5-8).