I run circles around most GIs. Last year I performed 400 colonoscopies and 400 EGDs. This narrow minded mentality holds family medicine back in hospital privileging leading to steady erosion of our scope of practice nationwide. This thinking is the cancer within family medicine. It is also the corporate rot that many in medicine now believe. Really all this capitalistic system wants is mid levels to replace primary care doctors. This is the nature of the system...so folks without special skills, watch out: Either you will be replaced or you will for less — welcome to the recipe for burnout on the front line.