RT Journal A1 Oleynikov D T1 Proficiency, competency, and mastery: Comment on “technical proficiency in hand-assisted laparoscopic colon and rectal surgery” JF Archives of Surgery JO Archives of Surgery YR 2012 FD April 1 VO 147 IS 4 SP 322 OP 323 DO 10.1001/archsurg.2011.1342 UL http://dx.doi.org/10.1001/archsurg.2011.1342 AB This article1 and many others suggest that the number of cases needed to achieve mastery in HALS is 105.2- 4 These studies face a number of limitations in their approach including different demographics of the study population, the age of the operating surgeon as well as his or her surgical experience, and the varying difficulty of the operations themselves.5- 6