For gastroenterology (GI) fellows, exposure to inflammatory bowel disease (IBD) during training will vary widely based on institutional expertise, educational standards, personal interest, and resources to attend regional and national meetings. This exposure may run the gamut from seeing the rare hospitalized IBD patient to months of focused IBD clinical and research training. So what is the standard and the expectation for all trainees? Competency for esophagogastroduodenoscopies is well-defined by the Gastroenterology Core Curriculum1—a minimum of 130 esophagogastroduodenoscopies, of which there should be 25 nonvariceal (10 actively bleeding) and 20 variceal (5 actively bleeding) procedures.