Visitation to the gastrointestinal endoscopic unit at dr. RD Kandou Hospital / Faculty of Medicine Sam Ratulangi University was held on November 25, 2017 by the Competency Assessor Board of ISDE. Determination of Gastroentero-hepatology Subdivision, Department of Internal Medicine Prof. dr. RD Kandou Hospital/Faculty of Medicine Universitas Sam Ratulangi, Manado as a Basic Level Gastrointestinal Endoscopic Training Center has been approved by ISDE through Decree No.12/PB PEGI/SK-02/2018.