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'''Interventional proctologists''' are accredited by the American Academy of Interventional Proctology after an intensive 30-minute online examination and the successful [[Manual Disimpaction|disimpaction]] of five standardized patients. Candidates must extract 2-3 golf ball sized standardized stools from each patient using specified techniquewhile also observing rectal tone. <ref>[http://gomerblog.com/2016/06/rectal-tone/ Mandatory Rectal Tone Checks Reduce Non-Emergent ER Visits]</ref><ref>[http://gomerblog.com/2014/12/anesthesiologists-tone/ Rectal Tone of Anesthesiologists Varies with Patients’ Oxygen Saturation]</ref> On occasion, a [[Foreign Body|foreign body]] must be extracted as well, which can range from an eggplant to a trombone slide.<ref>[http://gomerblog.com/2014/08/foreign-body/ Genuine “Slipped and Fell” Rectal Foreign Body Victim Stuns Experts]</ref><ref>[http://gomerblog.com/2016/07/rectal-foreign-bodies/ Study: 90% of Rectal Foreign Bodies are Idiopathic]</ref> Damage to the patient's [[Rectum|rectal tissue]] is graded as a professional omission, also known as a "Pro Lapse."