As newly appointed access coordinator for a large hospital based outpatient dialysis center, I am preparing to competency staff and choose "expert" cannulators to access new AVFs and deal with difficult accesses. My question is, what exactly is the criteria for an "expert". Everyone has isssues occasionally and everyone feels that they are great cannulators. I am already seeing "dissention among the ranks" at the idea of expert cannulators. I saw the Fistula First template, but wondered if anyone could share any experiences they have had so that the staff don't see this as being in any way degrading to them. Patient welfare comes first, but would like to keep egos intact whenever possible. Any help would be appreciated and thank you in advance.