Re-Educating Residents About Non-Invasive Colorectal Cancer Screening: An Approach to Improving Colon Cancer Screening Compliance

Gabriel Melki, Moutaz Ghrewati, Hadir Mohamed, Shaker Barham, Ashima Kapoor, Farhan Ayoub, Abdalla Mohamed, Alexander Wu, Sugabramya Kuru, Alisa Farokhian, Rana Garris, Chandra Chandran, Matthew Grossman, Walid Baddoura


Background: Colorectal cancer is the third leading cause of cancer death; therefore early detection by screening is beneficial. Residents at a clinic in NJ, USA were not offering other forms of colon cancer screening when patients refused colonoscopy, which lead to the creation of the quality improvement project.

Methods: Residents practicing at the clinic were given an anonymous survey determining which method of colon cancer screening they used and which alternative method they offered when patients refused the original method. The residents were educated about all methods of colon cancer screening and the residents were resurveyed.

Results: A total of 64% of residents offered less invasive testing when colonoscopy was refused. Six months after education, 95% of residents offered less invasive testing when colonoscopy was refused.

Conclusions: Early detection and removal of polyps by colonoscopy reduce the risk of cancer development. Colonoscopy is the gold standard for colon cancer screening; however other less invasive modalities are approved. This quality improvement project lead to offering the fecal immunochemical test or fecal occult blood test once patients refused colonoscopy at the clinic, increasing the number of patients receiving colorectal cancer screening, and thus providing better medical care.

Gastroenterol Res. 2019;12(6):312-314


Colon cancer; Colon cancer screening; Fecal occult blood test; Quality improvement

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