Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Expanding Access to Colorectal Cancer Screening: Benchmarking Quality Indicators in a Primary Care Colonoscopy Program

David A. McClellan, Chinedum O. Ojinnaka, Robert Pope, John Simmons, Katie Fuller, Andrew Richardson, Janet W. Helduser, Phillip Nash, Marcia G. Ory and Jane N. Bolin
The Journal of the American Board of Family Medicine November 2015, 28 (6) 713-721; DOI: https://doi.org/10.3122/jabfm.2015.06.140342
David A. McClellan
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chinedum O. Ojinnaka
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
MBBS, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert Pope
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Simmons
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Katie Fuller
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
DO
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrew Richardson
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Janet W. Helduser
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Phillip Nash
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
BSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Marcia G. Ory
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jane N. Bolin
From the Department of Clinical & Translational Medicine, College of Medicine, Texas A&M University, Bryan (DAM, RP, JS, KF, AR); Texas A&M Physicians Family Medicine Residency, Texas A&M University, Bryan (DAM, RP, JS, KF, AR, PN); the Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station (COO, JWH, JNB); and the Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station (MGO).
PhD, JD, BSN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    Centers for Disease Control and Prevention (CDC). Vital signs: colorectal cancer screening test use–United States, 2012. MMWR Morb Mortal Wkly Rep 2013;62:881–8.
    OpenUrlPubMed
  2. 2.↵
    1. Rex DK,
    2. Petrini JL,
    3. Baron TH,
    4. et al
    . Quality indicators for colonoscopy. Am J Gastroenterol 2006;101:873–85.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    Colorectal cancer prevention and early detection. Atlanta: American Cancer Society; 2015. Available from: http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-acs-recommendations. Accessed September 27, 2015.
  4. 4.↵
    U.S. Preventive Services Task Force. Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2008;149:627–37.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Smith RA,
    2. Cokkinides V,
    3. von Eschenbach AC,
    4. et al
    . American Cancer Society guidelines for the early detection of cancer. CA Cancer J Clin 2002;52:8–22.
    OpenUrlPubMedWeb of Science
  6. 6.↵
    1. Townsend CM Jr.,
    2. Beauchamp RD,
    3. Evers BM,
    4. Mattox KL
    (eds.). Sabiston textbook of surgery. the biological basis of modern surgical practice. Philadelphia: Elsevier; 2012.
  7. 7.↵
    1. Nicholson FB,
    2. Korman MG
    . Acceptance of flexible sigmoidoscopy and colonoscopy for screening and surveillance in colorectal cancer prevention. J Med Screen 2005;12:89–95.
    OpenUrlAbstract/FREE Full Text
  8. 8.↵
    1. Winawer SJ,
    2. Stewart ET,
    3. Zauber AG,
    4. et al
    . A comparison of colonoscopy and double-contrast barium enema for surveillance after polypectomy. National Polyp Study Work Group. N Engl J Med 2000;342:1766–72.
    OpenUrlCrossRefPubMedWeb of Science
  9. 9.↵
    1. Bosworth HB,
    2. Rockey DC,
    3. Paulson EK,
    4. et al
    . Prospective comparison of patient experience with colon imaging tests. Am J Med 2006;119:791–9.
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Hawley ST,
    2. McQueen A,
    3. Bartholomew LK,
    4. et al
    . Preferences for colorectal cancer screening tests and screening test use in a large multispecialty primary care practice. Cancer 2012;118:2726–34.
    OpenUrlCrossRefPubMedWeb of Science
  11. 11.↵
    1. Daskalakis C,
    2. Vernon SW,
    3. Sifri R,
    4. et al
    . The effects of test preference, test access, and navigation on colorectal cancer screening. Cancer Epidemiol Biomarkers Prev 2014;23:1521–8.
    OpenUrlAbstract/FREE Full Text
  12. 12.↵
    1. Zapka J,
    2. Klabunde CN,
    3. Taplin S,
    4. Yuan G,
    5. Ransohoff D,
    6. Kobrin S
    . Screening colonoscopy in the US: attitudes and practices of primary care physicians. J Gen Intern Med 2012;27:1150–8.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Gupta S,
    2. Brenner AT,
    3. Ratanawongsa N,
    4. Inadomi JM
    . Patient trust in physician influences colorectal cancer screening in low-income patients. Am J Prev Med 2014;47:417–23.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Pignone MP,
    2. Crutchfield TM,
    3. Brown PM,
    4. et al
    . Using a discrete choice experiment to inform the design of programs to promote colon cancer screening for vulnerable populations in North Carolina. BMC Health Serv Res 2014;14:611.
    OpenUrlPubMed
  15. 15.↵
    1. Phillips KA,
    2. Liang SY,
    3. Ladabaum U,
    4. et al
    . Trends in colonoscopy for colorectal cancer screening. Med Care 2007;45:160–7.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Sinicrope PS,
    2. Goode EL,
    3. Limburg PJ,
    4. et al
    . A population-based study of prevalence and adherence trends in average risk colorectal cancer screening, 1997 to 2008. Cancer Epidemiol Biomarkers Prev 2012;21:347–50.
    OpenUrlAbstract/FREE Full Text
  17. 17.↵
    1. Edwards BK,
    2. Ward E,
    3. Kohler BA,
    4. et al
    . Annual report to the nation on the status of cancer, 1975–2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer 2010;116:544–73.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Siegel RL,
    2. Ward EM,
    3. Jemal A
    . Trends in colorectal cancer incidence rates in the United States by tumor location and stage, 1992–2008. Cancer Epidemiol Biomarkers Prev 2012;21:411–6.
    OpenUrlAbstract/FREE Full Text
  19. 19.↵
    1. Siegel R,
    2. Desantis C,
    3. Jemal A
    . Colorectal cancer statistics, 2014. CA Cancer J Clin 2014;64:104–17.
    OpenUrlCrossRefPubMed
  20. 20.↵
    1. Siegel RL,
    2. Miller KD,
    3. Jemal A
    . Cancer statistics, 2015. CA Cancer J Clin 2015;65:5–29.
    OpenUrlCrossRefPubMed
  21. 21.↵
    “Screening for colorectal cancer: it's the right choice” infographic. Last reviewed September 20, 2013; last updated September 22, 2015. Atlanta: Centers for Disease Control and Prevention. Available from: http://www.cdc.gov/cancer/colorectal/basic_info/screening/infographic.htm. Accessed September 27, 2015.
  22. 22.↵
    1. Haas JS,
    2. Brawarsky P,
    3. Iyer A,
    4. et al
    . Association of local capacity for endoscopy with individual use of colorectal cancer screening and stage at diagnosis. Cancer 2010;116:2922–31.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    1. Brown ML,
    2. Klabunde CN,
    3. Mysliwiec P
    . Current capacity for endoscopic colorectal cancer screening in the United States: data from the National Cancer Institute Survey of Colorectal Cancer Screening Practices. Am J Med 2003;115:129–33.
    OpenUrlCrossRefPubMedWeb of Science
  24. 24.↵
    1. Soneji S,
    2. Armstrong K,
    3. Asch DA
    . 2012. Socioeconomic and physician supply determinants of racial disparities in colorectal cancer screening. J Oncol Pract 2012;8:e125–34.
    OpenUrlAbstract/FREE Full Text
  25. 25.↵
    1. Seeff LC,
    2. Richards TB,
    3. Shapiro JA,
    4. et al
    . How many endoscopies are performed for colorectal cancer screening? Results from CDC's survey of endoscopic capacity. Gastroenterology 2004;127:1670–7.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Singh H,
    2. Khan R,
    3. Giardina TD,
    4. et al
    . Postreferral colonoscopy delays in diagnosis of colorectal cancer: a mixed-methods analysis. Qual Manag Health Care 2012;21:252–61.
    OpenUrlCrossRefPubMed
  27. 27.↵
    1. Ananthakrishnan AN,
    2. Hoffmann RG,
    3. Saeian K
    . Higher physician density is associated with lower incidence of late-stage colorectal cancer. J Gen Intern Med 2010;25:1164–71.
    OpenUrlCrossRefPubMed
  28. 28.↵
    1. Wilkins T,
    2. LeClair B,
    3. Smolkin M,
    4. et al
    . Screening colonoscopies by primary care physicians: a meta-analysis. Ann Fam Med 2009;7:56–62.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    Center for Community Health Development. 2010. Brazos Valley Health Assessment Executive Report. College Station, TX: School of Rural Public Health. Available from: http://www.hlth4all.org/Portals/47/BV%20Health%20Assessment_ExecReport_2010.pdf. Accessed October 22, 2015.
  30. 30.↵
    1. Levin B,
    2. Lieberman DA,
    3. McFarland B,
    4. et al
    . Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin 2008;58:130–60.
    OpenUrlCrossRefPubMedWeb of Science
  31. 31.↵
    1. Kolber MR,
    2. Wong CK,
    3. Fedorak RN,
    4. Rowe BH
    ; on behalf of the APC-Endo Study Physicians. Prospective study of the quality of colonoscopies performed by primary care physicians: the Alberta Primary Care Endoscopy (APC-Endo) Study. PLoS One 2013;8:e67017.
    OpenUrlPubMed
  32. 32.↵
    1. Azzopardi J,
    2. DeWitt DE
    . Quality and safety issues in procedural rural practice: a prospective evaluation of current quality and safety guidelines in 3000 colonoscopies. Rural Remote Health. 2012;12:1949.
    OpenUrlPubMed
  33. 33.↵
    1. Edwards JK,
    2. Norris TE
    . Colonoscopy in rural communities: can family physicians perform the procedure with safe and efficacious results? J Am Board Fam Pract 2004;17:353–8.
    OpenUrlAbstract/FREE Full Text
  34. 34.↵
    1. Xirasagar S,
    2. Hurley TG,
    3. Sros L,
    4. Hebert JR
    . Quality and safety of screening colonoscopies performed by primary care physicians with standby specialist support. Med Care 2010;48:703–9.
    OpenUrlPubMed
  35. 35.↵
    1. Fisher DA,
    2. Maple JT,
    3. Ben-Menachem T,
    4. et al
    ASGE Standards of Practice Committee, Fisher DA, Maple JT, Ben-Menachem T, et al. Complications of colonoscopy. Gastrointest Endosc 2011;74:745–52.
    OpenUrlCrossRefPubMed
  36. 36.↵
    1. Hayanga AJ,
    2. Waljee AK,
    3. Kaiser HE,
    4. Chang DC,
    5. Morris AM
    . Racial clustering and access to colorectal surgeons, gastroenterologists, and radiation oncologists by African states: a county-level data analysis. Arch Surg 2009;144:532–5.
    OpenUrlCrossRefPubMed
  37. 37.↵
    1. Aboagye JK,
    2. Kaiser HE,
    3. Hayanga AJ
    . Rural-urban differences in access to specialist providers of colorectal cancer care in the United States: a physician workforce issue. JAMA Surg 2014 Apr 16. [Epub ahead of print.]
  38. 38.↵
    1. Bair D,
    2. Pham J,
    3. Seaton MB,
    4. Arya N,
    5. Pryce M,
    6. Seaton TL
    . The quality of screening colonoscopies in an office-based endoscopy clinic. Can J Gastroenterol 2009;23:41–7.
    OpenUrlPubMedWeb of Science
  39. 39.↵
    1. Denberg TD,
    2. Melhado TV,
    3. Coombes JM,
    4. et al
    . Predictors of nonadherence to screening colonoscopy. J Gen Intern Med 2005;20:989–95.
    OpenUrlCrossRefPubMedWeb of Science
  40. 40.↵
    1. Walker T,
    2. Deutchman M,
    3. Ingram B,
    4. Walker E,
    5. Westfall JM
    . Endoscopy training in primary care: innovative training program to increase access to endoscopy in primary care. Fam Med 2012;44:171–7.
    OpenUrlPubMed
  41. 41.↵
    1. Wolf MS,
    2. Satterlee M,
    3. Calhoun EA,
    4. et al
    . Colorectal cancer screening among the medically underserved. J Health Care Poor Underserved 2006;17:47–54.
    OpenUrlCrossRefPubMedWeb of Science
  42. 42.↵
    1. Wong CR,
    2. Bloomfield ER,
    3. Crookes DM,
    4. et al
    . Barriers and facilitators to adherence to screening colonoscopy among African-Americans: a mixed-methods analysis. J Cancer Educ 2013;28:722–8.
    OpenUrlPubMed
  43. 43.↵
    1. Laiyemo AO,
    2. Adebogun AO,
    3. Doubeni CA,
    4. et al
    . Influence of provider discussion and specific recommendation on colorectal cancer screening uptake among U.S. adults. Prev Med 2014;67:1–5.
    OpenUrlPubMed
  44. 44.↵
    1. Underhill ML,
    2. Kiviniemi MT
    . The association of perceived provider-patient communication and relationship quality with colorectal cancer screening. Health Educ Behav 2012;39:555–63.
    OpenUrlAbstract/FREE Full Text
  45. 45.↵
    1. Wilkins T,
    2. Jester D,
    3. Kenrick J,
    4. Dahl J
    . The current state of colonoscopy training in family medicine residency programs. Fam Med 2004;36:407–11.
    OpenUrlPubMed
  46. 46.↵
    1. Xirasagar S,
    2. Hurley TG,
    3. Burch JB,
    4. Mansaray A,
    5. Hébert JR
    . Colonoscopy screening rates among patients of colonoscopy-trained African American primary care physicians. Cancer 2011;117:5151–60.
    OpenUrlPubMed
  47. 47.↵
    1. Sheen E
    . Supreme Court review of the Affordable Care Act: the future of health care reform and practice of gastroenterology. Dig Dis Sci 2012;57:1735–41.
    OpenUrlPubMed
  48. 48.↵
    1. Rosenblatt RA
    . A view from the periphery - health care in rural America. N Engl J Med 2004;351:1049–51.
    OpenUrlCrossRefPubMedWeb of Science
  49. 49.↵
    Council on Graduate Medical Education. Council on Graduate Medical Education tenth report. Physician distribution and health care challenges in rural and inner-city areas. February 1998. Available from: http://www.hrsa.gov/advisorycommittees/bhpradvisory/cogme/Reports/tenthreport.pdf. Accessed January 31, 2013.
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 28 (6)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 6
November-December 2015
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Expanding Access to Colorectal Cancer Screening: Benchmarking Quality Indicators in a Primary Care Colonoscopy Program
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
9 + 9 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Expanding Access to Colorectal Cancer Screening: Benchmarking Quality Indicators in a Primary Care Colonoscopy Program
David A. McClellan, Chinedum O. Ojinnaka, Robert Pope, John Simmons, Katie Fuller, Andrew Richardson, Janet W. Helduser, Phillip Nash, Marcia G. Ory, Jane N. Bolin
The Journal of the American Board of Family Medicine Nov 2015, 28 (6) 713-721; DOI: 10.3122/jabfm.2015.06.140342

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Expanding Access to Colorectal Cancer Screening: Benchmarking Quality Indicators in a Primary Care Colonoscopy Program
David A. McClellan, Chinedum O. Ojinnaka, Robert Pope, John Simmons, Katie Fuller, Andrew Richardson, Janet W. Helduser, Phillip Nash, Marcia G. Ory, Jane N. Bolin
The Journal of the American Board of Family Medicine Nov 2015, 28 (6) 713-721; DOI: 10.3122/jabfm.2015.06.140342
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Alberta Family Physician Electronic Endoscopy study: Quality of 1769 colonoscopies performed by rural Canadian family physicians
  • Training mid-career internists to perform high-quality colonoscopy: a pilot training programme to meet increasing demands for colonoscopy
  • New Tools and Approaches for Family Physicians
  • Google Scholar

More in this TOC Section

  • Successful Implementation of Integrated Behavioral Health
  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
Show more Original Research

Similar Articles

Keywords

  • Access to Health Care
  • Cancer
  • Prevention & Control
  • Colonoscopy
  • Primary Health Care

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire