Colorectal cancer screening perceptions and practices: results from a national survey of gastroenterology, surgery and radiology trainees
Colorectal cancer (CRC) screening in the United States is suboptimal. We conducted a national survey to learn about CRC screening perceptions and practices among trainees who perform CRC screening tests including those enrolled in Gastroenterology and Hepatology (GIH), General and Colorectal Surgery...
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| Veröffentlicht in: | Journal of cancer education 2007-12, Vol.22 (4), p.219-226 |
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| creator | Oxentenko, Amy S Vierkant, Robert A Pardi, Darrell S Farley, David R Dozois, Eric J Hartman, Thomas E Hough, David M Petersen, Wesley O Klabunde, Carrie N Sharpe, Katherine Bond, John H Smith, Robert A Levin, Bernard Pope, John B Schroy, Paul C Limburg, Paul J |
| description | Colorectal cancer (CRC) screening in the United States is suboptimal. We conducted a national survey to learn about CRC screening perceptions and practices among trainees who perform CRC screening tests including those enrolled in Gastroenterology and Hepatology (GIH), General and Colorectal Surgery, and Diagnostic and Abdominal Radiology training programs.
Program directors/administrators (PDs/PAs) from 642 programs were contacted by e-mail with an invitation to forward our survey to trainees in their programs. Participating trainees then completed an anonymous, Web-based questionnaire.
A total of 130/642 (20%) PDs/PAs forwarded our survey to their trainees, with responses received from 476 trainees (80 GIH, 261 surgery, 135 radiology). Colonoscopy was felt to be the best CRC screening test at reducing CRC mortality, with patient-related factors perceived as greater barriers than system-related factors. No single guideline was deemed very influential on CRC screening practices by most trainees. A total of 2 of 5 above-average risk patient profiles were not recognized by most trainees. Colonoscopy was selected as the preferred follow-up test for a positive CRC screening test by most trainees. However, 34% of respondents chose an option other than colonoscopy alone for follow-up of a positive fecal occult blood test.
Based on data from this national survey of gastroenterology, surgery, and radiology trainees, opportunities exist for curricular changes that may help enhance current perceptions and practices of trainees who perform CRC screening tests. |
| doi_str_mv | 10.1007/BF03174120 |
| format | Article |
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Program directors/administrators (PDs/PAs) from 642 programs were contacted by e-mail with an invitation to forward our survey to trainees in their programs. Participating trainees then completed an anonymous, Web-based questionnaire.
A total of 130/642 (20%) PDs/PAs forwarded our survey to their trainees, with responses received from 476 trainees (80 GIH, 261 surgery, 135 radiology). Colonoscopy was felt to be the best CRC screening test at reducing CRC mortality, with patient-related factors perceived as greater barriers than system-related factors. No single guideline was deemed very influential on CRC screening practices by most trainees. A total of 2 of 5 above-average risk patient profiles were not recognized by most trainees. Colonoscopy was selected as the preferred follow-up test for a positive CRC screening test by most trainees. However, 34% of respondents chose an option other than colonoscopy alone for follow-up of a positive fecal occult blood test.
Based on data from this national survey of gastroenterology, surgery, and radiology trainees, opportunities exist for curricular changes that may help enhance current perceptions and practices of trainees who perform CRC screening tests.</description><identifier>ISSN: 0885-8195</identifier><identifier>EISSN: 1543-0154</identifier><identifier>DOI: 10.1007/BF03174120</identifier><identifier>PMID: 18067433</identifier><language>eng</language><publisher>England: Springer Nature B.V</publisher><subject>Adult ; Attrition (Research Studies) ; Blood tests ; Cancer ; Clinical Competence ; Colonoscopy ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - prevention & control ; Colorectal surgery ; Cost Effectiveness ; Fellowships ; Female ; Gastroenterology ; Gastroenterology - education ; General Surgery - education ; Graduate Medical Education ; Guidelines ; Health Care Surveys ; Health Status Indicators ; Hepatology ; Humans ; Internal Medicine ; Internship and Residency ; Male ; Mass Screening ; Medical Education ; Medical screening ; Medicine ; Mortality ; National Surveys ; Perception ; Practice Patterns, Physicians ; Primary care ; Radiology ; Radiology - education ; Screening Tests ; State Surveys ; Surgery ; Surveys and Questionnaires ; Trainees ; Training</subject><ispartof>Journal of cancer education, 2007-12, Vol.22 (4), p.219-226</ispartof><rights>American Association for Cancer Education 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c312t-fe295c38a2d95858c88c1b02d489661a89d834b9d8ecfe2b3a16c1e7a046b2e93</citedby><cites>FETCH-LOGICAL-c312t-fe295c38a2d95858c88c1b02d489661a89d834b9d8ecfe2b3a16c1e7a046b2e93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18067433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oxentenko, Amy S</creatorcontrib><creatorcontrib>Vierkant, Robert A</creatorcontrib><creatorcontrib>Pardi, Darrell S</creatorcontrib><creatorcontrib>Farley, David R</creatorcontrib><creatorcontrib>Dozois, Eric J</creatorcontrib><creatorcontrib>Hartman, Thomas E</creatorcontrib><creatorcontrib>Hough, David M</creatorcontrib><creatorcontrib>Petersen, Wesley O</creatorcontrib><creatorcontrib>Klabunde, Carrie N</creatorcontrib><creatorcontrib>Sharpe, Katherine</creatorcontrib><creatorcontrib>Bond, John H</creatorcontrib><creatorcontrib>Smith, Robert A</creatorcontrib><creatorcontrib>Levin, Bernard</creatorcontrib><creatorcontrib>Pope, John B</creatorcontrib><creatorcontrib>Schroy, Paul C</creatorcontrib><creatorcontrib>Limburg, Paul J</creatorcontrib><title>Colorectal cancer screening perceptions and practices: results from a national survey of gastroenterology, surgery and radiology trainees</title><title>Journal of cancer education</title><addtitle>J Cancer Educ</addtitle><description>Colorectal cancer (CRC) screening in the United States is suboptimal. We conducted a national survey to learn about CRC screening perceptions and practices among trainees who perform CRC screening tests including those enrolled in Gastroenterology and Hepatology (GIH), General and Colorectal Surgery, and Diagnostic and Abdominal Radiology training programs.
Program directors/administrators (PDs/PAs) from 642 programs were contacted by e-mail with an invitation to forward our survey to trainees in their programs. Participating trainees then completed an anonymous, Web-based questionnaire.
A total of 130/642 (20%) PDs/PAs forwarded our survey to their trainees, with responses received from 476 trainees (80 GIH, 261 surgery, 135 radiology). Colonoscopy was felt to be the best CRC screening test at reducing CRC mortality, with patient-related factors perceived as greater barriers than system-related factors. No single guideline was deemed very influential on CRC screening practices by most trainees. A total of 2 of 5 above-average risk patient profiles were not recognized by most trainees. Colonoscopy was selected as the preferred follow-up test for a positive CRC screening test by most trainees. However, 34% of respondents chose an option other than colonoscopy alone for follow-up of a positive fecal occult blood test.
Based on data from this national survey of gastroenterology, surgery, and radiology trainees, opportunities exist for curricular changes that may help enhance current perceptions and practices of trainees who perform CRC screening tests.</description><subject>Adult</subject><subject>Attrition (Research Studies)</subject><subject>Blood tests</subject><subject>Cancer</subject><subject>Clinical Competence</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - prevention & control</subject><subject>Colorectal surgery</subject><subject>Cost Effectiveness</subject><subject>Fellowships</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastroenterology - education</subject><subject>General Surgery - education</subject><subject>Graduate Medical Education</subject><subject>Guidelines</subject><subject>Health Care Surveys</subject><subject>Health Status Indicators</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical Education</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Mortality</subject><subject>National Surveys</subject><subject>Perception</subject><subject>Practice Patterns, Physicians</subject><subject>Primary care</subject><subject>Radiology</subject><subject>Radiology - 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Academic</collection><jtitle>Journal of cancer education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oxentenko, Amy S</au><au>Vierkant, Robert A</au><au>Pardi, Darrell S</au><au>Farley, David R</au><au>Dozois, Eric J</au><au>Hartman, Thomas E</au><au>Hough, David M</au><au>Petersen, Wesley O</au><au>Klabunde, Carrie N</au><au>Sharpe, Katherine</au><au>Bond, John H</au><au>Smith, Robert A</au><au>Levin, Bernard</au><au>Pope, John B</au><au>Schroy, Paul C</au><au>Limburg, Paul J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colorectal cancer screening perceptions and practices: results from a national survey of gastroenterology, surgery and radiology trainees</atitle><jtitle>Journal of cancer education</jtitle><addtitle>J Cancer Educ</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>22</volume><issue>4</issue><spage>219</spage><epage>226</epage><pages>219-226</pages><issn>0885-8195</issn><eissn>1543-0154</eissn><abstract>Colorectal cancer (CRC) screening in the United States is suboptimal. We conducted a national survey to learn about CRC screening perceptions and practices among trainees who perform CRC screening tests including those enrolled in Gastroenterology and Hepatology (GIH), General and Colorectal Surgery, and Diagnostic and Abdominal Radiology training programs.
Program directors/administrators (PDs/PAs) from 642 programs were contacted by e-mail with an invitation to forward our survey to trainees in their programs. Participating trainees then completed an anonymous, Web-based questionnaire.
A total of 130/642 (20%) PDs/PAs forwarded our survey to their trainees, with responses received from 476 trainees (80 GIH, 261 surgery, 135 radiology). Colonoscopy was felt to be the best CRC screening test at reducing CRC mortality, with patient-related factors perceived as greater barriers than system-related factors. No single guideline was deemed very influential on CRC screening practices by most trainees. A total of 2 of 5 above-average risk patient profiles were not recognized by most trainees. Colonoscopy was selected as the preferred follow-up test for a positive CRC screening test by most trainees. However, 34% of respondents chose an option other than colonoscopy alone for follow-up of a positive fecal occult blood test.
Based on data from this national survey of gastroenterology, surgery, and radiology trainees, opportunities exist for curricular changes that may help enhance current perceptions and practices of trainees who perform CRC screening tests.</abstract><cop>England</cop><pub>Springer Nature B.V</pub><pmid>18067433</pmid><doi>10.1007/BF03174120</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Attrition (Research Studies) Blood tests Cancer Clinical Competence Colonoscopy Colorectal cancer Colorectal Neoplasms - diagnosis Colorectal Neoplasms - prevention & control Colorectal surgery Cost Effectiveness Fellowships Female Gastroenterology Gastroenterology - education General Surgery - education Graduate Medical Education Guidelines Health Care Surveys Health Status Indicators Hepatology Humans Internal Medicine Internship and Residency Male Mass Screening Medical Education Medical screening Medicine Mortality National Surveys Perception Practice Patterns, Physicians Primary care Radiology Radiology - education Screening Tests State Surveys Surgery Surveys and Questionnaires Trainees Training |
| title | Colorectal cancer screening perceptions and practices: results from a national survey of gastroenterology, surgery and radiology trainees |
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