Resident Knowledge of Colorectal Cancer Screening Assessed by Web-Based Survey

Akerman, Stuart; Aronson, Scott; Cerulli, Maurice A.; Akerman, Meredith; Sultan, Keith

doi:10.14740/jocmr1610w

Cited by 5 publications

(8 citation statements)

References 24 publications

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“…[ 1 ] The two studies demonstrated that most physicians were aware of methods of CRC screening, but have low belief in the effect of screening on CRC occurrence, confusion about how methods of screening are performed, and insufficient information concerning the ages and frequency of screening. [ 13 14 ] Similar data specific to the primary health care community in KSA is lacking.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening

Mosli¹,

Alnahdi²,

Alghamdi³

et al. 2017

Saudi J Gastroenterol

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Background/Aim:Early diagnosis of chronic illnesses and cancers mainly occurs at primary health care centers (PHCs) by primary health care physicians (PHPs). The incidence of colorectal cancer (CRC) in the Kingdom of Saudi Arabia (KSA) is rising and this has been attributed to many factors. The increasing incidence of CRC is compounded by nonadherence to screening recommendations. Therefore, evaluating PHPs knowledge, attitudes, and practices of screening for CRC is clinically important. We aimed to evaluate the knowledge, attitudes, and practices of PHPs regarding CRC screening and to identify the factors associated with nonadherence of PHPs to screening recommendations.Materials and Methods:PHPs working at three tertiary care centers and PHCs across the city of Jeddah were randomly recruited. Participants were surveyed using a comprehensive questionnaire that recorded data on demographics, qualifications, and knowledge of various modalities and guidelines related to CRC screening. Perspectives about effectiveness of, or adherence to, factors that influence physicians' perspectives or recommendations for CRC screening were also assessed. Logistic regression analysis was used to identify physician characteristics associated with PHPs perspectives and nonadherence to CRC screening.Results:A total of 127 PHPs were recruited. The average age of participants was 34 (±8.4) years, 86.6% were native Saudi's and 56.7% were females. The majority of surveys (66.9%) were completed at 24 PHCs and the remaining at hospital-based family medicine clinics. Most of the PHPs (55%) had a bachelor's degree and 31.5% were board-certified or carried a PhD in family medicine; 95% of participants believed that CRC screening in general was effective, but as much as 55% reported that they did not practice screening. The male physicians [odds ratio (OR) = 0.44, 95% confidence interval (CI) = 0.19–0.99, P = 0.048)] and PHPs with only a bachelor degree or less (OR = 0.72, 95% CI = 0.55–0.93, P = 0.011) were less likely to recommend screening for CRC.Conclusions:A considerable proportion of PHPs do not adhere to CRC screening recommendations despite a wide belief that screening is effective. Male PHPs with lower qualifications appear to be less likely to recommend screening.

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Section: Introductionmentioning

confidence: 99%

Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening

Mosli¹,

Alnahdi²,

Alghamdi³

et al. 2017

Saudi J Gastroenterol

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“…Our study was different from previously reported ones in that, first, ours was very comprehensive and covered all aspects of CRC screening and, second, it used the novel approach of a smartphone app for education of the residents. Previously reported studies, such as that of Akerman et al [ 16 ], only tested for identification of CRC screening tests. Beyond testing for knowledge of CRC screening in average-risk patients and with a family history of CRC, we also tested the important concept of differentiation between prevention and detection tests, which is acknowledged in the ACG and ACS guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…One of the reasons for this lack of improvement in CRC screening could be residents’ deficient knowledge about CRC screening, even though guidelines from the American College of Gastroenterology (ACG), ACS, and US Preventive Services Task Force (USPSTF) are mostly in agreement about screening modalities and age [ 13 - 15 ]. Akerman et al [ 16 ] assessed residents’ CRC screening knowledge via a Web-based survey and concluded that there were many deficiencies. They concluded that fecal occult blood testing for screening purposes remains undervalued, and confusion about administering the test persists.…”

Section: Introductionmentioning

confidence: 99%

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Improving Internal Medicine Residents’ Colorectal Cancer Screening Knowledge Using a Smartphone App: Pilot Study

Khan¹,

Darr²,

Khan³

et al. 2018

JMIR Med Educ

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Background Colorectal cancer (CRC) is the third most common type of cancer and the second leading cause of cancer death in the United States. About one in three adults in the United States is not getting the CRC screening as recommended. Internal medicine residents are deficient in CRC screening knowledge. Objective The objective of our study was to assess the improvement in internal medicine residents’ CRC screening knowledge via a pilot approach using a smartphone app. Methods We designed a questionnaire based on the CRC screening guidelines of the American Cancer Society, American College of Gastroenterology, and US Preventive Services Task Force. We emailed the questionnaire via a SurveyMonkey link to all the residents of an internal medicine department to assess their knowledge of CRC screening guidelines. Then we designed an educational intervention in the form of a smartphone app containing all the knowledge about the CRC screening guidelines. The residents were introduced to the app and asked to download it onto their smartphones. We repeated the survey to test for changes in the residents’ knowledge after publication of the smartphone app and compared the responses with the previous survey. We applied the Pearson chi-square test and the Fisher exact test to look for statistical significance. Results A total of 50 residents completed the first survey and 41 completed the second survey after publication of the app. Areas of CRC screening that showed statistically significant improvement ( P <.05) were age at which CRC screening was started in African Americans, preventive tests being ordered first, identification of CRC screening tests, identification of preventive and detection methods, following up positive tests with colonoscopy, follow-up after colonoscopy findings, and CRC surveillance in diseases. Conclusions In this modern era of smartphones and gadgets, developing a smartphone-based app or educational tool is a novel idea and can help improve residents’ knowledge about CRC screening.

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“…10 These numbers were comparatively higher from several systematic studies in the Arab world. 11 Studies have shown that a low rate of physician recommendations [12][13][14] or patient's unawareness of the disease burden 12 often accounts for a low compliance rate as the main reasons for the increased incidence. Furthermore, at the medical residents' level, studies have shown that the compliance to colorectal cancer screening is even poorer.…”

Section: Introductionmentioning

confidence: 99%

<p>Knowledge, Attitude and Practice of Physicians Regarding Screening of Colorectal Cancer in Qatar: A Cross-Sectional Survey</p>

Mohamed

Parambil

Danjuma

et al. 2020

AMEP

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The aim of this study was to evaluate the rate of internal medicine residents' and faculties' (specialists and consultants) compliance to colorectal cancer screening in Hamad Medical Corporation (Doha, Qatar) and to identify barriers as well as facilitators that will assist in drawing up changes that would enhance physician-related cancer screening. Methods: A cross-sectional web-based survey was distributed among internal medicine physicians at three component hospitals of Hamad Medical Corporation (HMC); focusing on knowledge and practice of colorectal cancer screening, its barriers and facilitators. Chisquare and t-test statistics were used to draw conclusions where appropriate. Results: The response rate for the survey was 91% and over 75% of the survey respondents were postgraduate trainees. The majority (90.6%) of the physicians (n=144) mentioned that they would recommend colorectal cancer screening for their asymptomatic patients, though trainees tend to choose the correct modality of screening compared to the consultants, 86.21% vs 40.74%. Only 43.4% of the survey participants always to usually recommend screening to their patients in their clinics while only 29.4% do so for their inpatients. Even though there was no statistically significant difference among the frequency of outpatient colorectal cancer screening among trainees, specialists or consultants (p=0.628), there was a clear increase in the reported referrals as the training years or the years of experience increases (p=0.049 for trainees and p=0.009 for faculty). Unclear pathway was reported as the main obstacle to outpatient cancer screening by 30.2% (n= 48) and 54% (n=87) pointed out that an easy and clear pathway for cancer screening would facilitate the same. Conclusion: While the attitude towards colorectal cancer screening is positive, the actual practice of recommendation is sub-optimal. Further initiatives are required to facilitate awareness and compliance to colorectal cancer screening.

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Resident Knowledge of Colorectal Cancer Screening Assessed by Web-Based Survey

Cited by 5 publications

References 24 publications

Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening

Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening

Improving Internal Medicine Residents’ Colorectal Cancer Screening Knowledge Using a Smartphone App: Pilot Study

<p>Knowledge, Attitude and Practice of Physicians Regarding Screening of Colorectal Cancer in Qatar: A Cross-Sectional Survey</p>

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