Medical Residents' Colorectal Cancer Screening May Be Dependent on Ambulatory Care Education
Medical Residents' Colorectal Cancer Screening May Be Dependent on Ambulatory Care Education
复制标题
住院医师的结直肠癌筛查可能依赖于门诊护理教育
DOI:
10.1023/a:1018837603989
复制
发表时间:
1997
影响因子:
3.1
通讯作者:
M. Borum
中科院分区:
文献类型:
--
作者:
M. Borum
Colorectal cancer results in significantmorbidity and mortality in the United States. Screeningis a critical component of cancer prevention. However,research has suggested that physicians mayinconsistently adhere to surveillance guidelines. Sinceresidency training can significantly impact upon futurepractice patterns, assessment of postgraduate colorectalcancer education is important. This retrospective chart review of patients ≥50 years of agecompared screening performed by resident physicians' indifferent internal medicine residency programs at TheGeorge Washington University Medical Center. Resident physicians who received multiple lectures incolorectal cancer surveillance or were required todocument performance of screening on a medical recordpreventive care summary form performed significantly more rectal examinations (P < 0.0004), fecaloccult blood testing (P < 0.00001), and flexiblesigmoidoscopies (P < 0.00001) when compared to otherresident physicians. Postgraduate education shouldemploy multiple education techniques and reinforcementprocedures to increase physician compliance with cancerscreening.