Trial Information

Increasing Primary Care Physician Colorectal Cancer Screening Rates

Colorectal cancer is the 2nd leading cause of cancer deaths in the U.S. Although colorectal
cancer screening (CRCS) is effective, cost-effective and consistently recommended by
clinical practice guidelines, only 57.3% of the adults over 50 years have been screened
within the recommended interval. Preliminary research conducted by this PI demonstrates that
approximately 90% of patients who have not had CRCS report that a doctors recommendation
would motivate them to undergo screening. However, research also shows that physicians do
not consistently recommend CRCS to each eligible patient. In this study the barriers of
and facilitators to physician recommendation of CRCS are tested in the to proposed
randomized controlled trial. The trial will pilot test an interactive, multifaceted,
Web-based intervention (eToolbox) to increase primary care physician rates of CRCS. This
application innovatively proposes to pilot test the eToolbox in the setting of the American
Board of Internal Medicine (ABIM) Maintenance of Certification process within the Preventive
Services Practice Improvement Module, a physician-directed measurement of their performance
and quality improvement requirement for board re-certification.