Inclusion Criteria:

Physicians

- Attending physicians or third year residents specializing in internal medicine or
family medicine, as per the medical director from the clinic.

- Clinic is based at a NYC RING-affiliated practice.

- English speaking; Due to limited resources, we cannot have each audio recorded
consultation translated therefore, the consultation needs to be in English.

Patients

- Ages 50-75 years old, per the United States Preventive Services Task Force
recommendations for screening. This will be determined by a pre-screening of medical
records by the RSA.

- Due for colorectal cancer screening at the time of the visit, ascertained through
patient self-report (e.g., no colonoscopy within the past 10 years, no flexible
sigmoidoscopy or barium enema within the past five years, and no FOBT within the past
year).

- Coming for either an annual physical exam or chronic care follow up visit, per
patient self-report.

- Planning to consult with the physician in English, per patient self-report. Due to
limited resources, we cannot have each audio recorded consultation translated
therefore, the consultation needs to be in English.

Exclusion Criteria:

- History of colorectal cancer, per patient self-report or per EMR..

- History of polyps being removed, per patient self-report.

- Colonoscopy scheduled in EMR at time of screening.