title: Resident knowledge of colorectal cancer screening assessed by web-based survey.
abstract: BACKGROUND
  To evaluate resident knowledge of colorectal cancer (CRC) screening guidelines and to define areas requiring attention.
  
  
  METHODS
  A survey was created using three published guidelines for CRC screening. Program directors for internal medicine residency programs were contacted within the metro New York City area to have their residents participate.
  
  
  RESULTS
  Five programs participated, and 115 responses were recorded. For the appropriate testing and interval to screen for CRC, 61/115 residents identified flexible sigmoidoscopy every 5 years, 108/115 identified colonoscopy every 10 years, 16/115 identified double contrast barium enema (DCBE) every 5 years and only 12/115 thought CT-colography every 5 years was appropriate. Only 40/115 respondents appropriately identified fecal occult blood testing (FOBT) administered in the patient's home annually, while fecal immunohistochemical testing (FIT) annually at home was identified by 8/115 residents.
  
  
  CONCLUSIONS
  While most residents seem knowledgeable regarding CRC screening with colonoscopy, many deficiencies remain. FOBT for screening purposes remains undervalued, and confusion about administering the test persists. The distinction between screening and prevention needs further reinforcement.
authors.affiliation: NSLIJ - Western Suffolk Gastroenterology, Bay Shore, NY, USA ; Hofstra - Northshore LIJ School of Medicine, Hempstead, NY, USA.
authors.forename: Stuart
authors.initials: S
authors.lastname: Akerman
authors.affiliation: Hofstra - Northshore LIJ School of Medicine, Hempstead, NY, USA ; Department of Internal Medicine, Division of Gastroenterology, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA.
authors.forename: Scott L
authors.initials: SL
authors.lastname: Aronson
authors.affiliation: Hofstra - Northshore LIJ School of Medicine, Hempstead, NY, USA ; Department of Internal Medicine, Division of Gastroenterology, Northshore Long Island Jewish Medical Center, Manhasset, NY, USA.
authors.forename: Maurice A
authors.initials: MA
authors.lastname: Cerulli
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Northshore Long Island Jewish Medical Center, Manhasset, NY, USA ; Feinstein Institute for Medical Research, Manhasset, NY, USA.
authors.forename: Meredith
authors.initials: M
authors.lastname: Akerman
authors.affiliation: Hofstra - Northshore LIJ School of Medicine, Hempstead, NY, USA ; Department of Internal Medicine, Division of Gastroenterology, Northshore Long Island Jewish Medical Center, Manhasset, NY, USA.
authors.forename: Keith
authors.initials: K
authors.lastname: Sultan
keywords: Colorectal cancer; Preventive medicine; Resident education