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Colorectal cancer remains a leading cause of death from cancer in men and women in the U.S. and worldwide. Screening for colorectal cancer beginning at age 45 offers the opportunity for early intervention and decisive treatment for precancerous colon polyps as well as the early identification of cancer. This project aims to assess preferences around recommendations for colorectal cancer screening tests amongst a group of primary care providers as well as barriers that are commonly cited to those providers by patients who do not undergo or complete screening. The results of the provider survey were used to make recommendations for decreasing barriers to screening including setting timelines for returning take-home tests, improving instructions for testing, and expanding the number of referral sites for colonoscopy to reduce wait times. Additionally, an intervention involving patients who had not completed recommended colorectal cancer screening was implemented in the form of a letter advising patients of the current screening recommendations and informing them that a FIT test had been ordered for them to complete at their convenience.

Clinical Site

Colchester Family Medicine


Vermont, colorectal cancer screening, cancer, colonoscopy, screening tests

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Medical Education | Primary Care

Colorectal Cancer Screening in the Primary Care Setting: Community Outreach to Improve Screening Rates