Doctor-Patient Communication About Colorectal Cancer Screening

Five health centers of the NYC RING will participate in this project. All are located in underserved urban communities within the Bronx.

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.