Step by Step


4/9/2019 - Medical Grand Rounds: Eliminating Preventable Death from Colorectal Cancer by Addressing Modifiable Failures of Screening





Credit Hours: CME 1.00

Target Audience:

Faculty, residents, fellows, and community physicians in General Internal Medicine and subspecialties.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Describe steps in the screening process that may fail and contribute to death. 
  • Identify the relative contribution of screening screening failures on the risk of dying from colorectal cancer.
  • Identify evidence-based population health strategy that can be used to address failures of screening.
  • State at least one area of research need for improving the effectiveness of screening for colorectal cancer in populations

Suggested Additional Reading:

Electronic Preventive Services Selector (ePSS) App to search and browse USPSTF recommendations –
The Community Guide –
National Colorectal Cancer Roundtable –
Research-Tested Intervention Programs (RTIPs, National Cancer Institute) –
American Cancer Society –
UpToDate –

Doubeni CA, Fedewa SA, Levin TR, Jensen CD, Saia C, Zebrowski AM, Quinn VP, Rendle KA, Zauber AG, Becerra-Culqui TA, Mehta SJ, Fletcher RH, Schottinger JE, Corley DA: Modifiable Failures in the Colorectal Cancer Screening Process and Their Association with Risk of Death Gastroenterology 156(1): 63-74, Jan 2019 Notes: doi: 10.1053/j.gastro.2018.09.040

Chyke Doubeni, MD, FRCS, MPH — Harrison McCrea Dickson, MD and Clifford C. Baker, MD Presidential Professor Department of Family Medicine and Community Health Perelman School of Medicine, University of Pennsylvania
Dr. Doubeni authors topics on UpToDate, an online resource for point-of-care clinical decision support.
Authors disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above. No other planners, members of the planning committee, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits. Each physician should only claim credit commensurate with the extent of their participation in the activity.

The University of Pittsburgh is an affirmative action, equal opportunity institution.