Residents and fellows appear to have an incomplete appreciation of the alternatives to colonoscopy when patients, offered this form of screening, either are poor candidates or refuse to undergo the examination.
First, the good news: In a survey of 60 GI fellows, 90 residents in internal medicine and 165 family medicine residents, all reported they discussed colonoscopy. In contrast, there was far more variability regarding what they offered patients as alternatives, said Yousaf Hadi, MD, a