Home Research Research Library Endoscopic Services in the United States: By Whom, for What, and Why? Endoscopic Services in the United States: By Whom, for What, and Why? 2019 Author(s) Feimster, J W, and Mellinger, J D Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Policy Brief Commentaries, Quality Of Care, and Rural Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine The Peterson et al1 article in the Journal examines the declining volume of endoscopic procedures performed by family physicians (FPs) in both urban and rural settings. In a relatively short, 3-year time period, the percentage of colonoscopies, sigmoidoscopies, and upper endoscopies performed by rural FPs declined by half. Urban FPs performed fewer endoscopic procedures overall in comparison to their rural counterparts; however, they also experienced a statistically significant decline in sigmoidoscopies and endoscopies over the study interval. This commentary will focus on the relevance of this issue from the standpoint of health care delivery with particular reference to colorectal cancer (CRC) screening, assessments of endoscopic quality, and potential solutions, including training paradigms in flexible endoscopy. ABFM Research Read all 2020 Family Leave for Family Residency Residents: Time for a Way Forward, from ABFM & AFMRD Go to Family Leave for Family Residency Residents: Time for a Way Forward, from ABFM & AFMRD 2018 Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician Go to Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician 2025 Heterogeneity of diagnosis and documentation of post-COVID conditions in primary care: A machine learning analysis Go to Heterogeneity of diagnosis and documentation of post-COVID conditions in primary care: A machine learning analysis 2018 Physician Perceptions of Performance Feedback in a Quality Improvement Activity Go to Physician Perceptions of Performance Feedback in a Quality Improvement Activity
Author(s) Feimster, J W, and Mellinger, J D Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Policy Brief Commentaries, Quality Of Care, and Rural Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2020 Family Leave for Family Residency Residents: Time for a Way Forward, from ABFM & AFMRD Go to Family Leave for Family Residency Residents: Time for a Way Forward, from ABFM & AFMRD 2018 Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician Go to Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician 2025 Heterogeneity of diagnosis and documentation of post-COVID conditions in primary care: A machine learning analysis Go to Heterogeneity of diagnosis and documentation of post-COVID conditions in primary care: A machine learning analysis 2018 Physician Perceptions of Performance Feedback in a Quality Improvement Activity Go to Physician Perceptions of Performance Feedback in a Quality Improvement Activity
2020 Family Leave for Family Residency Residents: Time for a Way Forward, from ABFM & AFMRD Go to Family Leave for Family Residency Residents: Time for a Way Forward, from ABFM & AFMRD
2018 Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician Go to Slow Progress and Persistent Challenges for the Underrepresented Minority Family Physician
2025 Heterogeneity of diagnosis and documentation of post-COVID conditions in primary care: A machine learning analysis Go to Heterogeneity of diagnosis and documentation of post-COVID conditions in primary care: A machine learning analysis
2018 Physician Perceptions of Performance Feedback in a Quality Improvement Activity Go to Physician Perceptions of Performance Feedback in a Quality Improvement Activity