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 2026 Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations Go to Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations 2019 Palliative Care Champions Are a Promising Solution to Meeting Patient Needs Go to Palliative Care Champions Are a Promising Solution to Meeting Patient Needs 2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education 2013 Factors influencing family physician adoption of electronic health records (EHRs) Go to Factors influencing family physician adoption of electronic health records (EHRs)
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 2026 Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations Go to Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations 2019 Palliative Care Champions Are a Promising Solution to Meeting Patient Needs Go to Palliative Care Champions Are a Promising Solution to Meeting Patient Needs 2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education 2013 Factors influencing family physician adoption of electronic health records (EHRs) Go to Factors influencing family physician adoption of electronic health records (EHRs)
2026 Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations Go to Primary Care Physician Continuity Is a Consistent Measure Associated with Lower Costs and Hospitalizations
2019 Palliative Care Champions Are a Promising Solution to Meeting Patient Needs Go to Palliative Care Champions Are a Promising Solution to Meeting Patient Needs
2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education
2013 Factors influencing family physician adoption of electronic health records (EHRs) Go to Factors influencing family physician adoption of electronic health records (EHRs)
