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 2025 Natural Language Processing Improves Reliable Identification of COVID-19 Compared to Diagnostic Codes Alone Go to Natural Language Processing Improves Reliable Identification of COVID-19 Compared to Diagnostic Codes Alone 2022 Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations Go to Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations 2014 Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model Go to Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model 2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care
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 2025 Natural Language Processing Improves Reliable Identification of COVID-19 Compared to Diagnostic Codes Alone Go to Natural Language Processing Improves Reliable Identification of COVID-19 Compared to Diagnostic Codes Alone 2022 Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations Go to Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations 2014 Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model Go to Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model 2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care
2025 Natural Language Processing Improves Reliable Identification of COVID-19 Compared to Diagnostic Codes Alone Go to Natural Language Processing Improves Reliable Identification of COVID-19 Compared to Diagnostic Codes Alone
2022 Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations Go to Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations
2014 Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model Go to Improving quality of care for diabetes through a maintenance of certification activity: family physicians’ use of the chronic care model
2021 How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care Go to How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care