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CA: A Cancer Journal for Clinicians, Vol 37, 26-30, Copyright © 1987 by American Cancer Society

Multicenter Evaluation of Training Of Non-Endoscopists in 30-Cm Flexible Sigmoidoscopy

¹ Senior Assistant Attending Physician at North Shore University Hospital in Manhasset, New York.
² Chief of the Gastroenterology Service of Memorial Sloan-Kettering Cancer Center in New York, New York.
³ Consulting Gastroenterologist at the Preventive Medicine Institute-Strang Clinic in New York, New York.
⁴ Staff Physician at Beth Israel Hospital in New York, New York.
⁵ Chief of Staff of Surgery, at the Ferguson Clinic in Grand Rapids, Michigan.
⁶ Director of the LASER Institute, at the University of Utah School of Medicine in Salt Lake City, Utah.
⁷ Director of the Gastrointestinal Laboratory at Valley Presbyterian Hospital in Van Nuys, California, and Associate Clinical Professor of Medicine in Gastroenterology at the University of California, Los Angeles, UCLA School of Medicine in Los Angeles, California.

An estimated 145,000 patients will be diagnosed with colorectal cancer in the United States in 1987. Although half of these cancers are potentially detectable by sigmoidoscopy, rigid sigmoidoscopy is not widely used for early detection, largely because of the discomfort it causes patients. Flexible sigmoidoscopy has been shown to be more acceptable and more efficient in detecting cancers. In order for flexible sigmoidoscopy to be of more value in cancer control, however, primary care physicians must learn the technique and incorporate it into their complete physical examinations. This paper reports the results of a multicenter trial that evaluated the training required for non-endoscopists to learn how to use the 30-cm flexible sigmoidoscope. Instructions with plastic models, followed by an average of six supervised patient examinations, proved sufficient for them to learn the necessary skills.

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