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Updated: Sep 14, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
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Who is performing routine screening endoscopy in Kansas rural communities
Todd T Savolt1, Jared Reyes1, Siman Antar1
1Department of Surgery, University of Kansas School of Medicine-Wichita, 929 N. Saint Francis St., Room 3082, Wichita, KS, 67214, USA.
American Journal of Surgery
|July 23, 2025
Summary
General surgeons perform most rural endoscopies, feeling prepared for screening procedures. Family medicine physicians perform fewer, with lower reported comfort levels for endoscopy after residency.
Area of Science:
- Gastroenterology
- Rural Health
- Surgical Procedures
Background:
- General surgeons dominate endoscopic procedures in rural settings.
- This study investigates provider roles and preparedness for endoscopy in Kansas.
Purpose of the Study:
- To identify healthcare providers performing endoscopies in rural Kansas.
- To assess provider confidence in performing endoscopic procedures post-residency.
Main Methods:
- Survey distributed to family medicine physicians (FMP) and general surgeons in rural Kansas.
- Questions focused on current endoscopic procedure provision and post-residency preparedness.
Main Results:
- General surgeons perform significantly more endoscopic procedures annually (68% >200) than FMP (76.2% <50).
- Surgeons reported higher comfort with screening colonoscopies (88%) and EGD (76%) compared to FMP (25%).
Conclusions:
- General surgeons are the primary providers of endoscopic procedures in rural Kansas.
- While comfortable with screening endoscopies, general surgeons express less confidence in advanced endoscopic techniques.
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