We greatly appreciate Ali et al. and the additional points made in their Letter to the Editor [1] regarding the potential utility of sessile serrated lesion detection rate as a quality metric. We would also like to express our gratitude for the corrections pointed out in their response to our article [2] regarding stool-based testing and non-gastroenterologist training. Additionally, we found the point made by Ali et al. that only a minority of family medicine physicians receive any colorectal cancer screening (CRCS) training during residency especially important to highlight as it gives readers a better understanding regarding the significant discrepancies in training seen in family medicine physicians who may be offering CRCS.
Given the extensive knowledge needed to fully understand the differences in training between gastroenterologists and non-gastroenterologist providers (NGP), it is unlikely that patients will be able to discern these differences without assistance from their providers. Since this paradigm leaves patients at risk of exploitation, we suggest that healthcare institutions that employ both gastroenterologists and NGPs implement policy to exclusively reserve the ability to conduct CRCS in their facilities to gastroenterologists. While these policies may be unpopular among NGPs conducting CRCS, they will ensure that patients receive CRCS from a highly qualified provider with extensive training in the practice.
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Research ethics: Not applicable.
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Informed consent: Not applicable.
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Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: The authors state no conflict of interest.
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Research funding: None declared.
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Data availability: Not applicable.
References
1. Ali, S, Mowery, R, Hoff, RT. Regarding “Issues of informed consent for non-specialists conducting colorectal cancer screenings”. J Osteopath Med 2024;124:517–8. https://doi.org/10.1515/jom-2024-0026.Search in Google Scholar PubMed
2. Bohler, F, Garden, A. Issues of informed consent for non-specialists conducting colorectal cancer screenings. J Osteopath Med 2023;124:39–42. https://doi.org/10.1515/jom-2023-0149.Search in Google Scholar PubMed
© 2024 the author(s), published by De Gruyter, Berlin/Boston
This work is licensed under the Creative Commons Attribution 4.0 International License.
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Articles in the same Issue
- Frontmatter
- Medical Education
- Original Article
- Concerns of osteopathic medical students during the COVID-19 pandemic
- Musculoskeletal Medicine and Pain
- Original Article
- Pelvic joint stiffness and fear of falling in patients over 75 years of age: a prospective cohort study of 100 patients
- Neuromusculoskeletal Medicine (OMT)
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