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ForwardButts & Badges | Starting the Conversation: Colorectal & Anal Cancer Screening & Prevention - Enduring
Medical education curricula have historically provided limited training on communication about sensitive topics like anal health. There is limited awareness among primary care providers about anal cancer risk factors and the importance of screening in high-risk populations. Time constraints in clinical settings often lead to screening conversations being deprioritized. Stigma and embarrassment around colorectal and anal health topics affect both patients and providers, creating a mutual silence that prevents life-saving discussions. Finally, many healthcare organizations lack standardized protocols for integrating colorectal and anal cancer screening conversations into routine care for LGBTQ+ and other underserved patient communities.
Despite colorectal cancer being the second leading cause of cancer death in the United States, many healthcare providers lack specific training in initiating screening conversations with patients, particularly those from LGBTQ+ and underserved communities. Current practice often fails to address the unique barriers these populations face, including stigma around anal health discussions, lack of affirming care environments, and provider discomfort with LGBTQ+ patient populations. Additionally, many providers are unaware of the elevated risk of HPV-related anal cancer in high-risk populations, including men who have sex with men and people living with HIV. The ideal practice involves routine, affirming conversations about colorectal and anal cancer screening integrated into standard care for all eligible patients. It is imperative to promote effective collaboration between healthcare providers and community organizations to increase screening conversations and reduce cancer mortality.
Target Audience
Patient-facing healthcare staff at Federally Qualified Health Center (FQHCs), LGBTQ+ health centers, primary care clinics, and community health organizations, including physicians, nurse practitioners, physician assistants, registered nurses, medical assistants, and patient navigators, and all other allied health care professionals interested in the subject matter.
Learning Objectives
- Identify current colorectal cancer screening guidelines and explain the importance of screening for early detection and prevention in diverse patient populations.
- Describe the risk factors, epidemiology, and screening considerations for HPV-related anal cancer, particularly in high-risk populations including men who have sex with men and people living with HIV.
- Demonstrate effective, culturally affirming communication techniques for initiating conversations about colorectal and anal cancer screening with patients, including strategies to overcome stigma and embarrassment.
- Integrate patient-centered approaches into clinical practice that address the unique healthcare needs and barriers faced by LGBTQ+ patients regarding cancer screening.
- Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings or other characteristics).
This activity has been planned and implemented in strict compliance with the accreditation requirements, standards, and policies of the ACCME. City of Hope takes responsibility for the content, quality and scientific integrity of this CME activity.
As an accredited CME provider City of Hope requires everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 24 months. Faculty presenters who are in a position to control the content of an educational activity must identify any real or apparent conflict(s) of interest by disclosing to the Department of CME all relevant financial relationships with any ineligible company, which is defined as any entity whose primary business is to produce, market , sell, re-sell or distribute healthcare products used by or on patients. To comply with more intense scrutiny by accreditation agencies, content whose faculty has disclosed any relevant financial relationships with an ineligible company, have been peer reviewed prior to presenting and any potential conflicts relative to the previous disclosure have been resolved.
Presenters: Dr. Naomi Jay, PhD, RN, NP, FAAN is a Consultant for Merck, and Zinnanti Surgical Designs. Gregory Idos, MD, MS receives Grant/Research Support from Adela. Paula Chambers Raney is a Consultant for Pfizer (Patient Advisory Board). David Russo, BS, MBA has indicated that there are no relevant financial relationships with any ineligible companies. Amy L. Stewart, CRNP is a Consultant for Celltrion USA, Eli Lilly, Exact Sciences, Janssen, Merck,
Nestle Health Services, Pfizer, Salix Pharmaceuticals, Sanofi, and Takeda; and is On the Speakers Bureau for Abbvie, Celltrion USA, Eli Lilly, Janssen, Pfizer, Sanofi, and Takeda.
Planners: David Russo, BS, MBA and Narissa Nonzee, PhD have indicated that there are no relevant financial relationships with ineligible companies.
The educational content has been peer-reviewed, an attestation on file and no conflicts were noted.
CME Committee/Reviewer no relevant financial relationships with any ineligible companies: Daneng Li, MD
City of Hope further encourages faculty/authors to identify investigational products or off-label uses of products regulated by the U.S. Food and Drug Administration, at first mention and where appropriate in the content.
The information and opinions presented in this activity do not constitute medical or legal advice. Health care providers must exercise their own professional judgment in their clinical practice, and when confronted with the issues discussed herein, should not substitute this curriculum for the advice of legal counsel or application of sound ethical principles.
This activity has received no commercial support.
ACCREDITATION STATEMENT: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of City of Hope and Cheeky Charity. City of Hope is accredited by the ACCME to provide continuing medical education for physicians.
CREDIT DESIGNATION: City of Hope designates this enduring activity for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The following credit type(s) are being offered for this course:
• AMA PRA Category 1 Credit™ 1.25
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 1.25 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.
Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.
Available Credit
- 1.25 AMA PRA Category 1 Credit™City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
City of Hope designates this Butts & Badges | Starting the Conversation: Colorectal & Anal Cancer Screening & Prevention - Enduring for a maximum of 1.25 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity. - 1.25 Attendance
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Activity Requirements
In order to earn credit for this activity, participants must:
- Read learning objectives and faculty disclosures
- View Enduring Activity Video
- Complete the evaluation
Upon satisfactory completion, you will have the option to receive a print out of your certificate.
If you have questions regarding this process, please contact the City of Hope Continuing Medical Education at 626-218-5622 or [email protected]
Estimated timeframe for completion of this activity, including the time to complete the post test and evaluation is 1.25 hours.