BACKGROUND: Primary care physicians (PCPs) are expected to play a central role in assessing cancer risk. This study was designed to evaluate how accurately PCPs would triage individuals at increased risk for cancer when presented with clinical vignettes. METHODS: Surveys evaluated practice demographics, attitudes, and responses to clinical scenarios. Answers were compared with guidelines and graded for consistency with the risk assessment. RESULTS: PCPs were inaccurate in assessing risk (p < 0.0001) and inconsistent in recommending screening (p < 0.001). Older physicians were more consistent (p < 0.02). No attitudinal bias was identified. CONCLUSION: Continuing education of PCPs is important for cancer-risk assessment and management.
BACKGROUND: Primary care physicians (PCPs) are expected to play a central role in assessing cancer risk. This study was designed to evaluate how accurately PCPs would triage individuals at increased risk for cancer when presented with clinical vignettes. METHODS: Surveys evaluated practice demographics, attitudes, and responses to clinical scenarios. Answers were compared with guidelines and graded for consistency with the risk assessment. RESULTS: PCPs were inaccurate in assessing risk (p < 0.0001) and inconsistent in recommending screening (p < 0.001). Older physicians were more consistent (p < 0.02). No attitudinal bias was identified. CONCLUSION: Continuing education of PCPs is important for cancer-risk assessment and management.
Authors: Susan A Sabatino; Risa B Burns; Roger B Davis; Russell S Phillips; Ellen P McCarthy Journal: J Gen Intern Med Date: 2006-04 Impact factor: 5.128