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Test T Score P Value Conclusion

PGY-3 Screening Colonoscopy 1.1656 0.15 No Significant Difference PGY-3 Hep-C Ab 0.4224 0.5 No Significant Difference PGY-3 Lipid Panel 1.4031 0.1 No Significant Difference

PGY-2 Screening Colonoscopy 0.2901 0.1 No Significant Difference PGY-2 Hep-c Ab 2.1209 0.05 Statistically Significant

PGY-2 Lipid Panel 2.2358 0.025 Statistically Significant PGY-1s w/ and w/o Screening Tool: Screening Colonoscopy 0.1866 0.5 No Significant Difference

PGY-1s w/ and w/o Screening Tool: Hep-C Ab 0.6428 0.5 No Significant Difference PGY-1s w/ and w/o Screening Tool: Lipid Panel 0.9169 0.2 No Significant Difference

USPSTFScreeningGuidelineTable:ImprovingScreeningandTeaching

ABSTRACT•  USPSTF(UnitedStatePreven0veServiceTaskForce)publishesscreeningrecommenda0onstowhichourresidencyclinicadheres

•  Priorresidentshavedevelopedatooltoeasilyvisualizerecommenda0onsbasedonage

•  Qualita0veandquan0ta0vedatawascollectedontheBannerUniversityFamilyMedicineSouthCampusclinic/residentsbeforeandaGerimplemen0ngthisteachingtool

•  Nosta0s0callysignificantchangeinscreeningtestsorderedamong3rdyearresidentsnorinterns

•  Sta0s0callysignificantimprovementofscreeningtestsorderedby2ndyearsmaybeduetonewclinicaltool

•  Preandpost-ques0onnairessuggestimprovementofresidents’confidence:-  Intheirknowledgeofage-relatedscreeningrecommenda0ons-  Intheirabilitytoteachmedicalstudentsaboutscreeningtests

BACKGROUND/PURPOSE•  USPSTF’sage-relatedscreeningrecommenda0onsareimportantincomprehensiveprimarycare

•  AversionoftheOne-PageAdultPreven0veHealthCareScheduletable(asseenontheright)waspublishedintheAFPjournalinMay2016

•  Purpose;-  Improvetheclinic’sadherencetotheUSPSTFscreeningrecommenda0ons-  Improveresidents’confidenceandknowledgeofscreeningguidelines-  Improveresidents’confidenceinteachingmedicalstudents

METHODl  Introduc0onoftheUSPSTFScreeningGuidelinesTableattheSouth

CampusClinicandinstruc0ononitsuse(8/26/2016)l  Retrospec0vedataonspecificscreeningtestsorderedwascollected

throughEpicforthe6monthsbefore(start1/24/2016)andthe6monthsaGer(end2/26/2017)introducingthetool

l  3markerorderswereusedtoevaluatescreeningadherence:-  LipidPanel-  Hepa00sCAb-  ReferraltoGIforscreeningcolonoscopy

l  Datacollected:-  3rdand2ndyears:numberofordersplacedforeachmarker-  Interns:numberofordersplacedforeachmarkerbycurrentinterns(thosewithaccesstotheGuidelinesTable)comparedtointernsoftheprioryear

l  Qualita0vedataonconfidencecollectedbyques0onnairebeforeand6-monthsaGertheintroduc0onoftheGuidelinesTable

l  TSquareanalysisofquan0ta0vedatawasusedtoassessforsignificance

CONCLUSIONS

REFERENCES/AKNOWLEDGEMENTS•  DrKyleMeehanandDrLynneTomasaandDrJudithGordonfortheirhelpwiththisresearch•  Co-authorsoftheoriginalversionofthepreven0veschedulePaulSwnson,CoyaLindberg,Cynthia

Carillo,MD,andJoshuaClucer,MD,•  "Recommenda0onsforPrimaryCarePrac0ce."Recommenda0onsforPrimaryCarePrac0ce-US

Preven0veServicesTaskForce.N.p.,Web.2016.•  Swenson,PaulF.,andMarkH.Ebell."IntroducingaOne-PageAdultPreven0veHealthCareSchedule:

USPSTFRecommenda0onsataGlance."IntroducingaOne-PageAdultPreven0veHealthCareSchedule:USPSTFRecommenda0onsataGlanceMay.2016(2016):738-40.

JoshuaClucer,MD

UniversityofArizonaCollegeofMedicineFamilyMedicineResidencyatSouthCampusBannerUniversityMedicalCenter

0 20 40 60 80

100 120 140

Folowing Screening Tool Implementation

NUMBER OF SCREENING ORDERS BY RESIDENTS BEFORE AND AFTER THE INTRODUCTION OF THE USPSTF SCREENING GUIDELINE TABLE

0 10 20 30 40 50 60 70 80

Not at all confident Slightly confident

Moderatelyconfident Very confident

Totally confident

Questionnaire Data

Post Pre

0 20 40 60 80

100

Feel Confident in Teaching Medical Students About

Reference USPSTF

Regularly Evaluate Your Patients For

Feel Confident in Knowledge Of

Reference a Tool For

Pre (% Yes)

Post (% Yes)

How Confident Do You Feel In Your Knowledge of Age Related Screening Recommendations?

0 20 40 60 80

0%

25%

50%

75%

100%

Questionnaire Data

%

of

time

Post Pre

How Often Do You Evaluate What Screening Test Should be Performed On Your Patients Based On Their Age?

l  Quan0ta0veDatareveals:-  Nosta0s0calchangeinthenumberof0mesthirdyearsorderage-relatedscreeningtests

-  Nosta0s0calchangeinthenumberof0mesinternsorderedthe3markerteststhisyearcomparedtotheprioryear

-  Sta0s0callysignificantimprovementin2ofthe3screeningtestsamongthesecondyears

l  Qualita0veDatareveals-  Improvementofresidents’confidence:

l  inknowledgeaboutage-relatedscreeningrecommenda0onsl  Inabilitytoteachmedicalstudent

-  Reported%ofevalua0ngpa0entsforscreeningtestsneededbasedontheirage

QUANTITATIVERESULTSBEFOREANDAFTERINTRODUCINGTHEUSPSTFSCREENINGTOOL

T-Square Statistical Analysis

QUALITATIVERESULTSFROMPRE/POSTQUESTIONNAIRES