As the population ages, the incidence of colorectal polyps and cancer increases. Many are now suggesting that colonoscopy be the screening method of choice. Medicare now reimburses for screening colonoscopy and pays more if it is done in the office. In selected patients, colonoscopy can be performed in the clinician’s office which markedly reduces cost, time, and patient anxiety. For a multitude of reasons, more primary care clinicians are performing colonoscopy. For physicians who already provide flexible sigmoidoscopy for patients, offering colonoscopy is a practical addition. This CME course will review colonoscopy screening guidelines for indications, contraindications, equipment, sedation, and technique. Time will be allocated for review of normal and abnormal pathology. Participants will also have time for practicing the hands-on technique using colon models. Credentialing and privilege issues will be addressed.
This CME course is also designed to meet the educational needs of clinicians who are already performing colonoscopy, and desire to sharpen their diagnostic and technical skills. Techniques for the removal of polyps, treating bleeding lesions, and tattooing will be discussed. Hands-on time for practice on models will be provided. Significant time will be spent reviewing unusual pathology. There will be discussion of controversial issues and difficult cases. By the end of the course, participants should feel more confident in their ability to manage their patient's colonoscopy needs.
By the end of this activity, the participant should be better able to:
- Review basic epidemiological and clinical presentation of colorectal cancer and the role of colonoscopy in screening and surveillance.
- Discuss the indications and contraindications for colonoscopy procedures.
- Discuss bowel preparation for colonoscopy and the process of obtaining informed consent.
- Discuss handling, cleaning, and disinfection of equipment used in colonoscopy.
- List the equipment needs and options for colonoscopy.
- Discuss the proper use of sedation and monitoring.
- Demonstrate and discuss proper techniques for colon intubation, biopsy, polypectomy, control of bleeding.
- Discuss and demonstrate techniques for use of snares, saline injection and tattooing.
- Evaluate basic endoscopic findings — recognition of normal and abnormal.
- Implement strategies for obtaining privileges and credentials.
- Discuss coding practices and reimbursement patterns for lower GI endoscopy.
2022 Course Accreditation
The Texas Academy of Family Physicians designates this live activity for a maximum of 15.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The AAFP has reviewed Colonoscopy and deemed it acceptable for up to 15.75 Live AAFP Prescribed credits. Term of Approval is from 12/08/2022 to 12/09/2022. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Learn more about our accreditation.
7:30 - 8 a.m.
- Registration and continental breakfast
Day One
8 - 10 a.m. — 2 CME credits
- Epidemiology and background of colon cancer
- Colorectal cancer and screening techniques
- Significance of polyps
- Colonoscopy indications and complications
10 - 10:15 a.m. — Break
10:15 a.m. - 12 p.m. — 1.75 CME credits
- Patient preparation; sedation
- Equipment choices and management
- Colonoscopy insertion and technique (part 1)
- Hands-on practice with models
12 - 1 p.m. — Lunch
1 - 3 p.m. — 2 CME credits
- Colonoscopy insertion and technique (part 2)
- Hands-on practice with models
3 - 3:15 p.m. — Break
3:15 - 5:30 p.m. — 2.25 CME credits
- Colonoscopy insertion and technique
- Polypectomy technique
- Hands-on practice with models
Day Two
8 - 10 a.m. — 2 CME credits
- Pathology slides — normal vs. abnormal
- Reimbursement
- Privileges/credentialing
10 - 10:15 a.m. — Break
10:15 a.m. - 12 p.m. — 1.75 CME credits
- Principles of electrosurgery in endoscopy
- Polypectomy techniques
- Post-polypectomy bleeding
- Technique video
- Hands-on practice with models
12 - 1 p.m. — Lunch
1 - 3 p.m. — 2 CME credits
- Management of bleeding lesions
- Endoscopic colonic marking and chromoscopy
- Updates in colonoscopy
3 - 3:15 p.m. — Break
3:15 - 5:15 p.m. — 2 CME credits
- Review of pathology
- Hands on workshop: Polypectomy techniques, colonic marking, bleeding control techniques
- Colonoscopy questions and answers
TOTAL CME CREDITS: 15.75
There are currently no dates available for this course
