Colon cancer screening with flexible sigmoidoscopy: from the University of Colorado Health Sciences Center Department of Family Medicine and the Centers for Disease Control and Prevention
From the Colorado Area Health Education Center Program, University of
Colorado Anschutz Medical Campus and Department of Family Medicine

Training for Primary Care Clinicians

This site provides physicians with self-paced training on colon cancer prevention to include lower GI endoscopy, colonoscopy, colon biopsy, and polypectomy. The training you can access from here is part of a curriculum developed by the University of Colorado Anschutz Medical Campus Colorado AHEC Program in partnership with the Department of Family Medicine that includes simulated hands-on experience with a flexible endoscopy simulator.

The original training program was funded by a grant from the Colorado Department of Public Health and Environment Amendment 35 Cancer Cardiovascular Pulmonary Disease Prevention Program.

This training course includes online didactic course work and onsite simulated hands-on experience with a flexible endoscopy computerized simulator.

Learning Objectives

Upon viewing the chapters on this site and completing the quiz, you should be able to do the following:
  • Describe the clinical presentation and epidemiology of colorectal cancer;
  • Given a description of a patient, apply current guidelines to recommend screening or not;
  • Given an endoscopic image, differentiate common colon lesions, including non cancerous polyps, neoplams, and inflammatory lesions; and,
  • Describe the operation of flexible sigmoidoscope and the limitations of flexible endoscopy in terms of ability to view the colon.

Overall Program Activities

  1. Register and send payment for the course. The course fee is $500 for Primary Care Clinicians.

    Payment should be mailed to:

    Colorado AHEC Program
    Attn: Endoscopy Course Director
    13120 E 19th Avenue, MS-F433
    Aurora, CO 80045

    Checks should be made out to: Colorado AHEC Program

    Note: The fee is waived for University of Colorado Anschutz Medical Campus Fourth Year Medical Students enrolled in the FMMD 8011 Elective and Colorado Medical Residency Program.

    Once payment is received, the participant will receive automated email that will include the website link and a course code so participants may begin the online didactic course work.

  2. Make arrangements with to schedule your simulation experience dates and times.

  3. Complete the online didactic sessions, including the pre-image survey and pre-test.

  4. Complete the simulator experience. A completed Simulator Record Form must be submitted to Joseph Martinez by either faxing to 303.724.0891 or emailing a scanned document to

  5. Obtain proctored endoscopy experiences as noted in the Course Checklist.

  6. Click on Proctoring Certification Statement

  7. Complete the post-test, post-image survey and evaluation.

  8. Email Joseph Martinez. that you have completed all the course work requirements.

  9. A Certificate of Completion will be mailed to you.

Criteria for Completion

  • This learning module consists of several chapters. You must view all chapters and complete the image identification test with a score of 95% or higher to receive credit for successfully completing the learning module.
  • Complete all 34 endoscopy simulation cases and submit the Simulation Record form.
  • Complete the 50 Proctoring experiences (if applicable)
  • Complete online Certification Statement
  • Complete Evaluation

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