Doctor-Patient Communication About Colorectal Cancer Screening

Inclusion Criteria: Physicians * Attending physicians or third year residents specializing in internal medicine or family medicine, as per the medical director from the clinic. * Clinic is based at a NYC RING-affiliated practice. * English speaking; Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English. Patients * Ages 50-75 years old, per the United States Preventive Services Task Force recommendations for screening. This will be determined by a pre-screening of medical records by the RSA. * Due for colorectal cancer screening at the time of the visit, ascertained through patient self-report (e.g., no colonoscopy within the past 10 years, no flexible sigmoidoscopy or barium enema within the past five years, and no FOBT within the past year). * Coming for either an annual physical exam or chronic care follow up visit, per patient self-report. * Planning to consult with the physician in English, per patient self-report. Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English. Exclusion Criteria: * History of colorectal cancer, per patient self-report or per EMR.. * History of polyps being removed, per patient self-report. * Colonoscopy scheduled in EMR at time of screening.