This project aims to measure the impact of a physician report card (also called an audit \& feedback report) on colonoscopy performance. Endoscopists in Ontario will be randomly assigned to either receive the endoscopist report card or to no feedback. Using Ontario health administrative data, the quality of colonoscopy will be compared between those who received the report card and those who do not. The investigators will also measure the effect of receiving endoscopist report card on colonoscopy performance amongst endoscopists who perform poorly at baseline compared to those who do not. Further, the acceptability of two educational interventions that aim to improve the quality of colonoscopy will be evaluated by conducting one-on-one interviews with select participants. This study is critical to ensure that Canadians have access to the highest quality colonoscopy possible.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
833
Individualized A/F report containing 9 colonoscopy quality measures.
E.g. Master class in colonoscopy
E.g. Access to a video/presentation on good colonoscopy technique followed by a post presentation assessment.
Change in polypectomy rate from baseline
Measure change in polypectomy rate from baseline
Time frame: At month 12
Additional outcome 1- Change in cecal intubation rate
Change in cecal intubation rate from baseline
Time frame: At month 12
Additional outcome 2 - Change in annual colonoscopy volume
Change in annual colonoscopy volume from baseline
Time frame: At month 12
Additional outcome 3 - Change in poor bowel preparation rate
Change in poor bowel preparation rate from baseline
Time frame: At month 12
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