Navigating Lung Cancer Screening: Identifying and Engaging High-Risk Individuals

a. Low-dose computed tomography, chest x-ray and sputum cytology all reduce mortality risk.b. Low-dose computed tomography, but not chest x-ray and sputum cytology, reduces mortality risk.c. Chest x-ray and sputum cytology, but not low-dose computed tomography, reduce mortality risk.d. Low-dose computed tomography, chest x-ray, and sputum cytology do not reduce mortality risk.e. Unsure

Congratulations. The correct answer is b, Case 1; Slide 15; LDCT Screening vs X-Ray or Cytology: Low-dose computed tomography reduces the risk of mortality from lung cancer in current or former smokers. Chest x-ray and sputum cytology do not reduce mortality.

Reference: National Lung Screening Trial Research Team, et al. N Engl J Med. 2011;365(5):395-409. doi: 10.1056/NEJMoa1102873. Epub 2011 Jun 29.

Sorry, the correct answer is b, Case 1; Slide 15; LDCT Screening vs X-Ray or Cytology: Low-dose computed tomography reduces the risk of mortality from lung cancer in individuals who currently smoke or have formerly smoked. Chest x-ray and sputum cytology do not reduce mortality.

Reference: National Lung Screening Trial Research Team, et al. N Engl J Med. 2011;365(5):395-409. doi: 10.1056/NEJMoa1102873. Epub 2011 Jun 29.

Congratulations. The correct answer is c, Case 1; Slide 12; Risk Criteria: Patients 2 and 3 meet the criteria for age, smoking history, and smoking status; patient 1 does not meet the age criteria for lung cancer screening.

References: US Preventive Services Task Force. Final recommendation statement, lung cancer: screening. www.uspreventiveservicestaskforce.org/uspstf/recommendation/lung-cancer-screening. NCCN Guidelines. Lung Cancer Screening. Version 1.2025 — October 14, 2024. Available at https://www.nccn.org/professionals/physician_gls/pdf/lung_screening.pdf. Wolf AMD, et al. CA Cancer J Clin. 2024;74(1):50-81. doi: 10.3322/caac.21811. Epub 2023 Nov 1. Available at https://acsjournals.onlinelibrary.wiley.com/doi/10.3322/caac.21811

Sorry, the correct answer is c, Case 1; Slide 12; Risk Criteria: Patients 2 and 3 meet the criteria for age, smoking history, and smoking status; patient 1 does not meet the age criteria for lung cancer screening.

a. Schedule a follow-up to discuss resultsb. Provide smoking cessation resourcesc. Discuss potential lung function testingd. All of the abovee. Unsure

Congratulations. The correct answer is d, Case 2; Slide 33: Next Steps for Tony: Place an order for a CT lung screening scan and schedule follow-up for discussion of results and next steps. Implement other action items for lung health, e.g., pulmonary function tests, ongoing tobacco cessation plan. Address medical and symptom issues

Sorry, the correct answer is d, Case 2; Slide 33: Next Steps for Tony: Place an order for a CT lung screening scan and schedule follow-up for discussion of results and next steps. Implement other action items for lung health, e.g., pulmonary function tests, ongoing tobacco cessation plan. Address medical and symptom issues

a. Implement processes to ensure accuracy at the intake levelb. Verify the patient’s smoking historyc. Reduce the stigma around tobacco used. All of the abovee. Unsure

Congratulations. The correct answer is d, Slide 43; Barriers to CT Lung Screening: System: Implement processes to ensure that intake data are entered completely and accurately; verify smoking history with the patient; reduces stigma around tobacco use so that the patient feels comfortable accurately reporting current and past tobacco use.

Sorry, the correct answer is d, Slide 43; Barriers to CT Lung Screening: System: Implement processes to ensure that intake data are entered completely and accurately; verify smoking history with the patient; reduces stigma around tobacco use so that the patient feels comfortable accurately reporting current and past tobacco use.

a. Pulmonology, radiology, primary care providers, patient navigator, EHR specialistb. Pulmonology, radiology, primary care providers, patient navigatorc. Primarily pulmonology specialists and radiology teamsd. Pulmonology, radiology, primary care providerse. Unsure

Congratulations. The correct answer is a, Case 3; Slides 46, 47: Effective Lung Cancer Screening Programs: Collaborate with primary care, pulmonary and radiology teams and a navigator with patient, and work in partnership with an EHR specialist.

Sorry, the correct answer is a, Case 3; Slides 46, 47: Effective Lung Cancer Screening Programs: Collaborate with primary care, pulmonary and radiology teams and a navigator with patient, and work in partnership with an EHR specialist.

YesNoRemained the same

	Strongly Agree (5)	Agree (4)	Neutral (3)	Disagree (2)	Strongly Disagree (1)
The activity improved my knowledge of this clinical topic.
I am better able to: Review the evidence supporting CT lung screening benefits for eligible individuals in high-risk categories.
I am better able to: Utilize current recommendations to identify candidates for lung cancer screening.
I am better able to: Determine next steps to obtaining lung cancer screening for eligible patients.
I am better able to: Identify and address barriers to lung cancer screening in eligible patients.
I am better able to: Assess care team management to lung cancer screening
I am better able to: Communicate/collaborate with other members of the care team on this issue.
The information learned during this activity will help improve my skills or judgment within the next six months.

Implement new information or skill in my practice or with my care teamCreate/revise protocols, policies, and/or procedures with my care teamShare what I learned with other members of my care teamMake changes in how I communicate with/educate my patientsSeek additional informationOn average, I utilized the strategies described in the activity prior to my participation.Do nothing differently—The content was not convincingDo nothing differently—System barriers prevent me/my team from making changesNot applicable. I am not involved in patient care.

Example of insufficient response for MOC: Screen

Example of sufficient response for MOC: Work with my team to improve our process for identifying high risk individuals who might benefit from lung cancer screening.

	Strongly Agree (5)	Agree (4)	Neutral (3)	Disagree (2)	Strongly Disagree (1)
The activity was fair, balanced, and free of bias.
The content covered was useful and relevant to my current or future scope of practice.
The educational activity was well planned and presented.

	Excellent (5)	Good (4)	Acceptable (3)	Poor (2)	Very Poor (1)
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