Table 4.

Patient navigator training

Areas	Activities
Research	• CITI trainings (includes HIPAA and confidentiality)
Computer, phone, and documents	• EHR access and documentation training • Navigation monitoring (REDCap) access and training • Scheduling access and training • Endoscopy software access and training for different GI clinics • Cell phone use and voice mail • Language line training
CRC screening	• Review Screen for Life materials • Review CDC colorectal cancer website • Full review of USPSTF guidelines • Comprehensive overview of CRC screening and surveillance, including details of screening test options and patient risk assessment • Review Fight Colorectal Cancer CRC screening pre-recorded webinars (Prep recommendations, CRC screening, and CRC screening among African American and Medically Underserved Communities) • Basic pathology overview by an experienced nurse navigator • FIT training by PCP provider • Cologuard training by Exact Sciences
Navigation	• Review available supportive services (e.g., translation, transportation) • Shadow experienced navigators • Motivational interviewing training • Cultural Humility & Language Access Training • Learn about tricks for successful stool-test sample and bowel prep • Enroll and participate in DC Primary Care Association for peer group navigation training webinars • Physician Data Query (PDQ) Cancer Information for Health Professionals • National Colorectal Cancer Roundtable Messaging Guidebooks
Clinics	• Observe consult and colonoscopy at a GI clinic
Supervision	• Navigator trainee will begin making patient calls with experienced navigator observing to provide feedback • Ongoing feedback to trainees via weekly group supervision