Table 1.

Barriers to screening and interventions

Barriers to Screening	Interventions
Training Trainees lack competency in performing Pap test	Yearly educational training sessions held with trainees
Preparedness Providers unaware that patient is due for Pap prior to appointment	Developed automated screening mechanism Daily email to providers
Environment Lack of space in exam rooms Lack of chaperones for male providers	Exam rooms rearranged Chaperones made readily available
Equipment Supplies not readily available Rooms not adequately stocked Lack of familiarity with all supplies and testing devices needed	Medical assistants prep room with supplies Rooms restocked daily Reviewed during educational sessions
Provider incentives Providers not provided feedback on performance	Monthly completion rates provided to staff Prize for highest completion rate
Patient factors Patients unaware of scheduled Pap Patients unaware of importance of screening Patients lack incentive	Patients called prior to appointment Education provided to patients “Goody bags” provided
Time Performing Pap tests increases visit length	Interventions decrease time needed for screening