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Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

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Cancer Programs

NAPRC Standards and Resources

NAPRC Draft Standards Public Comment Period

In 2023, the National Accreditation Program for Rectal Cancer (NAPRC) began a project to analyze and revise its accreditation standards. The focus of this phase of the Standards Revision Project is to address two primary topics:

  1. Watch and Wait: Non-operative management of patients with rectal cancer at the NAPRC-accredited program.
  2. Local Excision: The management of patients with rectal cancer at the NAPRC-accredited program using local excision techniques, such as transanal excision (TAE).

We are now inviting you to review the current draft of the revised standards and provide feedback. Feedback received will be considered during the process of finalizing the standards for publication.

How to Submit Feedback

The public comment period for the NAPRC Draft Standards is now open. The feedback period will close Sunday, March 17, 2024.

We are utilizing Survey Monkey to collect your comments on each standard. You will only be able to submit the survey once, so please review the PDF download of the standards before starting the feedback survey.

The below questions will be asked about each standard and there is an opportunity at the end of the survey to provide any additional feedback or questions unrelated to a specific standard.

  1. Is Standard X.X clearly interpretable? (Yes/No)
  2. Will your site be able to meet compliance with this standard by January 1, 2025, or January 1, 2026?
  3. Please provide your questions/feedback regarding Standard X.X (Free text comment box).

Download the Standards Draft: Optimal Resources for Rectal Cancer Care (Draft Standards)

Access the survey: NAPRC Public Comment Feedback  

An implementation timeline will be provided once the revised standards are final. Public comment feedback regarding the implementation timeline will be taken into consideration.

All questions related to the revised standards should be submitted through the feedback survey. Questions related to the logistics of the public comment period may be submitted to

Please note: All feedback will be reviewed and considered, but NAPRC representatives will not be directly responding to questions and feedback submitted in the survey.

The National Accreditation Program for Rectal Cancer (NAPRC) Standards evaluate the following elements of a rectal cancer program:

  • Program Management: Ensures the program and multidisciplinary team is overseen by a qualified Rectal Cancer Program Director
  • Clinical Services: Confirms rectal cancer patients receive appropriate care based on diagnosis and within specified time targets
  • Quality Improvement: Utilizes data to improve efficiency, standardize care, and improve outcomes

Compliance Resources

Frequently Asked Questions for Radiology and Pathology Standards

Frequently Asked Questions resource has been developed based on questions received from programs on pathology and radiology-related standards. 

Standard 2.2: Rectal Cancer Program Director

Because the NAPRC rectal cancer measures in the National Cancer Database (NCDB) are in development, the four reports on NCDB data required in Standard 2.2 are not currently being rated. However, it is encouraged that the Rectal Cancer Program Director begin to report on data that is relevant to the rectal cancer program from the program's own registry or through other NCDB tools, such as the CQIP report.

Standard 5.3: Standardized Staging Reporting for MRI Results

The required elements for rectal cancer MRI results are defined in the Society of Abdominal Radiology template.

Standard 5.13: Adjuvant Therapy after Surgical Resection

Beginning January 1, 2023, Standard 5.13 is retired. It will not be rated at site visits occurring after its retirement.

Standard 7.1: Accountability and Quality Improvement Measures

Compliance with Standard 7.1 is not required at this time. This standard is still in development.

Standard 8.1: Rectal Cancer Program Education

For compliance with Standard 8.1, all surgeons, pathologists, and radiologists on the facility’s Rectal Cancer Multidisciplinary Team must complete the NAPRC-endorsed education module related to their respective specialties at least once.

Programs that underwent a NAPRC site visit in 2021 or earlier will need to comply with Standard 8.1 before the first re-accreditation visit. For any program undergoing its initial site visit in 2022 or later, Standard 8.1 must be complied with before the initial site visit.


The American Society of Colon and Rectal Surgeons (ASCRS) web-based Fundamentals of Rectal Cancer Surgery Course is now available. More information, including cost, may be found on the course’s website.


The American College of Radiology (ACR) has released the education module that RC-MDT radiologist members must complete for compliance with Standard 8.1. For full course description please visit ACR’s Rectal Cancer Staging module webpage. NAPRC applicant programs have two options to purchase the course:

  1. Individual Purchase
    Direct your radiologist to individually purchase the module directly from the ACR website for immediate access. The cost is $120 for ACR members and $220 for ACR non-members. Make an individual purchase.
  2. Facility Group Purchase
    For institutions that would like to purchase access for multiple radiologists, group pricing is available for $600. Group pricing allows institutions to enroll radiologists as needed for up to one calendar year from the date of payment. Please email Beverlee Carlisle at for more information and/or to coordinate a group purchase. Please put RC-MDT Group Pricing in the subject line of your email. 


The College of American Pathologists' (CAP) “Protocol for the Examination of Resection Specimens from Patients with Primary Carcinoma of the Colon and Rectum” must be reviewed as a self-study by all pathologist members of the accredited program’s RC-MDT. This protocol can be found on the CAP's Cancer Protocol Templates website.

The NAPRC Pathology Education Module webinar is now available. 


If you have questions about the interpretation of NAPRC standards, please utilize the NAPRC-dedicated section of the CAnswer Forum. Users can search individual chapters and standards for topics on which they may have questions. Users can also submit questions that have not yet been answered.