American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Compliance Resources

NAPRC Standards Interpretation Questions

If you have questions about the interpretation of National Accreditation Program for Rectal Cancer (NAPRC) standards, please utilize the NAPRC-dedicated section of the CAnswer Forum.

The CAnswer Forum is an interactive message board for CoC and NAPRC constituents to ask questions and browse previously asked/answered questions. 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.

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Standard 1.3: RC-MDT Attendance

The RC-MDT Membership and Attendance Guide will assist with understanding RC-MDT membership and attendance requirements.

Standard 1.7: Rectal Cancer Program Education

For compliance with Standard 1.7, 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. Because the education modules are still in development by the NAPRC and its partners, programs are not expected to demonstrate compliance with Standard 1.7 at this time.


The NAPRC-endorsed Surgery education module is currently in development by the American Society of Colon and Rectal Surgeons.


The American College of Radiology (ACR) has released the education module that RC-MDT radiologist members and designated alternates must complete for compliance with Standard 1.7, and NAPRC applicant programs have access to institutional pricing for this module. Once a program applies for NAPRC accreditation, ACR will reach out directly to the applicant program with information on how to register for the module.

Although Standard 1.7 will not be rated during initial site visits until formal announcement by the NAPRC, RC-MDT radiologists are encouraged to complete this module at their earliest convenience. Completion of the module now will count toward compliance with the standard once it is activated.


The College of American Pathologists' (CAP) “Cancer Protocol for the Examination of Specimens of 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 Rectal Cancer Multidisciplinary Team. This protocol can be found on the CAP's Cancer Protocol Templates website.

The NAPRC Pathology Education Module webinar is now available. A link to the webinar is available on the homepage of the NAPRC section of the CoC Datalinks, which is available to all applicant programs. NAPRC contacts with access to CoC Datalinks should provide the webinar link to all pathologists on the RC-MDT.

Standard 2.3: Standardized Staging Reporting for Magnetic Resonance Imaging (MRI) Results

The required elements for rectal cancer MRI results are defined in the Cancer Care Ontario template.