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Compliance Resources for Optimal Resources for Rectal Cancer Care (2020 Standards)

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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Frequently Asked Questions for Radiology and Pathology Standards

A 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 Magnetic Resonance Imaging (MRI) Results

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

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 an 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. 

Although Standard 8.1 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) “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