Objective In spite of efforts to guarantee that patients are adequately informed about their risk of fertility loss and offered treatment for fertility preservation (FP), previous studies have reported that this topic is not routinely discussed with patients, especially with younger patient populations. A mixed method systematic review was undertaken to explore the factors shaping the discussion of FP with children (0-15 years) and adolescents/young adults (16-24 years) with cancer. Methods Six databases were searched independently using a combination of keywords and controlled vocabulary/subject headings relating to cancer and fertility. Inclusion criteria consisted of: 1) being published in a peer-reviewed journal; 2) a focus on healthcare professionals’ (HCPs’) beliefs, attitudes or practices regarding fertility issues in cancer patients; 3) primary data collection from HCPs; and 4) a focus on HCPs who provide services to young patients. Of the 6276 articles identified in the search, 16 articles presenting the results of 14 studies were included in the final review. Results Common themes reported across studies indicate that five main factors influence HCPs’ discussion of FP with young cancer patients: 1) HCPs’ knowledge; 2) HCPs’ sense of comfort; 3) Patient factors (i.e., sexual maturity, prognosis, partnership status, and whether or not they initiate the conversation); 4) Parent factors (i.e., HCPs’ perception of the extent of their involvement); and 5) Availability of educational materials. Conclusions Future work should ensure that HCPs possess knowledge of cancer-related FP and that they receive adequate training on how to consent and discuss information with young patients and their parents.

No abstract

In response to changing user needs, the library sought ways to meet new challenges and engage users outside of the building. Librarians were removed from the service desk in order to offer support at locations around campus. The service desk in the library was staffed primarily by paraprofessionals with librarians providing support as needed. Targeted staff training was offered, and different scheduling models were used over a period of time. Restructuring the service desk was a complicated endeavor but provided a number of benefits including expansion of services. Along the way, challenges were met and recognized as learning opportunities.

Human papillomavirus (HPV) infections are commonly recognized in the UnitedStates with associations to cancers of the vulva, vagina, penis, anus, and oropharynx; the incidence of HPV-related oropharyngeal cancer (OPC) in the United States is on the rise. 1 The aims of this scoping review were to examine the curricula of pre-doctoral dental students with respect to dental students: (1) awareness of the connection between OPC and HPV; (2) readiness to screen for OPC; and (3) ability to deliver patient education about OPC and its relation to HPV. We also codified published educational materials related to OPC and HPV for pre-doctoral dental students. Literature searches were performed in PubMed, Scopus, the Educational Resources Information Center (ERIC), the Cumulative Index to Nursing and Allied Health Literature (EBSCO), and Dissertation Abstracts-ProQuest. After screening titles and abstracts, we selected 36 articles for full text review. Only articles reporting pre-doctoral dental training in HPV and OPC were included in the review, which resulted in 15 articles being excluded from the study. Only two studies in this review specifically discussed a curriculum that would involve educating dental students on HPV-related OPC. This scoping review also found that the majority of existing training opportunities for OPC and HPV are through post-graduate continuing education. To address these deficiencies, competencies regarding the HPV-OPC connection should be included within pre-doctoral dental training programs. As such, we identified four key strategies for advancing HPV-OPC content within pre-doctoral dental training curricula. K E Y W O R D Shuman papillomavirus, oropharyngeal cancer, pre-doctoral dental education INTRODUCTIONHuman papillomavirus (HPV) is commonly recognized in the United States with associations to cancers of the vulva, vagina, penis, anus, and oropharynx; the incidence of HPV-related oropharyngeal cancer (OPC) in the US is on the rise. [1][2][3] This increase is thought to be largely driven by HPV infection that occurs in the oropharynx (i.e., part of the throat behind the oral cavity, including the base of the tongue, soft palate, and palatine and lingual tonsils). 1 Although HPV infection is considered a major risk factor for oropharyngeal cancer, 4 most cases of HPV infection