We see no reason to change from TAPP to the TEP technique.

Background Cervical cancer is a major public health issue among women in Cameroon and uptake of screening programs remains a challenge in many low- and middle-income countries. Community healthcare workers can play an important role in promoting cervical cancer services. This study aimed to explore factors affecting the motivation of community healthcare workers in a cervical cancer screening program in Dschang, Cameroon. Methods A qualitative approach including 11 in-depth individual interviews with community healthcare workers was used. The interviews were audio-recorded, transcribed and coded using thematic analysis assisted by ATLAS.ti software. Results Four women and seven men aged between 21 and 77 years old were interviewed. Community healthcare workers had high motivation. Factors affecting motivation were divided into individual and environmental level, based on a theoretical framework. Factors with a positive influence on motivation were mainly on the individual side while impeding factors were mainly associated with the environmental level. Conclusions Key interventions to improve motivation among community healthcare workers include: (i) more training and supportive supervision; (ii) evaluation of remuneration systems by workload; and (iii) provision of job-enabling resources such as uniforms, cellphone cards and transport. Trial registration: Geneva Cantonal Ethics Committee on Human Research (No. 2017-01110) and the Cameroonian National Ethics Committee for Human Health Research (No. 2018/07/1083/CE/CNERSH/SP).

A post-activity survey revealed 87% of students strongly agreed on its usefulness for knowledge consolidation, application of high-yield concepts, and capturing their attention. Faculty observers indicated that students were highly engaged and motivated to work as a team to solve the puzzles and be the first ones to escape and win the game.Although this activity was very successful, there were limitations.First, in gamifying the CBL experience, some students indicated that they felt rushed in answering the puzzles rather than taking their time to enjoy the exercise. Second, the instructional design process compared to traditional CBL lessons required triple the amount of dedicated hours. However, the team determined that the investment of time paid off especially as the escape room programming will be used for future exercises. Third, the pilot was non-mandatory and conducted virtually, therefore students who participated likely had a positive bias towards games. Upon return to in-person small-group CBL, the session was mandatory and showed the same success rate.Virtual escape rooms serve as a unique alternative to traditional smallgroup CBL that can be used worldwide. The novelty of the experience helps to capture student attention while aligning to curriculum objectives. Given the positive response from students and faculty, the current example will continue to be integrated into the course and the programming will be used to create additional virtual escape rooms throughout the curriculum.

RésuméLe cancer de la prostate est la deuxième tumeur la plus fréquemment diagnostiquée chez les hommes. Elle est responsable d’un impact significatif sur la mortalité ou la qualité de vie des patients, mais, contrairement à d’autres tumeurs, est parfois une maladie à lente progression.Une détection précoce avec dosage de lʼantigène prostatique spécifique (PSA) et un toucher rectal doit être proposé à tout sujet masculin bien informé sur ses conséquences.Le double but du dépistage est de diagnostiquer les cancers potentiellement mortels ou causant une morbidité importante, tout évitant la mise en place d’investigations et traitements agressifs pour des maladies de bas grade, surtout chez les patients âgés.Le PSA est un marqueur sensible mais non spécifique et son dosage doit être accompagné d’un contexte clinique précis, pour éviter la réalisation de biopsies superflues.Lʼimagerie par résonance magnétique multiparamétrique est un examen essentiel avant l’éventuelle réalisation d’une biopsie ainsi que pour la stadification et le suivi du cancer de la prostate (CaP).Des nouveaux biomarqueurs plus spécifiques sont attendus de longue date pour améliorer la détection précoce du CaP.