Cancer survivorship training: a pilot study examining the educational gap in primary care medicine residency programs

Susanibar, Sandra; Thrush, Carol R.; Khatri, Nudrat; Hutchins, Laura F.

doi:10.1007/s11764-014-0366-2

Cited by 21 publications

(19 citation statements)

References 23 publications

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“…Unfortunately, efforts have focused on oncologists and a few preventive medicine residency programs with specific curricula for a cancer prevention and control track [26]. Our results support the previous report concerning the need for curricular changes to expand the scope of cultural competency and health disparity education to cancer-related decision-making topics such as prevention, screening, and survivorship [27][28][29]. Primary care physicians in training must acquire an in-depth understanding of the main issues related to cancer care disparities.…”

Section: Discussionsupporting

confidence: 83%

Resident Physicians and Cancer Health Disparities: a Survey of Attitudes, Knowledge, and Practice

et al. 2015

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Workforce development initiatives designed to mitigate cancer health disparities focus primarily on oncologists rather than on primary care providers (PCPs) who could be better positioned to address the issue at the preventive and community levels. The purpose of this project was to assess primary care resident physicians' self-perceived attitudes and comfort level in addressing cancer health disparities. Resident physicians in their first- through third-year of training in family, internal, preventive/occupational medicine, and obstetrics and gynecology (OB/GYN) at three academic centers responded to a 13-question survey in the spring of 2013. Descriptive and chi-square statistics were performed to analyze responses to (1) attitudes about cross-cultural communication and understanding, (2) knowledge about sources of cancer health disparities, (3) self-reported preparedness to provide cross-cultural cancer care and skills to manage specific situations, and (4) relevance of cancer-disparity education to clinical practice. A total of 78 (70.9 %) residents responded to the survey. Twenty three (29.5 %) of the respondents felt they did not understand the socio-demographic characteristics of their patients' communities, and 20 (25.6 %) did not feel capable of discussing current cancer-related care guidelines when the patients' personal beliefs conflict with their own. Few of the relationships between residency program and location with outcome measures met the criteria for statistical significance. Family medicine residents were the most likely to report in that it was hard to interact with persons from other cultures. As PCPs will play a key role in addressing cancer health disparities, effective educational opportunities in cancer care by primary care residents are warranted.

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Section: Discussionsupporting

confidence: 83%

Resident Physicians and Cancer Health Disparities: a Survey of Attitudes, Knowledge, and Practice

et al. 2015

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“…Findings from a study in the United States appear to reflect a similar trend regarding FM and internal medicine residency education in oncology, where 81% of residents expected to care for cancer survivors in their future practice, but only 27% of the residents reported formal education in adult cancer survivorship care [6]. This resulted in only 13% feeling comfortable in their role as a primary care provider for adult cancer survivors.…”

Section: Discussionmentioning

confidence: 86%

“…In the United States, a survey of 77 FM and internal medicine residents from several schools found that only 5% of the participating residents rated themselves as very knowledgeable in long-term follow-up care of adult cancer survivors [ 6 ]. Current postgraduate training education opportunities to enhance knowledge in cancer prevention and control are limited [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Oncology education for family medicine residents: a national needs assessment survey

et al. 2020

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Background: This study aimed to determine the current state of oncology education in Canadian family medicine postgraduate medical education programs (FM PGME) and examine opinions regarding optimal oncology education in these programs. Methods: A survey was designed to evaluate ideal and current oncology teaching, educational topics, objectives, and competencies in FM PGMEs. The survey was sent to Canadian family medicine (FM) residents and program directors (PDs). Results: In total, 150 residents and 17 PDs affiliated with 16 of 17 Canadian medical schools completed the survey. The majority indicated their programs do not have a mandatory clinical rotation in oncology (79% residents, 88% PDs). Low rates of residents (7%) and PDs (13%) reported FM residents being adequately prepared for their role in caring for cancer patients (p = 0.03). Residents and PDs believed the most optimal method of teaching oncology is through clinical exposure (65% residents, 80% PDs). Residents and PDs agreed the most important topics to learn (rated ≥4.7 on 5-point Likert scale) were: performing pap smears, cancer screening/prevention, breaking bad news, and approach to patient with increased cancer risk. According to residents, other important topics such as appropriate cancer patient referrals, managing cancer complications and post-treatment surveillance were only taught at frequencies of 52, 40 and 36%, respectively. Conclusions: Current FM PGME oncology education is suboptimal, although the degree differs in the opinion of residents and PDs. This study identified topics and methods of education which could be focussed upon to improve FM oncology education.

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“…To address these workforce issues, psychosocial providers need to be integrated into oncology settings, and more education about the needs of cancer survivors will be needed for mental health providers, oncologists, PCPs, and nurses. Innovative educational programmes for physicians, nurses, and psychosocial providers have been developed as part of training curricula 60–62 and continuing professional education 63,64 to address this requirement, but their quality and accessibility need to be ensured to educate the workforce at large.…”

Section: Challenges and Future Directionsmentioning

confidence: 99%

Provision of integrated psychosocial services for cancer survivors post-treatment

Recklitis

Syrjala

2017

The Lancet Oncology

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Meeting the psychosocial needs of patients with cancer has been recognised as a priority within oncology care for several decades. Many approaches that address these needs have been developed and described; however, until recently much of this work had focused on patients during treatment and end-of-life care. With continued improvement in therapies, the population of cancer survivors who can expect to live for 5 or more years after cancer diagnosis has increased dramatically, as have associated concerns about how to meet their medical, psychosocial, and health behaviour needs after treatment. Guidelines and models for general survivorship care routinely address psychosocial needs, and similar guidelines for psychosocial care of patients with cancer are being extended to address the needs of survivors. In this Series paper, we summarise the existing recommendations for the provision of routine psychosocial care to survivors, as well as the challenges present in providing this care. We make specific recommendations for the integration of psychosocial services into survivorship care.

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Cancer survivorship training: a pilot study examining the educational gap in primary care medicine residency programs

Cited by 21 publications

References 23 publications

Resident Physicians and Cancer Health Disparities: a Survey of Attitudes, Knowledge, and Practice

Resident Physicians and Cancer Health Disparities: a Survey of Attitudes, Knowledge, and Practice

Oncology education for family medicine residents: a national needs assessment survey

Provision of integrated psychosocial services for cancer survivors post-treatment

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