Creation and evaluation of a cancer survivorship curriculum for pediatric resident physicians

Abstract

With increasing numbers of childhood cancer survivors living into adulthood, residents will likely treat this population regardless of intended career path. This curriculum represents one method to deliver formal cancer survivorship training.

Outcomes of cancer survivorship education and training for primary care providers: a systematic review

“…All 21 studies utilized single-group designs with no comparators. Thirteen studies [ 38 – 40 , 42 , 43 , 45 , 46 , 48 , 51 , 55 – 58 ] used a pre-test, post-test design. Five studies used a post-test only design [ 41 , 47 , 49 , 53 , 54 ], two studies used a mixed-methods approach [ 44 , 52 ], and one study had an unspecified methodology [ 50 ].…”

“…Five studies used a post-test only design [ 41 , 47 , 49 , 53 , 54 ], two studies used a mixed-methods approach [ 44 , 52 ], and one study had an unspecified methodology [ 50 ]. Of the 21 survivorship education programs evaluated within these studies, 15 were developed in the USA [ 38 , 39 , 41 – 50 , 52 , 55 , 57 ], three were developed in Australia [ 51 , 56 , 58 ], one in Germany [ 54 ], and two in Canada [ 40 , 53 ]. Target learners for these programs were PCPs or residents in primary care training, including internal medicine residents [ 46 ], pediatric physician residents [ 55 ], PCPs only [ 38 – 43 , 45 , 47 , 48 , 51 , 56 , 58 ], and mixed health professional groups including PCPs [ 44 , 49 , 50 , 52 – 54 , 57 ].…”

“…• GPs requested further support in the format of defined SCPs and follow-up schedules. 1 Schwartz et al 2018 [ 55 ] Cost: NR Country: USA Pre-test, post-test Methods: pre- and post-clinic questionnaire on learner’s attitudes, knowledge, and/or skill level (5-likert scale – forced choice). Option for free text comments available.…”

“…Across all studies, outcome measures generally consisted of non-validated self-response measures, increasing risk of self-rater bias. Further, only eight [ 38 – 40 , 42 , 44 , 48 , 52 , 55 ] of 21 studies included a statistical analysis of results and specified the magnitude of change.…”

“…Survivorship care components and content of each program are outlined in Table 2 . Intended cancer survivorship content differed across education programs and included clinician education targeted towards the management of fear of cancer recurrence [ 38 ]; utilization of survivorship care plans (SCPs) [ 42 , 53 ]; management of sexual complications in female cancer survivors [ 48 ]; survivorship management specifically for Hodgkin’s lymphoma, breast cancer and prostate cancer survivors [ 39 ], and cervical, breast, and colon cancer survivors [ 41 ]; childhood cancer survivors [ 43 , 47 , 55 ]; survivors undergoing immunotherapy [ 50 ]; and “general cancer survivorship” across all populations [ 40 , 44 – 46 , 49 , 51 , 52 , 54 , 56 – 58 ]. A variety of approaches to survivorship education were described across studies including self-directed online courses [ 39 , 45 , 47 , 56 ], in-person presentations [ 38 , 42 , 58 ], workshops and training sessions [ 40 , 44 , 46 , 48 , 54 , 55 ], placement and clinical rotation programs [ 41 , 51 , 58 ], a fellowship program [ 49 ], a referral program [ 53 ], a live webcast [ 50 ], a survivorship conference [ 57 ], an in-person workshop and online webinar [ 52 ], and an in-person seminar and online webinar series [ 43 ].…”