Training Global Oncologists: Addressing the Global Cancer Control Problem

Grover, Surbhi; Balogun, Onyinye; Yamoah, Kosj; Groen, Reinou S.; Shah, Mira; Rodin, Danielle; Martei, Yehoda M.; Olson, Adam C.; Slone, Jeremy S.; Shulman, Lawrence N.; Coleman, C. Norman; Hahn, Stephen M.

doi:10.3389/fonc.2015.00080

Cited by 14 publications

(17 citation statements)

References 32 publications

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“…Those responsible for the training of surgical oncologists from countries with high resources should, according to the difficulties we have studied, develop specific and adapted courses that can be used as a complement of the training capacities of developing countries. For surgical oncology fellows in higher-resource settings specifically, the learning benefits of rotations in LMICs are even greater since they learn to deal with cancer patients at advanced stages or different cancer biology, in countries having fewer screening options, fewer imaging options, as well as limited perioperative care [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique

Morais

Cossa

Tivane

et al. 2018

ecancer

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PurposeThe aim of this study was to assess the surgical resources and surgical oncology team skills at the Surgical Department of Maputo Central Hospital (MCH) in Mozambique in order to define an educational program to support surgical oncology practice.MethodsFrom January 2017 to December 2017, a general evaluation of the resources of MCH was carried out, as well as its offerings in oncological care in different services. Data were obtained by reviewing documents, visiting surgical services and interviewing key-informants and others informally. In addition, a group of seven surgeons of the Surgical Department of MCH answered a questionnaire about the quality of the cancer units (The Cancer Units Assessment Checklist for low- or middle-income African countries). Subsequently, surgical, anaesthesiology and intensive care facilities were evaluated according to the Portuguese-speaking African Countries Assessment of Surgical Oncology Capacity Survey (PSAC-Surgery). All the data were triangulated in order to identify gaps, develop an action plan and define an educational program.ResultsBreast, oesophagus and colorectal cancers were the most commonly treated neoplasms in MCH. A range of technical and resource needs as well as the gaps in knowledge and skills were identified. All surgeons recognised the need to create a training program in oncology at the undergraduate level, specific training for residents and continuing oncological education for general surgeons to improve the practice of surgical oncology. It was evident that all these interventions needed to be formalised, appropriately certified and count for professional career progression. Based on the local epidemiological data and on these study findings, oncology education programs were developed for surgeons.ConclusionsThe findings of this study contributed to the development of an educational program in surgical oncology, considered essential to the training of surgeons at MCH. The cancer educational programs and the mobilisation of adequate resources will ensure the provision of adequate surgical oncology treatments for MCH. The training requirements should be tailored to suit the local needs based on the most prevalent malignancies diagnosed in the region. In our view, this methodology may apply to other countries with similar realities in the formation of surgical oncologists.

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Section: Discussionmentioning

confidence: 99%

Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique

Morais

Cossa

Tivane

et al. 2018

ecancer

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“…The global incidence of cancer has increased by approximately 20% in the past decade (Grover et al, 2015). The global incidence of cancer has increased by approximately 20% in the past decade (Grover et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Cancer is a significant health problem worldwide. The global incidence of cancer has increased by approximately 20% in the past decade (Grover et al, 2015). In China,more than 358million new cases are diagnosed as cancer in 2012, and the incidence of cancer is estimated to increase to a projected 550 million in 2020 (So et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Comprehensive unmet needs and correlations with quality of life in Chinese cancer patients

Zhang

Liu

et al. 2018

Eur J Cancer Care

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Increasing evidence indicates unmet supportive need as a detrimental effect on patients' well-being. However, the unmet needs and correlations with quality of life (QOL) in mainland Chinese cancer patients remain unclear. This study aimed to assess the unmet needs and QOL in Chinese cancer patients, and further explore the influencing factors. A cross-sectional descriptive study design was applied. Using a convenience sampling method, 300 cancer patients, including 176 females and 124 males were recruited from five tertiary hospitals in Xi'an city during April to July 2015. Self-administered questionnaires including general information, Comprehensive Needs Assessment Tool (CNAT) and the 36-item Short-Form Health Survey (SF-36) were used for data collection. The mean age of the participants was 52.96 ± 13.45 years. The total score of CNAT was 46.37 ± 21.87, and the most unmet comprehensive needs were healthcare staff, information and health facilities and services domain. The total score of QOL was 48.95 ± 18.80 and 50.35 ± 19.77 for physical and mental QOL respectively. Multiple regression analysis revealed that age, employment status (employed), marital status (unmarried/divorced/widowed) and high needs in physical symptoms were associated with physical QOL. In addition, gender (female), marital status (unmarried/divorced/widowed), and needs in health and psychological problem and physical symptoms domains are significant factors to the mental QOL. These findings from the study provide useful information for care providers to identify and meet specific needs for cancer patients to improve QOL.

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“…There is tremendous interest by early career leaders (77) in a career path that includes global health (78). Potential implementation plans have been described elsewhere (79).…”

Section: Introductionmentioning

confidence: 99%

The Radiation Stress Response: Of the People, By the People and For the People

Coleman¹

2017

Radiation Research

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The radiation stress response can have broad impact. In this Failla Award presentation it is discussed in three components using terms relevant to the current political season as to how the radiation stress response can be applied to the benefit for cancer care and as service to society. Of the people refers to the impact of radiation on cells, tissues and patients. The paradigm our laboratory uses is radiation as a drug, called “focused biology”, and physics as “nano-IMRT” because at the nanometer level physics and biology merge. By the people refers to how the general population often reacts to the word “radiation” and how the Radiation Research Society can better enable society to deal with the current realities of radiation in our lives. For the people refers to the potential for radiation oncology and radiation sciences to improve the lives of millions of people globally who are now beyond benefits of cancer treatment and research.

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Training Global Oncologists: Addressing the Global Cancer Control Problem

Cited by 14 publications

References 32 publications

Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique

Identifying barriers and finding solutions to implement best practices for cancer surgery at Maputo Central Hospital, Mozambique

Comprehensive unmet needs and correlations with quality of life in Chinese cancer patients

The Radiation Stress Response: Of the People, By the People and For the People

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