Department of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, Tennessee.
Department of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee.
Cancer. 2021 Apr 1;127(7):1126-1133. doi: 10.1002/cncr.33350. Epub 2020 Dec 1.
The St Jude Global Academy Neuro-Oncology Training Seminar (NOTS) is a hybrid course in pediatric neuro-oncology specifically designed for physicians from low-income and middle-income countries.
The curriculum for the course was created by conducting a targeted needs assessment that evaluated 11 domains of care for children with central nervous system (CNS) tumors. The targeted needs assessment was completed by 24 institutions across the world, and the data were used to define 5 core elements included in the 2 components of the NOTS: a 9-week online course and a 7-day in-person workshop. Participant acquisition of knowledge and changes in clinical behavior were evaluated as measures of success.
Teams from 8 institutions located in 8 countries enrolled in the online course, and it was successfully completed by 36 participants representing 6 specialties. On the basis of their performance in the online course, 20 participants from 7 institutions took part in the on-site workshop. The participants exhibited improved knowledge in core elements of treating children with CNS tumors, including barriers of care, possible solutions, and steps for project implementation (P < .0001). All participants expressed a belief that they acquired new concepts and knowledge, leading to changes in their clinical practice. Those present at the workshop created an international multidisciplinary group focused on treating CNS tumors in low-income and middle-income countries.
By using a hybrid online and in-person approach, the authors successfully created a multidisciplinary course focused on pediatric CNS tumors for resource-limited settings. Their experience supports this strategy as a feasible mechanism for driving further global collaborations.
圣裘德全球学院神经肿瘤学培训研讨会（NOTS）是一门专为来自低收入和中等收入国家的医生设计的小儿神经肿瘤学混合课程。
该课程的课程是通过进行有针对性的需求评估创建的，该评估评估了儿童中枢神经系统（CNS）肿瘤护理的 11 个领域。这项有针对性的需求评估是由全球 24 个机构完成的，数据用于定义 NOTS 两个组成部分中包含的 5 个核心要素：9 周的在线课程和 7 天的实地研讨会。参与者获取知识和临床行为的变化被评估为成功的衡量标准。
来自 8 个国家的 8 个机构的团队参加了在线课程，共有 36 名代表 6 个专业的参与者成功完成了课程。根据他们在在线课程中的表现，来自 7 个机构的 20 名参与者参加了现场研讨会。参与者在治疗儿童中枢神经系统肿瘤的核心要素方面表现出了更好的知识，包括护理障碍、可能的解决方案和项目实施步骤（P <.0001）。所有参与者都表示相信他们获得了新的概念和知识，从而改变了他们的临床实践。参加研讨会的人员创建了一个专注于治疗低收入和中等收入国家中枢神经系统肿瘤的国际多学科小组。
通过使用混合式在线和现场方法，作者成功地为资源有限的环境创建了一门专注于小儿中枢神经系统肿瘤的多学科课程。他们的经验支持这种策略是推动进一步全球合作的可行机制。
