Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Cancer Educ. 2022 Oct;37(5):1472-1478. doi: 10.1007/s13187-021-01986-4. Epub 2021 Mar 15.
With an expected shortage of oncologists, primary care providers (PCPs) may need to manage more cancer surveillance and screening, areas where educational resources for PCPs have been limited. The goal of this e-curriculum was for PCPs to learn surveillance and screening for several common cancers.
The e-curriculum covered breast and colorectal cancer surveillance and lung cancer screening with (1) a pre-test assessing knowledge, attitudes, practice patterns, and confidence; (2) case vignette-based teaching; and (3) an immediate post-test (with knowledge and confidence items identical to the pre-test) providing feedback. A delayed post-test was administered several months later. The curriculum and test items were developed by content experts and evaluated in a primary care group practice.
Of 167 community PCPs, 152 completed the pre-test (91%), 145 completed the immediate post-test (87%), and 63 completed the delayed post-test (37%); 62 PCPs completed all three tests (37%). The median score on the pre-test was 43%, immediate post-test was 93%, and delayed post-test was 70%. For PCPs completing all three tests, the median scores were 50%, 90%, and 70%, respectively (p < 0.0001). The percentage of PCPs confident in their knowledge 4 to 6 months after module completion compared to the pre-test baseline was statistically significant for lung cancer screening but not for cancer surveillance.
This curriculum provided concise, effective education for PCPs on 3 common cancers. Limitations include content breadth and lack of data reflecting physician ordering patterns. Curricular strengths include its accessibility, immediate feedback, and effectiveness, with a significant improvement in immediate and delayed post-test knowledge. Given a lack of increased confidence to provide cancer surveillance, PCPs should rely on electronic medical record tools and other resources to guide appropriate surveillance care.
预计肿瘤学家短缺，初级保健提供者（PCP）可能需要管理更多的癌症监测和筛查，而这些领域的教育资源一直有限。本电子课程的目标是为 PCP 学习几种常见癌症的监测和筛查。
该电子课程涵盖了乳腺癌和结直肠癌监测以及肺癌筛查，内容包括：（1） 预测试评估知识、态度、实践模式和信心；（2）基于病例的教学；（3）即时后测试（与预测试具有相同的知识和信心项目）提供反馈。几个月后进行延迟后测试。课程和测试项目由内容专家开发，并在初级保健组实践中进行了评估。
在 167 名社区 PCP 中，有 152 名完成了预测试（91%），145 名完成了即时后测试（87%），63 名完成了延迟后测试（37%）；62 名 PCP 完成了所有三项测试（37%）。预测试的中位数得分为 43%，即时后测试为 93%，延迟后测试为 70%。对于完成所有三项测试的 PCP，中位数分数分别为 50%、90%和 70%（p < 0.0001）。与基线预测试相比，模块完成后 4 至 6 个月时 PCP 对其知识的信心百分比在肺癌筛查方面具有统计学意义，但在癌症监测方面则不然。
本课程为 PCP 提供了关于 3 种常见癌症的简明有效的教育。限制包括内容广泛和缺乏反映医生订单模式的数据。课程的优势包括其可访问性、即时反馈和有效性，即时和延迟后测试的知识都有显著提高。鉴于提供癌症监测的信心没有增加，PCP 应依靠电子病历工具和其他资源来指导适当的监测护理。
