Jackson Kendra K, Alberto Jayzona, Kim Jennifer, Smith Stephanie M, Schapira Lidia
Stanford University School of Medicine, Stanford, CA, USA.
Stanford Center for Continuing Medical Education, Stanford University School of Medicine, Stanford, CA, USA.
J Cancer Educ. 2025 Apr;40(2):202-209. doi: 10.1007/s13187-024-02497-8. Epub 2024 Sep 5.
An innovative, case-based continuing medical education course, Health After Cancer: Cancer Survivorship for Primary Care, was developed to engage clinicians in cancer survivorship care. A post-course survey measured the educational impact of the course on learners' intentions to change practice and changes in attitudes related to interprofessional collaborative practice. Qualitative analysis of free text responses was performed using the immersion-crystallization method. Learners earning continuing education credit (N = 1202) completed the post-course evaluation survey: 17.4% physicians, 8.0% advanced practice providers, 56.7% nurses, 2.2% pharmacists, 15.7% other health professionals. Learners' intended practice changes included improving communication (N = 438), incorporating knowledge into practice (N = 282), prioritizing survivorship clinical care (N = 167), and increasing oncology-primary care collaboration for patients (N = 53). Responses frequently involved more than one theme. Specific actions or knowledge that learners intended to incorporate into practice included improving their assessment of cancer survivor's risk and concerns (N = 128), incorporating knowledge of late effects of cancer treatment into practice (N = 122), educating patients about survivorship topics (N = 117), increasing empathy and understanding of survivors' experiences (N = 94), improving listening skills (N = 70), and dedicating more time to survivorship care (N = 63). Learners' changes in attitudes reflected an increased appreciation for collaboration, especially between oncology and primary care clinicians. A continuing medical education course designed to drive interest in engaging with cancer survivorship topics was effective at shaping learners' attitudes and intent to change practice, and has the potential to improve communication, care coordination, and healthcare experiences of cancer survivors.
一门创新的、基于案例的继续医学教育课程——《癌症后的健康：初级保健中的癌症幸存者护理》被开发出来，以促使临床医生参与癌症幸存者护理。课程结束后的一项调查评估了该课程对学习者改变实践意愿以及与跨专业协作实践相关态度变化的教育影响。使用沉浸-结晶法对自由文本回复进行了定性分析。获得继续教育学分的学习者（N = 1202）完成了课程结束后的评估调查：17.4%为医生，8.0%为高级实践提供者，56.7%为护士，2.2%为药剂师，15.7%为其他卫生专业人员。学习者打算做出的实践改变包括改善沟通（N = 438）、将知识融入实践（N = 282）、将幸存者临床护理列为优先事项（N = 167）以及增加针对患者的肿瘤学-初级保健协作（N = 53）。回复通常涉及多个主题。学习者打算纳入实践的具体行动或知识包括改善对癌症幸存者风险和担忧的评估（N = 128）、将癌症治疗的远期效应知识纳入实践（N = 122）、就幸存者主题对患者进行教育（N = 117）、增强对幸存者经历的同理心和理解（N = 94）、提高倾听技巧（N = 70）以及为幸存者护理投入更多时间（N = 63）。学习者态度的变化反映出对协作的认可度提高，尤其是肿瘤学和初级保健临床医生之间的协作。一门旨在激发对参与癌症幸存者主题兴趣的继续医学教育课程在塑造学习者的态度和改变实践的意愿方面是有效的，并且有可能改善癌症幸存者的沟通、护理协调和医疗体验。
