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首页> 外文期刊>Journal of cancer survivorship: research and practice >The integration of cancer survivorship training in the curriculum of hematology/oncology fellows and radiation oncology residents
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The integration of cancer survivorship training in the curriculum of hematology/oncology fellows and radiation oncology residents

机译：将癌症幸存者培训纳入血液学/肿瘤学进修人员和放射肿瘤学住院医师课程

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Background: Cancer specialists require an understanding of survivors' needs to insure optimal delivery of care. Training programs currently focus on treatment, while survivorship care focuses on time after treatment. Cancer survivorship training represents an education paradigm shift. Methods: The Cancer Survivorship Workshop was held at the James P. Wilmot Cancer Center of the University of Rochester in academic year 2011-2012, with six sessions held. Objectives included the following: learning about survivorship from patient, primary care physician, and oncologist perspectives using a curriculum based on survivorship literature; designing treatment summaries (TSs) and survivorship care plans (SCPs) for five malignancies (lung, breast, prostate, colon, and lymphoma); and establishing collaboration between hematology/oncology (HO) and radiation oncology (RO) trainees by working together in teams. Course impact was assessed pre- and post-training using a 13-question survey. Questions were answered using a 10-point scale, with predefined rating for each question. Results: Statistically significant differences in responses to several survey questions were observed comparing pre- and post-course experience. Improvement was noted in comfort discussing survivorship issues with patients (p = 0.001), reported knowledge of survivorship care for five types of cancer (p = 0.002), confidence in ability to explain a SCP (p = 0.001), and comfort discussing late effects of cancer treatment (p = 0.001). Five unique sets of TS and SCPs were completed. Conclusions: This study demonstrates the feasibility of implementing cancer survivorship education into the curriculum of HO and RO training. Implications for Cancer Survivors: The project was designed with intension to optimize survivor care through enhanced provider training.
机译：背景：癌症专家需要了解幸存者的需求，以确保最佳的医疗服务。目前，培训计划的重点是治疗，而生存护理的重点是治疗后的时间。癌症幸存者培训代表了教育范式的转变。方法：癌症生存研讨会于2011-2012学年在罗切斯特大学的James P. Wilmot癌症中心举行，共举行了六届会议。目标包括以下内容：使用基于生存文学的课程，从患者，初级保健医生和肿瘤学家的角度学习生存知识;为五个恶性肿瘤（肺，乳腺，前列腺，结肠和淋巴瘤）设计治疗总结（TS）和生存护理计划（SCP）;通过团队合作，建立血液学/肿瘤学（HO）与放射肿瘤学（RO）受训者之间的协作。使用13个问题的调查对培训前后的课程影响进行了评估。使用10分制的量表回答问题，每个问题具有预定义的评分。结果：比较课程前和课程后的经验，发现对几个调查问题的回答在统计学上有显着差异。在舒适地与患者讨论生存问题时（p = 0.001），报告的对五种癌症的生存方法护理知识（p = 0.002），对SCP的解释能力有信心（p = 0.001）以及对讨论晚期影响的舒适性方面，已有改善。癌症治疗率（p = 0.001）。完成了五组独特的TS和SCP。结论：本研究证明了在HO和RO培训课程中实施癌症生存教育的可行性。对癌症幸存者的影响：该项目旨在通过加强提供者培训来优化幸存者的护理。

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