Oncology education for family medicine residents: a national needs assessment survey
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RESEARCH ARTICLE
Open Access
Oncology education for family medicine residents: a national needs assessment survey Steven M. Yip1, Daniel E. Meyers1, Jeff Sisler2, Keith Wycliffe-Jones3, Edward Kucharski4, Christine Elser5, Claire Temple-Oberle1, Silvana Spadafora6, Paris-Ann Ingledew7, Meredith Giuliani5, Sara Kuruvilla8, Nureen Sumar1 and Vincent C. Tam1*
Abstract Background: This study aimed to determine the current state of oncology education in Canadian family medicine postgraduate medical education programs (FM PGME) and examine opinions regarding optimal oncology education in these programs. Methods: A survey was designed to evaluate ideal and current oncology teaching, educational topics, objectives, and competencies in FM PGMEs. The survey was sent to Canadian family medicine (FM) residents and program directors (PDs). Results: In total, 150 residents and 17 PDs affiliated with 16 of 17 Canadian medical schools completed the survey. The majority indicated their programs do not have a mandatory clinical rotation in oncology (79% residents, 88% PDs). Low rates of residents (7%) and PDs (13%) reported FM residents being adequately prepared for their role in caring for cancer patients (p = 0.03). Residents and PDs believed the most optimal method of teaching oncology is through clinical exposure (65% residents, 80% PDs). Residents and PDs agreed the most important topics to learn (rated ≥4.7 on 5-point Likert scale) were: performing pap smears, cancer screening/prevention, breaking bad news, and approach to patient with increased cancer risk. According to residents, other important topics such as appropriate cancer patient referrals, managing cancer complications and post-treatment surveillance were only taught at frequencies of 52, 40 and 36%, respectively. Conclusions: Current FM PGME oncology education is suboptimal, although the degree differs in the opinion of residents and PDs. This study identified topics and methods of education which could be focussed upon to improve FM oncology education. Keywords: Oncology, Cancer, Medical education, Teaching, Residency, Family medicine, General practitioner, Family doctor
* Correspondence: [email protected] 1 Department of Oncology, Faculty of Medicine, University of Calgary, Tom Baker Cancer Centre, 1331 29th St NW, Calgary, AB T2N 4N2, Canada Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intend
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