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Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens
Global increases in cancer, coupled with a shortage of cancer specialists, has led to an increasing role for primary care providers (PCP) in cancer care. This review aimed to examine all extant cancer curricula for PCPs and to analyze the motivations for curriculum development. METHODS: A comprehens...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281448/ https://www.ncbi.nlm.nih.gov/pubmed/37141562 http://dx.doi.org/10.1200/GO.22.00298 |
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author | Oldfield, Leslie E. Jones, Vivien Gill, Bhajan Kodous, Nardeen Fazelzad, Rouhi Rodin, Danielle Sandhu, Harminder Umakanthan, Ben Papadakos, Janet Giuliani, Meredith Elana |
author_facet | Oldfield, Leslie E. Jones, Vivien Gill, Bhajan Kodous, Nardeen Fazelzad, Rouhi Rodin, Danielle Sandhu, Harminder Umakanthan, Ben Papadakos, Janet Giuliani, Meredith Elana |
author_sort | Oldfield, Leslie E. |
collection | PubMed |
description | Global increases in cancer, coupled with a shortage of cancer specialists, has led to an increasing role for primary care providers (PCP) in cancer care. This review aimed to examine all extant cancer curricula for PCPs and to analyze the motivations for curriculum development. METHODS: A comprehensive literature search was conducted from inception to October 13, 2021, with no language restrictions. The initial search yielded 11,162 articles and 10,902 articles underwent title and abstract review. After full-text review, 139 articles were included. Numeric and thematic analyses were conducted and education programs were evaluated using Bloom's taxonomy. RESULTS: Most curricula were developed in high-income countries (HICs), with 58% in the United States. Cancer-specific curricula focused on HIC priority cancers, such as skin/melanoma, and did not represent the global cancer burden. Most (80%) curricula were developed for staff physicians and 73% focused on cancer screening. More than half (57%) of programs were delivered in person, with a shift toward online delivery over time. Less than half (46%) of programs were codeveloped with PCPs and 34% did not involve PCPs in the program design and development. Curricula were primarily developed to improve cancer knowledge, and 72 studies assessed multiple outcome measures. No studies included the top two levels of Bloom's taxonomy of learning (evaluating; creating). CONCLUSION: To our knowledge, this is the first review to assess the current state of cancer curricula for PCPs with a global focus. This review shows that extant curricula are primarily developed in HICs, do not represent the global cancer burden, and focus on cancer screening. This review lays a foundation to advance the cocreation of curricula that are aligned to the global cancer burden. |
format | Online Article Text |
id | pubmed-10281448 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-102814482023-06-21 Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens Oldfield, Leslie E. Jones, Vivien Gill, Bhajan Kodous, Nardeen Fazelzad, Rouhi Rodin, Danielle Sandhu, Harminder Umakanthan, Ben Papadakos, Janet Giuliani, Meredith Elana JCO Glob Oncol REVIEW ARTICLES Global increases in cancer, coupled with a shortage of cancer specialists, has led to an increasing role for primary care providers (PCP) in cancer care. This review aimed to examine all extant cancer curricula for PCPs and to analyze the motivations for curriculum development. METHODS: A comprehensive literature search was conducted from inception to October 13, 2021, with no language restrictions. The initial search yielded 11,162 articles and 10,902 articles underwent title and abstract review. After full-text review, 139 articles were included. Numeric and thematic analyses were conducted and education programs were evaluated using Bloom's taxonomy. RESULTS: Most curricula were developed in high-income countries (HICs), with 58% in the United States. Cancer-specific curricula focused on HIC priority cancers, such as skin/melanoma, and did not represent the global cancer burden. Most (80%) curricula were developed for staff physicians and 73% focused on cancer screening. More than half (57%) of programs were delivered in person, with a shift toward online delivery over time. Less than half (46%) of programs were codeveloped with PCPs and 34% did not involve PCPs in the program design and development. Curricula were primarily developed to improve cancer knowledge, and 72 studies assessed multiple outcome measures. No studies included the top two levels of Bloom's taxonomy of learning (evaluating; creating). CONCLUSION: To our knowledge, this is the first review to assess the current state of cancer curricula for PCPs with a global focus. This review shows that extant curricula are primarily developed in HICs, do not represent the global cancer burden, and focus on cancer screening. This review lays a foundation to advance the cocreation of curricula that are aligned to the global cancer burden. Wolters Kluwer Health 2023-05-04 /pmc/articles/PMC10281448/ /pubmed/37141562 http://dx.doi.org/10.1200/GO.22.00298 Text en © 2023 by American Society of Clinical Oncology https://creativecommons.org/licenses/by-nc-nd/4.0/Creative Commons Attribution Non-Commercial No Derivatives 4.0 License: http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | REVIEW ARTICLES Oldfield, Leslie E. Jones, Vivien Gill, Bhajan Kodous, Nardeen Fazelzad, Rouhi Rodin, Danielle Sandhu, Harminder Umakanthan, Ben Papadakos, Janet Giuliani, Meredith Elana Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens |
title | Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens |
title_full | Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens |
title_fullStr | Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens |
title_full_unstemmed | Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens |
title_short | Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens |
title_sort | synthesis of existent oncology curricula for primary care providers: a scoping review with a global equity lens |
topic | REVIEW ARTICLES |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281448/ https://www.ncbi.nlm.nih.gov/pubmed/37141562 http://dx.doi.org/10.1200/GO.22.00298 |
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