Fostering interspeciality learning in cancer survivorship care: Learning suite results.

e23003 Background: As survivorship provision declines within cancer centres, primary care providers are increasingly entrusted in the follow-up care of cancer survivors. Empowering specialists and primary care providers about survivorship through educational interventions is essential. Interspecialty education is poorly integrated into residency training, which may impede collaboration between different providers in practice. Interspecialty partnership can positively impact patient and resource-use outcomes. The aim of this study was to assess if a cancer survivorship learning suite (LS) impacts attitudes of family medicine, radiation oncology and medical oncology trainees towards interspecialty collaboration in Montreal, Canada. Methods: A survivorship (LS) developed by a Manitoba-based team under the sponsorship of a Canadian Partnership Against Cancer grant held by Cancer Care Ontario was delivered to 49 McGill University family medicine, radiation oncology, and medical oncology trainees. The LS comprised in-person delivery of a 3-hour case-based workshop, presented by a radiation oncologist and a family physician, both experienced in the field of survivorship. An adapted version of the Readiness for Interprofessional Learning Scale (RIPLS) was completed by participants before and after workshop delivery. Statistical analyses included non-parametric (Wilcoxon Signed rank tests) comparisons. Results: Response rate was 63.2%, and included family medicine (65%), radiation oncology (26%), and medical oncology (10%) trainees, respectively. Following the workshop, participants were significantly more likely to agree that interspecialty learning in residency “would help physicians become better team workers”, (Z = 2.7, p < 0.008, n = 31), and “improves relationships between physicians of different specialties in independent practice afterwards”, (Z = 2.6, p < 0.009, n = 31). Participants were also significantly more likely to agree that “shared interspecialty learning < would > increase < their > ability to understand clinical problems”, (Z = 2.8, p < 0.005, n = 31). Conclusions: While much literature has focused on interprofessional collaboration at different levels of education and practice, few studies have assessed interspecialty collaboration of physicians of different specialties. This survivorship LS demonstrated favorable changes in attitudes towards interspecialty learning.

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Fostering interspeciality learning in cancer survivorship care: Learning suite results.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.29_suppl.59 ◽

2020 ◽

Vol 38 (29_suppl) ◽

pp. 59-59

Author(s):

Genevieve Chaput ◽

Tristan Williams ◽

Jonathan Sussman

Keyword(s):

Primary Care ◽

Family Medicine ◽

Cancer Survivorship ◽

Radiation Oncology ◽

Medical Oncology ◽

Interprofessional Collaboration ◽

Primary Care Providers ◽

Educational Interventions ◽

Rank Test ◽

Care Providers

59 Background: As survivorship provision declines within cancer centres, primary care providers are increasingly entrusted in the follow-up care of cancer survivors. Empowering specialists and primary care providers about survivorship through educational interventions is essential. Interspecialty education is poorly integrated into residency training, which may impede collaboration between different providers in practice. Interspecialty partnership can positively impact patient and resource- use outcomes. The aim of this study was to assess if a cancer survivorship learning suite (LS) impacts attitudes of family medicine, radiation oncology and medical oncology trainees towards interspecialty collaboration in Montreal, Canada. Methods: A survivorship (LS) developed by a Manitoba-based team under the sponsorship of a Canadian Partnership Against Cancer grant held by Cancer Care Ontario was delivered to 49 McGill University family medicine, radiation oncology, and medical oncology trainees. The LS comprised in-person delivery of a 3-hour case-based workshop, presented by a radiation oncologist and a family physician, both experienced in the field of survivorship. An adapted version of the Readiness for Interprofessional Learning Scale (RIPLS) was completed by participants before and after workshop delivery. Statistical analyses included Wilcoxon Signed-rank test comparisons. Results: Response rate was 63.2%, and included family medicine (65%), radiation oncology (26%), and medical oncology (10%) trainees, respectively. Following the workshop, participants were significantly more likely to agree that interspecialty learning in residency “would help physicians become better team workers”, (Z = 2.7, p < 0.008, n = 31), and “improves relationships between physicians of different specialties in independent practice afterwards”, (Z = 2.6, p < 0.009, n = 31). Participants were also significantly more likely to agree that “shared interspecialty learning < would > increase < their > ability to understand clinical problems”, (Z = 2.8, p < 0.005, n = 31). Conclusions: While much literature has focused on interprofessional collaboration at different levels of education and practice, few studies have assessed interspecialty collaboration of physicians of different specialties. This survivorship LS demonstrated favorable changes in attitudes towards interspecialty learning.

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Physician preferences and attitudes regarding different models of cancer survivorship care: a comparison of primary care providers and oncologists

Journal of Cancer Survivorship ◽

10.1007/s11764-013-0281-y ◽

2013 ◽

Vol 7 (3) ◽

pp. 343-354 ◽

Cited By ~ 64

Author(s):

Winson Y. Cheung ◽

Noreen Aziz ◽

Anne-Michelle Noone ◽

Julia H. Rowland ◽

Arnold L. Potosky ◽

...

Keyword(s):

Primary Care ◽

Cancer Survivorship ◽

Primary Care Providers ◽

Survivorship Care ◽

Care Providers

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New Zealand among global social media initiative leaders for primary care advocacy

Journal of Primary Health Care ◽

10.1071/hc15036 ◽

2016 ◽

Vol 8 (2) ◽

pp. 94 ◽

Cited By ~ 1

Author(s):

Kyle Hoedebecke ◽

Joseph Scott-Jones ◽

Luís Pinho-Costa

Keyword(s):

Primary Care ◽

Social Media ◽

New Zealand ◽

Family Medicine ◽

Family Doctor ◽

Primary Care Providers ◽

Care Providers ◽

Family Doctors ◽

Medicine Community ◽

World Organisation

Abstract The international ‘#1WordforFamilyMedicine’ initiative explores the identity of General Practitioners (GPs) and Family Physicians (FPs) by allowing the international Family Medicine community to collaborate on advocating for the discipline via social media. The New Zealand version attracted 83 responses on social media. Thematic analysis was performed on the responses and a ‘word cloud’ image was created based on an image identifying the country around the world - that of the silver fern. The ‘#1WorldforFamilyMedicine’ project was promoted by WONCA (World Organisation of Family Doctors) globally to help celebrate World Family Doctor Day on 19 May 2015. To date, over 80 images have been created in 60 different countries on six continents. The images represent GPs’ love for their profession and the community they serve. We hope that this initiative will help inspire current and future Family Medicine and Primary Care providers.

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Educational interventions for primary care providers to improve clinical skin examination for skin cancer

Journal of the American Association of Nurse Practitioners ◽

10.1097/jxx.0000000000000235 ◽

2020 ◽

Vol 32 (5) ◽

pp. 369-379 ◽

Cited By ~ 2

Author(s):

Delaney B. Stratton ◽

Lois J. Loescher

Keyword(s):

Primary Care ◽

Skin Cancer ◽

Primary Care Providers ◽

Educational Interventions ◽

Care Providers ◽

Skin Examination

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IMPROVING PRIMARY CARE PROVIDER EDUCATION AND SATISFACTION VIA THE CATCH-ON LEARNING COMMUNITIES

Innovation in Aging ◽

10.1093/geroni/igz038.140 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S36-S36

Author(s):

Erin Emery-Tiburcio ◽

Magdalena Bednarcyzk ◽

Febe Wallace ◽

Michelle Newman

Keyword(s):

Older Adults ◽

Primary Care ◽

Learning Communities ◽

Cost Model ◽

Healthcare Access ◽

Primary Care Providers ◽

Educational Interventions ◽

Evidence Based ◽

Care Providers ◽

Provider Education

Abstract Nationally, there is a shortage of geriatric trained healthcare providers caring for older adults. As the population of older adults grows, health care systems and primary care providers struggle to provide high quality, cost effective care for older adults. Time for training is also limited in busy community health centers. The CATCH-ON Learning Communities (LCs) are telehealth educational interventions based on the ECHO model, modified to be less time intensive, thus decreasing cost to participating clinics. In the LC, geriatric specialists provide evidence-based, best practice training utilizing case discussions to illustrate pertinent learning points via monthly one hour video conferences. Practical, specific behavioral recommendations are offered for immediate implementation in each session. LCs are provided to interprofessional primary care teams. The first LC with a federally-qualified health center (FQHC) yielded consistently high satisfaction from participants, along with a 17% decrease in high risk medication prescriptions and 22% increase in falls screenings. Training the primary care workforce in evidence based geriatric interventions can improve the care of all older adults within each health system, improving healthcare access to help mitigate healthcare inequalities, slow adoption of best practices and rising costs of caring for complex older adults. The CATCH-ON Learning Community is an effective, low cost model of training the primary care work force without geographical or financial constraints that frequently limit access to specialized care.

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Semistructured interviewing in primary care research: a balance of relationship and rigour

Family Medicine and Community Health ◽

10.1136/fmch-2018-000057 ◽

2019 ◽

Vol 7 (2) ◽

pp. e000057 ◽

Cited By ~ 36

Author(s):

Melissa DeJonckheere ◽

Lisa M Vaughn

Keyword(s):

Primary Care ◽

Family Medicine ◽

Data Collection ◽

Health Services ◽

Family Physicians ◽

Primary Care Providers ◽

Care Providers ◽

Primary Care Research ◽

Care Research ◽

Semistructured Interviews

Semistructured in-depth interviews are commonly used in qualitative research and are the most frequent qualitative data source in health services research. This method typically consists of a dialogue between researcher and participant, guided by a flexible interview protocol and supplemented by follow-up questions, probes and comments. The method allows the researcher to collect open-ended data, to explore participant thoughts, feelings and beliefs about a particular topic and to delve deeply into personal and sometimes sensitive issues. The purpose of this article was to identify and describe the essential skills to designing and conducting semistructured interviews in family medicine and primary care research settings. We reviewed the literature on semistructured interviewing to identify key skills and components for using this method in family medicine and primary care research settings. Overall, semistructured interviewing requires both a relational focus and practice in the skills of facilitation. Skills include: (1) determining the purpose and scope of the study; (2) identifying participants; (3) considering ethical issues; (4) planning logistical aspects; (5) developing the interview guide; (6) establishing trust and rapport; (7) conducting the interview; (8) memoing and reflection; (9) analysing the data; (10) demonstrating the trustworthiness of the research; and (11) presenting findings in a paper or report. Semistructured interviews provide an effective and feasible research method for family physicians to conduct in primary care research settings. Researchers using semistructured interviews for data collection should take on a relational focus and consider the skills of interviewing to ensure quality. Semistructured interviewing can be a powerful tool for family physicians, primary care providers and other health services researchers to use to understand the thoughts, beliefs and experiences of individuals. Despite the utility, semistructured interviews can be intimidating and challenging for researchers not familiar with qualitative approaches. In order to elucidate this method, we provide practical guidance for researchers, including novice researchers and those with few resources, to use semistructured interviewing as a data collection strategy. We provide recommendations for the essential steps to follow in order to best implement semistructured interviews in family medicine and primary care research settings.

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Transitioning to Breast Cancer Survivorship: Perspectives of Patients, Cancer Specialists, and Primary Care Providers

Journal of General Internal Medicine ◽

10.1007/s11606-009-1000-2 ◽

2009 ◽

Vol 24 (S2) ◽

pp. 459-466 ◽

Cited By ~ 141

Author(s):

Melinda Kantsiper ◽

Erin L. McDonald ◽

Gail Geller ◽

Lillie Shockney ◽

Claire Snyder ◽

...

Keyword(s):

Breast Cancer ◽

Primary Care ◽

Cancer Survivorship ◽

Primary Care Providers ◽

Care Providers ◽

Breast Cancer Survivorship ◽

Cancer Specialists

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Cancer survivorship algorithms as clinical tools for primary care providers.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.3_suppl.100 ◽

2016 ◽

Vol 34 (3_suppl) ◽

pp. 100-100

Author(s):

Guadalupe R. Palos ◽

Katherine Ramsey Gilmore ◽

Paula A. Lewis-Patterson ◽

Maria Alma Rodriguez

Keyword(s):

Primary Care ◽

Cancer Survivors ◽

Cancer Survivorship ◽

Primary Care Providers ◽

Cell Transplant ◽

Care Providers ◽

Coordinated Care ◽

Major Barrier ◽

Site Specific ◽

The Impact

100 Background: Clinical decision tools (CDTs) such as survivorship algorithms may be valuable resources for primary care providers who provide post-treatment care for cancer survivors. Our objective was to assess providers’ perceptions, adoption, and satisfaction with clinical practice algorithms tailored to site-specific cancer survivorship clinics. Methods: Eligible providers were those assigned to one of 9 site-specific survivorship clinics, (breast, colorectal, genitourinary, gynecology, head and neck, lymphoma, melanoma, stem cell transplant, and thyroid). Potential respondents were invited to participate by emails. Voluntary return of the survey indicated a provider’s informed consent. Providers had the choice to participate by clicking on a link embedded in an email. Once the link was activated, the user was taken to a 10-item survey with questions asking about the usability, awareness, and satisfaction with the algorithms specific to their clinic. Descriptive statistics (i.e. frequencies and percentages) were used to summarize the responses. Results: Of 35 providers assigned in the survivorship clinics, 18 responded resulting in a 51% response rate. The majority of respondents (94.4%) were aware of the survivorship algorithms specific to their clinic. Over 75% reported using the algorithms occasionally (16.7%), frequently (33%) and always (33.3%). The major barrier to using the algorithms was a lack of awareness on to access the algorithms. Over half of the providers (55.6%) preferred using the digital versions of the algorithms. 68% strongly agreed the algorithms were practical to use and implement in their clinical setting. The majority of providers’ reported being satisfied (62.5%) or very satisfied (25.0%) with the algorithms tailored to their site specific clinic. Conclusions: Survivorship practice algorithms were perceived as useful clinical resources to deliver coordinated care to cancer survivors with diverse cancer diagnoses. Future work is needed to determine the impact of the algorithms on providers’ practice with cancer survivors.

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