Journal of Cancer Education最新文献

{"title":"Competency of Family Medicine Residents in Performing Skin Cancer Examination.","authors":"Mohammed A AlFada, Hend Alotaibi, Abdulaziz Madani, Ibrahim F Alshayea, Abdulaziz A Alodhayani","doi":"10.1007/s13187-024-02530-w","DOIUrl":"10.1007/s13187-024-02530-w","url":null,"abstract":"<p><p>Early recognition of skin cancer reduces associated morbidity and improves survival. Most patients with suspicious skin lesions present to family medicine physicians. We aimed to evaluate the self-reported competency of family medicine residents in performing skin cancer examination (SCE) and assess the impact of different factors on their competency. All family medicine residents completed a previously validated questionnaire aimed at evaluating their skin cancer examination competency in this cross-sectional study. In total, 250 residents participated in this study. More than half of the residents never had a rotation in dermatology or received training under the supervision of a dermatologist. Approximately 70%, 72%, and 77% of residents had not observed SCE, received SCE training, and performed SCE, respectively. Although most residents were aware of the risk factors for skin cancer and the ABCD acronym for melanoma, only one out of ten residents screened their patients for these factors, enquired about changes in skin lesions, and personally practiced SCE. Only 16% of family medicine residents consider themselves competent in performing SCE. Training under the guidance of a dermatologist, SCE training, evaluating patients for cancer risk factors and any changes in moles, and SCE practice on personal level were associated with SCE competency. Multivariate analysis showed a significant association between the frequency of observing SCE and competency in performing SCE. Only 16% of family medicine residents considered themselves competent in performing SCE. The frequency of observation of SCE during residency was a significant predictor of self-reported competency in performing SCE.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"441-449"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of an NCI T32 Training Program Designed to Train a Diverse Workforce in Cancer Health Equity Research.","authors":"Mackenzie A Ferguson, Lisa Tussing Humphreys, Ifeanyi Beverly Chukwudozie, Margaret E Wright, Caryn E Peterson, Marian L Fitzgibbon, Andrew McLeod","doi":"10.1007/s13187-024-02514-w","DOIUrl":"10.1007/s13187-024-02514-w","url":null,"abstract":"<p><p>With cancer health disparities on the rise in the United States (USA), there is an increased need for novel approaches to address these challenges. One such approach that may help address these disparities is increasing diversity in the biomedical research workforce. The Cancer Health Equity and Career Development Program (CHECDP) embodies this approach by recruiting and training underrepresented minorities in cancer research to develop the skills and training needed to be competitive for independent research careers, thus diversifying the biomedical research workforce. The training model that CHECDP employs is unique with its funding through the NCI training mechanism, its strong institutional support, and its participant-driven curriculum. The curriculum includes educational, career, and leadership opportunities that are continuously evaluated for sustained impact. The program has been comprised of mostly under-represented minorities that have been propelled to independent careers with a high rate of funded career development awards. Our T32 program serves as a model of success for other programs seeking to diversify the biomedical research workforce and reduce cancer health disparities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"359-364"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Opportunity for Developing Cancer Prevention Leadership in Mexico.","authors":"Varon Ml, Reynoso N, Torres Ja, Pérez M, Cantú D, Bargallo Je, Jimenez Ma, Arroyo M, Meneses A, Aguilar S, Ortiz S, Arrieta O, Herrera LA, Hawk E, Chang S","doi":"10.1007/s13187-024-02525-7","DOIUrl":"10.1007/s13187-024-02525-7","url":null,"abstract":"<p><p>Cancer in Mexico is a major public burden for which rates are expected to increase over time. In settings like Mexico, much potential for reduction through cancer prevention efforts remains unrealized, due in part, to a lack of formal cancer prevention and control training and career opportunities. We trained a cadre of instructors to deliver a pilot cancer prevention education program for oncology professionals and leaders. Instructors were oriented to the curriculum and its purpose, given instruction in interactive adult learning techniques using video conferencing tools, and supported by small-group and one-on-one meetings. Throughout this initiative, we learned the importance of mentoring of young professionals interested in cancer prevention and in having careers in the field. Instructors reported highly favorable ratings for participating in training and having high expectations of being recognized as instructors, highlighting the importance of this approach. Strengthening cancer prevention in Mexico rests on the sustainability of cancer prevention professional education programs and their disseminating impact through support of trained instructors to deliver cancer prevention curricula in the future.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"416-422"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Development Among African Oncologists: Examining Professional Development Activities, Satisfaction Levels, Barriers, and Enablers.","authors":"Emiola O Olapade-Olaopa, Miriam Mutebi, Nicholas Cofie, Nancy Dalgarno, Klodiana Kolomitro, Verna Vanderpuye, Fidel Rubagumya, Angela Coderre-Ball, Scott Berry, Nazik Hammad","doi":"10.1007/s13187-024-02527-5","DOIUrl":"10.1007/s13187-024-02527-5","url":null,"abstract":"<p><p>Africa is currently facing unprecedented growth in its cancer burden. Training an adequate number of skilled physicians is critical to addressing this challenge. We examine African oncology faculty's professional development (PD) activities, associated barriers, enablers, satisfaction levels, and highlight the implications for improving the quality of the oncology faculty workforce in SSA. We surveyed oncology faculty (n = 69) through the African Organization for Research and Training in Cancer listserv and conducted semi-structured interviews with nine (n = 9) faculty involved in African oncology training programs to ascertain their views on PD activities including, method of delivery, curriculum development, teaching, learning, and mentorship. Descriptive, inferential, and thematic analytical techniques were used to analyze the data. Ninety-two percent of African oncology faculty have participated in a PD activity and about 34% were dissatisfied with their overall PD. Access to curriculum development opportunities (OR = 2.10, p < 0.05), mentorship opportunities (OR = 3.12, p < 0.001), and a longer duration of practice (OR = 8.66, p < 0.001) were significantly associated with better overall satisfaction with PD. Barriers cited for PD included the competitive nature of PD courses and programs, limited online learning opportunities, poor internet access, time constraints, language barriers, and high costs associated with PD activities. Enablers for improving PD include improving institutional culture of learning and ensuring greater access to local institutional support. African oncologists are faced with many professional development challenges. Addressing these challenges may improve faculty satisfaction levels, remove barriers, and improve expected outcomes.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":"423-431"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the Guinea Pig Myth: Understanding Complex Attitudes Toward Clinical Trials Participation in a Community Clinic.","authors":"J Edward Murrell, Ashleigh Allgood, Arya Tamhane, Regan Gaskin, Luis F Pineda, Barry P Sleckman, Raegan W Durant, Soumya J Niranjan","doi":"10.1007/s13187-025-02657-4","DOIUrl":"10.1007/s13187-025-02657-4","url":null,"abstract":"<p><p>The urgency to enhance cancer clinical trial enrollment among racial and ethnic minority patients is underscored by the rise in novel therapies. This study examines referral mechanisms from a community-based oncology care clinic to an academic medical center, evaluates the clinical trial knowledge of minority groups, and explores perceptions and attitudes toward trials. Using a sequential explanatory mixed methods research design, the Clinical Trial Knowledge Survey was administered to patients seen at the Hem/Onc clinic in a community medical center. Descriptive statistics were calculated, and multivariate analysis was used to examine associations between variables using STATA 18. Qualitative data from 11 semistructured interviews were analyzed by two independent investigators using NVivo 14. Themes were identified through a combination of deductive and inductive approaches. Of the 502 mailers sent, 98 individuals responded (response rate of 9.56%). The average age of participants was 54 years, predominantly single and African American. The majority of the respondents (62%) agreed that patient participation is crucial for generating new and effective treatments. Then, 65% believed that clinical trials are typically conducted on drugs presumed to be effective. However, 32.99% of the respondents perceived participation in clinical trials as a frightening experience. Three qualitative themes emerged: (i) While clinical trial awareness was limited, willingness to participate was strongly endorsed. (ii) Potential participants obtain knowledge about clinical trials from multiple sources, impacting their attitudes toward clinical trials. (iii) There is a need to tailor educational strategies to increase awareness of and participation in clinical trials. The findings emphasize the critical role of awareness and tailored, culturally congruent educational strategies that are crucial to bridge the knowledge gap, alleviate hesitations, and enhance cancer clinical trial participation rates among racial and ethnic minorities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Evaluation of an HPV Vaccine Champion Training: a Strategy to Boost Adolescent Vaccination in Community Health Centers in Florida.","authors":"Heather N Owens, Mariana Arevalo, Ashley Whitmer, Lindsay Fuzzell, Carley Geiss, Kea Turner, Katherine Chung-Bridges, Edelise Endemano, Daniel Parras, Shannon M Christy, Susan T Vadaparampil","doi":"10.1007/s13187-025-02658-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02658-3","url":null,"abstract":"<p><p>Vaccine champions can be an important component of multilevel interventions. This paper describes the process of developing, delivering, and evaluating the vaccine champion intervention component as part of the HPV Multilevel Intervention Strategies Targeting Immunization in Community Settings (HPV MISTICS) study. Community health center leadership identified vaccine champions based on the following criteria: understanding clinical workflow, having an interest in quality improvement, and strong interpersonal and organizational skills. Development of the training materials included identifying learning objectives, developing a consistent training template, creating and refining session content and presentations, and obtaining feedback from the study's Community Advisory Board. The vaccine champion training included six 1-h live sessions delivered virtually. In addition to the availability of on-demand training session recordings, additional resources for champions included a study website, optional office hours with study team members, and a group channel to collaborate and connect with other champions. Evaluation of the training included pre- and post-session surveys (n = 5-8) and qualitative interviews (n = 4) after implementation of all components. Knowledge increased between the pre- and post-session surveys, indicating that champions understood the trainings. Evaluation of the specific champion tasks showed an increase in the champions' perception of their ability to successfully carry out the required tasks after completion of the training. During qualitative interviews, champions reported the training was comprehensive and helpful in remembering study-related tasks. The training and lessons learned presented in this study can be used to inform the development of trainings for champions in future intervention studies.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information Seeking Behaviors and Preferences of Cancer Survivors: A Cross-sectional Study in Shanghai, China.","authors":"Mengying Liu, Yuan Xu, Jie Song, Xiaojing Hu, Chunlin Jin, Ziping Liu, Ruijia Li, Minxing Chen","doi":"10.1007/s13187-025-02628-9","DOIUrl":"https://doi.org/10.1007/s13187-025-02628-9","url":null,"abstract":"<p><p>The information needs of cancer survivors are numerous and chronically difficult to meet, and the information sources currently available to them are far from ideal. The purpose of this study was to investigate the information-seeking behaviors and preferences of cancer survivors and explore the differences in information needs among cancer survivors of different types in Shanghai, China. A quota sampling method was used to select cancer survivors living in all districts of Shanghai as the study population. Data collection used the Unmet Information Needs Scale for Cancer Patients. ANOVA were used to assess differences in unmet need scores among subgroups. The mean age of 4195 cancer survivors was 63.2 ± 7.4 years, comprising 823 males (19.6%) and 3372 females (80.4%). Among the current sources of information, 36.2% of cancer survivors opted for consultations with tertiary-level doctors. In terms of desired sources, 43.9% preferred tertiary-level doctors. Regardless of the current or future situation, tertiary-level doctors, patient friends, and primary care doctor remain the top three preferred sources for health information. Kidney cancer, metastatic cancer, and nasopharyngeal cancer demonstrated the highest information requirement scores, scoring 39.4, 37.5, and 36.6, respectively. Cancer survivors of different cancer types showed differences in focus and information needs. Current and expected information sources for cancer survivors differ at different stages of survival. Tertiary-level doctors are the most popular providers of information. Unmet information needs for different cancer types are diverse and complex.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Analysis of GPT-4o and ERNIE Bot in a Chinese Radiation Oncology Exam.","authors":"Weiping Wang, Jingxuan Fu, Yiming Zhang, Ke Hu","doi":"10.1007/s13187-025-02652-9","DOIUrl":"https://doi.org/10.1007/s13187-025-02652-9","url":null,"abstract":"<p><p>Large language models (LLMs) are increasingly utilized in medical education and practice, yet their application in niche fields such as radiation oncology remains underexplored. This study evaluates and compares the performance of OpenAI's GPT-4o and Baidu's ERNIE Bot in a Chinese-language radiation oncology examination. We employed the Chinese National Health Professional Technical Qualification Examination (Intermediate Level) for Radiation Oncology, using a question bank of 1128 items across four sections: Basic Knowledge, Relevant Knowledge, Specialized Knowledge, and Practice Competence. A passing score required an accuracy rate of 60% or higher in all sections. The models' responses were assessed for accuracy against standard answers, with key metrics including overall accuracy, section-specific performance, case analysis performance, and accuracy consensus between the models. The overall accuracy rates were 79.3% for GPT-4o and 76.9% for ERNIE Bot (p = 0.154). Across the four sections, GPT-4o achieved accuracy rates of 82.1%, 84.6%, 78.6%, and 60.9%, respectively, while ERNIE Bot achieved 81.6%, 73.9%, 77.9%, and 69.0%. In the Relevant Knowledge section, GPT-4o achieved significantly higher accuracy (p = 0.002), while no significant differences were found in the other three sections. Across various question types-including single-choice, multiple-answer, case analysis, non-case analysis, and different content areas of case analysis-both models exhibited satisfied accuracy, and ERNIE Bot achieved accuracy rates that were comparable to GPT-4o. The accuracy consensus between the two models was 84.5%, significantly exceeding the individual accuracy rates of GPT-4o (p = 0.003) and ERNIE Bot (p < 0.001). Both GPT-4o and ERNIE Bot successfully passed the highly specialized Chinese-language medical examination in radiation oncology and demonstrated comparable performance. This study provides valuable insights into the application of LLMs in Chinese medical education. These findings support the integration of LLMs in medical education and training within specialized, non-English-speaking contexts.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Behavioral Impacts of School Cancer Education Programs Several Months and Years After Implementation in Japan.","authors":"Masanari Minamitani, Atsuto Katano, Shingo Ohira, Takuya Hayashi, Keiichi Nakagawa","doi":"10.1007/s13187-025-02655-6","DOIUrl":"https://doi.org/10.1007/s13187-025-02655-6","url":null,"abstract":"<p><p>School-based cancer education programs have recently been introduced in Japan to promote cancer awareness and encourage students to value their health and lives. Although short-term behavioral effects have been reported, their long-term effects remain unclear. We evaluated the mid- and long-term effects of a cancer education program conducted in rural Japanese high schools between 2016 and 2019. The program featured lectures by an oncologist and a cancer survivor. In total, 741 former students from four participating schools were invited to complete an online survey. Participants were grouped by their memory of the program: \"no memory of the program,\" \"no memory of the contents,\" and \"memory of the contents.\" Data on human papillomavirus (HPV) vaccination during school days, cervical cancer screening, intention to undergo cancer screening, and health literacy were collected and analyzed. Valid responses were obtained from 96 participants with an average age of 24.1 years. Female participants with a vivid memory of the program were significantly more likely to have received the HPV vaccine (100%) than those without such a memory (63.5%, p = 0.047). However, no significant associations were found between memory of the program and cervical cancer screening behavior or future screening intentions. School-based cancer education may influence HPV vaccination behavior on a several-month timescale but appears to have limited effects on long-term cancer prevention behavior. The program content may need to be optimized to enhance medium-term behavioral changes.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shining the Beam on the Next Generation: A Program Evaluation of a National Workshop Focusing on Medical Student Engagement in Radiation Oncology.","authors":"Brandon S Chai, Aaron Dou, Joy Du, Andrea Bezjack, Brock Debenham, Srinivas Raman, Paris-Ann Ingledew","doi":"10.1007/s13187-025-02650-x","DOIUrl":"https://doi.org/10.1007/s13187-025-02650-x","url":null,"abstract":"<p><p>The rising cancer incidence has increased demand for radiation oncologists, surpassing current staffing expansion estimates. Enhancing radiation oncology (RO) recruitment is essential to ensure high-quality cancer care. This study evaluates a 2024 Canadian Association of Radiation Oncology (CARO) Annual Scientific Meeting workshop aimed at increasing medical student interest in RO by assessing current initiatives, identifying barriers and proposing strategies. The workshop was guided by Kern's curriculum development model, which involved medical students, RO residents, staff, and program directors. It was comprised of an interactive presentation on existing scholarship and a group discussion. Data was collected through polls, observational notes, and a post-workshop survey. Thematic analysis and descriptive statistics were used for analysis. Twenty-seven attendees participated, including six workshop leaders. Amongst 21 survey respondents, there were 8 (38%) medical students, 6 (29%) RO residents, 5 (24%) RO staff, 1 (5%) RO fellow, and 1 (5%) clinical research coordinator. Participants represented six Canadian cancer centers across five provinces. Key motivators for pursuing RO included mentorship (\"local champion\"), work variety, team-based environment, technology, and patient population. Barriers included underexposure in the medical curriculum, misconceptions about job prospects, and the impact of artificial intelligence. Workshop evaluations were highly positive. Proposed initiatives included mentorship from \"local champions\" and mandatory shadowing. The workshop highlighted the importance of early mentorship and exposure in fostering medical student interest in RO. Implementing strategies mentorship and structured shadowing may help facilitate medical students' professional identity formation and their decision to pursue RO as a career.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}