Journal of Cancer Education最新文献

{"title":"Enhancing Oncology Education: Effects of a Structured Enrichment Elective on Medical Student Engagement and Career Intentions.","authors":"Anna Chung, Ken Zou, Grant Tucker, Ellis Miller, Joan Reisch, Samira Syed","doi":"10.1007/s13187-025-02720-0","DOIUrl":"https://doi.org/10.1007/s13187-025-02720-0","url":null,"abstract":"<p><p>Despite cancer's significant impact on global health and its prevalence in clinical settings, oncology education in medical schools often remains fragmented and unstandardized, leaving many students feeling underprepared to care for patients with cancer. This study evaluates the implementation and impact of a 3-month oncology enrichment elective designed to address these educational gaps. From 2021 to 2024, we offered an oncology enrichment elective to medical students at a single institution. The curriculum included multidisciplinary didactic sessions and facility tours covering various oncology specialties. Data were collected through immediate post-course surveys and a 2025 longitudinal survey to assess both short and long-term impacts on students' oncology exposure and career interests. Students reported high satisfaction with the curriculum and its clinical relevance. The elective significantly enhanced exposure to underrepresented areas in oncology education, particularly radiation oncology and palliative care. Over two-thirds of respondents indicated the elective influenced their residency choice, with a similar proportion expressing interest in oncology careers. Thematic analysis revealed that students valued personalized faculty insights and requested more interactive learning experiences. An oncology enrichment elective effectively addresses gaps in cancer education during medical school, particularly during condensed pre-clerkship curricula. The model demonstrates potential for improving student comfort with oncology concepts and enhancing multidisciplinary understanding of cancer care. Larger longitudinal studies are needed to assess long-term impacts on knowledge retention and career trajectories.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977161","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":"Bridging Gaps or Reinforcing Silos? Reflections on the ONCARE Virtual Oncology Course in Canadian Undergraduate Medical Education.","authors":"Schawanya Kaewpitoon Rattanapitoon, Patpicha Arunsan, Phornphitcha Pechdee, Nathkapach Kaewpitoon Rattanapitoon","doi":"10.1007/s13187-025-02713-z","DOIUrl":"https://doi.org/10.1007/s13187-025-02713-z","url":null,"abstract":"<p><p>The ONCARE initiative, as presented by Dou et al., represents a timely and commendable national effort to enhance oncology education within Canadian undergraduate medical curricula. In this letter to the editor, we critically appraise the study's implications through critical appraisal and contextualize its findings within broader medical education paradigms. While ONCARE significantly improved self-perceived oncology knowledge and clinical communication skills, its limited long-term evaluation, potential selection bias, and underrepresentation of interdisciplinary and psychosocial content warrant discussion. Moreover, we highlight the broader need for oncology to be integrated meaningfully-not only as a specialty interest but as foundational knowledge-across undergraduate education. Drawing on global evidence and frameworks, this letter to the editor encourages stakeholders to consider not just educational access, but systemic curricular reform in oncology education.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977215","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":"The Impact of a Community Partner Research Training Program.","authors":"Oluwademilade Adefarati, Rickisa Yearwood, Yawei Song, Amy E Leader, Karen Glanz, Evelyn T Gonzalez, Scott W Keith, Nilsa Graciani, Thierry Fortune, Charnita M Zeigler-Johnson","doi":"10.1007/s13187-025-02718-8","DOIUrl":"https://doi.org/10.1007/s13187-025-02718-8","url":null,"abstract":"<p><p>As part of its mission to address disparities in cancer outcomes and research participation, the Philadelphia Communities Conquering Cancer (PC3) coalition conducted a Community Partner Research Training program. The goal was to increase knowledge about cancer research and to prepare community members to partner on research activities. Eighteen out of 36 applicants were selected for a 5-week training program on research methods. Trainees completed baseline (N = 18) and follow-up surveys (N = 10) to measure knowledge acquisition. Demographic data were analyzed with descriptive statistics. For repeated cross-sectional group comparisons, Wilcoxon nonparametric tests were used to test statistical differences between medians on baseline and follow-up surveys. P-values ≤ 0.05 were considered statistically significant. Trainees were mostly female (78%). Median age was 61.5 years. Forty-four percent were Black, 22% White, 17% Asian, and 17% other race. Twenty-eight percent were Hispanic. Forty-four percent were cancer survivors. We observed that perceived knowledge about research generally increased post-training from a median of 2 to 4 across a 5-point Likert scale (p < 0.001). This increase is shown for several items, including \"how to conduct a research study\" and \"how to share findings with the community.\" Program ratings averaged 4 out of 5, indicating positive participant experiences in program organization and content. Involving diverse populations in cancer research is crucial for reducing health disparities. This training program demonstrated that it is feasible to increase knowledge about cancer research methodology among community partners. These results will be used to guide future research activities with PC3.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977168","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":"Comment on \"Impact of Competency-Based Education and Multidisciplinary Team Teaching for Standardized Training Resident on Radiation Oncology\".","authors":"Inamul Hasan Madar, Mohammed Abidullah, Shankhadhwaj Borah","doi":"10.1007/s13187-025-02717-9","DOIUrl":"https://doi.org/10.1007/s13187-025-02717-9","url":null,"abstract":"","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977235","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":"Improving Lung Cancer Education and Screening Navigation Skills Among HBCU Health Trainees: A Pilot Study of Program CONNECT.","authors":"Shanada Monestime, Erika L Thompson, Monica Wilson, Tamara McCants, Lovoria B Williams","doi":"10.1007/s13187-025-02704-0","DOIUrl":"https://doi.org/10.1007/s13187-025-02704-0","url":null,"abstract":"<p><p>Lung cancer is the leading cause of cancer death, disproportionately affecting Black communities due to delayed diagnoses and low screening rates. While these disparities persist, few educational interventions aim to equip health professional trainees-particularly those at Historically Black Colleges and Universities (HBCUs)-with the knowledge and confidence to address them. Empowering providers early in their training through culturally tailored education may help build a more prepared, equity-focused workforce. The purpose of this project was to evaluate a culturally tailored lung cancer education program, Program CONNECT, for health professional trainees at HBCUs. Program CONNECT was implemented in regions where lung cancer mortality among Black populations was ≥ 1.6 times higher than among White populations. From August to September 2024, healthcare trainees in nursing, medicine, pharmacy, and dentistry participated in a 90-min workshop covering lung cancer disparities, screening guidelines, and navigation strategies. A 21-item pre/post-test assessed changes in knowledge, beliefs, and self-efficacy. Participants (N = 100) were primarily nursing (63%), followed by pharmacy (29%), dentistry (5%), and medical (1%) students. While over half had healthcare experience, few had prior training in lung cancer navigation. Post-training, stigma related to personal responsibility for lung cancer significantly decreased (p = 0.005). Knowledge improved regarding risk factors, screening eligibility, disparities, and biomarker testing (p < 0.001). Confidence in identifying screening-eligible individuals, addressing barriers, and conducting difficult conversations improved significantly (p < 0.001). Recognition of ineligible screening scenarios increased, though shared decision-making knowledge remained unchanged. Interest in pursuing a cancer-related specialty rose from 66 to 78% (p < 0.001). Program CONNECT significantly improved knowledge and navigation self-efficacy among HBCU health trainees. Expanding this training across HBCUs may strengthen oncology workforce diversity and promote more equitable lung cancer outcomes in high-disparity communities.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977211","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":"Educational Targets for Patient-Reported Outcomes and Caregiver-Reported Outcomes in Psycho-oncology Research.","authors":"Salene M W Jones, Erin E Kent, Maxime Caru, Hannah Arem, Youngmee Kim, Lixin Song, Shelby L Langer","doi":"10.1007/s13187-025-02709-9","DOIUrl":"https://doi.org/10.1007/s13187-025-02709-9","url":null,"abstract":"<p><p>Patient-reported outcomes (PROs) and caregiver-reported outcomes (CROs) are tools for evaluating behavioral medicine interventions and for bringing the patient voice into observational research. This study aimed to identify barriers to using PROs/CROs in behavioral cancer research and to equitably address those barriers. Forty-nine members of a cancer special interest group from a research society completed surveys in early 2023 about needs related to the use of PROs and CROs. Descriptive statistics were used to summarize results. Most participants used PROs (n = 34, 69%) but few frequently used CROs (n = 12, 24%). More than 80% of the sample were familiar with common PRO/CRO properties such as reliability and validity. Participants reported considering a wide variety of population characteristics when using PROs and CROs, including language (n = 31, 70%) and education level (n = 31, 70%). The most common barriers to using PROs/CROs in research were time, funding, and technology with many reflecting potential reasons for inequitable representation of certain groups in research. Webinars were the most preferred educational format (n = 38, 78%) for resources related to PROs/CROs. Many participants encountered barriers to using PROs in research. Creation and dissemination of educational resources to promote equitable use of PROs/CROs across underrepresented groups and overcome common barriers to use of these measurement tools are warranted.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876570","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":"When Health Behavior Meets Technology: Artificial Neural Network-Based Prediction of Breast Self-Examination Intentions Among Filipino Female College Students.","authors":"Raphael Enrique Tiongco, Bradley Dela Cruz, Lorenz Angelo Dizon, Charles Henry Elayda, Nicolle Dionisio, Jessa Antalan, Zsarina Intal, Catherine Alexandria Abenoja, Hubert Sebastian Bautista, Samcher Chantal Tungol, Sofia Alexis Dayrit, Arch Raphael Mañalac, Jennifer Santillan, Annalyn Navarro","doi":"10.1007/s13187-025-02690-3","DOIUrl":"https://doi.org/10.1007/s13187-025-02690-3","url":null,"abstract":"<p><p>Early detection of breast cancer is crucial, particularly in low-resource settings. Emerging technologies like artificial neural networks (ANNs) offer innovative approaches to predict health behavior intentions. Hence, this study used an artificial neural network-multilayer perceptron (ANN-MLP) model to determine the predictors of breast self-examination (BSE) intention among female college students. With ethical approval, an analytical cross-sectional study was conducted among 382 female college students from a private higher education institution. Data on sociodemographic factors, knowledge, practices, perceived barriers, and health beliefs were collected using validated research questionnaires. Pearson's correlation, chi-square, and ANN-MLP modeling were performed to identify significant predictors of BSE intention and actual breast screening behavior. Knowledge adequacy, frequent BSE practice, perceived susceptibility, and self-efficacy were significant predictors of intention to perform BSE. The ANN-MLP model achieved a testing accuracy of 74.1% and an AUC of 0.698 in predicting BSE intention. For actual breast screening behavior, significant predictors included degree program, knowledge, practice, self-benefit, and self-efficacy. The corresponding ANN-MLP model achieved 88.7% testing accuracy with an AUC of 0.779. The interplay of cognitive and behavioral factors significantly influences BSE intentions. The use of ANN-MLP modeling can effectively determine key predictors of BSE intentions, offering opportunities for robust, data-driven, and targeted health promotion interventions. The findings may inform patient, public, and professional cancer education by identifying cognitive and behavioral predictors of BSE intention, enabling health professionals to design tailored education and training programs that enhance early screening behaviors and advocacy for breast cancer prevention.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859865","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":"Creation and Effectiveness of a HeadSmart-Based Primary Provider Education Tool for Timely Pediatric CNS Tumor Diagnosis.","authors":"William Daley, Daniel Pacheco, Claire F Miller, David Walker, Adam L Green","doi":"10.1007/s13187-025-02699-8","DOIUrl":"https://doi.org/10.1007/s13187-025-02699-8","url":null,"abstract":"<p><p>Patients of minority race, ethnicity, and lower socioeconomic status experience poorer survival of pediatric CNS tumors in the US. These disparities arise in part from differences in stage of disease at diagnosis, suggesting potential for mitigation via earlier diagnosis. The UK HeadSmart campaign, designed to increase awareness of pediatric CNS tumor symptoms among primary care practitioners (PCPs) and the public, has led to a significant decrease in time to diagnosis. We adapted HeadSmart into a 30-min workshop on presentation, common symptoms, work-up, and diagnosis to investigate the intervention's value in the US. We collected demographic data on the participants, paired with a pre/post, multiple-choice assessment of their knowledge of pediatric CNS tumor diagnosis. A total of 57 providers participated in the survey; 28 completed both the pre- and post-assessments. The mean pre-workshop score was 4.12; the mean post-workshop score was 5.64 (unpaired t-test p = 0.0002). The mean improvement was 1.1 (paired t-test p = 0.0002). In summary, an educational tool based on HeadSmart is effective at increasing understanding of timely diagnosis of pediatric CNS tumors among US PCPs. Further study, refinement, and dissemination have the potential to help mitigate disparities in pediatric CNS tumor outcomes.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856925","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":"Leveraging Pharmacy Education through a Train-the-Trainer Model to Enhance Breast Cancer Literacy in Rural Communities.","authors":"Christopher L Farrell, Melanie R Ginzburg, Morgan B Enlow, Missouri M Jenkins, Alexus N Hames, Cayla R Adams, Marlana A Roberts, Hillary E Stamps, Natalie A Paxton, Courtney N Addison, Austin Y Shull","doi":"10.1007/s13187-025-02708-w","DOIUrl":"10.1007/s13187-025-02708-w","url":null,"abstract":"<p><p>Rural versus urban communities experience disproportionate challenges in breast cancer outcomes, with higher breast cancer mortality and later stage disease presentation, despite similar diagnosis rates. These disparities are driven by structural barriers, including rural hospital closures, transportation difficulties, and limited access to oncology specialists. This study evaluated a train-the-trainer program designed to equip PharmD students located at a pharmacy school in a rural county in South Carolina with breast cancer education training, leveraging the pharmacists' position as accessible healthcare professionals in rural communities. Training focused on breast cancer risk factors, prevention, screening, genetics, staging, and treatment options. Effectiveness was measured through pre- and post-workshop confidence surveys and knowledge assessments. Results showed significant improvement in student confidence across educational domains, with average scores increasing from 6.30 to 8.59 (p < 0.0001). Understanding of screening guidelines (mean difference: 4.30; p-value: < .0001) and target therapy options showed the greatest improvement (mean difference: 3.65; p-value: < .0001), while knowledge of BRCA gene inheritance showed the smallest change (mean difference: 0.369; p-value: ns), suggesting some pre-existing awareness but limited understanding of its clinical applications. Overall, this pilot program demonstrates how pharmacy education can address healthcare disparities in rural communities. By preparing pharmacists to deliver accurate breast cancer education and to increase rural patient agency, this model creates a sustainable approach to improving health literacy in medically underserved areas. Future research could further expand this model to include diverse healthcare professionals and incorporate long-term impact assessments in community settings.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859864","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":"Capacity of Understanding the Future Approaches in Cancer Treatment by Multiple Models of Artificial Intelligence.","authors":"Hong Xu, Chengyuan Yang, Xiao-Yang Hu, Weikuan Gu","doi":"10.1007/s13187-025-02706-y","DOIUrl":"https://doi.org/10.1007/s13187-025-02706-y","url":null,"abstract":"<p><p>Artificial intelligence (AI) has emerged as a popular tool in education for disease treatment, not only for patients but also for physicians and scientists. We aimed to explore the educational values of different AI models in future disease treatment by providing them with real-world obstacles in cancer treatment for the most serious types of breast cancer and chondrosarcoma. We first asked seven large AI models to predict the future treatment approaches that would lead to a better outcome for triple-negative breast cancer (TNBC) and dedifferentiated chondrosarcoma (DDCS). We then requested each model to select the best one and provide supporting evidence. Next, the models were requested to provide a plan or clinical trial to test the treatment approach. Our test obtained ten treatment approaches for TNBC and DDCS from each of the seven models. Together, a total of 18 different unique approaches were suggested for TNBC and 34 for DDCS. Modified and/or extended usage of antibody-drug conjugates are predominantly selected by models as the best approach for TNBC. Combined immune checkpoint inhibition usage and isocitrate dehydrogenase (IDH) inhibitors were favored by models for DDCS. Specialized CAR-T cell therapy and clustered regularly interspaced short palindromic repeats (CRISPR)-based gene editing were selected by majority of AI models as high risk and high reward approaches. Our study indicated that most AI models are capable of keeping up with updated cancer research. However, for patients and physicians, consultation of multiple AI models may gain a better understanding of the pros and cons of a variety of approaches for cancer treatment.</p>","PeriodicalId":50246,"journal":{"name":"Journal of Cancer Education","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856924","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}