Welcome! Moving Forward After Cancer is a learning suite designed for family medicine and oncology postgraduate trainees. It presents a collaborative model for the delivery of follow-up or “survivorship” care to patients recovering from treatment for early stage cancer.
Moving Forward After Cancer is delivered across three integrated learning environments. An online self-study course prepares students to participate in an instructor-led workshop, which is rounded-off with an opportunity to practice skills in a clinical experience.
Online self-study course
The Online Course component of the Moving Forward After Cancer curriculum is comprised of six units, each covering several survivorship topics. Unit 6 addresses cancer site-specific follow-up care strategies for breast, prostate and colorectal cancers. Residents and Students are only required to complete the track chosen as a focus for the workshop, but they are free to view others.
Curriculum and Resources for Instructor-Led Workshop
Please check out the Workshop Facilitator Guide and PowerPoint presentation below, which have all the information you need to present this workshop to your trainees. And click HERE to view quickly the cancer prevention module as a sampler!About the Curriculum
Online Self-Study Course – Viewing six multimedia presentations, students of this curriculum will learn the clinical recommendations for the effective delivery of cancer follow-up care. Among the aims of the online module are to help physicians develop a better understanding of the cancer survivor and to identify and describe the core elements of cancer follow-up under the headings of prevention, surveillance, intervention and coordination of care.
Workshop –This classroom-based, facilitator-led workshop uses case studies to highlight key challenges in managing cancer follow-up care. We encourage you to include both family medicine and oncology residents in this workshop when feasible to support their collaboration.
Clinical Experience –This optional, clinical component provides trainees with opportunities to develop clinical skills in cancer follow-up care in a local clinic setting and to understand better the cancer patient experience.
Learning Objectives
Upon completion of the Online Course, participants should be able to:
- Define the follow-up or “survivorship” phase of cancer.
- Describe four domains of care that should be addressed in cancer survivorship care.
- Review key evidence-based components of each domain of care for at least one of prostate, breast or colorectal cancer.
- Apply specific management approaches for three important survivorship issues: fatigue, depression and anxiety.
- Discuss local cancer survivorship resources with patients.
Workshop Facilitator Tools
- Workshop Facilitator Guide
- Workshop Facilitator Presentation Tools PDF
- Workshop Facilitator Presentation Tools Powerpoint
- Student Workbook - Breast Cancer case
- Student Workbook - Colorectal Cancer case
- Student Workbook - Prostate Cancer case
- Preceptor Guide for Clinical Exposure
- Resident Guide for Clinical Exposure
Module Transcripts
Course Attachments
- Canadian Cancer Statistics 2017
- ACSM Roundtable on Exercise Guidelines for Cancer Survivors
- ESAS & Canadian Problem Checklist
- Patient Health Questionnaire for Depression (PHQ-9)
- Generalized Anxiety Disorder (GAD)-7 English Scale
- PHQ and GAD-7 Scoring Guide
- Multidimensional Fatigue Inventory
- WHO fracture risk assessment (FRAX) calculator for Canada
- International Index of Erectile Function (IIEF-5)
Contributors
The Moving Forward After Cancer curriculum project was developed in response to recommendations of the Institute of Medicine’s highly influential 2006 report From Cancer Patient to Cancer Survivor – Lost in Transition. This report calls on oncologists, family physicians and cancer patient advocates to recognize survivorship as a distinct phase in the cancer care continuum and to work collaboratively toward improved survivorship care across treatment settings.
Survivorship care recommendations included in this curriculum were derived from validated sources, including current (2014) American Society of Clinical Oncology (ASCO) evidence-based guidelines for primary care physicians, (2015) National Comprehensive Cancer Network (NCCN) clinical practice guidelines for survivorship, and (2011) Pan-Canadian Guideline on Organization and Structure of Survivorship Services.
Curriculum content was vetted by a national committee of practicing oncologists, family physicians and postgraduate trainees of both disciplines, as well as a patient advisory committee of more than two dozen cancer survivors.
Representatives from BC Cancer Agency, CancerCare Manitoba and Cancer Care Ontario were integral to the committee that helped guide the development of the curriculum.
The Moving Forward After Cancer curriculum project received funding in the form of a grant from the Canadian Partnership Against Cancer (CPAC).
Curriculum Development Committee Members
- Stephanie Armstrong
Lead Research Associate, Department of Medical Education, University of Manitoba - Sarah Benn
Project Lead, Survivorship, Cancer Care Ontario - Joyce Cheung
Family Medicine Resident, McMaster University - Danielle Desautels
Oncology Resident, University of Manitoba - Anita Ens
Educational Specialist, Department of Medical Education, University of Manitoba - Jaco Fourie
Medical Lead Oncology, Northern Health, Chair, Northern Health Medical Advisory Committee - Nancy Fowler
Postgraduate Program Director, Department of Family Medicine, McMaster University - Joel Gingerich
Medical Director, Community Oncology Program, CancerCare Manitoba - Debbie Iverson
Patient Representative - Gerald Konrad
FMC Unit Director, Family Medicine Residency Training, Family Medicine Centre, University of Manitoba - Brent Kvern
Associate Professor, Division of Medical Oncology, University of Manitoba - Jelena Lukovic
Oncology Resident, University of Western Ontario - Cheryl Moser
Communications Specialist, Owner and Lead Consultant, OneStone Communications, Inc. - Som Mukherjee
Associate Professor, Division of Medical Oncology, McMaster University - Emmanuel Ozokwelu
Project Coordinator, Community Oncology Program, CancerCare Manitoba - Jeff Sisler
Vice-Dean, Continuing Competency and Assessment Faculty of Health Sciences; Professor, Department of Family Medicine College of Medicine, Faculty of Health Sciences University of Manitoba - Jonathan Sussman
Associate Professor, Division of Radiation Oncology, McMaster University - Talia Varley
Family Medicine Resident, McMaster University - The November Group
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