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Manual Hair Removal for Intraoral Flaps: a Simple Practice for Professional Education and Patient Cancer Care. 口内皮瓣手动脱毛:用于专业教育和癌症患者护理的简单做法。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-19 DOI: 10.1007/s13187-024-02526-6
Emmanuelle Vigarios, Sabine Betancourt, Marie-Christine Teulières, Caroline de Bataille, Avijit Banerjee, Delphine Maret

After resection of malignant tumors of the head and neck, reconstructions are commonly performed using surgical free flaps. In non-irradiated patients, hair may continue to grow at the reconstruction site after surgery, causing undesirable effects such as difficult to maintain oral hygiene, food and saliva accumulation, halitosis, dysphagia, moral distress, and impact on intimacy and sexuality. Until a standardized laser therapy protocol is available, manual depilation is an option that should not be underestimated to improve the patient's quality of life and available to every oral healthcare team. This case illustrates a simple practice that contributes to improving patients' quality of life and oral health in an interprofessional way.

头颈部恶性肿瘤切除术后,通常使用外科游离皮瓣进行重建。在未接受放射治疗的患者中,术后毛发可能会在重建部位继续生长,造成不良影响,如难以保持口腔卫生、食物和唾液堆积、口臭、吞咽困难、精神痛苦以及影响亲密关系和性生活。在标准化的激光治疗方案问世之前,手工脱毛是提高患者生活质量的一个不可低估的选择,也是每个口腔医疗团队都可以采用的方法。本病例以跨专业的方式说明了一种有助于改善患者生活质量和口腔健康的简单做法。
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引用次数: 0
Assessment of a Medical Student-Run Multidisciplinary Oncology Shadowing Program. 对医学生开展的多学科肿瘤学实习计划进行评估。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-16 DOI: 10.1007/s13187-024-02522-w
Marco Santos Teles, Shrey B Shah, Malcolm D Mattes

Clinical exposures during the first two years of medical school (MS1-2) provide students an opportunity for early networking, mentorship and career exploration. The feasibility and perceived value of an extracurricular, student-run multidisciplinary oncology shadowing program was evaluated in this study. At a single institution, an oncology interest group collaborated with oncologists to create a shadowing program for MS1-2 students. Three radiation oncology (RO), two medical oncology (MO), and four surgical oncology (SO) faculty participated. A quarterly sign-up form was emailed to all MS1-2 students with available shadowing sessions. Electronic surveys were sent to students (after shadowing) and faculty (after 18 months of program operation) with multiple choice and 5-point Likert-type (1 = low, 5 = high) questions about their experiences. A total of 57 of the 97 participating students, and all 9 of the 9 participating faculty, responded to surveys (response rates 59% and 100%, respectively). Thirty students (53%) shadowed in RO, 23 (40%) in SO, and 4 (7%) in MO. Most students were very satisfied with their interactions with faculty (mean Likert-type rating of 4.14 ± standard deviation 0.85) and their overall experience compared to prior shadowing experiences (3.84 ± 0.85). Fifty-four students (96%) would recommend the experience to a classmate. Four faculty (44%) reported much more shadowing than before. Seven faculty (78%) felt the experience was best when residents or fellows were also present. All physicians planned to continue participating. This study demonstrated that a student-run, oncology shadowing program was feasible to implement, and viewed favorably by faculty and student participants.

医学院前两年(MS1-2)的临床实习为学生提供了一个早期交流、导师指导和职业探索的机会。本研究评估了由学生运营的课外多学科肿瘤学影子项目的可行性和认知价值。在一所院校中,肿瘤学兴趣小组与肿瘤学家合作,为硕士一至二年级的学生制定了跟岗实习计划。三名放射肿瘤学(RO)、两名内科肿瘤学(MO)和四名外科肿瘤学(SO)教师参与其中。每季度通过电子邮件向所有硕士一至二年级的学生发送一份报名表,并提供可参加的跟岗实习课程。向学生(跟岗学习结束后)和教师(项目运行 18 个月后)发送了电子调查问卷,其中包含有关跟岗学习经验的多项选择和 5 点 Likert 类型(1 = 低,5 = 高)问题。97 名参与学生中的 57 名和 9 名参与教师中的全部 9 名都对调查做出了回复(回复率分别为 59% 和 100%)。30名学生(53%)在研究室跟班学习,23名学生(40%)在国家实验室跟班学习,4名学生(7%)在教育部跟班学习。大多数学生对他们与教师的互动非常满意(平均李克特评分为4.14±标准差0.85),与之前的跟岗学习经历相比,他们的整体体验也非常满意(3.84±0.85)。54名学生(96%)会向同学推荐这次体验。四名教师(44%)表示跟岗实习比以前多得多。七名教师(78%)认为,当住院医师或研究员也在场时,这种体验最好。所有医生都计划继续参与。这项研究表明,由学生管理的肿瘤学跟岗实习计划是可行的,并且受到了教师和学生参与者的好评。
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引用次数: 0
Into the Current: A Cancer Patient's Journey. 融入潮流:一位癌症患者的心路历程。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-16 DOI: 10.1007/s13187-024-02518-6
Calum Slapnicar, Jory S Simpson
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引用次数: 0
Recognizing the Unseen: Enhancing Family Caregiver Education in Morocco's Cancer Care. 认识未知:加强摩洛哥癌症护理中的家庭护理者教育。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-14 DOI: 10.1007/s13187-024-02521-x
Bourissi Hiba, Mellas Soufiane

During my thesis, I had the opportunity to work closely with family caregivers of cancer patients. This allowed me to meet these individuals and hear their stories filled with suffering. A large part of their complaints centered on the lack of information and training necessary to properly care for their ill relatives. Often, they find themselves responsible for a patient at home without possessing the required skills, sometimes knowing only the dosage of treatments to administer. This lack of training can lead to serious complications, such as bedsores in immobile patients or urinary infections. This experience underscores the critical need for comprehensive caregiver education in Morocco, a country where family caregivers play a crucial role in oncology care, especially in home-based support. To achieve this, the government, health care professionals, and NGOs must collaborate to develop accessible educational programs that equip caregivers with the necessary skills and knowledge.

在论文期间,我有机会与癌症患者的家庭护理人员密切合作。这让我有机会接触这些人,聆听他们充满痛苦的故事。他们的大部分抱怨都集中在缺乏必要的信息和培训,无法正确照顾患病的亲人。他们常常发现自己不具备所需的技能,却要在家中负责照顾病人,有时甚至只知道治疗的剂量。缺乏培训可能会导致严重的并发症,如行动不便的病人发生褥疮或泌尿系统感染。在摩洛哥,家庭护理人员在肿瘤护理,尤其是家庭支持方面发挥着至关重要的作用。为此,政府、医疗保健专业人员和非政府组织必须通力合作,制定便于使用的教育计划,使护理人员掌握必要的技能和知识。
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引用次数: 0
Educating and Retaining the Cancer-Focused Biomedical Workforce from Rural Appalachian Kentucky: The Impact of Experiential Learning and Scholarship Funding. 教育和留住来自肯塔基州阿巴拉契亚农村地区以癌症为重点的生物医学人才:体验式学习和奖学金资助的影响。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-10 DOI: 10.1007/s13187-024-02520-y
Lauren Hudson Rose, Holly Burke, Nathan L Vanderford

Kentucky postsecondary education levels are significantly below the national level, with lower levels in the Appalachian region of the state. Health disparities, including high cancer incidence and mortality, make educating and retaining students from the region a priority. The Appalachian Career Training in Oncology (ACTION) program offers cancer-related experiential opportunities and scholarships to Appalachian students. This study examines the ACTION program and its scholarship impact on undergraduate and professional school students' decisions to attend the University of Kentucky, pursue a career in science/medicine, and pay for schooling. Thirty-three ACTION participants and alumni received scholarships through a need-based application process in academic years 2023-2024 and 2024-2025. All students receiving the scholarship were asked to complete a REDCap survey. The survey evaluated both quantitative and qualitative variables, such as the impact of various factors on college decision, the influence of ACTION programs on career choice, and the effect of ACTION scholarship on financial burden. The two most influential factors affecting students' college choice are finances and experiential opportunities. Students in both the high school and undergraduate programs said their experiences significantly encouraged them to attend the University of Kentucky and pursue a career in science/medicine. Although the scholarship did not eliminate financial concerns, it lessened the burden. The ACTION program and scholarship encouraged Appalachian Kentucky students to attend the University of Kentucky and ameliorated financial concerns. This research demonstrates the program's positive impact on rural, Appalachian students and provides evidence for similar programs that may benefit underserved communities.

肯塔基州的中学后教育水平明显低于全国水平,该州阿巴拉契亚地区的水平更低。健康方面的差异,包括癌症发病率和死亡率高,使得教育和留住该地区的学生成为当务之急。阿巴拉契亚肿瘤学职业培训(ACTION)计划为阿巴拉契亚学生提供与癌症相关的体验机会和奖学金。本研究探讨了 ACTION 计划及其奖学金对本科生和专科生决定就读肯塔基大学、从事科学/医学职业以及支付学费的影响。在 2023-2024 学年和 2024-2025 学年,33 名 ACTION 计划参与者和校友通过基于需求的申请程序获得了奖学金。所有获得奖学金的学生都被要求完成一份 REDCap 调查。调查评估了定量和定性变量,如各种因素对大学决定的影响、ACTION 项目对职业选择的影响以及 ACTION 奖学金对经济负担的影响。对学生大学选择影响最大的两个因素是经济和体验机会。高中生和本科生都表示,他们的经历极大地鼓励了他们进入肯塔基大学并从事科学/医学职业。虽然奖学金并不能消除他们在经济上的顾虑,但却减轻了他们的负担。ACTION 计划和奖学金鼓励了阿巴拉契亚肯塔基州的学生就读肯塔基大学,并减轻了他们的经济负担。这项研究表明,该计划对阿巴拉契亚农村地区的学生产生了积极影响,并为可能惠及服务不足社区的类似计划提供了证据。
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引用次数: 0
Cancer Care in Post-Roe America: How Do We Move Forward? 后罗伊时代的美国癌症护理:我们该如何前进?
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-08 DOI: 10.1007/s13187-024-02512-y
Emily Ramonna Smith, Georgia Robins Sadler

In 2022, the Supreme Court overturned Roe v. Wade in the case of Dobbs v. Jackson Women's Health Organization. This ruling ended all federal protections for abortion, consequently reshaping the American healthcare landscape. Two years later, the impacts of this ruling on cancer care remain largely undiscussed. This reflection summarizes a literature review exploring the effects of the Dobbs decision on cancer treatment access in America. Articles were identified using databases such as PubMed, CINAHL, Westlaw Campus Research, Nexis Uni, Google Scholar, and JSTOR. Search terms included cancer, drugs, Methotrexate, access, treatment delays, Roe v. Wade, Dobbs, post-Roe, abortion, abortion-inducing, maternal health, reproductive rights, and limitations. Thirty eligible articles, published in English from 2001 to 2024, were reviewed in full text. The findings of this reflection article highlight the urgent need for the oncology community to understand the potential impact of these changes and work collectively to ensure the equal access to women's cancer care.

2022 年,最高法院在多布斯诉杰克逊妇女健康组织案中推翻了罗伊诉韦德案。这一裁决结束了联邦对堕胎的所有保护,从而重塑了美国的医疗保健格局。两年后,这一裁决对癌症治疗的影响在很大程度上仍未得到讨论。本思考总结了探讨多布斯裁决对美国癌症治疗机会的影响的文献综述。文章通过 PubMed、CINAHL、Westlaw Campus Research、Nexis Uni、Google Scholar 和 JSTOR 等数据库进行检索。搜索关键词包括癌症、药物、甲氨蝶呤、获取、治疗延迟、罗诉韦德案、多布斯案、后罗案、堕胎、诱导堕胎、孕产妇健康、生殖权利和限制。我们对 2001 年至 2024 年期间发表的 30 篇符合条件的英文文章进行了全文审阅。这篇反思文章的研究结果突出表明,肿瘤学界迫切需要了解这些变化的潜在影响,并共同努力确保妇女能够平等地获得癌症治疗。
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引用次数: 0
The Implementation of a MOOC-Based Flipped Classroom Teaching Method in the Context of Oncology Radiotherapy Residency Training. 在肿瘤放疗住院医师培训中实施基于 MOOC 的翻转课堂教学法。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-06 DOI: 10.1007/s13187-024-02513-x
De-Yang Yu, Lin Zhang, Ya-Li Li, Tian Lan, Li-Na Gu, Shan-Shan Yang

The objective of this study is to examine the efficacy of the flipped classroom blended teaching method in the context of massive open online courses (MOOCs) for implementing standardized training and teaching of residents in oncology radiotherapy. A total of 48 junior residents who received standardized training at the Oncology Radiology Department of Harbin Medical University Cancer Hospital between September 2021 and August 2023 were randomly divided into two groups-i.e., the research group (24 cases) and the control group (24 cases)-using the random number table method. The control group received conventional didactic training, whereas the research group participated in a blended learning approach based on the MOOC model. The assessment results, along with the evaluations of teaching effectiveness, self-learning ability, and teaching satisfaction questionnaires, were observed and compared for the two groups of students. Compared with the control group, the research group presented significantly higher scores on theoretical foundations, skill operation, and case analysis (P < 0.05). The research group also showed greater outcomes than the control group in terms of improved theoretical knowledge, problem-solving skills, self-learning ability, teamwork, and communication (P < 0.05). The students in the research group presented significantly higher scores on measures of self-motivation beliefs, task analysis, self-monitoring and adjustment, and self-evaluation than those in the control group (P < 0.05). The research group also demonstrated significantly higher levels of satisfaction than the control group in terms of improvements in learning interest and initiative, clinical thinking ability, problem-solving ability, team cooperation ability, and the level of radiotherapy target delineation (P < 0.05). The implementation of MOOC-based flipped classroom blended teaching was shown to have positive effects on the standardized training and teaching of residents in the field of oncology radiotherapy. This approach can undoubtedly enhance students' academic performance, problem-solving abilities, and self-learning aptitudes while effectively stimulating their learning interests and initiative. Therefore, MOOC-based flipped classroom blended teaching is a valuable candidate for clinical application and promotion.

本研究旨在探讨大规模开放在线课程(MOOCs)背景下的翻转课堂混合教学法在实施肿瘤放疗住院医师规范化培训教学中的效果。本研究采用随机数字表法将2021年9月至2023年8月期间在哈尔滨医科大学附属肿瘤医院肿瘤放射科接受规范化培训的48名初级住院医师随机分为两组,即研究组(24例)和对照组(24例)。对照组接受传统的说教式培训,而研究组则参加基于 MOOC 模式的混合式学习。对两组学生的考核结果、教学效果评价、自学能力评价和教学满意度问卷进行了观察和比较。与对照组相比,研究组在理论基础、技能操作和案例分析方面的得分明显更高(P
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引用次数: 0
Perspectives of an NCI T32 Training Program Designed to Train a Diverse Workforce in Cancer Health Equity Research. 美国国家癌症研究所(NCI)T32 培训计划的视角,该计划旨在培训癌症健康公平研究领域的多元化人才。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-04 DOI: 10.1007/s13187-024-02514-w
Mackenzie A Ferguson, Lisa Tussing Humphreys, Ifeanyi Beverly Chukwudozie, Margaret E Wright, Caryn E Peterson, Marian L Fitzgibbon, Andrew McLeod

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.

随着美国癌症健康差异的增加,人们越来越需要新的方法来应对这些挑战。其中一种有助于解决这些差异的方法就是增加生物医学研究人员的多样性。癌症健康公平与职业发展计划(CHECDP)就是这种方法的体现,它通过招募和培训在癌症研究领域代表性不足的少数群体,培养他们在独立研究事业中具有竞争力所需的技能和培训,从而实现生物医学研究队伍的多元化。CHECDP 所采用的培训模式是独一无二的,它通过 NCI 培训机制获得资金,拥有强大的机构支持,课程由参与者驱动。课程包括教育、职业和领导机会,并不断进行评估,以产生持续影响。该计划主要由代表性不足的少数族裔组成,他们通过获得高比例的职业发展资助奖,走上了独立的职业生涯。我们的 T32 计划为其他寻求生物医学研究人员多样化和减少癌症健康差异的计划树立了成功典范。
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引用次数: 0
When is good, good enough? On considerations of machine translation in patient education. 什么时候才算好?关于病人教育中机器翻译的考虑。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-01 Epub Date: 2024-01-23 DOI: 10.1007/s13187-024-02401-4
Mohamed Ugas, Meredith Giuliani, Janet Papadakos
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引用次数: 0
NCI's Center for Cancer Training Works to Empower Early Career Cancer Investigators at the NCI and Across the USA with Programs, Grants, and More. NCI的癌症培训中心(Center for Cancer Training)致力于通过各种计划、赠款和更多活动增强NCI和全美癌症研究人员的能力。
IF 1.4 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-10-01 DOI: 10.1007/s13187-024-02483-0
Oliver Bogler
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引用次数: 0
期刊
Journal of Cancer Education
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