Skip to main content
Erschienen in: Journal of Cancer Education 1/2018

22.08.2016

Impact of a 2-Week Oncology Placement on Medical Students’ Perception of Cancer

verfasst von: Jonathan Mayes, Simon Davies, Andrew Harris, Emma Wray, Graham G. Dark

Erschienen in: Journal of Cancer Education | Ausgabe 1/2018

Einloggen, um Zugang zu erhalten

Abstract

Statistics show that more than one in two people born after 1960 in the UK will develop cancer during their lifetime. However, a 2013 study found that only 36 % of UK medical schools offer dedicated clinical teaching in oncology. The aim of this study was to assess the views of medical students on five domains of oncology before and after their first clinical placement, to assess the impact, and to obtain students’ views on the oncology curriculum. A 28-item questionnaire was developed to compare responses before and after the students’ first 2-week clinical placement, and impact was measured as a positive or negative deviation from a baseline response. Students were asked about their career intentions and to evaluate their received teaching. Thirty-six (80 %) students responded to the questionnaire. The largest areas of change were identified in students’ confidence in breaking bad news, recognising red flag symptoms, and awareness of the complications of cancer management. Following their placement, 19 students said they would consider a career in oncology, 14 said they would not, and 2 were undecided. Students stated that Maggie’s Centre, a patient support facility, was the most useful learning experience. The evidence demonstrates that all students should experience oncology in a variety of settings to aid their learning. Student feedback and perception can help to guide and shape medical teaching.
Literatur
1.
Zurück zum Zitat Ahmad AS, Ormiston-Smith N, Sasieni PD (2015) Trends in the lifetime risk of developing cancer in Great Britain: comparison of risk for those born from 1930 to 1960. Br J Cancer 112(5):943–947CrossRefPubMedPubMedCentral Ahmad AS, Ormiston-Smith N, Sasieni PD (2015) Trends in the lifetime risk of developing cancer in Great Britain: comparison of risk for those born from 1930 to 1960. Br J Cancer 112(5):943–947CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Anonymous (1988) The Edinburgh Declaration. Lancet 322(8608):464–466 Anonymous (1988) The Edinburgh Declaration. Lancet 322(8608):464–466
3.
Zurück zum Zitat Ravaud A, Hœrni B, Bécouarn Y, Lagarde P, Soubeyran P, Bonichon F (1991) A survey in general practice about undergraduate cancer education: results from Gironde (France). J Cancer Educ 6(3):153–157CrossRefPubMed Ravaud A, Hœrni B, Bécouarn Y, Lagarde P, Soubeyran P, Bonichon F (1991) A survey in general practice about undergraduate cancer education: results from Gironde (France). J Cancer Educ 6(3):153–157CrossRefPubMed
4.
Zurück zum Zitat Peckham M (1989) A curriculum in oncology for medical students in Europe. Acta Oncologica (Stockholm, Sweden) 28(1):141–147CrossRef Peckham M (1989) A curriculum in oncology for medical students in Europe. Acta Oncologica (Stockholm, Sweden) 28(1):141–147CrossRef
5.
Zurück zum Zitat Brincker H (1988) Undergraduate oncology education in Scandinavia. Journal of Cancer Education: the official journal of the American Association for Cancer Education. 3(2):97–101CrossRef Brincker H (1988) Undergraduate oncology education in Scandinavia. Journal of Cancer Education: the official journal of the American Association for Cancer Education. 3(2):97–101CrossRef
6.
Zurück zum Zitat Tattersall MHN, Langlands AO, Smith W, Irwig L (1993) Undergraduate education about cancer. A survey of clinical oncologists and clinicians responsible for cancer teaching in Australian medical schools. Eur J Cancer 29(11):1639–1642CrossRef Tattersall MHN, Langlands AO, Smith W, Irwig L (1993) Undergraduate education about cancer. A survey of clinical oncologists and clinicians responsible for cancer teaching in Australian medical schools. Eur J Cancer 29(11):1639–1642CrossRef
7.
Zurück zum Zitat Jazieh AR, Henle K, Deloney LA, Savidge M, Fulper-Smith M, Nicholas R (2001) The impact of a cancer education program on the knowledge base of participating students. Journal of Cancer Education: the official journal of the American Association for Cancer Education. 16(1):8–11 Jazieh AR, Henle K, Deloney LA, Savidge M, Fulper-Smith M, Nicholas R (2001) The impact of a cancer education program on the knowledge base of participating students. Journal of Cancer Education: the official journal of the American Association for Cancer Education. 16(1):8–11
8.
Zurück zum Zitat Barton MB, Simons RG (1999) A survey of cancer curricula in Australian and New Zealand medical schools in 1997. Oncology Education Committee of the Australian Cancer Society. The Medical Journal of Australia. 170(5):225–227PubMed Barton MB, Simons RG (1999) A survey of cancer curricula in Australian and New Zealand medical schools in 1997. Oncology Education Committee of the Australian Cancer Society. The Medical Journal of Australia. 170(5):225–227PubMed
9.
Zurück zum Zitat Barton MB, Tattersall MH, Butow PN, Crossing S, Jamrozik K, Jalaludin B, et al. (2003) Cancer knowledge and skills of interns in Australia and New Zealand in 2001: comparison with 1990, and between course types. The Medical Journal of Australia. 178(6):285–289PubMed Barton MB, Tattersall MH, Butow PN, Crossing S, Jamrozik K, Jalaludin B, et al. (2003) Cancer knowledge and skills of interns in Australia and New Zealand in 2001: comparison with 1990, and between course types. The Medical Journal of Australia. 178(6):285–289PubMed
10.
Zurück zum Zitat Biswal BM, Zakaria A, Baba AA, Ja’afar R (2004) Assessment of knowledge, attitude and exposure to oncology and palliative care in undergraduate medical students. The Medical Journal of Malaysia 59(1):78–83 Biswal BM, Zakaria A, Baba AA, Ja’afar R (2004) Assessment of knowledge, attitude and exposure to oncology and palliative care in undergraduate medical students. The Medical Journal of Malaysia 59(1):78–83
11.
Zurück zum Zitat Bender W, Haagedoorn E, Oldhoff J. Cancer Education in Europe according to Medical Faculty and Medical Students. Report, Second WHO/UICC Survey on Undergraduate Medical Cancer Education in Europe (1991/1992). WHO Collaborating Centre for Cancer Education; Groningen, the Netherlands 1993 Bender W, Haagedoorn E, Oldhoff J. Cancer Education in Europe according to Medical Faculty and Medical Students. Report, Second WHO/UICC Survey on Undergraduate Medical Cancer Education in Europe (1991/1992). WHO Collaborating Centre for Cancer Education; Groningen, the Netherlands 1993
12.
Zurück zum Zitat Bakemeier RF (1981) Cancer education objectives for medical schools. Med Pediatr Oncol 9(6):585–633CrossRefPubMed Bakemeier RF (1981) Cancer education objectives for medical schools. Med Pediatr Oncol 9(6):585–633CrossRefPubMed
13.
Zurück zum Zitat Cellerino R, Graziano F, Piga A, Ghetti V (1993) The teaching of clinical oncology in Italian medical schools. A survey among teachers and students. Annals of Oncology: official journal of the European Society for Medical Oncology/ESMO 4(9):717–721CrossRef Cellerino R, Graziano F, Piga A, Ghetti V (1993) The teaching of clinical oncology in Italian medical schools. A survey among teachers and students. Annals of Oncology: official journal of the European Society for Medical Oncology/ESMO 4(9):717–721CrossRef
14.
Zurück zum Zitat Cave J, Woolf K, Dacre J, Potts HWW, Jones A (2007) Medical student teaching in the UK: how well are newly qualified doctors prepared for their role caring for patients with cancer in hospital? Br J Cancer 97(4):472–478CrossRefPubMedPubMedCentral Cave J, Woolf K, Dacre J, Potts HWW, Jones A (2007) Medical student teaching in the UK: how well are newly qualified doctors prepared for their role caring for patients with cancer in hospital? Br J Cancer 97(4):472–478CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Glaser B, Strauss A. Grounded theory: the discovery of grounded theory: de Gruyter; 1967 Glaser B, Strauss A. Grounded theory: the discovery of grounded theory: de Gruyter; 1967
16.
Zurück zum Zitat Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O (2004) Diffusion of innovations in service organizations: systematic review and recommendations. The Milbank Quarterly 82(4):581–629CrossRefPubMedPubMedCentral Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O (2004) Diffusion of innovations in service organizations: systematic review and recommendations. The Milbank Quarterly 82(4):581–629CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Payne S, Burke D, Mansi J, Jones A, Norton A, Joffe J, et al. (2013) Discordance between cancer prevalence and training: a need for an increase in oncology education. Clinical Medicine (London, England) 13(1):50–56CrossRef Payne S, Burke D, Mansi J, Jones A, Norton A, Joffe J, et al. (2013) Discordance between cancer prevalence and training: a need for an increase in oncology education. Clinical Medicine (London, England) 13(1):50–56CrossRef
18.
Zurück zum Zitat (UICC) IUAc. Cancer education for undergraduate medical students: curricula from around the world. In: Robinson E, Sherman C, Love R, eds.; Geneva, Switzerland 1994 (UICC) IUAc. Cancer education for undergraduate medical students: curricula from around the world. In: Robinson E, Sherman C, Love R, eds.; Geneva, Switzerland 1994
19.
Zurück zum Zitat Tattersall MH, Langlands AO (1993) Oncology curricula in Australia. The Medical Journal of Australia 158(4):224–225PubMed Tattersall MH, Langlands AO (1993) Oncology curricula in Australia. The Medical Journal of Australia 158(4):224–225PubMed
20.
Zurück zum Zitat Zapka JG, Luckmann R, Sulsky SI, Goins KV, Bigelow C, Mazor K, et al. (2000) Cancer control knowledge, attitudes, and perceived skills among medical students. Journal of Cancer Education: the official journal of the American Association for Cancer Education 15(2):73–78 Zapka JG, Luckmann R, Sulsky SI, Goins KV, Bigelow C, Mazor K, et al. (2000) Cancer control knowledge, attitudes, and perceived skills among medical students. Journal of Cancer Education: the official journal of the American Association for Cancer Education 15(2):73–78
21.
Zurück zum Zitat Erikson C, Salsberg E, Forte G, Bruinooge S, Goldstein M (2007) Future supply and demand for oncologists: challenges to assuring access to oncology services. Journal of Oncology Practice/American Society of Clinical Oncology 3(2):79–86CrossRef Erikson C, Salsberg E, Forte G, Bruinooge S, Goldstein M (2007) Future supply and demand for oncologists: challenges to assuring access to oncology services. Journal of Oncology Practice/American Society of Clinical Oncology 3(2):79–86CrossRef
22.
Zurück zum Zitat (HSCIC). HSCIC. NHS Workforce statistics. December 2015, Provisional Statistics. 2015. (HSCIC). HSCIC. NHS Workforce statistics. December 2015, Provisional Statistics. 2015.
23.
Zurück zum Zitat Slevin ML, Nichols SE, Downer SM, Wilson P, Lister TA, Arnott S, et al. (1996) Emotional support for cancer patients: what do patients really want? Br J Cancer 74(8):1275–1279CrossRefPubMedPubMedCentral Slevin ML, Nichols SE, Downer SM, Wilson P, Lister TA, Arnott S, et al. (1996) Emotional support for cancer patients: what do patients really want? Br J Cancer 74(8):1275–1279CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Rehse B, Pukrop R (2003) Effects of psychosocial interventions on quality of life in adult cancer patients: meta analysis of 37 published controlled outcome studies. Patient Educ Couns 50(2):179–186CrossRefPubMed Rehse B, Pukrop R (2003) Effects of psychosocial interventions on quality of life in adult cancer patients: meta analysis of 37 published controlled outcome studies. Patient Educ Couns 50(2):179–186CrossRefPubMed
25.
Zurück zum Zitat de Ridder D, Schreurs K (2001) Developing interventions for chronically ill patients: is coping a helpful concept? Clin Psychol Rev 21(2):205–240CrossRefPubMed de Ridder D, Schreurs K (2001) Developing interventions for chronically ill patients: is coping a helpful concept? Clin Psychol Rev 21(2):205–240CrossRefPubMed
26.
Zurück zum Zitat Campbell HS, Phaneuf MR, Deane K (2004) Cancer peer support programs—do they work? Patient Educ Couns 55(1):3–15CrossRefPubMed Campbell HS, Phaneuf MR, Deane K (2004) Cancer peer support programs—do they work? Patient Educ Couns 55(1):3–15CrossRefPubMed
27.
Zurück zum Zitat Coles C, Felming W, Golding L (2003) Curricula for cancer: a practice focused approach. Cancer Research UK, London Coles C, Felming W, Golding L (2003) Curricula for cancer: a practice focused approach. Cancer Research UK, London
Metadaten
Titel
Impact of a 2-Week Oncology Placement on Medical Students’ Perception of Cancer
verfasst von
Jonathan Mayes
Simon Davies
Andrew Harris
Emma Wray
Graham G. Dark
Publikationsdatum
22.08.2016
Verlag
Springer US
Erschienen in
Journal of Cancer Education / Ausgabe 1/2018
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-016-1101-7

Weitere Artikel der Ausgabe 1/2018

Journal of Cancer Education 1/2018 Zur Ausgabe

Editorial

New Horizons

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

25.04.2024 NSCLC Nachrichten

Das Risiko für Rezidiv oder Tod von Patienten und Patientinnen mit reseziertem ALK-positivem NSCLC ist unter einer adjuvanten Therapie mit dem Tyrosinkinase-Inhibitor Alectinib signifikant geringer als unter platinbasierter Chemotherapie.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.