Introduction
Methods
Systematic Literature Review
Literature Inclusion and Exclusion Criteria
Search Strategy
Selection of Studies
Data Extraction
Consensus Procedure
Results
Systematic Literature Review
Consensus Procedure
Knowledge competencies | Rated as priority (%) | Skill competencies | Rated as priority (%) | Ability competencies | Rated as priority (%) | |||
---|---|---|---|---|---|---|---|---|
Health professionals working in integrative oncology should | Experts | SIO members | Health professionals working in integrative oncology should | Experts | SIO members | Health professionals working in integrative oncology should | Experts | SIO members |
Have general knowledge about evidence-based medicine | 96.4 | 100 | Provide evidence-based and balanced CM information | 96.7 | 100 | Respect individual, cultural, and ethnic differences in the understanding and implementation of integrative oncology | 96.4 | 100 |
Know how to access and appraise the scientific literature on complementary medicine (CM) | 100 | 96.5 | Stay up-to-date with CM information | 100 | 98.2 | Appreciate a patient-centered, whole person approach | 100 | 100 |
Demonstrate the understanding of the basics of history, theory, and mechanisms of common CM therapies | 96.4 | 93.0 | Provide reputable websites and other information or resources on CM | 100 | 100 | Be empathic, non-judgmental, open minded attentive, and self-aware and respect patients’ beliefs | 100 | 100 |
demonstrate the understanding of safety/effectiveness, interaction profiles, and contraindications of common CM therapies | 100 | 98.2 | Assist patients to make a decision | 92.9 | 93 | Establish rapport and form a therapeutic partnership with patient | 100 | 100 |
Understand the major cancer treatment modalities (surgery, chemotherapy, radiotherapy, endocrine, and biological therapy) | 100 | 91.2 | Identify, understand, and contextualize relevant information on CM | 96.4 | 98.2 | Identify one’s own knowledge deficiency and know where to find help | 100 | 98.2 |
List common symptoms associated with cancer | 100 | 94.7 | Master the principles and practices of communication, which means an empathic, open, trustful communication that follows common recommendations of communication with cancer patients | 100 | 96.5 | Pursue lifelong learning and continuous self-improvement | 100 | 96.5 |
List common side effects of cancer treatment | 100 | 94.7 | Engage with patients (and caregivers) to build resilience and resources to best empower patients during cancer treatment | 100 | 96.5 | Respect the strengths and limitations of applying evidence-based medicine principles to the circumstances of an individual patient | 100 | 100 |
Describe the cancer care continuum | 100 | 94.7 | Inquire about patients’ use of CM and their motives | 100 | 93.0 | Be able to obtain key information regarding the patient’s cancer history: type of cancer, types of previous treatments (surgery, chemotherapy, radiation, endocrine, targeted therapy), current disease stage, and current treatment | 92.9 | 92.9 |
Discuss the psycho-social-cultural context of cancer care | 100 | 96.5 | Work in an interprofessional team | 100 | 96.5 | Help patient understand the risks and benefits of evidence-based CM approaches so that they may choose care that aligns with their values and goals | 96.4 | 98.2 |
Discuss the distinction between the terms “healing” and “curing” | 96.4 | 96.5 | Understand patients, the problems patients face, and their needs | 100 | 98.2 | |||
Have knowledge and or ability to obtain information about services/providers’ quality assurance, licensing government regulation, and reimbursement of CM | 100 | 91.2 | Identify CM providers for a patient | 89.3 | 94.7 | |||
adequately document interventions and patients’ response to them | 100 | 94.7 | ||||||
Use appropriate medical terminology | 96.4 | 94.7 | ||||||
Assess patients’ psycho-social-cultural environment and identify barriers to proper care | 100 | 95.7 | ||||||
Implement a personal self-care strategy (may include nutrition awareness, self-regulatory techniques, exercise, journaling, creative arts, spirituality, mind body skills, etc.) | 100 | 96.5 | ||||||
Discuss CIM in the context of different types of cancer | 92.8 | 93.0 | ||||||
Be able to obtain information about cancer pathogenesis, the general course of the disease, and treatment outcomes of common cancers | 92.8 | 93.0 |