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From Cancer Patient to Cancer Survivor: Lost in Transition
its 2005 annual meeting, ASCO examined prevention strategies for survivors at high risk for second cancers. ASCO also has a series of continuing education publications that are related to survivorship, for example, “Optimizing Cancer Care: The Importance of Symptom Management” and “Cancer Care in the Older Population” (ASCO, 2005d).
Primary care A comprehensive review of cancer survivorship is available through an American Academy of Family Physicians (AAFP) Home Study Self-Assessment monograph (Hamblin and Schifeling, 2001).6 The following areas are covered in this 60-page monograph:
Risk of recurrence or second malignancy
Follow-up regimens for breast, colorectal, prostate, acute leukemia, lymphoma
Late effects of treatment
Evaluation of common problems in survivors, such as depression and anxiety, sexual dysfunction
Diet, physical exercise, tobacco
Complementary and alternative medicines
Disability, discrimination, and related issues
Approximately 6,200 physicians received this monograph in May 2001 as part of their subscription to the Home Study Self-Assessment program, but there are no plans for any other distribution (Personal communication, P. Dove, AAFP, March 9, 2005).
One state-based continuing education project directed at primary care providers is noteworthy: the development of a CME module on surveillance of cancer patients by the Physician Oncology Education Program (POEP) with support from the Texas Cancer Council. The module was first developed in 1999 as a slide set and short booklet describing the role of the primary care physician in caring for cancer patients following diagnosis and treatment (POEP, 1999). The POEP plans to revise the module as part of a web-based online CME program with support from a Small Business Innovation Research (SBIR) grant from NCI (Personal communication, G. Weiss, MD, POEP, April 22, 2004).
The American College of Physicians (ACP) has 48 online clinical problem-solving cases that provide CME credits upon their completion.
The monograph contains pre-and post-test forms, and the user is qualified for up to five Category I CME credits.