•  Graduate education programs for oncology clinicians, primary care practitioners, nurses, social workers, and psychologists should evaluate their capacity to incorporate a core curriculum in psychooncology in their overall curriculum taught by an adequately trained faculty in psycho-oncology and to include relevant questions in examination requirements.

From Cancer Patient to Cancer Survivor: Lost in Transition (IOM and NRC, 2006)

Recommendation 7 The National Cancer Institute (NCI), professional associations, and voluntary organizations should expand and coordinate their efforts to provide educational opportunities to health care providers to equip them to address the health care and quality of life issues facing cancer survivors.
(The text below follows the recommendation):
Immediate steps to facilitate the development of programs include:

•  Establish a clearinghouse of available sources of survivorship education and training (and guidelines), with opportunity for feedback.

•  Appoint an interdisciplinary consortium to review available resources, identify promising approaches, develop new programs, and promote cost-effective approaches.

•  Increase support of model formal training programs (undergraduate and graduate levels, continuing medical education) that could be adopted by others.

By specialty:

1. Add more survivorship-related CME:

•  The American Board of Medical Specialties’ new program, “Maintenance of Certification,” will require continuous assurance of professional skills for board-certified physicians. The development of a model on cancer survivorship as part of this program could facilitate the assurance of competence for these and other specialty providers.

2. Improve online survivorship information aimed at health care providers:

•  Expand physician data query to include more information on survivorship care.

•  Centralize survivorship guidelines online.

•  Encourage the development and adoption of evidence-based guidelines.

•  Ease finding survivorship-related guidelines included in the AHRQ-sponsored guideline clearinghouse (e.g., add the term survivorship to the search engine to pick up surveillance guidelines for cancer).

3. Expand training opportunities to promote interdisciplinary shared care.

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