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Devising the Optimal Preclinical Oncology Curriculum for Undergraduate Medical Students in the United States

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Abstract

A third of women and a near majority of men in the United States will be diagnosed with cancer in their lifetimes. To prepare future physicians for this reality, we have developed a preclinical oncology curriculum that introduces second-year medical students to essential concepts and practices in oncology to improve their abilities to appropriately care for these patients. We surveyed the oncology and education literature and compiled subjects important to students' education including basic science and clinical aspects of oncology and addressing patients' psychosocial needs. Along with the proposed curriculum content, scheduling, independent learning exercises, and case studies, we discuss practical considerations for curriculum implementation based on experience at our institution. Given the changing oncology healthcare landscape, all (new) physicians must competently address their cancer patients' needs, regardless of chosen specialty. A thorough and logically organized cancer curriculum for preclinical medical students should help achieve these aims. This new model curriculum, with accompanying strategies to evaluate its efforts, is essential to update how medical students are educated about cancer.

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References

  1. American Cancer Society (2012) Cancer facts and figures 2012. American Cancer Society, Atlanta

    Google Scholar 

  2. International Agency for Research on Cancer (2009) World cancer report 2008. World Health Organization, Geneva

    Google Scholar 

  3. Peckham M (1989) A curriculum in oncology for medical students in Europe. Acta Oncol 28(1):141–147

    Article  PubMed  CAS  Google Scholar 

  4. Gaffan J, Dacre J, Jones A (2006) Educating undergraduate medical students about oncology: a literature review. J Clin Oncol 24(12):1932–1939

    Article  PubMed  Google Scholar 

  5. Oncology Education Committee (2007) Ideal oncology curriculum for medical schools. The Cancer Council Australia

  6. Muss HB, Von Roenn J, Damon LE, Deangelis LM, Flaherty LE, Harari PM, Kelly K, Kosty MP, Loscalzo MJ, Mennel R, Mitchell BS, Mortimer JE, Muggia F, Perez EA, Pisters PW, Saltz L, Schapira L, Sparano J (2005) ACCO: ASCO core curriculum outline. J Clin Oncol 23(9):2049–2077

    Article  PubMed  Google Scholar 

  7. Association of American Medical Colleges (AAMC) Curriculum Management Information Tool (CurrMIT) (2011) www.aamc.org/currmit. Accessed November 29, 2011

  8. Barton MB, Bell P, Sabesan S, Koczwara B (2006) What should doctors know about cancer? Undergraduate medical education from a societal perspective. Lancet Oncol 7(7):596–601

    Article  PubMed  Google Scholar 

  9. DeNunzio NJ, Hirsch AE (2011) The need for a standard, systematic oncology curriculum for U.S. medical schools. Acad Med 86(8):921

    Article  PubMed  Google Scholar 

  10. Dajani Z, Geller AC (2008) Cancer prevention education in United States medical schools: how far have we come? J Cancer Educ 23(4):204–208

    Article  PubMed  Google Scholar 

  11. Wilkerson L, Lee M, Hodgson CS (2002) Evaluating curricular effects on medical students' knowledge and self-perceived skills in cancer prevention. Acad Med 77(10 Suppl):S51–53

    Article  PubMed  Google Scholar 

  12. Licensing Committee on Medical Education (2010) Functions and structure of a medical school: standards for accreditation of medical education programs leading to the M.D. degree

  13. Accreditation Council for Graduate Medical Education (2008) Change and improvement in the learning environment. ACGME Bulletin, Chicago

    Google Scholar 

  14. Accreditation Council for Graduate Medical Education (2008) Envisioning the future of "competencies". ACGME Bulletin, Chicago

    Google Scholar 

  15. Geller AC, Prout MN, Miller DR, Siegel B, Sun T, Ockene J, Koh HK (2002) Evaluation of a cancer prevention and detection curriculum for medical students. Prev Med 35(1):78–86

    Article  PubMed  Google Scholar 

  16. Uijtdehaage S, Hauer KE, Stuber M, Go VL, Rajagopalan S, Wilkerson L (2009) Preparedness for caring of cancer survivors: a multi-institutional study of medical students and oncology fellows. J Cancer Educ 24(1):28–32

    Article  PubMed  Google Scholar 

  17. Uijtdehaage S, Hauer KE, Stuber M, Rajagopalan S, Go VL, Wilkerson L (2009) A framework for developing, implementing, and evaluating a cancer survivorship curriculum for medical students. J Gen Intern Med 24(Suppl 2):S491–494

    Article  PubMed  Google Scholar 

  18. Mastoridis S, Kladidis S (2010) Coming soon to a lecture theatre near you: the 'clicker'. Clin Teach 7(2):97–101

    Article  PubMed  Google Scholar 

  19. Rubio EI, Bassignani MJ, White MA, Brant WE (2008) Effect of an audience response system on resident learning and retention of lecture material. AJR Am J Roentgenol 190(6):W319–322

    Article  PubMed  Google Scholar 

  20. Pradhan A, Sparano D, Ananth CV (2005) The influence of an audience response system on knowledge retention: an application to resident education. Am J Obstet Gynecol 193(5):1827–1830

    Article  PubMed  Google Scholar 

  21. Elashvili A, Denehy GE, Dawson DV, Cunningham MA (2008) Evaluation of an audience response system in a preclinical operative dentistry course. J Dent Educ 72(11):1296–1303

    PubMed  Google Scholar 

  22. Newton RU, Galvao DA (2008) Exercise in prevention and management of cancer. Curr Treat Options Oncol 9(2–3):135–146

    Article  PubMed  Google Scholar 

  23. Carlson LE, Bultz BD (2008) Mind–body interventions in oncology. Curr Treat Options Oncol 9(2–3):127–134

    Article  PubMed  Google Scholar 

  24. Chida Y, Hamer M, Wardle J, Steptoe A (2008) Do stress-related psychosocial factors contribute to cancer incidence and survival? Nat Clin Pract Oncol 5(8):466–475

    Article  PubMed  Google Scholar 

  25. Mayer EA (2008) Clinical practice. Irritable bowel syndrome. N Engl J Med 358(16):1692–1699

    Article  PubMed  CAS  Google Scholar 

  26. Kelley AS, Meier DE (2010) Palliative care—a shifting paradigm. N Engl J Med 363(8):781–782

    Article  PubMed  CAS  Google Scholar 

  27. Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, Dahlin CM, Blinderman CD, Jacobsen J, Pirl WF, Billings JA, Lynch TJ (2010) Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 363(8):733–742

    Article  PubMed  CAS  Google Scholar 

  28. Himelstein BP, Hilden JM, Boldt AM, Weissman D (2004) Pediatric palliative care. N Engl J Med 350(17):1752–1762

    Article  PubMed  CAS  Google Scholar 

  29. Hack TF, Degner LF, Parker PA (2005) The communication goals and needs of cancer patients: a review. Psychooncology 14(10):831–845, discussion 846–837

    Article  PubMed  Google Scholar 

  30. Scott JT, Harmsen M, Prictor MJ, Sowden AJ, Watt I (2008) Interventions for improving communication with children and adolescents about their cancer (Review). The Cochrane Library, The Cochrane Collaboration

    Google Scholar 

  31. van der Vleuten CP, Schuwirth LW, Scheele F, Driessen EW, Hodges B (2010) The assessment of professional competence: building blocks for theory development. Best Pract Res Clin Obstet Gynaecol 24(6):703–719

    Article  PubMed  Google Scholar 

  32. Rosenbaum ME, Ferguson KJ, Lobas JG (2004) Teaching medical students and residents skills for delivering bad news: a review of strategies. Acad Med 79(2):107–117

    Article  PubMed  Google Scholar 

  33. Colletti L, Gruppen L, Barclay M, Stern D (2001) Teaching students to break bad news. Am J Surg 182(1):20–23

    Article  PubMed  CAS  Google Scholar 

  34. Fleissig A, Jenkins V, Catt S, Fallowfield L (2006) Multidisciplinary teams in cancer care: are they effective in the UK? Lancet Oncol 7(11):935–943

    Article  PubMed  Google Scholar 

  35. Stillman MD (2008) Physicians behaving badly. JAMA 300(1):21–22

    Article  PubMed  CAS  Google Scholar 

  36. Walsh CO, Ziniel SI, Delichatsios HK, Ludwig DS (2011) Nutrition attitudes and knowledge in medical students after completion of an integrated nutrition curriculum compared to a dedicated nutrition curriculum: a quasi-experimental study. BMC Med Educ 11:58

    Article  PubMed  Google Scholar 

  37. Dennis KE, Duncan G (2010) Radiation oncology in undergraduate medical education: a literature review. Int J Radiat Oncol Biol Phys 76(3):649–655

    Article  PubMed  Google Scholar 

  38. DeNunzio N, Parekh A, Hirsch AE (2010) Mentoring medical students in radiation oncology. J Am Coll Radiol 7(9):722–728

    Article  PubMed  Google Scholar 

  39. Perez C, Brady L (eds) (2007) Principles and practice of radiation oncology, 5th edn. Lippincott-Raven, Philadelphia

    Google Scholar 

  40. Hirsch AE, Singh D, Ozonoff A, Slanetz PJ (2007) Educating medical students about radiation oncology: initial results of the oncology education initiative. J Am Coll Radiol 4(10):711–715

    Article  PubMed  Google Scholar 

  41. Muller JH, Jain S, Loeser H, Irby DM (2008) Lessons learned about integrating a medical school curriculum: perceptions of students, faculty and curriculum leaders. Med Educ 42(8):778–785

    Article  PubMed  Google Scholar 

  42. Vidic B, Weitlauf HM (2002) Horizontal and vertical integration of academic disciplines in the medical school curriculum. Clin Anat 15(3):233–235

    Article  PubMed  Google Scholar 

  43. Hoffman K, Hosokawa M, Blake R Jr, Headrick L, Johnson G (2006) Problem-based learning outcomes: ten years of experience at the University of Missouri-Columbia School of Medicine. Acad Med 81(7):617–625

    Article  PubMed  Google Scholar 

  44. Koczwara B, Tattersall MH, Barton MB, Coventry BJ, Dewar JM, Millar JL, Olver IN, Schwarz MA, Starmer DL, Turner DR, Stockler MR (2005) Achieving equal standards in medical student education: is a national exit examination the answer? Med J Aust 182(5):228–230

    PubMed  Google Scholar 

  45. National Board of Medical Examiners (2010) Students — Subject Examinations. http://www.nbme.org/students/SubExam/subexams.html. Accessed January 3, 2011

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Acknowledgments

The authors would like to thank Dean Karen Antman for thoughtful and critical review of this manuscript. This work is supported, in part, by a Varian Medical Systems/Radiological Society of North America Education Seed Grant.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiation Oncology, Boston University School of Medicine, 830 Harrison Avenue, Moakley Building – LL, Boston, MA, 02118, USA

    Nicholas J. DeNunzio, Roxane Handal, Ankit Agarwal, Divya Ahuja & Ariel E. Hirsch

  2. Department of Pathology and Laboratory Medicine, Boston University School of Medicine, 715 E. Concord Street, Boston, MA, 02118, USA

    Lija Joseph

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  1. Nicholas J. DeNunzio
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  2. Lija Joseph
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  3. Roxane Handal
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  4. Ankit Agarwal
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  5. Divya Ahuja
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  6. Ariel E. Hirsch
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Correspondence to Ariel E. Hirsch.

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DeNunzio, N.J., Joseph, L., Handal, R. et al. Devising the Optimal Preclinical Oncology Curriculum for Undergraduate Medical Students in the United States. J Canc Educ 28, 228–236 (2013). https://doi.org/10.1007/s13187-012-0442-0

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