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de Souza interprofessional practice cancer competency framework

  • Mary Jane EsplenEmail author
  • Jonathan Hunter
  • Christine Maheu
  • Zeev Rosberger
  • Jiahui Wong
  • Patti McGillicuddy
  • Scott Secord
  • Susan Blacker
  • Esther Green
  • Brenda Toner
  • Jane Li
  • Kathleen Dobson
Original Article

Abstract

Purpose

As the demand in cancer care continues to increase, health systems require a workforce of highly educated specialists and generalists to provide continuity of care across settings.

Objectives

Led by de Souza Institute in Canada, an interdisciplinary working group was formed to develop a competency framework with relevance across regulated health professionals involved in cancer care.

Methods

The working group was presented with results from a scoping review of national and international guidelines, standards, and competencies in oncology, as well as data from needs assessments on continuing education opportunities and oncology topics most relevant to clinicians. Fifty-one professionals from, e.g., family medicine, pharmacy, social work, psychology, occupational therapy, and nursing participated in seven focus groups. An additional 32 nurses participated in a nursing-specific needs assessment survey. Using modified Delphi technique, working group members conducted three iterative rounds to review data and built consensus on competency items in relation to three levels of expertise, from early learner/novice practitioner, advancing practitioner, to expert practitioner.

Results

A final consensus was reached for the selection of competencies that reflect optimal cancer care mapped into three levels of expertise, as well as knowledge, skills, and attitudes expected of each level. Examples for the competency for early learner/novice practitioner include the following: Have awareness of common ethical issues in cancer care (knowledge); demonstrate ability to discuss, educate, and counsel patients and their support persons(s) regarding preferences (skills); and appreciate the impact of culture, the sensitivity, and diversity of attitudes in relation to cancer (attitude). Expert practitioner examples include: recognition of need for, and ability to advocate for challenges involving equity and access in order to improve health outcomes (skill) and awareness of workplace complexities, such as provider roles, team functioning, and organizational environments affecting patient-practitioner relationships (attitude).

Conclusion

The de Souza Interprofessional practice cancer competency framework provides a set of shared competencies and a novice to expert pathway for clinicians across disciplines and supports a more standardized learning and comprehensive approach in organizing professional development towards a coordinated, high quality, and person-centered care.

Keywords

Oncology Interprofessional practice Competencies and standards Educational framework Quality of care 

Notes

Acknowledgements

We would like to acknowledge contributions by all external experts and stakeholders who reviewed the framework; and to physicians in the working group Dr. Pamela Catton, Dr. Kim Miller, and Dr. Caroline Gerin-Lajoie.

Funding information

Funding was provided by the Ontario Ministry of Health and Long term Care.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

The authors have full control of all primary data and agree to allow the journal to review their data if requested.

Supplementary material

520_2019_4823_MOESM1_ESM.docx (165 kb)
ESM 1 (DOCX 165 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Mary Jane Esplen
    • 1
    • 2
    • 3
    Email author
  • Jonathan Hunter
    • 4
  • Christine Maheu
    • 5
  • Zeev Rosberger
    • 6
    • 7
  • Jiahui Wong
    • 8
  • Patti McGillicuddy
    • 9
  • Scott Secord
    • 10
  • Susan Blacker
    • 11
  • Esther Green
    • 12
  • Brenda Toner
    • 13
  • Jane Li
    • 3
  • Kathleen Dobson
    • 14
  1. 1.Department of Psychiatry, Faculty of MedicineUniversity of TorontoTorontoCanada
  2. 2.Princess Margaret Cancer CentreTorontoCanada
  3. 3.de Souza InstituteUniversity Health NetworkTorontoCanada
  4. 4.Department of Psychiatry, Faculty of MedicineUniversity of Toronto, Sinai Health SystemTorontoCanada
  5. 5.Ingram School of NursingMcGill UniversityMontréalCanada
  6. 6.Lady Davis Institute for Medical ResearchMontréalCanada
  7. 7.Departments of Psychology, Oncology & PsychiatryMcGill UniversityMontréalCanada
  8. 8.Department of Psychiatry, Faculty of MedicineUniversity of Toronto, de Souza Institute, University Health NetworkTorontoCanada
  9. 9.School of Social WorkUniversity of Toronto, Centre for IPETorontoCanada
  10. 10.Community Addiction and Mental Health Services of Haldimand and Norfolk (CAMHS)TorontoCanada
  11. 11.Cancer and Palliative Program Planning and PerformanceSinai Health SystemTorontoCanada
  12. 12.Nursing and Psychosocial Oncology Cancer Care OntarioTorontoCanada
  13. 13.Department of Psychiatry, Faculty of MedicineUniversity of TorontoTorontoCanada
  14. 14.University of TorontoTorontoCanada

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