Participatory evaluation of the continuing education program in early detection of breast cancer

Authors

DOI: https://doi.org/10.6018/edumed.488041
Keywords: Early Detection of Cancer, Breast Neoplasms, Education, Program Evaluation

Abstract

Continuing education programs in early detection of cancer are a useful and necessary tool for the acquisition of knowledge, competencies, and skills required by health professionals. In Colombia, there are shortcomings in the training of professionals in these areas, resulting in a lack of standardization of techniques and procedures, and inadequate unification of criteria for diagnosis and therapeutic patient management. This study sought to evaluate the continuing education program in early detection of breast cancer implemented by the National Cancer Institute of Colombia between 2016 and 2018. A concurrent mixed methodology study was conducted, with descriptive analytical design, based on a documentary analysis, semi-structured interviews, analysis of satisfaction surveys, and pretest and posttest exams. A non-probability convenience sampling was performed; the selected population consisted of subjects involved in the program (trained professionals, trainers, creators) between 2016 and 2018. Among the results, the level of satisfaction with the course was found to be 97.5%, highlighting the methodology based on active learning, competency-based education, the relevance of the topics addressed, the use of anatomical silicone models, and the expertise of trainers. Statistically significant differences were found after the educational intervention (V=439; p=0.001). Economic, administrative, and dissemination barriers were evidenced. In addition, it was suggested to implement the course in a systematic way, increasing its coverage, dissemination, and training time, as well as to offer internships with patients. The study concludes that the implementation of continuing education programs among health professionals are a useful and necessary tool for the acquisition of basic skills in early cancer detection and must have a defined and organized structure in accordance with existing programs and public policies in the country.

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References

Global Cancer Observatory [Sitio de internet]. 2020. [Consultado 2021 may 2] Disponible en: https://gco.iarc.fr/today/data/factsheets/populations/170-colombia-fact-sheets.pdf

Villarreal-Garza C, García-Aceituno L, Villa AR, Perfecto-Arroyo M, Rojas-Flores M, León-Rodríguez E. Knowledge About Cancer Screening Among Medical Students and Internal Medicine Residents in Mexico City. J Cancer Educ 2010;25(4):624-631. https://doi.org/10.1007/s13187-010-0098-6

Sundmacher L, Busse R. The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis. Health Policy Educ 2011;103(1):53-62. https://www.sciencedirect.com/science/article/pii/S0168851011001618

Wisner C, Salazar L, Puerto D, Cotes J. Programa de educación continua para profesionales en salud para la prevención y detección temprana del cáncer en Colombia. Experiencia del Instituto Nacional de Cancerología. Rev Monit Estrateg Supt Nac Salud 2013;4:78-83. https://docs.supersalud.gov.co/PortalWeb/Comunicaciones/MonitorEstrategico/Monitor-Estrategico004-2013.pdf#page=79

Ministerio de Salud y Protección Social, Instituto Nacional de Cancerología. Plan decenal para el control del cáncer en Colombia, 2012-2021. Bogotá, Colombia; 2012. 1-124 p.

Murillo R, Díaz S, Perry F, Poveda C, Piñeros M, Sánchez O, et al. Increased breast cancer screening and downstaging in Colombian women: A randomized trial of opportunistic breast-screening. Int J Cancer 2016;138(3):705-713.

Pace LE, Dusengimana J-MV, Keating NL, Hategekimana V, Rugema V, Bigirimana JB, et al. Impact of Breast Cancer Early Detection Training on Rwandan Health Workers’ Knowledge and Skills. J Glob Oncol 2018;(4):1-10.

Bittencourt L, Scarinci IC. Training community health workers to promote breast cancer screening in Brazil. Health Promot Int 2019;34(1):95-101.

Edwards QT, Seibert D. Pre- and posttest evaluation of a breast cancer risk assessment program for nurse practitioners. J Am Acad Nurse Pract 2010;22(7):376-381.

Karayurt Ö, Gürsoy AA, Taşçı S, Gündoğdu F. Evaluation of the breast cancer train the trainer program for nurses in Turkey. In: Journal of Cancer Education 2010. p. 324-328.

Rick TJ, Deming CM, Helland JR, Hartwig KA. Cancer Training for Frontline Healthcare Providers in Tanzania. J Cancer Educ 2017;34(1):111-115.

Heena H, Durrani S, Riaz M, Alfayyad I, Tabasim R, Parvez G, et al. Knowledge, attitudes, and practices related to breast cancer screening among female health care professionals: A cross sectional study. BMC Womens Health 2019;19(1):1-11.

Fernández-Deaza GP, Villate-Soto SL, Puerto-Jiménez DN. Educación basada en competencias para estudiantes de medicina sobre la prevención y detección temprana del cáncer. Educ Medica 2017;18(4):270-275. http://dx.doi.org/10.1016/j.edumed.2016.11.011

González-Robledo MC, González-Robledo LM, Caballero M, Aguilar-Martínez ME. Formación de médicos y enfermeras para la detección temprana del cáncer de mama en México. Rev Salud Publica 2011;13(6):966-979.

Toftegaard BS, Bro F, Falborg AZ, Vedsted P. Impact of continuing medical education in cancer diagnosis on GP knowledge, attitude and readiness to investigate - A before-after study. BMC Fam Pract 2016;17(1):1-10. http://dx.doi.org/10.1186/s12875-016-0496-x

Ceber E, Turk M, Ciceklioglu M. The effects of an educational program on knowledge of breast cancer, early detection practices and health beliefs of nurses and midwives. J Clin Nurs 2010;19(15-16):2363-2371.

Bell RA, McDermott H, Fancher TL, Green MJ, Day FC, Wilkes MS. Impact of a randomized controlled educational trial to improve physician practice behaviors around screening for inherited breast cancer. J Gen Intern Med 2015;30(3):334-341.

Alipour S, Jannat F, Hosseini L. Teaching breast cancer screening via text messages as part of continuing education for working nurses: A case-control study. Asian Pacific J Cancer Prev 2014;15(14):5607-5609.

Heydari E, Noroozi A. Comparison of two different educational methods for teachers’ mammography based on the health belief model. Asian Pacific J Cancer Prev 2015;16(16):6981-6986.

Brownson RC, Ballew P, Kittur ND, Elliott MB, Haire-Joshu D, Krebill H, et al. Developing competencies for training practitioners in evidence-based cancer control. J Cancer Educ 2009;24(3):186-193.

Magaña-Valladares L, González-Robledo MC, Rosas-Magallanes C, Mejía-Arias MÁ, Arreola-Ornelas H, Knaul FM. Training primary health professionals in breast cancer prevention: Evidence and experience from Mexico. J Cancer Educ 2018;33(1):160-166.

Albeshan SM, Hossain SZ, Mackey MG, Brennan PC. Can Breast Self-examination and Clinical Breast Examination Along With Increasing Breast Awareness Facilitate Earlier Detection of Breast Cancer in Populations With Advanced Stages at Diagnosis? Clin Breast Cancer 2020;In press:1–7. https://doi.org/10.1016/j.clbc.2020.02.001

Madan AK, Aliabadi-Wahle S, Babbo AM, Posner M, Beech DJ. Education of medical students in clinical breast examination during surgical clerkship. Am J Surg 2002;184(6):637-641.

Iannotti RJ, Finney LJ, Sander AA, De Leon JM. Effect of clinical breast examination training on practitioner’s perceived competence. Cancer Detect Prev 2002;26(2):146-148.

Angarita FA, Price B, Castelo M, Tawil M, Ayala JC, Torregrossa L. Improving the competency of medical students in clinical breast examination through a standardized simulation and multimedia-based curriculum. Breast Cancer Res Treat 2018;173(2):439-445. http://dx.doi.org/10.1007/s10549-018-4993-6

Steiner E, Austin DF, Prouser NC. Detection and description of small breast masses by residents trained using a standardized clinical breast exam curriculum. J Gen Intern Med 2007;23(2):129-134.

Aribal E, Mora P, Chaturvedi AK, Hertl K, Davidović J, Salama DH, et al. Improvement of early detection of breast cancer through collaborative multi-country efforts: Observational clinical study. Eur J Radiol 2019;115(January):31-38. https://doi.org/10.1016/j.ejrad.2019.03.020

Dixon H, Hordern A, Borland R. The breast cancer distance education program. Cancer Nurs 2001;24(1):44-52.

Basu P, Selmouni F, Belakhel L, Sauvaget C, Abousselham L, Lucas E, et al. Breast Cancer Screening Program in Morocco: Status of implementation, organization and performance. Int J Cancer 2018;143(12):3273-3280.

Torres E, Richman AR, Schreier AM, Vohra N, Verbanac K. An Evaluation of a Rural Community-Based Breast Education and Navigation Program: Highlights and Lessons Learned. J Cancer Educ 2017;34(2):277-284.

Dietrich AJ, O’Connor GT, Keller A, Carney PA, Levy D, Whaley FS. Cancer: Improving early detection and prevention. A community practice randomised trial. Br Med J 1992;304(6828):687-691.

Published
16-11-2021
How to Cite
Puerto Jimenez, D. N., Fontibón Vanegas, L. F., Calderón, M. L., & Pedraza, X. . (2021). Participatory evaluation of the continuing education program in early detection of breast cancer. Spanish Journal of Medical Education, 2(3). https://doi.org/10.6018/edumed.488041