The American Society of Clinical Oncology is pleased to have partnered with City Cancer Challenge (C/Can) to present a Multidisciplinary Cancer Management Course (MCMC) in Yangon, Myanmar, February 17-19. As part of the C/Can initiative, Yangon conducted a comprehensive assessment of capacity and needs in cancer care from both the public and private sectors. Among the main needs identified were the need to develop a standard of multidisciplinary cancer care and to adapt clinical management guidelines to their resources. The course featured a review of locally adapted guidelines for breast and cervical cancers, case-based presentations and a 1-day Multidisciplinary Care Team Development Program session.
Attendees learned how to: manage breast and cervical cancers according to available resources and guidelines; use a multidisciplinary approach to cancer management; consult with other specialists to develop their treatment plans; and provide palliative care to patients or refer when appropriate.
Roughly half of the 33 respondents to the evaluation were oncologists, and 91 percent of all respondents said that they participate in tumor boards. Ninety-seven percent of respondents said that they intended to make practice changes based on what they learned at the course. The most commonly reported practice changes were related to multidisciplinary care or guideline adoption and/or adherence. The majority of respondents reported an increase on most objectives. These results were generally similar to or better than the average for previous MCMCs. Overall, the results of the evaluation are positive, with a majority of respondents agreeing with items rating the course experience as well.
A 1-day Multidisciplinary Care Team Development Program (MCTDP) was presented where attendees learned about how multidisciplinary teams work together to determine best treatment approaches for their patients; how to establish a tumor board; and how to run a tumor board effectively.
All respondents to the MCTDP evaluation said that they intended to make practice changes; the most commonly reported changes were related to creating tumor board, holding more frequent tumor board meetings, or increased case presentations. Comparison data for the educational objectives of the MCTDP are based on results at previous MCMCs (multidisciplinary care objectives) and Train the Trainers (establishing and facilitating tumor boards). As with the MCMC, the majority reported increased on each objective, but the percentage of respondents reporting an increase in their willingness to consult with specialists after this training was lower than average. However, this objective had the highest pre- rating (3.09 out of 5) and 95 percent of respondents rated this objective as Very Good or Excellent after the course.
Follow up surveys will be conducted in early 2021 to assess the long-term impact of the courses.