The American Society of Clinical Oncology is pleased to have partnered with City Cancer Challenge (C/Can) to present two Multidisciplinary Cancer Management Courses (MCMC) in Cali, Colombia and Asunción, Paraguay. As part of the C/Can initiative, both cities conducted a comprehensive assessment of capacity and needs in cancer care from both the public and private sectors. Among the main challenges identified by the technical groups were the lack of multidisciplinary approach in cancer care and lack of clinical management guidelines adapted to the available resources. In each city, the MCMC featured case-based presentations and interactive sessions on different clinical scenarios related to breast and cervical cancers and included a separate small group Multidisciplinary Care Team Development Program session.
As a result of attending the MCMCs, attendees should be equipped to:
Ninety-six percent of respondents to the on-site evaluation in Cali and all respondents in Asunción said that they intended to make practice changes based on what they learned at the course. In both cities, the most commonly reported practice changes were related to multidisciplinary or guideline implementation and/or adherence.
The majority of respondents at each course reported an increase on most objectives. However, respondents' self-ratings before and after the courses yielded below-average increases for each objective; the percentage of respondents who reported an increase on each objective was 7 to 29 percentage points lower than the average for MCMCs in Cali and 9 to 37 percentage points lower than average in Asunción. This may be due to the audience for these courses having more experience managing patients with cancer; the percentage of respondents who indicated they spent more than half their practice time caring for patients with cancer was higher than average, and respondents were more likely to be an oncologist than at previous courses.
As a result of attending the Multidisciplinary Care Team Development Program (MCTDP), attendees should be equipped to:
Similarly, all respondents to the MCTDP evaluation in Asunción and all but one in Cali said that they intended to make practice changes; the most commonly reported changes were related to creating a multidisciplinary team or tumor board, including a nurse navigator in their multidisciplinary group, or expanding existing tumor boards. 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, while the majority reported increases on each objective, the results were lower than previous courses for some objectives. Unfortunately, evaluation forms for previous Train the Trainers did not include questions related to tumor boards or practice time spent with cancer patients, and comparison data are not available.