The American Society of Clinical Oncology, in collaboration with the Ghana Medical Association, presented a two-day Cancer Control in Primary Care course focused on breast and cervical cancers in Accra, Ghana in September 2016. In addition to lectures, the course included breakout sessions with demonstrations of clinical breast examination and visual inspection of the cervix with acetic acid. Seventy-five nurses, midwives, and other medical professionals attended the course.
Overall, the course appears to have been successful in meeting its educational objectives. Among other outcomes:
- 100 percent of respondents to the on-site evaluation said that they intend to make practice changes based on what they learned in the course, including counseling patients on cancer screening, as well as incorporating screening into their practice.
- 99 percent of respondents agree or strongly agree that they feel more confident in their ability to help patients with their family history.
- 99 percent of respondents agree or strongly agree they feel better able to communicate with their patients about cancer and cancer risk.
- 95 percent of respondents said that they learned new skills in the early detection of breast cancer.
- 100 percent of respondents said that they learned new skills in the early detection of cervical cancer.
Participants were also asked to complete pre- and post-tests. In addition to an average increase of 20 percentage points on each of ten knowledge questions:
- 91 percent of respondents to the post-test said that they always planned to counsel patients about cancer risk factors after the course, an increase of 34 percentage points.
- 99 percent of respondents said that they felt very prepared to talk to female patients about breast and cervical cancer after the course, an increase of 31 percentage points.
- 100 percent of respondents said that they would recommend HPV vaccination to women if it was available in Ghana; this question was not asked on the pre-test.
An online follow-up survey will be sent to participants in September 2017 to determine the long term impact of this course.