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Gnant M, Abdullah KL, Boyle F, Huang CS, Bickford K, Neunie S, Noble A, Nunn A, Sproat C, Harbeck N, Barrios C. Assessing Knowledge, Competence, and Performance Following Web-Based Education on Early Breast Cancer Management: Health Care Professional Questionnaire Study and Anonymized Patient Records Analysis. JMIR Form Res 2024; 8:e50931. [PMID: 38512328 PMCID: PMC10995792 DOI: 10.2196/50931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 02/06/2024] [Accepted: 02/07/2024] [Indexed: 03/22/2024] Open
Abstract
BACKGROUND Web-based learning activities are key components of continuing medical education (CME) for health care professionals (HCPs). However, the published outcomes of web-based educational interventions for early breast cancer (EBC) are limited. OBJECTIVE This study aims to objectively assess knowledge, competence, and performance among HCPs following participation in 2 EBC-focused CME activities and to identify the remaining educational gaps. METHODS We developed 2 CME-accredited web-based educational activities addressing high-risk EBC, including integration of shared decision-making to optimize patient care (touchMDT) and stratification for early identification of high-risk patients and novel treatment strategies (touchPANEL DISCUSSION). Knowledge, competence, and performance were assessed before and after the activities against an expanded outcomes framework (levels 1-5) using self-reported questionnaires and an analysis of anonymized data extracted from patient records. RESULTS Six months after the launch of the activity, 7047 and 8989 HCP participants engaged with touchMDT and touchPANEL DISCUSSION, respectively. The overall satisfaction was 82% (a total score of 20.6 out of 25) for the touchMDT and 88% (a total score of 21.9 out of 25) for the touchPANEL DISCUSSION. For the evaluation of knowledge and competence (50 respondents before the activity and 50 learners after the activity), there was a significant increase in the mean number of correctly answered questions from pre- to postactivity (touchMDT: median 4.0, IQR 3.0-5.0 to median 5.5, IQR 4.0-7.0; mean 4.00, SD 1.39 to mean 5.30, SD 1.56 and touchPANEL DISCUSSION: median 4.0, IQR 4.0-5.0 to median 6.0, IQR 5.0-7.0; mean 4.32, SD 1.30 to mean 5.88, SD 1.49; both P<.001). A significant improvement in self-reported performance (50 respondents before the activity and 50 learners after the activity) was observed in a combined analysis of both activities (median 3.0, IQR 2.0-3.0 to median 4.0, IQR 3.0-5.0; mean 2.82, SD 1.08 to mean 4.16, SD 1.45; P<.001). Patient record analysis (50 respondents before the activity and 50 learners after the activity) showed that the HCPs used a range of measures to determine EBC recurrence risk and revealed no significant differences in adjuvant therapies used before and after the activity (P=.97 and P>.99 for Ki-67 <20% and Ki-67 ≥20% tumors, respectively). The remaining educational gaps included strategies for implementing shared decision-making in clinical practice and the use of genetic and biomarker testing to guide treatment selection. CONCLUSIONS Brief, web-based CME activities on EBC were associated with an improvement in HCP knowledge, competence, and self-reported performance and can help identify unmet needs to inform the design of future CME activities.
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Affiliation(s)
- Michael Gnant
- Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria
| | - Khatijah Lim Abdullah
- Department of Nursing, School of Medical and Life Sciences, Sunway University, Selangor, Malaysia
| | - Frances Boyle
- Patricia Ritchie Centre for Cancer Care and Research, University of Sydney, Sydney, Australia
| | - Chiun-Sheng Huang
- Department of Surgery, National Taiwan University Hospital, Taipei City, Taiwan
| | - Katie Bickford
- touch Independent Medical Education Limited, Stockport, United Kingdom
| | - Sola Neunie
- touch Independent Medical Education Limited, Stockport, United Kingdom
| | - Alexander Noble
- touch Independent Medical Education Limited, Stockport, United Kingdom
| | - Anne Nunn
- touch Independent Medical Education Limited, Stockport, United Kingdom
| | - Caroline Sproat
- touch Independent Medical Education Limited, Stockport, United Kingdom
| | - Nadia Harbeck
- Breast Center, Department of Obstetrics & Gynecology and Comprehensive Cancer Center Munich, University Hospital of Munich Ludwig Maximilian, Munich, Germany
| | - Carlos Barrios
- Latin American Cooperative Group and Oncoclínicas Group, Hospital São Lucas da Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
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Rathod R, Mahendran K, Sproat C. NFC for PILs. Br Dent J 2023; 234:361. [PMID: 36964343 DOI: 10.1038/s41415-023-5696-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 02/28/2023] [Indexed: 03/26/2023]
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Sandhu P, Grossman S, Sproat C, Patel V. Winter is coming. Br Dent J 2020; 229:500. [PMID: 33097864 PMCID: PMC7582443 DOI: 10.1038/s41415-020-2296-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Mahendran K, Yogarajah S, Sproat C. TMD during AGPs. Br Dent J 2020; 229:267. [DOI: 10.1038/s41415-020-2131-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Liu C, Samani M, Kwok J, Sproat C. Conservative management of botryoid odontogenic cysts using Carnoy's solution. Br J Oral Maxillofac Surg 2020; 58:245-247. [PMID: 32005498 DOI: 10.1016/j.bjoms.2020.01.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Accepted: 01/10/2020] [Indexed: 11/26/2022]
Affiliation(s)
- C Liu
- Oral Surgery Department, Floor 23, Guy's Dental Hospital, Great Maze Pond, London, SE1 9RT, UK.
| | - M Samani
- Oral Surgery Department, Floor 23, Guy's Dental Hospital, Great Maze Pond, London, SE1 9RT, UK.
| | - J Kwok
- Oral Surgery Department, Floor 23, Guy's Dental Hospital, Great Maze Pond, London, SE1 9RT, UK.
| | - C Sproat
- Oral Surgery Department, Floor 23, Guy's Dental Hospital, Great Maze Pond, London, SE1 9RT, UK.
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Beneng K, Sproat C, Kwok J. Intraoral Surgical Removal of Submandibular Sialoliths as a Day Case Procedure: A Case Series of 72 Patients. J Oral Maxillofac Surg 2019. [DOI: 10.1016/j.joms.2019.06.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Affiliation(s)
- R. Chopra
- Oral Surgery Department Guys Dental Hospital London UK
| | - D. Patel
- Oral Surgery Department Guys Dental Hospital London UK
| | - C. Sproat
- Oral Surgery Department Guys Dental Hospital London UK
| | - V. Patel
- Oral Surgery Department Guys Dental Hospital London UK
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Shah S, Kwok J, Sproat C. Diagnostic dilemmas and management of odontogenic myxomas: a series of cases with a review of the literature. ACTA ACUST UNITED AC 2018. [DOI: 10.1111/ors.12340] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- S. Shah
- Guy's Dental Hospital; London UK
| | - J. Kwok
- Guy's Dental Hospital; London UK
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Shah NP, Nayee S, Pazianas M, Sproat C. Beyond ONJ – A review of the potential uses of bisphosphonates in dentistry. Br Dent J 2017; 222:727-730. [DOI: 10.1038/sj.bdj.2017.412] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2017] [Indexed: 01/06/2023]
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Patel V, Patel D, McGurk M, Sproat C, Kwok J. Flapless piezoelectric surgery in the management of jaw necrosis - a case series. ACTA ACUST UNITED AC 2017. [DOI: 10.1111/ors.12262] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- V. Patel
- Oral Surgery Department; Guys Dental Hospital; London UK
| | - D. Patel
- Oral Surgery Department; Guys Dental Hospital; London UK
| | - M. McGurk
- Department of Oral and Maxillofacial Surgery Dept; 250 Euston Road London NW1 2PG
| | - C. Sproat
- Oral Surgery Department; Guys Dental Hospital; London UK
| | - J. Kwok
- Oral Surgery Department; Guys Dental Hospital; London UK
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Shah A, Modgill O, Patel V, Kwok J, Sproat C. Cemento-Osseous Dysplasia: To Treat or Not to Treat? J Oral Maxillofac Surg 2016. [DOI: 10.1016/j.joms.2016.06.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Haria S, Patel V, Sproat C, Kwok J, Ormondroyd L, McGurk M, Burke M, Reilly D, Lyons A, Cascarini L, Townley W, Oakley R, Guerrero Urbano T, Lei M, Jeannon J, Simo R. Is Osteoradionecrosis Evolving with Improved Radiotherapy Delivery System? J Oral Maxillofac Surg 2016. [DOI: 10.1016/j.joms.2016.06.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Shah A, Kwok J, Sproat C. Coronectomy Sequale: A 5-Year Follow-up Study. J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.joms.2015.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Abstract
Alcohol is widely consumed by the majority of the UK population and alcohol-related harm is estimated to cost society £21 billion per year in healthcare, lost productivity costs, crime and antisocial behaviour. The dental setting offers an ideal opportunity to screen for harmful alcohol consumption; however, current emphasis is on the management of acute complications and risk associated in treating patients with excessive alcohol intake rather than screening and patient education. This article outlines ways in which dentists could improve their recognition of 'at risk' patients and then offer practical advice to help reduce the harmful effects of alcohol.
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Affiliation(s)
| | | | - M McGurk
- King's College London Dental Institute
| | - A Maroo
- GPT, Hillingdon Hospital, Middlesex, UB8 3NN
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Abstract
Hypertension is reported by the World Health Organisation as one of the most important causes of premature morbidity and mortality, although it is often asymptomatic. Approximately 40% of the UK population are thought to be affected, however, only one third of these are currently detected. Dental practice offers an ideal opportunity to screen for hypertension, due to the large cohort of the general population who regularly attend. A pilot study was carried out to screen for hypertension and associated risk factors in 114 consecutive patients who attended a city general dental practice. Results revealed that 39% (44) of the population screened had a high blood pressure reading but only 18% (8) of these were previously diagnosed as hypertensive, and 16% (7) had systolic readings greater than 160 mmHg. Of those currently receiving treatment for hypertension, the blood pressure was still elevated in 63% (5). This suggests that screening for hypertension in general dental practice may be of benefit to the population at large.
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Affiliation(s)
- C Sproat
- Oral Surgery Department, Floor 23, Tower Wing (Guy's Tower), Guy's Hospital, Great Maze Pond, London, SE1 9RT
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McGurk M, MacBean AD, Fan KFM, Sproat C, Darwish C. Endoscopically assisted operative retrieval of parotid stones. Br J Oral Maxillofac Surg 2006; 44:157-60. [PMID: 15950334 DOI: 10.1016/j.bjoms.2005.03.026] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2004] [Accepted: 03/01/2005] [Indexed: 11/20/2022]
Abstract
The treatment of large parotid stones remains a problem. We describe a technique in which microendoscopy is used to locate the stone and facilitate its removal. Over a 12-month period, eight patients were treated and seven stones removed successfully. The remaining duct was obstructed by a stricture. In six instances, the parotid duct was repaired and in two ligated. The mean follow up was 10 months (range 6-18) and there have been no complications. Our initial experience suggests that microendoscopy to locate the stone and facilitate its removal is an option in the management of persistent parotid stones.
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Affiliation(s)
- M McGurk
- Departmetnt of Oral and Maxillofacial Surgery, Guy's Hospital, Salivary Gland Service, Floor 23, Guy's Tower, London SE1 9RT, UK.
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McGurk M, MacBean A, Fan KF, Sproat C. Conservative management of salivary stones and benign parotid tumours: a description of the surgical techniques involved. Ann R Australas Coll Dent Surg 2004; 17:41-4. [PMID: 16479854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Recent advances in salivary gland surgery have made it possible to apply minimally invasive techniques to the management of salivary stones and benign parotid tumours. The techniques of extra-capsular dissection, intraoral removal of stones and endoscope-assisted removal of parotid calculi are described together with the context in which they are applied in clinical practice.
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Affiliation(s)
- M McGurk
- Salivary Gland Service, Department of Oral and Maxillofacial Surgery, Guy s Hospital in London, UK
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Sproat C. A gift of life--kidney donation. Surg Technol 1980; 12:19-22. [PMID: 10298023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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