Engaging disparities in prostate cancer: Piloting an interactive, virtual workshop to educate providers on shared decision-making for underserved populations

Neil A Mistry; Jamila Sweis; Bernice Ofori; June M McKoy; Aisha Langford; Sarah P Psutka; Elizabeth Perazza; Jay D Raman; Adam B Murphy

doi:10.1016/j.urolonc.2023.06.021

Engaging disparities in prostate cancer: Piloting an interactive, virtual workshop to educate providers on shared decision-making for underserved populations

Urol Oncol. 2023 Oct;41(10):430.e1-430.e7. doi: 10.1016/j.urolonc.2023.06.021. Epub 2023 Jul 13.

Authors

Neil A Mistry¹, Jamila Sweis¹, Bernice Ofori¹, June M McKoy², Aisha Langford³, Sarah P Psutka⁴, Elizabeth Perazza⁵, Jay D Raman⁶, Adam B Murphy⁷

Affiliations

¹ Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL.
² Robert H. Lurie Comprehensive Cancer Center, Chicago, IL.
³ Department of Population Health, NYU Langone Health, New York, NY.
⁴ Department of Urology, Fred Hutchinson Cancer Center, University of Washington, Seattle, WA.
⁵ Department of Surgery, Urology Service, Veterans Administration Caribbean Healthcare System, San Juan, PR.
⁶ Department of Urology, Penn State Health, Hershey, PA.
⁷ Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL; Robert H. Lurie Comprehensive Cancer Center, Chicago, IL. Electronic address: a-murphy2@northwestern.edu.

PMID: 37453812
DOI: 10.1016/j.urolonc.2023.06.021

Abstract

Objective: Shared decision-making (SDM) is an approach to patient-centered care that is strongly recommended when counseling patients for screening and treatment of prostate cancer. However, providers report lack of comfort with SDM and particularly in disparate populations. We report our experience designing and piloting an online workshop to educate practicing urologists on SDM in diverse populations. Our objective was to create a valued interactive SDM workshop to help urologists learn to lead SDM discussions with men form underserved populations. Therefore, we tested the hypothesis that urologists would agree or strongly agree that we met our learning objectives on postcourse survey.

Materials and methods: With the support of the American Urologic Association, we developed a case-based workshop with interactive role-playing to demonstrate and teach integration of SDM into clinical care. Cases were centered around screening and treatment decisions for localized prostate cancer in diverse patients. Brief surveys were used to track success with learning objectives and urologists' satisfaction with the workshop.

Results: The session included 14 participants from 6 countries. A postworkshop survey indicated that 100% of respondents (8 of 8) "strongly agreed" that the activity met learning objectives, and 100% rated the session as "good" (1), "very good" (1), or "excellent" (6). Participants' knowledge also improved on shared decision-making concepts and the knowledge was maintained one month after the workshop.

Conclusion: We successfully created and piloted an interactive online workshop to improve urologists' comfort using shared decision-making in caring for diverse patient populations. The course met its objectives and participant feedback for the course was positive. Sharing this process and framework for development of this intervention may inform future workshops that can be applied to medical students, residents, and providers.

Keywords: Medical education; Physician-patient communication; Prostate cancer; Shared decision-making.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Decision Making*
Decision Making, Shared
Humans
Male
Patient Participation
Prostatic Neoplasms* / diagnosis
Prostatic Neoplasms* / therapy
Surveys and Questionnaires
Vulnerable Populations

Grants and funding

R01 CA249973/CA/NCI NIH HHS/United States