Objectives
  • To be able to provide clear information regarding cancer treatments, including side effects and trade-offs, dosing and schedules, and interactions with other active medications for comorbid conditions

  • To increase clinician's skills in assessing patient's understanding of oral anticancer medications and to improve adherence through effective communication strategies (eg, telephone reminders, provision of educational materials, recommendation of expert-vetted websites)

  • To be able to perform an accurate and up-to-date assessment of health maintenance after treatment for cancer and to provide counselling regarding risk reduction for recurrence or second malignancies as well as anticipated late effects of cancer treatment

Awareness
  • Awareness of the importance of patient-centred communication that is clear and appropriate for the patient's educational level, culture and language preference

  • Awareness of the existence of long-term sequelae of cancer treatments, including systemic therapy (chemotherapy, immunotherapy, targeted therapy), radiation therapy and surgery

  • Appreciation of the impact of cancer treatment on psychological well-being

  • Awareness of the importance of screening for early detection of second malignancies

  • Appreciation of the need for genetic testing or counselling for the patient and family members if considered at higher than average risk

Knowledge
  • Familiarity with genetic syndromes associated with susceptibility to cancer

  • Understanding of the emotional and psychological impact of cancer treatment

  • Familiarity with techniques for eliciting patients’ concerns at follow-up visits

  • Knowledge of the long-term complications of cancer therapies such as the incidence of systemic therapy-induced secondary leukaemia or solid malignant tumours, radiation-induced sarcomas and endocrine dysfunction, respectively

  • Knowledge of appropriate testing indicated for surveillance and monitoring after completion of active cancer-directed therapies

  • Understanding of the role and importance of referral to the patient support groups

Skills
  • Competence in basic interviewing and communication skills, including translation of complex data to understandable clear information regarding diagnosis, treatment and follow-up care

  • Ability to communicate effectively with the patient, family caregivers and colleagues from other disciplines involved in the patient's care

  • Ability to check the patient's understanding (eg, teach-back technique)

  • Ability to provide guidance and emotional support during and after completion of active cancer therapy and to refer patients exhibiting emotional distress to appropriate mental health professionals

  • Ability to discuss approaches to risk reduction, including chemoprevention when indicated

  • Ability to recognise long-term complications of cancer therapies and their management

  • Ability to offer recommendations about lifestyle modifications, including smoking cessation, healthy eating, exercise and reduction in alcohol consumption and sun exposure