Table 2 The schedule for the 3-hour CME meeting provided in the eight clusters
Time (minutes) | Form | Lecturer | Barriers | Content |
|---|---|---|---|---|
10 | Introduction | Regional academic coordinator | Presentation of schedule and lecturer | |
10 | Plenary discussion | Hospital-GP liaison advisors, GP participants | Risk-taking, PPVs of symptoms | Questions regarding risk-taking and symptoms PPVs |
10 | Reflection, group discussion | GP participants | Risk-taking | |
PPVs of symptoms | ||||
25 | Power point presentation | Primary care researcher | Benefits of early diagnosis | GP role in cancer diagnosis, times to diagnosis matter |
Plenary discussion | Risk-taking | Early stage—vague symptoms | ||
Use of fast-track referral | Description of use of fast-track referral contra usual referral | |||
10 | Power point presentation | Hospital-GP liaison advisors | Use of fast-track referral | Audit on quality of referral letters and discharge letters in relation to cancer investigation |
10 | Power point presentation | Senior doctor from local hospital | Risk-taking | Cancer diagnosis at hospital level |
Plenary discussion | Use of fast-track referral | Cooperation with primary care | ||
Communicating risk | Always inform patients about cancer suspicion | |||
10 | Group discussion | GP participants | Debate: How are diagnostics done in your clinic? | |
10-min break (hands-on models were introduced) | ||||
40 | Educational film | Hospital-GP liaison advisors | Risk-taking | Educational film discussed in sequences |
Group discussion | GP participants | Use of fast-track referral | Awareness of barriers, pitfalls and difficulties in an everyday general practice setting. | |
Plenary discussion | "Low risk but not no risk" | |||
False reassurance/pitfalls | ||||
Communicating risk | ||||
40-min break—dinner | ||||
45 | Power point presentation | Primary care researcher | PPVs of symptoms | Cancer patients’ symptoms in general practice |
Patient cases | Hospital-GP liaison advisors | "Low risk but not no risk" | Debate on patient cases | |
PPV diagram | Risk-taking | Demonstration of use of PPV diagrams (handouts) | ||
False reassurance/pitfalls | ||||
10 | Power point presentation | Hospital-GP liaison advisors | Online cancer guidelines | Reintroduction of regional GP homepage. |
Communicating risk | Leaflets to support communicating cancer risk | |||