PURPOSE: To identify published literature regarding cancer survivorship education programs for primary care providers (PCPs) and assess their outcomes .
METHODS: PubMed, Embase, and CINAHL databases were searched between January 2005 and September 2020 . The Quality of Cancer Survivorship Care Framework and Kirkpatrick's 4-level evaluation model were used to summarize program content and outcomes, respectively . Data extraction and critical appraisal were conducted by two authors .
RESULTS: Twenty-one studies were included, describing self-directed online courses (n=4), presentations (n=2), workshops and training sessions (n=6), placement programs (n=3), a live webinar, a fellowship program, a referral program, a survivorship conference, a dual in-person workshop and webinar, and an in-person seminar and online webinar series . Eight studies described the use of a learner framework or theory to guide program development . All 21 programs were generally beneficial to PCP learners (e.g., increased confidence, knowledge, behavior change); however, methodological bias suggests caution in accepting claims . Three studies reported positive outcomes at the patient level (i.e., satisfaction with care) and organizational level (i.e., increased screening referrals, changes to institution practice standards).
CONCLUSIONS: A range of cancer survivorship PCP education programs exist . Evidence for clinical effectiveness was rarely reported . Future educational programs should be tailored to PCPs, utilize an evidence-based survivorship framework, and evaluate patient- and system-level outcomes .
IMPLICATIONS FOR CANCER SURVIVORS: PCPs have an important role in addressing the diverse health care needs of cancer survivors . Improving the content, approach, and evaluation of PCP-focused cancer survivorship education programs could have a positive impact on health outcomes among cancer survivors.
Index: Cancer, Education, Evaluation, Primary care, Survivorship, Theory