Implementation of an educational program and risk-adjusted prevention program for breast and ovarian cancer of the German Consortium for Hereditary Breast- and Ovarian Cancer
Herold N.1, Bredow K.1, Hahnen E.1, Wappenschmidt B.1, Hauke J.1, Wiedemann R.1, Waha A.1, Blümcke B.1, Pohl-Rescigno E.1, Portnicki M.1, Rhiem K.1, Schmutzler R.1
1Center for Familial Breast and Ovarian Cancer, Center for Integrated Oncology (CIO), Medical Faculty, University Hospital Cologne, Köln, Deutschland

Purpose: To meet the challenges of the increasing number of germline gene-panel analyses and clinical translation of the test results, we established a structured and standardized educational program (EP) for physicians of certified breast and gynecological cancer centers within a transsectoral cooperation (TC) in 2015. The EP covers curricula and practical training. Additionally, an e-learning tool with a modular setup has been developed.
Methods: To date we performed 27 curricula. They covered all relevant topics from identifying persons at risk, genetic counseling, interpretation of genetic test results, risk-adjusted preventive measures and targeted therapies. 109 certified physicians from 88 centers cooperate in the TC. We evaluated their satisfaction with the curricula and the TC.
Results: We inquired the structure and comprehensibility of the curricula (1.57; scale 1 to 6, analogue to German school grades), presence of all clinically relevant information (1.58), and relevance for daily clinical counseling (1.61) (n=235). Similar results arise from the survey of the AekNo.
The TC was evaluated by 37 of 79 physicians. 81% stated a good/ very good organization of the program, flow of information (86%), clarity of genetic reports (86%), and 100% a very good quality of our cancer prevention and therapy concept.
Conclusions: Participants stated a high/ very high satisfaction with our EP and TC. It assists highly specialized clinicians in genetic counseling, clinical management of patients at high risk and in acquiring clinical data in knowledge-generating medicine.
The GC-HBOC and the German Cancer Society currently implement the e-learning tool and the EP nation-wide.