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The Development of an International Oncofertility Competency Framework: A Model to Increase Oncofertility
Antoinette Anazodo1,2,3, Paula Laws4, Shanna Logan3
1Kids Cancer Centre, Sydney Children's Hospital, Sydney, Australia antoinette.anazodo@health.nsw.gov.au.
The Oncologist
|June 1, 2019
Summary
This study developed an oncofertility competency framework, outlining 108 essential skills for healthcare professionals to improve fertility preservation (FP) care. The framework also proposes a tiered model for prioritizing oncofertility service development globally.
Area of Science:
- Oncology
- Reproductive Medicine
- Healthcare Management
Background:
- International evidence on fertility preservation (FP) exists, yet significant barriers hinder equitable FP practice implementation.
- Oncofertility competencies are currently lacking, creating a gap in specialized care for cancer patients.
Purpose of the Study:
- To develop a comprehensive oncofertility competency framework.
- To define key components of oncofertility care and prioritize service development.
- To clarify the roles of healthcare professionals (HCPs) in delivering oncofertility services.
Main Methods:
- A quantitative modified Delphi methodology was employed, involving two rounds of electronic surveys.
- Surveys gathered opinions from 457 participants (332 HCPs, 125 PFAs) across 16 countries on 33 elements of care.
- Consensus was sought on HCP roles and service development priorities across ten care domains.
Main Results:
- Consensus was reached on 108 oncofertility competencies and defined roles for HCPs.
- A three-tier service development model was proposed for gradual implementation of care components.
- High agreement (92.8%) on competencies was observed between participants from high and middle-income countries.
Conclusions:
- The developed competency framework provides a structure for HCP training and oncofertility care implementation.
- It offers a model for prioritizing service development, addressing gaps in current FP guidelines.
- The framework aims to enhance FP guideline implementation and improve equitable access to oncofertility care.
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