CSTP-N2 Course curriculum

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Session No.	Date	Title	Learning Objectives	Experts
		Pre-training & pre-module 1 evaluation quiz (sent on 11 Aug through email, open until Aug 17, 3 pm)	To assess the current attitudes & practice with regard to cancer screening, & knowledge level regarding cervical cancer screening prevalent among the nurses.
	Aug 17, 2020	Orientation (2:00-3:00 pm)	To orient the participants regarding the usage of Zoom and etiquettes of ECHO sessions.
1	Aug 17, 2020	Introduction to Cancer Screening and the role of staff nurses in the nations’ cancer screening program	What is cancer? Burden of cancer in India: Prevalence, incidence, and mortality of cancer Causes of cancer Risk factors of cancer What is screening? Types of screening Risks and benefits of screening Introduction to cancer screening in India (Operational Guidelines of MoHFW), Population based cancer screening Role of staff nurses in cancer screening program Referral linkages Mapping of the facilities	Dr. Roopa Hariprasad, Scientist ‘E’, NICPR, Noida/Mrs. Latha Sriram, Medical Officer, NICPR Noida
MODULE 1: CERVICAL CANCER SCREENING
2	Aug 24, 2020	Methods of cervical cancer Screening and their advantage and disadvantages	Burden and natural history of cervical cancer Causes, risk factors, signs and symptoms of cervical cancer Screening tests and their pros and cons [VIA/pap smear (including transportation of slides)/HPVDNA test] When to begin screening? For whom? Optimal screening intervals When to stop screening?	Dr. Kavitha Dhanasekaran, Scientist ‘D’, NICPR, Noida/ Mrs. Latha Sriram, Sr. Technical Officer, NICPR Noida
3	Aug 31, 2020	Visual Inspection with Acetic Acid (VIA) & its Evaluation	Brief Anatomy of uterine cervix & anatomy, Physiology of transformation Zone Principle of VIA (visual inspection with acetic acid) Brief Step-by-step procedure of VIA with video, including the preparation of 5% acetic acid Interpretations of VIA in brief Briefly discuss the advantages and limitations of VIA	Dr. Roopa Hariprasad, Scientist ‘E’, NICPR, Noida & Mrs. Chandresh Pragya Verma, Techincal Officer, NICPR Noida
4	Sep 07, 2020	Treatment of CIN and Screen Positives	Types of ablative therapies (cryotherapy & thermocoagulation, including videos) Screen & Treat, colposcopy Eligibility criteria, Contraindications Complications Follow up Types of excisional methods (very brief) Eligibility criteria for treatment with excisional methods (very breif) Follow up and referral linkage.	Dr. Kavitha Dhanasekaran, Scientist ‘D’, NICPR, Noida/ Mrs. Latha Sriram, Sr. Technical Officer, NICPR Noida
5	Sep 14, 2020	Case Scenarios in Cervical Cancer Screening and Management	Various cases pertaining to precancerous and cancerous cervical lesions will be discussed here. (VIA +ve, VIA -ve, Screen-and-treat cases)	Dr. Roopa Hariprasad, Scientist ‘E’, NICPR, Noida/Mrs. Reena Dwivedi Technical Officers, NICPR Noida
		Post-module 1 evaluation quiz (sent through email, open until Sep 21, 3 pm)	To assess the knowledge level of nurses with regard to cervical cancer screening after the training module
		Pre-module 2 evaluation quiz (sent through email, open until Sep 21, 3 pm)	To assess the current knowledge level of nurses with regard to breast cancer screening.
MODULE 2: BREAST CANCER SCREENING
6	Sep 21, 2020	Introduction to Breast Cancer Screening, Self & Clinical Breast Examination	Burden of breast cancer Causes of breast cancer Risk factors Symptoms and signs of breast cancer Screening methods Operational guidelines of MoHFW, India for breast cancer screening Role of follow up and referral in reducing the burden of cancer Referral linkages for screen positives	Dr. Roopa Hariprasad, Scientist ‘E’, NICPR, Noida/ Mrs. Amita Kumar, Technical Officers, NICPR Noida
7	Sep 28, 2020	Triple Assessment for Breast Cancer Screening	Types of diagnostic modalities available for breast cancer screening (triple assessment) Ultrasound: eligibility, advantages and limitations Mammography: eligibility, advantages and limitations MRI: eligibility, advantages and limitations FNAC/ Biopsy	Dr. Kavitha, Scientist ‘D’, NICPR, Noida/ Mrs. Amita Kumar, Technical Officers, NICPR Noida
		Post-module 2 evaluation quiz (sent through email, open until Oct 05, 3 pm)	To assess the knowledge level of nurses with regard to breast cancer screening after the training module.
		Pre-module 3 evaluation quiz (sent through email, open until Oct 05, 3 pm)	To assess the current knowledge level of nurses with regard to oral cancer screening (& tobacco cessation).
MODULE 3: ORAL CANCER SCREENING & MISCELLANEOUS
8	Oct 05, 2020	Oral Cancer screening: risk factors, clinical features (including common oral potentially malignant disorders) & screening techniques	Epidemiology of oral cancer Risk factors of oral cancer/Importance of oral hygiene/oral health Oral potentially malignant disorders (OPMDs) Oral cancer – clinical features Screening & common diagnostic modalities (emphasis on Oral Visual Examination & the MoHFW operational framework guidelines for population-based oral cancer screening)	Dr. Suzanne Nethan, ECHO Consultant (Medical) & Program Manager, NICPR, Noida/ Mrs. Chandresh Pragya Verma, technical Officer
9	Oct 12, 2020	Tobacco cessation: an overview	Burden of tobacco use/areca nut in India Types of tobacco products in India Mechanism of addiction: overview Adverse health effects of tobacco use Benefits of quitting tobacco Tobacco cessation interventions (non-pharmacological & pharmacological): overview Brief advice for tobacco cessation & role of nurses Referral to Tobacco cessation clinics Regulations on tobacco (COTPA)	Dr. Amrita John, Scientist ‘C’, NICPR, Noida/ Ms. Rajshri Fulzule, NICPR Noida
10	Oct 19, 2020	Infection Control & documenting Cancer Screening Results	Disinfection of equipment Preparation of disinfectants or 0.5% hypochlorite solution Sterilization of cancer screening equipment and disposal of used items The various fields in the proforma for cancer screening 5) who fills it, how often what is the rationale and purpose behind each field	Dr. Rashmi Asif, Consultant, Ghaziabad, UP/ Dr. Roopa Hariprasad NICPR Noida
10	Oct 19, 2020	Post-training & post-module 3 evaluation quiz (sent through email, open until Oct 29, 3 pm)	To assess the knowledge level of nurses with regard to oral cancer screening & other important miscellaneous topics, & their attitudes & practice of cancer screening after the training module.

ELIGIBILITY CRITERIA FOR COURSE COMPLETION CERTIFICATE:

Attend Attend atleast 7 out of total 10 sessions
Atleast 1 case presentation (on cervical, breast or oral cancer screening)
Minimum 50% in each of the post-module quizzes, and 80% overall aggregate.
Complete both pre & post training evaluation quizzes.