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Developing Research Education Groups in African Cancer Centers: The Experience in Tanzania

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Abstract

Research productivity and outcomes of junior researchers are usually correlated with the degree and quality of mentorship they receive. A bottom-up approach was followed to develop a research group at the Ocean Road Cancer Institute (ORCI), the major cancer center in Tanzania, to build upon the existing clinical and research resources and institutional global collaborations. The ORCI is a clinical center focused on radio- and chemo-therapy treatment of cancer patients from all over Tanzania. In addition, ORCI has a long-standing early detection program for educating women and screening them for cervical cancer. The ORCI physicians have been exposed to cancer research for the past 20 years through non-degree and degree training in the USA and Europe. In addition, US and European groups have been conducting collaborative research and training of oncologists and graduate students at ORCI. The exposure to research through the above-listed venues motivated the clinicians at ORCI to develop their own Research Club (RC) to learn about research methods, seek independent funding, and outline a research agenda for cancer research in Tanzania. However, it seems that mentorship is needed to help the RC members apply the lessons learned from didactic teaching. Mentorship is also needed to enable the RC members to utilize the enormous clinical and epidemiologic data generated by the institutional programs for prevention, treatment, and follow up of patients. This manuscript describes the inception of the program and its achievements, limitations, and suggested opportunities for improvement as a possible model for other LMICs.

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Reference

  1. Ngoma T, Ngoma M Cancer control in Africa: is cancer research a luxury or necessity? Ecancermedicalscience [Internet]. 2019 Jul 25 [cited 2020 Sep 30];13. Available from: /pmc/articles/PMC6722244/?report=abstract

  2. Bloomfield GS, Xavier D, Belis D, Alam D, Davis P, Dorairaj P et al (2016) Training and Capacity Building in LMIC for Research in Heart and Lung Diseases the NHLBI-UnitedHealth Global Health Centers of Excellence Program. Glob Heart 11(1):17–25

    Article  Google Scholar 

  3. Lewis TP, Roder-DeWan S, Malata A, Ndiaye Y, Kruk ME Clinical performance among recent graduates in nine low- and middle-income countries. Trop Med Int Heal [Internet]. 2019 May 1 [cited 2020 Sep 30];24(5):620–35. Available from: https://pubmed.ncbi.nlm.nih.gov/30821062/

  4. Anderson BO Cancer research in low- and middle-income countries: consortiums, implementation science and healthcare delivery. Vol. 24, Annals of Surgical Oncology. Springer New York LLC; 2017. p 624–6

  5. Consortium for Advanced Research Training in Africa (CARTA) (2020) In: The Grants Register 2021. p 299–300

  6. Rosenberg LE The physician-scientist: An essential - And fragile - Link in the medical research chain [Internet]. Vol. 103, Journal of Clinical Investigation. The American Society for Clinical Investigation; 1999 [cited 2020 Sep 30]. p. 1621–6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC408393/

  7. Yanos PT, Ziedonis DM The patient-oriented clinician-researcher: Advantages and challenges of being a double agent [Internet]. Vol. 57, Psychiatric Services. American Psychiatric Association; 2006 [cited 2020 Sep 30]. p. 249–53. Available from: https://pubmed.ncbi.nlm.nih.gov/16452704/

  8. Runge AS, Bernstein ME, Lucas AN, Tewari KS Cervical cancer in Tanzania: A systematic review of current challenges in six domains [Internet]. Vol. 29, Gynecologic Oncology Reports. Elsevier B.V.; 2019 [cited 2020 Sep 30]. p. 40–7. Available from: /pmc/articles/PMC6606891/?report=abstract

  9. Alwash Z, Henke O, Serventi F, Kantelhardt EJ Staff perspectives toward challenges in a newly established cancer center in Tanzania: A qualitative study. J Glob Oncol [Internet]. 2019 [cited 2020 Sep 30];2019(5). Available from: /pmc/articles/PMC6528737/?report=abstract

  10. WHO | Shortages and late diagnosis hamper cancer treatment in Dar es Salaam. WHO [Internet]. 2018 [cited 2020 Sep 30]; Available from: http://www.who.int/medicines/about/country-stories/tanzania-cancer-treatment/en/

  11. Shareef MA, Obad AS, Salah HT, Eshaq AM, Hoilat J, Alsaffar A et al (2020) Quantitative and qualitative analysis of medical students’ research output in five developing countries. Cureus

  12. Sirili N, Kiwara A, Gasto F, Goicolea I, Hurtig AK Training and deployment of medical doctors in Tanzania post-1990s health sector reforms: Assessing the achievements. Hum Resour Health [Internet]. 2017 Apr 4 [cited 2020 Sep 30];15(1). Available from: https://pubmed.ncbi.nlm.nih.gov/28376823/

  13. CRITIC | Nebraska Center for Virology | Nebraska

  14. East Africa | UCSF Global Cancer Program

  15. University of Southern Denmark, SDU [Internet]. [cited 2020 Sep 30]. Available from: https://www.sdu.dk/en

  16. Katanga J, Kjaer SK, Manongi R, Wu C Sen, Iftner T, Waldstrom M et al Performance of careHPV, hybrid capture 2 and visual inspection with acetic acid for detection of high-grade cervical lesion in Tanzania: A cross-sectional study. Chuang L, editor. PLoS One [Internet]. 2019 Jun 19 [cited 2020 Sep 30];14(6):e0218559. Available from: https://dx.plos.org/10.1371/journal.pone.0218559

  17. DeBoer RJ, Ndumbalo J, Meena S, Ngoma MT, Mvungi N, Siu S, et al. Development of a theory-driven implementation strategy for cancer management guidelines in sub-Saharan Africa. Implement Sci Commun [Internet]. 2020 Dec 25 [cited 2020 Sep 30];1(1):24. Available from: https://implementationsciencecomms.biomedcentral.com/articles/10.1186/s43058-020-00007-7

  18. Mmbaga EJ, Deardorff KV, Mushi B, Mgisha W, Merritt M, Hiatt RA et al (2018) Characteristics of esophageal cancer cases in Tanzania. J Glob Oncol 2018(4)

  19. Scanlan T, Kaijage J From Denis Burkitt to Dar es Salaam. What happened next in East Africa? - Tanzania’s story. Br J Haematol [Internet]. 2012 Mar 1 [cited 2020 Sep 30];156(6):704–8. Available from: http://doi.wiley.com/10.1111/j.1365-2141.2011.09003.x

  20. Cancer Control Opportunities in Low- and Middle-Income Countries - Institute of Medicine, Board on Global Health, Committee on Cancer Control in Low- and Middle-Income Countries - Google Books [Internet]. [cited 2020 Sep 30]. Available from: https://books.google.co.tz/books?id=rJ6LAD7l8nMC&pg=PT271&lpg=PT271&dq=INCTR+orci&source=bl&ots=IBmmrZSNYn&sig=ACfU3U0zvJaph0HuHcIy0h6_9g9JYeg2JA&hl=en&sa=X&ved=2ahUKEwiyuYbC8JDsAhVLXhoKHTqOCZUQ6AEwCHoECAkQAQ#v=onepage&q=INCTR orci&f=false

  21. Koski L, Ngoma T, Mwaiselage J, Le L, Soliman AS Changes in the pattern of Kaposi’s sarcoma at Ocean Road Cancer Institute in Tanzania (2006–2011). Int J STD AIDS [Internet]. 2015 Jun 9 [cited 2020 Sep 30];26(7):470–8. Available from: /pmc/articles/PMC4312260/?report=abstract

  22. Meernik C, Soliman AS, Ngoma T, Kahesa C, Mwaiselage J, Merajver SD The changing pattern of ano-rectal cancer, squamous cell carcinoma of the eye, and Hodgkin’s lymphoma as non-AIDS-defining cancers, by HIV status, in Tanzania over 11 years (2002–2012): A retrospective case-report study. Infect Agent Cancer [Internet]. 2014 Dec 9 [cited 2020 Sep 30];9(1). Available from: /pmc/articles/PMC4414437/?report=abstract

  23. Keehn DC, Chamberlain RM, Tibbits M, Kahesa C, Msami K, Soliman AS Using Key Informants to Evaluate Barriers to Education and Acceptability of the HPV Vaccine in Tanzania: Implications for Cancer Education. J Cancer Educ [Internet]. 2020 [cited 2020 Sep 30]; Available from: https://pubmed.ncbi.nlm.nih.gov/32451878/

  24. Yang K, Msami K, Calixte R, Mwaiselage J, Dorn J, Soliman AS Educational Opportunities for Down-Staging Breast Cancer in Low-Income Countries: an Example from Tanzania. J Cancer Educ [Internet]. 2019 Dec 1 [cited 2020 Sep 30];34(6):1225–30. Available from: https://link.springer.com/article/10.1007/s13187-019-01587-2

  25. Rubagumya F, Nyagabona SK, Msami KH, Manirakiza A, Longombe AN, Maniragaba T et al Attitudes and Barriers to Research Among Oncology Trainees in East Africa. Oncologist [Internet]. 2019 Sep 22 [cited 2020 Sep 30];24(9):e864–9. Available from: http://dx.doi.org/https://doi.org/10.1634/theoncologist.2018-0805

  26. Freel SA, Smith PC, Burns EN, Downer JB, Brown AJ, Dewhirst MW Multidisciplinary Mentoring Programs to Enhance Junior Faculty Research Grant Success. Acad Med [Internet]. 2017 Oct 1 [cited 2020 Sep 30];92(10):1410–5. Available from: https://pubmed.ncbi.nlm.nih.gov/28272113/

  27. Lord JA, Mourtzanos E, McLaren K, Murray SB, Kimmel RJ, Cowley DS A peer mentoring group for junior clinician educators: Four years’ experience. Acad Med [Internet]. 2012 [cited 2020 Sep 30];87(3):378–83. Available from: https://pubmed.ncbi.nlm.nih.gov/22373635/

  28. Vaucher C, Bovet E, Bengough T, Pidoux V, Grossen M, Panese F et al Meeting physicians’ needs: a bottom-up approach for improving the implementation of medical knowledge into practice. Heal Res Policy Syst [Internet]. 2016 Dec 18 [cited 2020 Sep 30];14(1):49. Available from: http://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-016-0120-5

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Acknowledgements

The RC recognizes the role of collaborations such as the Sickle Cell Programme (SCP) that provided opportunity for our members to attend their own weekly research meetings and a continuing source of grant opportunities. SCP enhanced our sessions with two senior guest speakers and Dr. Jill Kent who read and reviewed this manuscript. The City University of New York (CUNY) dedicated a regular visiting lecturer during their summer research work, offered library full text links to articles for the group, and generally advanced our advocacy reach. Ms. Salhe Huwely is also appreciated for her contribution in managing the questionnaires and data entry.

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Correspondence to Khadija Msami.

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Msami, K., Mbwana, M., Mwaiselage, J. et al. Developing Research Education Groups in African Cancer Centers: The Experience in Tanzania. J Canc Educ 36 (Suppl 1), 101–108 (2021). https://doi.org/10.1007/s13187-021-02040-z

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