Gwendolyn P Quinn1, Susan T Vadaparampil. 1. University of South Florida, College of Medicine, Department of Oncologic Sciences, Tampa, Florida 33647, USA. gwen.quinn@moffitt.org
Abstract
PURPOSE: The doctor-parent-adolescent triad is a unique communication challenge, particularly in the area of fertility preservation for adolescents with cancer. This paper provides a preliminary exploration into the barriers experienced by physicians in discussing cancer related fertility issues with patients aged 12-18. METHODS: This study used a subset of the data from qualitative interviews with pediatric oncologists. RESULTS: The majority of physicians agreed that fertility preservation conversations were awkward because of limited options and resources for the technology as well as the existence of a fine line between establishing a sense of trust between doctor and patient, while not excluding parents. CONCLUSIONS: Healthcare providers need training on how and when to broach fertility issues with patients, emphasizing open communication and early disclosure.
PURPOSE: The doctor-parent-adolescent triad is a unique communication challenge, particularly in the area of fertility preservation for adolescents with cancer. This paper provides a preliminary exploration into the barriers experienced by physicians in discussing cancer related fertility issues with patients aged 12-18. METHODS: This study used a subset of the data from qualitative interviews with pediatric oncologists. RESULTS: The majority of physicians agreed that fertility preservation conversations were awkward because of limited options and resources for the technology as well as the existence of a fine line between establishing a sense of trust between doctor and patient, while not excluding parents. CONCLUSIONS: Healthcare providers need training on how and when to broach fertility issues with patients, emphasizing open communication and early disclosure.
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