Joint Topic: Survivorship — Taking the Survivorship Clinic Out of the Clinic: A multi-disciplinary clinic goes virtual (233-2)

2:15 – 3:15 pm Saturday, October 30

Childhood cancer survivorship care is complex and often requires access to a multidisciplinary team. Signorelli et al. (2017) reported that survivors who are engaged in follow-up care have better health and educational outcomes.

At our institution, the COVID-19 pandemic halted in-person survivorship care for many months and physical spacing requirements still prevent us from resuming multidisciplinary clinics. This prompted us to explore alternative methods of care aimed at completing screening (labs, imaging, and detailed medical history) and providing education about possible late effects and recommended future screening. Through creativity, ingenuity, and effort, we initiated a model that enables seven providers from different disciplines (medical doctor, nurse practitioner, psychologist, social worker, school teacher, dentist, registered nurse, and dietician) to see patients in a virtual clinic together. This model appears to be sustainable and, after pandemic restrictions ease, may be extremely helpful to patients who live at a distance or have transportation barriers, or who are engaged with their primary care providers but need a consultation visit to update their screening guidelines plan. Kenney et al. (2021) studied a virtual visit model that received a positive reception from both providers and survivors. More information is needed about outcomes for pediatric cancer survivors who receive virtual survivorship care. We believe an important first step is sharing knowledge about models currently in use.