Objectives	To describe: The role of secondary prevention in cancer control and prevention and the scientific basis for screening and case finding Regional, resource, and cultural factors that may affect cancer screening and prevention practises and the model of an Integrated Cancer Prevention Centre
Key Concepts	Demonstrate an understanding that screening is the testing and evaluation of a population of asymptomatic persons to distinguish between those who may have a disease and those who likely do not Demonstrate an understanding of the key characteristics of effective screening tests and strategies:  Screening must for a serious condition for which detection in asymptomatic individuals may reduce the morbidity of the disease and its treatment and reduce long-term mortality from the condition  The condition must be common enough to warrant screening the general population or of a defined at-risk group  The screening test must have acceptable sensitivity and specificity  The screening programme and test must be reasonable in terms of cost, be acceptable to people and safe Demonstrate an understanding of the concepts of risk-based screening and active case finding (ACF) and how the benefits and risk of ACF must be carefully balanced in developing and implementing ACF policies Give examples of state-of-the-art cancer screening tests and recognise that screening guidelines vary between organisations with varied perspectives and data interpretation Demonstrate an understanding of the most common cancer types in local/regional area that affect the population and the effective screening strategies for those cancer types Evaluate the direct and indirect costs of screening and the potential cost savings of an integrated prevention and early detection model Identify the resources and levels of access to cancer prevention and screening services in the region and community you serve Determine the key factors in implementation of one-stop prevention and early detection models, including scientific issues, personal, familial, and societal risk factors, and cultural issues to tailor appropriate diagnostic testing Demonstrate an understanding of the role of inherited susceptibility in cancer risk and the impact of inherited risk on cancer screening recommendations for affected persons Recognise the potential for precision medicine in future cancer screening and prevention
Skills	Demonstrate the ability to: Understand principles and criteria for implementation of screening tests (simple, safe, reliable, affordable, sensitivity, and specificity) Identify the value of screening and the relevant guidelines and the symptoms, specific markers, and epidemiologic factors important to consider in defining screening and diagnostic recommendations for specific cancer types based on the prevalence in the population, evidence of value, and resource availability