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. 2016 Jul 14;4(3):E359–E364. doi: 10.9778/cmajo.20150127

Table 2: Highest-scoring objectives in the first Delphi round.

Objective Mean score ± SD*
Demonstrate the ability to perform a focused medical history when cancer is suspected (i.e., symptoms based on primary cancer location and symptoms related to spread to common metastatic sites, risk factors, family history) 8.7 ± 0.6
Demonstrate an understanding of presentations of cancer that represent emergencies (e.g., superior vena cava obstruction, cardiac tamponade, spinal cord compression, pulmonary embolism, symptomatic brain metastases, cancer-related bleeding) 8.7 ± 0.6
Demonstrate the ability to perform a focused physical examination for a patient with suspected cancer with emphasis on the primary cancer and possibly sites of metastases 8.6 ± 0.7
Describe nonspecific physical symptoms and signs associated with common cancers (e.g., unexplained weight loss, pain, lymphadenopathy, palpable mass, bleeding, thrombosis, change in bowel habit, biliary tract obstruction) 8.6 ± 0.7
Demonstrate an understanding of the role of a primary care physician in the treatment and follow-up of cancer patients 8.5 ± 0.7
List cancers which are screened for in the periodic health exam and the specific investigations that are used (cervical, breast, colon, prostate) 8.4 ± 1.0
Describe the importance of tissue sampling for diagnosis of malignancy and for identification of molecular predictive factors 8.4 ± 0.9

*On a 9-point Likert scale from 1 (strongly disagree) to 9 (strongly agree) according to the degree to which participants believed each objective should be taught to medical students.