These are all great suggestions for practices to start reaching out to expand who can talk about what, when. With this approach, alot of people are involved to help break up the influx of information at an initial talk and then provided follow up to the patient should they choose to learn more and start the process. The financial part of it all is a lot to consider and quite possibly the most misunderstood portion of this all. It would be nice to find out what is covered through insurance, what help is available.
I’ve come back to this module discussion to revisit the team education and discussion after a patient experience at our clinic this week. As an oncology social worker I was meeting with new patient during the initial chemotherapy infusion and the patient inquired about who would be discussing fertility preservation options. The timing of this in the midst of ECHO left me feeling that I could have language to start this discussion but also a soapbox to follow-up with our team about the missed opportunity for this patient and value of our exploration of oncofertility process at our clinic. This patient was 45 year old and had seen her PCP just prior to cancer diagnosis to explore fertility option- this important piece did not make it into her medical summary until my interaction. This patient was able to connect with a reproductive endocrinologist for a baseline fertility discussion and ultimately ended up not pursing preservation. This case will be part of my WHY as I move forward with our team to create clear guidelines for education, assessment and documentation.