Health professionals' self-identified knowledge, barriers and educational needs regarding identification and management of adolescent and young adult cancer in New Zealand

AIM: To explore primary healthcare professionals' (PHPs') knowledge and educational needs regarding identification and referral of adolescents and young adults (AYA) with suspected cancer in New Zealand. METHOD: An anonymous online survey targeting PHPs was distributed through health networks during March-August 2019. The survey covered demographics, knowledge of AYA cancer and related topics and preferred sources of AYA cancer information, which includes professional development. RESULTS: Eighty-three respondents completed the survey. The most prominent education needs were identifying the possible symptoms of AYA cancer, the diagnostic pathways for AYA cancer and the services and supports available for AYAs. Respondents indicated that time was a significant barrier to both diagnosis and professional development regarding AYA cancer. Forty-five respondents (54%) reported that consultation time 'always' or 'most of the time' impacted their ability to explore vague symptoms, and 67% cited time as the biggest barrier to participating in AYA cancer education. CONCLUSION: PHPs are receptive to professional AYA cancer education, and their preference is for online learning. There is a significant self-identified knowledge gap for PHPs related to pre-diagnosis (symptoms and pathways), which could help structure effective and targeted professional education.