Components of a comprehensive oncofertility program
| Institutional commitment . | Policy articulating commitment to fertility needs of patients . |
|---|---|
| Provider education/reminders/empowerment | Grand rounds/conferences |
| Local expert or “champion” to build and maintain program, seek and manage resources | |
| Links to online resources and guidelines (ASCO, NCCN, ESMO, ASRM) (Table 3) | |
| Electronic medical record reminders | |
| Inclusion of fertility risks in consent forms | |
| Shared responsibility by entire team for patient education about fertility | |
| Patient education/support | Discussion of fertility risks before initiation of cancer-directed therapy |
| Brochures/printed materials readily available | |
| Links to online resources (Table 3) | |
| Psychosocial support (therapist, social worker) | |
| Facilitated access to reproductive services | Patient navigator (nurse, social worker) |
| Financial/insurance navigation and/or support | |
| “Hotline”/expedited referral to reproductive specialists who can offer timely (48-72 h) appointments | |
| Build relationships with reproductive consultants who are familiar with all available fertility preservation techniques | |
| Cross-disciplinary collaborations to build relationships |
| Institutional commitment . | Policy articulating commitment to fertility needs of patients . |
|---|---|
| Provider education/reminders/empowerment | Grand rounds/conferences |
| Local expert or “champion” to build and maintain program, seek and manage resources | |
| Links to online resources and guidelines (ASCO, NCCN, ESMO, ASRM) (Table 3) | |
| Electronic medical record reminders | |
| Inclusion of fertility risks in consent forms | |
| Shared responsibility by entire team for patient education about fertility | |
| Patient education/support | Discussion of fertility risks before initiation of cancer-directed therapy |
| Brochures/printed materials readily available | |
| Links to online resources (Table 3) | |
| Psychosocial support (therapist, social worker) | |
| Facilitated access to reproductive services | Patient navigator (nurse, social worker) |
| Financial/insurance navigation and/or support | |
| “Hotline”/expedited referral to reproductive specialists who can offer timely (48-72 h) appointments | |
| Build relationships with reproductive consultants who are familiar with all available fertility preservation techniques | |
| Cross-disciplinary collaborations to build relationships |
ASCO, American Society for Clinical Oncology; ASRM, American Society for Reproductive Medicine; ESMO, European Society for Medical Oncology; NCCN, National Comprehensive Cancer Network.