Practical Tips to Improve Asian American Participation in Cancer Clinical Trials


Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Stanford Cancer Institute at Stanford University School of Medicine.

Course Description

Racial and ethnic diversity is critical to the success of cancer clinical trials. Asian Americans, like other ethnic groups, have low recruitment, accrual and retention rates in cancer clinical trials. This represents a significant challenge on a national level for health advocates, healthcare institutions and the National Cancer Institute. To improve communication and awareness of clinical trials for Asian American patients, it is important to increase learners’ knowledge about cancer clinical trials and cultural humility. This online course will educate healthcare providers and allied health professionals about cancer clinical trials and cultural humility skills as well as provide educational resources and tips for reinforcing change in practice to improve outcomes in Asian American clinical trial participation.

Intended Audience

This course is designed to meet the educational needs of a national audience of physicians and allied health professionals who specialize in family practice, primary care, internal medicine and oncology.

To Obtain CME Credits:

  • Review the information below and complete the entire activity.
  • Complete the CME Post-test, CME Evaluation Survey, and CME Activity Completion Statement at the end of the activity.
  • You must receive a score of 75% or higher on the post-test in order to receive a certificate. You will have two attempts to answer each multiple-choice question (or one attempt for questions with only two options) to pass the post-test.
  • Once you attest to completing the entire online activity and have scored 75% or higher on the post-test, your certificate will be generated automatically and will be available on your Dashboard page.
  • Physicians will be awarded AMA PRA Category 1 Credits™. All other participants will receive a Certificate of Participation.

Learning Objectives

    At the conclusion of this activity, participants should be able to:

  • Develop strategies to determine appropriate patients for clinical trials.
  • Apply cultural humility skills to effectively communicate with Asian American patients about cancer clinical trials.
  • Identify at least 5 ways that will reinforce change in practice to incorporate clinical trials education and referral among Asian American patients and apply it in practice.
  • Recognize how to access at least 5 cancer clinical trial resources and use them in education and referral.


Table of Contents

  1. Introduction
  2. Clinical Trials Basics (13:51)
  3. Cultural Competence, Cultural Humility, & Clinical Trials Recruitment (14:20)
  4. Changing Your Practice to Increase Asian American Participation in Cancer Clinical Trials (12:45)
  5. Course Wrap-up
  6. References and Resources
  7. Help!

Dates & Durations

  • Original Release Date: August 29th, 2013
  • Latest Review Date: October 16th, 2015
  • Expiration Date: August 31st, 2018
  • Estimated Time to Complete: 1 Hour
  • CME Credits Offered: 1.00
  • Registration Fee: FREE


The following planner and speaker indicated that he has relevant financial relationships with industry to disclose relative to the content of this activity:

George A. Fisher Jr., MD, PhD
Professor of Oncology
Faculty Director, Stanford Cancer Clinical Trials Office
Stanford Univeristy School of Medicine
Co-Course Director
Contracted Research for clinical trials with Genentech, Novartis, Bristol, Ipsen, Tercica, Gilead and Newlink


The following planners, speakers and reviewers have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Kim F. Rhoads, MD, MS, MPH, FACS
Assistant Professor, Surgery
Director, Community Partnership Program, Stanford Cancer Institute
Stanford Univeristy School of Medicine
Course Director

Angela Sun, PhD, MPH
Founder & President, Asian Alliance for Health, Inc.
National Outreach Core Director, AANCART
Co-Course Director

Miriam Bischoff, MS, MBA
Executive Administrative Director, Clinical Research, Stanford Cancer Institute

Rachel J. Mesia, MPH
Program Coordinator, Stanford Cancer Institute

Joyce Cheng, MS
Program Manager, Asian Alliance for Health
Outreach Core Community Director-San Francisco, AANCART

Charlene Cuaresma, MPH
Outreach Core Community Director-Hawaii, AANCART

Julie Dang, MPH, CHES
Admin Core Director and Community Health Educator, AANCART

May Louie Sung, MPH
Outreach Core Co-Director, AANCART

Jamie Felicitas, BS
Web Tool Project Manager, APICEM

Duong Ton, BA
Sr. Community Health Program Representative, AANCART

Parichart Sabado, MPH
Outreach Core Community Director, Los Angeles AANCART

Tina Tran Fung, MPH
Community Advisory Group Member, AANCART

Penny Lo, BS
Outreach Core Community Director-Sacramento, AANCART

Thoa Nguyen
Community Advisory Group Member (Ex-Officio), AANCART

Jann Murray-Garcia, MD, MPH
Betty Irene Moore School of Nursing, University of California, Davis

Tung Nguyen , MD
Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco

Accreditation and Designation of Credits

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements as long as the course is certified for AMA PRA Category 1 Credits™ ( Nurses will receive a Certificate of Participation following this activity that may be used for license renewal.

Commercial Support Acknowledgement

Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

California Assembly Bill 1195 – Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal:

CME Privacy Policy

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Contact Information

If you are having technical problems (video freezes or is unplayable, can't print your certificate, etc.) you can submit a Help Request to the OpenEdX Team. If you have questions related to CME credit, requirements (Pre-test, Post-test, Evaluation, Attestation) or course content, you can contact the CME Online support team at


Chen A. The legal framework for language access in healthcare settings: Title VI and beyond. Journal of General Internal Medicine. 2007:22(2): 62-367.

Epner DE, Baile WF. Patient-centered care: the key to cultural competence. Annals of Oncology. 2012;23(suppl 3):33-42.

Kummar S, Rubinstein L, Kinders R, Parchment RE, Gutierrez ME, Murgo AJ, et al. Phase 0 clinical trials: conceptions and misconceptions. The Cancer Journal. 2008;14(3):133-137.

Lara PN, Paterniti DA, Chiechi C, Turrell C, Morain C, Horan N, et al. Evaluation of factors affecting awareness of and willingness to participate in cancer clinical trials. Journal of Clinical Oncology. 2005;23(36):9282-9289.

Okines AF, Cunningham D. Trastuzumab in gastric cancer. European Journal of Cancer. 2010;46(11):1949-1959.

Symonds RP, Lord K, Mitchell AJ, Raghavan D. Recruitment of ethnic minorities into cancer clinical trials: experience from the front lines. British Journal of Cancer. 2012;107(7):1017-1021.


Course Details

  • Original Release Date: August 29th, 2013
  • Latest Review Date: October 16th, 2015
  • Expiration Date: August 31st, 2018
  • Estimated Time to Complete: 1 Hour
  • CME Credits Offered: 1.00
  • Registration Fee: FREE

Contact Information

For further information regarding the content, CME credit, or if you experience any technical difficulties with this enduring material please send us an email.

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