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This project promotes peer-to-peer learning by allowing learners to learn on their terms and progress at their own pace. Learners, like trainers, are engaged in the training process (empowerment). This strategy, to quickly answer a relevant question, will open the door to new training opportunities: (i) enabling the declaration of training needs, (ii) sharing knowledge, and (iii) expertise to create content online, quickly, easily, inexpensively with widespread access to low-speed internet. All growth opportunities will be implemented with the co-construction of digital solutions with identified partners and perfect coherence with ecosystems and low-speed internet configurations. Within the framework of e-MCCPO, teams identified in partnership with the UNFM will be central to a community of practice expert that contributes to driving change in the Pan American area. Relevant indicators will be generated by the general cancer registries of both countries involved for the first time in this atypical field.

Digital technologies will bring about significant changes in the organization and functioning of our healthcare systems. They will allow us to modernize current organizations and consider radically new and more efficient practices, especially if a new health crisis such as the COVID-19 crisis occurs again. In the Caribbean basin, bandwidth connection speeds may be limited. Nevertheless, providing solutions that maintain the responsiveness of a platform for access to training resources are innovative alternatives for these regions. Thanks to the experience of the Universit Numrique Francophone Mondiale (UNFM) in providing e-learning resources accessible at very low Internet speeds, the learning platform we propose has a solid experiential base for providing quality education online in an environment of shortage. [15]

Insofar as digital technology unleashes an immense potential for proximity innovation, healthcare professionals (innovators) will be able to adapt their clinical practice, modernize their communication or training methods, and exchange or obtain expert advice on complex clinical cases.

In the last few years, many innovative learning programs using RAFT have shown great success in the accessibility and diffusion of courses in areas of shortage [16]. The results of Dr. GUINDO Fatoumata SISSOKOs thesis, which evaluated the Malian experience on medical distance learning broadcasted by RAFT, have confirmed these observations. DUDAL is then the solution to support the digital learning strategy of this project in order to offer a low-cost and accessible educational option. [17] Regarding e-learning for medical education in low-resource countries, our digital strategy includes the suggestions in Sandra Barteits article [18]. As well, we propose (i) a thematic database on oncofertility and oncosexuality, (ii) a standardized and widely used framework for evaluating e-learning programs using the UNFM, and (iii) structured programs that integrate e-learning between recognized scientific institutions (CECOS, GEFRAUS, Toulouse University).

New horizons will open up for our scientists and physicians regarding training and learning aligned with an innovative digital strategy. These innovations are necessary to overcome the difficulties of coordination and training between local professionals. Related work will contribute to a continuum for implementing an ad-hoc training library. In addition, the innovators affiliation centers will be identified in the Caribbean as centers of competence and excellence in sexual and reproductive health care with high standards of clinical practice. This program can be replicated in other world regions, thanks to its low-cost interactivity and UNFMs global expertise in deploying training in developing countries. In this dynamic setting, the health care system will also have to evolve, if not revolutionize, in terms of organization and management. Content distribution and targeting are levers for optimizing site traffic and generating qualified leads.

Digitalization of audio-visual pedagogical resources combined with the performances of the networks provided by the RAFT offer many possibilities. Indexing such resources is a major challenge for expert practice community. Furthermore, the provision of high-tech equipment and the expertise of the UNFM will generate a network of community exchanges for continuing professional development and reinforcement of health behaviors as close as possible to the local health territories.

This project responds to the national priorities of Cuban and French health policies (cancer plans and national sexual health strategies). It will be implemented in liaison with the Cuban Health Agencies and learned societies and the French Embassy in Cuba. The project and its impact will be regularly evaluated by the Martinique and Cuba-INOR cancer registries. This proposal is a extension of the collaboration initiated with Cuba for the development of bilateral scientific and medical actions. Oncofertility and oncosexology care must be better integrated in the assessment of care in our regions. This is a new area of legal recommendations to be included in the standards of care.

Access to care in terms of a digital healthcare offer must be strengthened and developed in our territories even more than elsewhere. This complementary organization, part of a global and integrated digital logic, must ensure, thanks to the PRPH-3 cooperation program and complementary programs, standardized treatment paths according to institutional recommendations (INCa and MINSAP). We are currently working to contribute to a quality and functional cooperation network, fully involved, bringing expertise and skills through a care network for complex cases, workshops, e-learning, and practical training on expert sites.

Thanks to the PRPH-3, the furtherance of such collaborative projects with Cuba, will allow to identify and generate in a more precise way in the Caribbean region, clinical, demographic, socioeconomic or organizational determinants, at the origin of the heterogeneity of the medical assistance to procreation and sexual rehabilitation. The related work of this collaborative digital platform will contribute to the establishment of a continuum for cancer surveillance and associated Oncorrehabilitation, ultimately proposing a coherent value chain, federating health professionals around adapted training, expert medical management and shared know-how, for the benefit of patients and health professionals. Within this dynamic, each country will be identified as a center of competence and excellence in onco-rehabilitation.

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International cooperation and the challenge of internet accessibility ... - BMC Medical Education