Introductory Radiation Oncology Curriculum: Report of a National Needs Assessment and Multi-institutional Pilot Implementation.

Autor:	Gunther JR; Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas., Jimenez RB; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts., Yechieli RL; Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida., Parekh A; Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, Florida., Berman AT; Department of Radiation Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania., Braunstein SE; Department of Radiation Oncology, University of California, San Francisco, School of Medicine, San Francisco, California., Hirsch AE; Department of Radiation Oncology, Boston University School of Medicine, Boston, Massachusetts., Gillespie EF; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York., Vapiwala N; Department of Radiation Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania., Thomas CR Jr; Department of Radiation Medicine, Oregon Health & Science University, Portland, Oregon., Fields EC; Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia., Golden DW; Department of Radiation and Cellular Oncology, University of Chicago Pritzker School of Medicine, Chicago, Illinois. Electronic address: dgolden@radonc.uchicago.edu.
Jazyk:	angličtina
Zdroj:	International journal of radiation oncology, biology, physics [Int J Radiat Oncol Biol Phys] 2018 Aug 01; Vol. 101 (5), pp. 1029-1038. Date of Electronic Publication: 2018 Apr 18.
DOI:	10.1016/j.ijrobp.2018.04.020
Abstrakt:	Purpose: To assess the optimal structure of an introductory curriculum (IC) for radiation oncology residents, including the perceived utility of a 2-day off-site "boot camp," and evaluate the success of a pilot introductory radiation oncology curriculum (IROC) based on these initial data. Methods and Materials: In the first phase, anonymous, web-based surveys were sent to US radiation oncology program directors and residents. Likert-type scores (1, not at all; 5, extremely) are reported as the median and interquartile range. Using the phase 1 results, IROC was developed, piloted, and evaluated. Results: Of the 89 program directors and 697 residents, 47 (53%) and 165 (24%) responded, respectively. Of the 89 program directors, 37 (79%) reported offering a formal IC. However, only 83 residents (50%) reported having a formal IC. Program directors reported resident preparation for clinical training as "moderate" (median 3, interquartile range 2-3) on entering residency and "moderate" (median 3, interquartile range 3-4) after IC completion (P = .03). However, residents only believed they were "slightly" prepared (median 2, interquartile range 1-2) on entering residency and "moderately" (median 3, interquartile range 2-3) prepared after IC completion (P < .01). Program directors believed an off-site boot camp would be of "moderate" utility (median 3, interquartile range 3-4) with participation limited by funding (57%). Residents without an IC reported that having an IC would be "quite" beneficial (median 4, interquartile range 3-5). Residents preferred instruction before the clinical training (49%) and over 1 week (40%). Both program directors and residents rated lectures on radiation emergencies and simulation highly. Using these data, IROC was developed and piloted with incoming residents at 4 institutions. After IROC, residents reported improvement in overall preparedness for clinical training (before: median 1, interquartile range 1-2; vs after: median 3, interquartile range 2-3; P < .01) and among specific practice domains. Conclusions: Beginning radiation oncology residents frequently lack structured introductory curricula but desire instruction before the clinical training with a focus on practical aspects (emergency management, contouring). Program directors recognize the value of both off-site and on-site boot camps. An on-site IC could mitigate funding barriers. A standardized IC, IROC, piloted at 4 programs, showed promising outcomes. (Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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