Unveiling Disparities: Exploring Differential Attainment in Postgraduate Training Within Clinical Oncology.

Autor: Iyizoba-Ebozue Z; Department of Clinical Oncology, Leeds Cancer Centre, Leeds, UK. Electronic address: zsuzsanna.iyizoba@nhs.net., Fatimilehin A; Department of Clinical Oncology, The Christie NHS Foundation Trust, Manchester, UK., Kayani M; Department of Clinical Oncology, Leeds Cancer Centre, Leeds, UK., Khan A; Department of Clinical Oncology, The Royal Marsden NHS Foundation Trust, London, UK., McMahon M; Department of Clinical Oncology, Northern Ireland Cancer Centre, Northern Ireland, UK., Stewart S; Department of Clinical Oncology, University College London Hospital, London, UK., Croney C; Department of Clinical Oncology, Northern Ireland Cancer Centre, Northern Ireland, UK., Sritharan K; Department of Clinical Oncology, University College London Hospital, London, UK., Khan M; Department of Clinical Oncology, Northern Ireland Cancer Centre, Northern Ireland, UK., Obeid M; Department of Clinical Oncology, The Christie NHS Foundation Trust, Manchester, UK., Igwebike O; Department of Clinical Oncology, Western Park Cancer Centre, Sheffield, UK., Batool R; Department of Clinical Oncology, The University Hospital Coventry, West midlands, UK., A-Hakim R; Department of Clinical Oncology, The Royal Marsden NHS Foundation Trust, London, UK., Aghadiuno T; Department of Clinical Oncology, Velindre Cancer Centre, Cardiff, Wales, UK., Ruparel V; Department of Clinical Oncology, Aberdeen Royal Infirmary, Aberdeen, Scotland UK., O'Reilly K; Loughborough University, UK.
Jazyk: angličtina
Zdroj: Clinical oncology (Royal College of Radiologists (Great Britain)) [Clin Oncol (R Coll Radiol)] 2024 Jun; Vol. 36 (6), pp. e119-e127. Date of Electronic Publication: 2024 Mar 19.
DOI: 10.1016/j.clon.2024.03.021
Abstrakt: Aims: Differential attainment (DA) in post graduate medical training is a recognised challenge and refers to unexplained variation across groups when split by several protected characteristics. The Royal College of Radiology is committed to fostering diversity, inclusivity, and equality with the goal of narrowing existing gaps and improving training outcomes.
Materials and Methods: This was a mixed methods study aiming to understand the causes of DA with view to helping the RCR develop strategies to address this. A cross-sectional survey was completed by 140 clinical oncology trainees in September 2022. Trainees and trainers (17 and 6 respectively) from across England, Scotland, Wales and Northern Ireland, took part in focus group and interviews from August to December 2022. Quantitative and qualitative data merged and interpreted.
Result: Results showed international medical graduates and trainees from ethnic minority backgrounds were more likely to encounter challenges. The qualitative findings were used to identify three themes through which these problems could be framed. The trainee as a "space invader," the hidden curriculum of clinical oncology training and the process of navigating and tacking the training journey.
Conclusion: Differential attainment is the product of a complex interplay between the trainee, trainer, and the training environment. Therefore, interventions must be tailored to different people and contexts. At a national level, the RCR can adopt general policies to promote this such as mentorship programmes, protected time for supervision and cultural competency training. Efficacy of proposed interventions for trial and their impact on DA should be evaluated to drive evidence-based changes.
(Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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