Clinical Learning, Didactic Education, and Research Experiences of Radiation Oncology Resident Physicians in Canada.
Clinical education
Mentorship
Radiation oncology
Residency training
Resident research
Journal
Journal of cancer education : the official journal of the American Association for Cancer Education
ISSN: 1543-0154
Titre abrégé: J Cancer Educ
Pays: England
ID NLM: 8610343
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
pubmed:
6
7
2020
medline:
8
3
2022
entrez:
5
7
2020
Statut:
ppublish
Résumé
Changes in the field of radiation oncology (RO) impacts residency training. Assessing trainee experiences is essential to inform curriculum development. We aim to explore gaps and strengths in current Canadian RO training, as we move towards competency-based medical education (CBME). An online survey was distributed to residents at all Canadian RO training programs. Surveys consisted of 66 open-ended, Likert-scale, matrix-style, and multiple-choice questions, and assessed clinical exposure, didactic teaching, professional relationships, and research experiences. Statistics were calculated from anonymized, aggregate responses. Out of 128 eligible residents, 53 responded (41% response rate). Of these, 57% were male, and 77% were Canadian medical graduates. Senior residents (PGY-4 to PGY-5) perceived insufficient exposure to lymphoma and ocular malignancies, brachytherapy for breast and esophagus malignancies, and stereotactic radiotherapy of the pancreas, prostate, and adrenal gland. Half (51%) had training on image-guided radiotherapy (IGRT) challenges, and 43% had a formal staff mentor. Most residents presented at least one research project at conferences (77%) and authored ≥ 1 publications (66%) during residency. Canadian RO residents are satisfied with their clinical training and educational experience in high-volume tumor sites and high-volume brachytherapy procedures. Areas identified for potential improvement are (1) low-volume tumor sites; (2) low-volume brachytherapy procedures; (3) low-volume stereotactic radiotherapy sites; (4) IGRT challenges; and (5) mentorship opportunities. These findings will inform future CBME curriculum revisions.
Identifiants
pubmed: 32621072
doi: 10.1007/s13187-020-01799-x
pii: 10.1007/s13187-020-01799-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
155-162Informations de copyright
© 2020. American Association for Cancer Education.
Références
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, Fineberg H, Garcia P, Ke Y, Kelley P, Kistnasamy B, Meleis A, Naylor D, Pablos-Mendez A, Reddy S, Scrimshaw S, Sepulveda J, Serwadda D, Zurayk H (2010) Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet 376(9756):1923–1958
doi: 10.1016/S0140-6736(10)61854-5
Yee D, Fairchild A, Keyes M, Butler J, Dundas G (2005) 2003 survey of Canadian radiation oncology residents. Int J Radiat Oncol Biol Phys 62:526–534
doi: 10.1016/j.ijrobp.2004.10.028
Debenham B, Banerjee R, Fairchild A, Dundas G, Trotter T, Yee D (2012) 2009 Canadian radiation oncology resident survey. Int J Radiat Oncol Biol Phys 82:1326–1331
doi: 10.1016/j.ijrobp.2011.04.030
Wang MH, Loewen SK, Giuliani M et al (2020. Advanced online publication) Motivations, well-being, and career aspirations of radiation oncology resident physicians in Canada. J Cancer Educ. https://doi.org/10.1007/s13187-020-01717-1
Nabavizadeh N, Burt LM, Mancini BR, Morris ZS, Walker AJ, Miller SM, Bhavsar S, Mohindra P, Kim MB, Kharofa J (2016) Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States. Int J Radiat Oncol Biol Phys 94:228–234
doi: 10.1016/j.ijrobp.2015.10.014
Gondi V, Bernard JR, Jabbari S et al (2011) Results of the 2005-2008 Association of Residents in Radiation Oncology survey of chief residents in the United States: clinical training and resident working conditions. Int J Radiat Oncol Biol Phys 81:1120–1127
doi: 10.1016/j.ijrobp.2010.07.018
Gondi V, Bernard JR, Jabbari S, Keam J, de Amorim Bernstein KL, Dad LK, Li L, Poppe MM, Strauss JB, Chollet CT (2012) Results of the 2005-2008 Association of Residents in Radiation Oncology survey of chief residents in the United States: didactics and research experience. Am J Clin Oncol 35:32–39
doi: 10.1097/COC.0b013e3182005798
Kazzazi F, Haggie R, Forouhi P, Kazzazi N, Malata C (2018) Utilizing the total design method in medicine: maximizing response rates in long, non-incentivized, personal questionnaire postal surveys. Patient Relat Outcome Meas 9:169–172
doi: 10.2147/PROM.S156109
Hansen EK, Roach M III (2010) Handbook of evidence-based radiation oncology. Springer, New York
doi: 10.1007/978-0-387-92988-0
Gunderson L, Tepper J (2016) Clinical radiation oncology. Elsevier, Philadelphia
Halperin EC, Wazer DE, Perez CA, Brady LW (2013) Perez & Brady’s principles and practice of radiation oncology. Wolters Kluwer, Philadelphia
Hall EJ, Giaccia AJ (2011) Radiobiology for the radiologist. Wolters Kluwer, Philadelphia
Khan FM, Gibbons JP (2014) Khan’s the physics of radiation therapy. Wolters Kluwer, Philadelphia
ARC Bootcamp [Internet]. London, ON, Canada; 2019. Anatomy and radiology contouring bootcamp for radiation oncology residents; (cited 2019 September 24). Available from: https://www.arcbootcamp.com
Radiation oncology preparation & review course - radiation oncology preparation & review course - Western University [Internet]. London, ON, Canada; 2016 (cited 2019 September 24). e https://www.schulich.uwo.ca/oncology/education/postgraduate/radiation_oncology_preparation__review_course.html
Clinical and experimental radiobiology course - radiation oncology [Internet]. Toronto, ON, Canada; 2019 (cited 2019 September 24). Available from: https://www.radonc.utoronto.ca/clinical-and-experimental-radiobiology-course
Kahn J, Gunther JR, Yang JC, Yahalom J, Dabaja B, Vapiwala N, Hoppe BS, Tseng YD, Parikh RR, Plastaras JP (2019) Assessment of lymphoma and other hematologic malignancies training needs amongst radiation oncology residents. Int J Radiat Oncol Biol Phys 105(1):S67–S68
doi: 10.1016/j.ijrobp.2019.06.517
Dietzel CT, Jablonska K, Niyazi M et al (2014) Quality of training in radiation oncology in Germany: where do we stand?: results from a 2016/2017 survey performed by the working group “young DEGRO” of the German society of radiation oncology (DEGRO). Strahlenther Onkol 194(4):293–302
doi: 10.1007/s00066-017-1250-6
Wang MH, Barnes EA, Fairchild A Side effects of radiation therapy. In: Bruera E, Higginson I, von Gunten CF, Morita T (eds) Textbook of palliative medicine and supportive care, 3rd edn. CRC Press, Boca Raton In Press
Krishnan M, Racsa M, Jones J, Chittenden E, Schaefer KG, Spektor A, Enzinger A, Wei R, Balboni T (2017) Radiation oncology resident palliative education. Pract Radiat Oncol 7(6):e439–e448
doi: 10.1016/j.prro.2017.03.007
Ioannides PJ, Wei RL (2019) Radiation oncology resident education in palliative care. Ann Palliat Med 8(3):305–311
doi: 10.21037/apm.2019.01.07
Compton JJ, Gaspar LE, Shrieve DC, Wilson LD, Griem KL, Amdur RJ, Lee WR (2013) Resident-reported brachytherapy experience in ACGME-accredited radiation oncology training programs. Brachytherapy 12(6):622–627
doi: 10.1016/j.brachy.2013.06.004
Trifiletti DM, Grover S, Libby B, Showalter TN (2017) Trends in cervical cancer brachytherapy volume suggest case volume is not the primary driver of poor compliance rates with brachytherapy delivery for locally advanced cervical cancer. Brachytherapy. 16:547–551
doi: 10.1016/j.brachy.2017.02.006
Dutta SW, Bauer-Nilsen K, Sanders JC, Trifiletti DM, Libby B, Lash DH, Lain M, Christodoulou D, Hodge C, Showalter TN (2018) Time-driven activity based cost comparison of prostate cancer brachytherapy and intensity-modulated radiation therapy. Brachytherapy. 17:556–563
doi: 10.1016/j.brachy.2018.01.013
Royce TJ, Katz MS, Vapiwala N (2017) Training the radiation oncology workforce of the future: course correction to supply the demand. Int J Radiat Oncol Biol Phys 97:881–883
doi: 10.1016/j.ijrobp.2017.01.010
Mohamad O, Doke K, Marcrom S, Chen AM, Royce TJ, Meyer JJ (2018) A fellow’s fate: employment outcomes of radiation oncology fellowship graduates. Int J Radiat Oncol Biol Phys 102:16–17
doi: 10.1016/j.ijrobp.2018.04.028
Marcrom SR, Kahn JM, Colbert LE et al (2018) Brachytherapy training survey of radiation oncology residents. Int J Radiat Oncol Biol Phys 103:557–560
doi: 10.1016/j.ijrobp.2018.10.023
Fumagalli I, Faivre JC, Thureau S, Bibault JE, Diaz O, Leroy T, Pichon B, Riou O, Fournier C, Hannoun-Lévi JM, Peiffert D (2014) Brachytherapy training: a survey of French radiation oncology residents. Cancer Radiother 18(1):28–34
doi: 10.1016/j.canrad.2013.07.150
Royal College of Physicians and Surgeons of Canada. Specialty training requirements in radiation oncology. Ottawa, ON, Canada; 2014 (cited 2019 September 24). Available from: http://www.royalcollege.ca/rcsite/documents/ibd/radiation_oncology_str_e.pdf
Royal College of Physicians and Surgeons of Canada. Radiation oncology training experiences. Ottawa, ON, Canada; 2018 (cited 2019 September 24). Available from: http://www.royalcollege.ca/rcsite/documents/ibd/radiation-oncology-rte-training-experiences-e.pdf
Royal College of Physicians and Surgeons of Canada. AFC-standards of accreditation for brachytherapy. Ottawa, ON, Canada; 2015 (cited 2019 September 24). Available from: http://www.royalcollege.ca/rcsite/documents/ibd/radiation_oncology_str_e.pdf
Gaudet M, Jaswal J, Keyes M (2015) Current state of brachytherapy teaching in Canada: a national survey of radiation oncologists, residents, and fellows. Brachytherapy. 14:197–201
doi: 10.1016/j.brachy.2014.11.004
Nabavizadeh N, Elliott DA, Chen Y, Kusano AS, Mitin T, Thomas CR Jr, Holland JM (2016) Image guided radiation therapy (IGRT) practice patterns and IGRT’s impact on workflow and treatment planning: results from a national survey of American Society for radiation oncology members. Int J Radiat Oncol Biol Phys 94:850–857
doi: 10.1016/j.ijrobp.2015.09.035
Engel S, Lischalk JW, Barry P, Hopkins S, Welsh JS, Fernandez E, Mundt AJ (2017) Radiation oncology resident mentorship: results of a resident-coordinated mentorship program. J Am Coll Radiol 14:1607–1610
doi: 10.1016/j.jacr.2017.07.011
Holliday EB, Jagsi R, Thomas CR Jr, Wilson LD, Fuller CD (2014) Standing on the shoulders of giants: results from the Radiation Oncology Academic Development and Mentorship Assessment Project (ROADMAP). Int J Radiat Oncol Biol Phys 88:18–24
doi: 10.1016/j.ijrobp.2013.09.035
Dhami G, Gao W, Gensheimer MF, Trister AD, Kane G, Zeng J (2016) Mentorship programs in radiation oncology residency training programs: a critical unmet need. Int J Radiat Oncol Biol Phys 94:27–30
doi: 10.1016/j.ijrobp.2015.09.021
Gutovich JM, Den RB, Werner-Wasik M et al (2013) Predictors of radiation oncology resident research productivity. J Am Coll Radiol 10:185–189
doi: 10.1016/j.jacr.2012.06.036
Semrau R, Hansemann K, Adam M, Andratschke N, Brunner T, Heinzelmann F, Hildebrandt G, Vordermark D, Zips D (2008) Quality of training in radiation oncology in Germany. Results of a 2006 survey. Strahlenther Onkol 184(5):239–244
doi: 10.1007/s00066-008-1821-7