Patel Shilpen, Jagsi Reshma, Wilson John, Frank Steven, Thakkar Vipul V, Hansen Eric K
University of Maryland, Baltimore, MD, USA.
Int J Radiat Oncol Biol Phys. 2006 Nov 15;66(4):1199-203. doi: 10.1016/j.ijrobp.2006.06.024. Epub 2006 Sep 18.
The aim of this study was to document adequacy of training, career plans after residency, use of the in-service examination, and motivation for choice of radiation oncology as a specialty.
In 2004, the Association of Residents in Radiation Oncology (ARRO) conducted a nationwide survey of all radiation oncology residents in the United States.
The survey was returned by 297 residents (response rate, 54%). Of the respondents, 29% were female and 71% male. The most popular career choice was joining an established private practice (38%), followed by a permanent academic career (29%). Residents for whom a permanent academic career was not their first choice were asked whether improvements in certain areas would have led them to be more likely to pursue an academic career. The most commonly chosen factors that would have had a strong or moderate influence included higher salary (81%), choice of geographic location (76%), faculty encouragement (68%), and less time commitment (68%). Of respondents in the first 3 years of training, 78% believed that they had received adequate training to proceed to the next level of training. Of those in their fourth year of training, 75% believed that they had received adequate training to enter practice.
Multiple factors affect the educational environment of physicians in training. Data describing concerns unique to resident physicians in radiation oncology are limited. The current survey was designed to explore a variety of issues confronting radiation oncology residents. Training programs and the Residency Review Committee should consider these results when developing new policies to improve the educational experiences of residents in radiation oncology.
本研究旨在记录培训的充分性、住院医师培训后的职业规划、在职考试的使用情况以及选择放射肿瘤学作为专业的动机。
2004年,放射肿瘤学住院医师协会(ARRO)对美国所有放射肿瘤学住院医师进行了一项全国性调查。
297名住院医师回复了调查问卷(回复率为54%)。在受访者中,29%为女性,71%为男性。最受欢迎的职业选择是加入现有的私人诊所(38%),其次是长期从事学术职业(29%)。对于那些长期从事学术职业并非首选的住院医师,研究人员询问了某些领域的改进是否会使他们更有可能追求学术职业。最常被选择的、会产生强烈或适度影响的因素包括更高的薪资(81%)、地理位置的选择(76%)、教员的鼓励(68%)以及更少的工作时间投入(68%)。在培训的前三年中,78%的受访者认为他们已接受了足够的培训,可以进入下一阶段的培训。在培训第四年的受访者中,75%的人认为他们已接受了足够的培训,可以开始执业。
多种因素影响着正在接受培训的医师的教育环境。描述放射肿瘤学住院医师特有问题的数据有限。本次调查旨在探讨放射肿瘤学住院医师面临的各种问题。培训项目和住院医师评审委员会在制定新政策以改善放射肿瘤学住院医师的教育经历时应考虑这些结果。