Department of Radiation Oncology, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, Illinois 60611, USA.
J Am Coll Radiol. 2011 Nov;8(11):785-8. doi: 10.1016/j.jacr.2011.07.011.
The aim of this study was to assess current practices, strengths, and deficiencies in the orientation process for incoming radiation oncology (RO) residents.
An institutional review board-approved anonymous survey was distributed electronically to RO residents in postgraduate years 2 to 5 and those in their first postgraduate years. Questions were included on the type and utility of orientation materials received by residents before and upon entering RO residency.
Responses were received from 25.3% of all current and recent residents. Most residents (81.3%) had 2 or 3 months of prior experience rotating in clinical RO. Orientation materials in RO were received by 74.1% of residents before starting residency. An orientation at the start of RO residency was received by 95.4% of RO residents. Orientation length was <1 hour in 2.8%, 1 hour to a half day in 7.8%, more than a half day but <1 full day in 21.8%, >1 full day but <1 week in 45.8%, and >1 week but <1 month in 20.1%. Almost half of RO residents (48.4%) felt that an RO orientation was essential, but only 11.3% of residents felt that their orientation programs were essential. A statistically significant Spearman's correlation was observed between programs with longer orientation and increased helpfulness of orientation (ρ = 0.26, P = .008). Residents with more components in their onsite orientations felt that their orientations were more helpful (ρ = 0.407, P < .001).
Radiation oncology residents could benefit from a more comprehensive orientation, including a broader array of materials sent to incoming residents for their review before starting residency and a more extensive onsite orientation.
本研究旨在评估新入职放射肿瘤学(RO)住院医师的定向过程中的当前实践、优势和不足。
经机构审查委员会批准,对住院医师培训 2 至 5 年级和第一年的 RO 住院医师进行了电子匿名调查。问题包括住院医师在进入 RO 住院医师之前和之后收到的定向材料的类型和用途。
收到了所有现任和最近住院医师的 25.3%的回复。大多数住院医师(81.3%)在临床 RO 轮转前有 2 至 3 个月的经验。在开始住院医师之前,有 74.1%的住院医师收到了 RO 定向材料。95.4%的 RO 住院医师在 RO 住院医师开始时接受了定向。定向长度<1 小时的占 2.8%,1 小时至半天的占 7.8%,超过半天但<1 天的占 21.8%,>1 天但<1 周的占 45.8%,>1 周但<1 个月的占 20.1%。近一半的 RO 住院医师(48.4%)认为 RO 定向是必不可少的,但只有 11.3%的住院医师认为他们的定向计划是必不可少的。具有较长定向的程序与定向的帮助程度之间存在统计学上显著的 Spearman 相关性(ρ=0.26,P=0.008)。在现场定向中具有更多组成部分的住院医师认为他们的定向更有帮助(ρ=0.407,P<.001)。
放射肿瘤学住院医师可以从更全面的定向中受益,包括为住院医师在开始住院医师之前提供更广泛的材料审查,并进行更广泛的现场定向。