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住院医师报告的在经美国研究生医学教育认证委员会(ACGME)认证的放射肿瘤学培训项目中的近距离放射治疗经历。

Resident-reported brachytherapy experience in ACGME-accredited radiation oncology training programs.

作者信息

Compton Julia J, Gaspar Laurie E, Shrieve Dennis C, Wilson Lynn D, Griem Katherine L, Amdur Robert J, Lee W Robert

机构信息

Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN.

出版信息

Brachytherapy. 2013 Nov-Dec;12(6):622-7. doi: 10.1016/j.brachy.2013.06.004. Epub 2013 Aug 22.

Abstract

PURPOSE

To describe resident-reported experience in brachytherapy in Accreditation Council of Graduate Medical Education-accredited radiation oncology training programs over the last 5 years.

METHODS AND MATERIALS

Archived reports of Accreditation Council of Graduate Medical Education final resident case logs from the last 5 years were reviewed and summarized. Brachytherapy was categorized according to the dose rate (low dose rate vs. high dose rate), technique (interstitial vs. intracavitary), and primary tumor site. Linear regression was used to test for trends.

RESULTS

The mean number of total brachytherapy procedures performed per resident in the last 5 years has decreased from 80.8 in 2006-2007 to 71.0 in 2010-2011, but the trend is not statistically significant. The average number of intracavitary procedures has remained steady. The average resident experience with interstitial brachytherapy has decreased in a statistically significant manner. The average number of interstitial procedures has decreased by 25%.

CONCLUSIONS

The average number of interstitial procedures reported by residents has decreased by 25%. The community charged with training residents in interstitial brachytherapy should consider methods to ensure that residents obtain sufficient experience in the future.

摘要

目的

描述过去5年中,美国毕业后医学教育认证委员会(Accreditation Council of Graduate Medical Education,ACGME)认证的放射肿瘤学培训项目中住院医师汇报的近距离放射治疗经验。

方法与材料

回顾并总结了ACGME过去5年住院医师最终病例记录的存档报告。近距离放射治疗根据剂量率(低剂量率与高剂量率)、技术(间质内与腔内)以及原发肿瘤部位进行分类。采用线性回归分析趋势。

结果

过去5年中,每位住院医师进行的近距离放射治疗总例数均值从2006 - 2007年的80.8例降至2010 - 2011年的71.0例,但该趋势无统计学意义。腔内治疗的平均例数保持稳定。住院医师间质内近距离放射治疗的平均经验以具有统计学意义的方式减少。间质内治疗的平均例数减少了25%。

结论

住院医师汇报的间质内治疗平均例数减少了25%。负责培训住院医师间质内近距离放射治疗的机构应考虑采取措施,以确保住院医师未来能获得足够的经验。

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