全国放射肿瘤学医学生实习调查：教学课程内容增加了对临床能力的信心。
A national radiation oncology medical student clerkship survey: didactic curricular components increase confidence in clinical competency.
机构信息
Department of Radiation and Cellular Oncology, Pritzker School of Medicine, University of Chicago, Chicago, Illinois.
Department of Radiation Oncology, School of Medicine, University of California-San Francisco, San Francisco, California.
出版信息
Int J Radiat Oncol Biol Phys. 2014 Jan 1;88(1):51-6. doi: 10.1016/j.ijrobp.2013.11.206.
PURPOSE
Students applying to radiation oncology residency programs complete 1 or more radiation oncology clerkships. This study assesses student experiences and perspectives during radiation oncology clerkships. The impact of didactic components and number of clerkship experiences in relation to confidence in clinical competency and preparation to function as a first-year radiation oncology resident are evaluated.
METHODS AND MATERIALS
An anonymous, Internet-based survey was sent via direct e-mail to all applicants to a single radiation oncology residency program during the 2012-2013 academic year. The survey was composed of 3 main sections including questions regarding baseline demographic information and prior radiation oncology experience, rotation experiences, and ideal clerkship curriculum content.
RESULTS
The survey response rate was 37% (70 of 188). Respondents reported 191 unique clerkship experiences. Of the respondents, 27% (19 of 70) completed at least 1 clerkship with a didactic component geared towards their level of training. Completing a clerkship with a didactic component was significantly associated with a respondent's confidence to function as a first-year radiation oncology resident (Wilcoxon rank-sum P=.03). However, the total number of clerkships completed did not correlate with confidence to pursue radiation oncology as a specialty (Spearman ρ P=.48) or confidence to function as a first year resident (Spearman ρ P=.43).
CONCLUSIONS
Based on responses to this survey, rotating students perceive that the majority of radiation oncology clerkships do not have formal didactic curricula. Survey respondents who completed a clerkship with a didactic curriculum reported feeling more prepared to function as a radiation oncology resident. However, completing an increasing number of clerkships does not appear to improve confidence in the decision to pursue radiation oncology as a career or to function as a radiation oncology resident. These results support further development of structured didactic curricula for the radiation oncology clerkship.
目的
申请放射肿瘤学住院医师培训项目的学生完成 1 个或多个放射肿瘤学实习。本研究评估了学生在放射肿瘤学实习期间的经历和观点。评估了与临床能力信心和作为第一年放射肿瘤学住院医师的准备相关的理论课程组成部分和实习次数的影响。
方法和材料
在 2012-2013 学年期间，通过电子邮件向单一放射肿瘤学住院医师培训项目的所有申请人发送了匿名在线调查。调查由 3 个主要部分组成，包括关于基线人口统计学信息和以前放射肿瘤学经验、轮转经验以及理想实习课程内容的问题。
结果
调查回复率为 37%（188 名申请人中的 70 名）。受访者报告了 191 次独特的实习经历。在受访者中，27%（70 名中的 19 名）完成了至少 1 次有针对性别培训水平的理论课程组成部分的实习。完成带理论课程组成部分的实习与受访者对作为第一年放射肿瘤学住院医师的功能的信心显著相关（Wilcoxon 秩和检验 P=.03）。然而，完成实习的总数与追求放射肿瘤学作为专业的信心（Spearman ρ P=.48）或作为第一年住院医师的功能的信心（Spearman ρ P=.43）无关。
结论
根据对这项调查的回应，轮转学生认为大多数放射肿瘤学实习没有正式的理论课程。完成带理论课程实习的调查受访者报告感到更有准备作为放射肿瘤学住院医师开展工作。然而，完成越来越多的实习似乎并不能提高对选择放射肿瘤学作为职业或作为放射肿瘤学住院医师开展工作的信心。这些结果支持为放射肿瘤学实习制定结构化理论课程的进一步发展。
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