Tam Vincent C, Ingledew Paris-Ann, Berry Scott, Verma Sunil, Giuliani Meredith E
Department of Oncology (Tam, Verma), Tom Baker Cancer Centre, University of Calgary, Calgary, Alta.; Department of Radiation Oncology (Ingledew), Fraser Valley Cancer Centre, University of British Columbia, Vancouver, BC; Division of Medical Oncology and Hematology (Berry), Sunnybrook Odette Cancer Centre, University of Toronto; Department of Radiation Oncology (Giuliani), Princess Margaret Cancer Centre, University of Toronto, Toronto, Ont.
CMAJ Open. 2016 Jul 14;4(3):E359-E364. doi: 10.9778/cmajo.20150127. eCollection 2016 Jul-Sep.
Studies have shown that there is a deficiency in focused oncology teaching during medical school in Canada. This study aimed to develop oncology education goals and objectives for medical students through consensus of oncology educators from across Canada.
In 2014 we created a comprehensive list of oncology education objectives using existing resources. Experts in oncology education and undergraduate medical education from all 17 Canadian medical schools were invited to participate in a 3-round modified Delphi process. In round 1, the participants scored the objectives on a 9-point Likert scale according to the degree to which they agreed an objective should be taught to medical students. Objectives with a mean score of 7.0 or greater were retained, those with a mean score of 1.0-3.9 were excluded, and those with a mean score of 4.0-6.9 were discussed at a round 2 Web meeting. In round 3, the participants voted on inclusion and exclusion of the round 2 objectives.
Thirty-four (92%) of the 37 invited oncology educators, representing 14 medical schools, participated in the study. They included oncologists, family physicians, members of undergraduate medical education curriculum committees and a psychologist. Of the 214 objectives reviewed in round 1, 146 received a mean score of 7.0 or greater, and 68 were scored 4.0-6.9; no objective received a mean score below 4.0. Nine new objectives were suggested. The main themes of participants' comments were to minimize the number of objectives and to aim objectives at the knowledge level required for family physicians. In round 2, the participants were able to combine 28 of the objectives with other existing objectives. In round 3, 7 of the 49 objectives received consensus of at least 75% for inclusion. The final Canadian Oncology Goals and Objectives for Medical Students contained 10 goals and 153 objectives.
Through a systematic process, we created a comprehensive, consensus-based set of oncology goals and objectives to facilitate the design of undergraduate medical education curricula and improve oncology education for medical students.
研究表明，加拿大医学院校在肿瘤学重点教学方面存在不足。本研究旨在通过加拿大各地肿瘤学教育工作者的共识，为医学生制定肿瘤学教育目标。
2014年，我们利用现有资源创建了一份肿瘤学教育目标综合清单。邀请了加拿大所有17所医学院校的肿瘤学教育专家和本科医学教育专家参与三轮改进的德尔菲法。在第一轮中，参与者根据他们认为应向医学生传授目标的程度，对目标进行9分制的李克特量表评分。平均得分7.0及以上的目标被保留，平均得分1.0 - 3.9的目标被排除，平均得分4.0 - 6.9的目标在第二轮网络会议上进行讨论。在第三轮中，参与者对第二轮目标的纳入和排除进行投票。
受邀的37名肿瘤学教育工作者中有34名（92%），代表14所医学院校，参与了该研究。他们包括肿瘤学家、家庭医生、本科医学教育课程委员会成员和一名心理学家。在第一轮审查的214个目标中，146个目标的平均得分在7.0及以上，68个目标的得分在4.0 - 6.9之间；没有目标的平均得分低于4.0。提出了9个新目标。参与者评论的主要主题是尽量减少目标数量，并使目标针对家庭医生所需的知识水平。在第二轮中，参与者能够将28个目标与其他现有目标合并。在第三轮中，49个目标中有7个获得至少75%的共识得以纳入。最终的《加拿大医学生肿瘤学目标》包含10个目标和153个目标。
通过系统的过程，我们创建了一套全面的、基于共识的肿瘤学目标，以促进本科医学教育课程的设计，并改善医学生的肿瘤学教育。
