Haq Rashida, Li Benjamin, Jovicic Aleksandra, Dastur Daisy, Trinkaus Martina, Kong Amy
Department of Medicine, Division of Hematology/Oncology, St. Michael's Hospital, 30 Bond Street, 2085 Donnelly Wing, Toronto, ON, M5B 1W8, Canada.
Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
J Cancer Educ. 2018 Aug;33(4):788-797. doi: 10.1007/s13187-016-1151-x.
Oncology education for post-graduate medical trainees is mostly clinic-based with didactic lectures. However, a 3-4-week rotation lacks full exposure to the vast field of oncology, resulting in an educational gap. We felt there is a need for a standard curriculum to educate trainees on common oncology topics and encourage self-directed learning. This study aims to improve knowledge of oncology in trainees through the use of an oncology educational tool (consisting of a handbook and website) that we developed and evaluated. Fifty-three post-graduate trainees (years 1, 2, and 3) consented to participate at the start of their oncology rotation. In phase I, four participants took part in a usability evaluation of the tool. In phase II, 39 trainees underwent a knowledge assessment with use of the tool. Baseline and post-intervention test results were compared using paired t tests. In the qualitative study (phase III), 10 trainees provided feedback on the updated tool and overall rotation experience. Issues identified from phase I were addressed prior to subsequent phases. Phase II analysis of complete sets of data found the mean post-intervention scores (9.44/10) were significantly higher (p < 0.001) than the mean baseline scores (7.47/10). In the qualitative study, feedback strongly supported the integration of the tool for improving knowledge of trainees. To our knowledge, this is the first study to show that an oncology educational tool for medical trainees improves oncology knowledge by providing a standard curriculum. Future work involves evaluating this tool to determine if effects are from the education tool or rotation experience.
针对医学研究生的肿瘤学教育主要以临床实践和理论讲座为主。然而,为期3 - 4周的轮转实习不足以让学生全面接触肿瘤学这一广阔领域,从而导致了教育差距。我们认为需要一个标准课程来教授实习生常见的肿瘤学主题,并鼓励他们自主学习。本研究旨在通过使用我们开发并评估的肿瘤学教育工具(包括一本手册和一个网站)来提高实习生的肿瘤学知识。五十三名医学研究生(1、2、3年级)在肿瘤学轮转实习开始时同意参与研究。在第一阶段,四名参与者对该工具进行了可用性评估。在第二阶段,39名实习生使用该工具进行了知识评估。使用配对t检验比较基线和干预后的测试结果。在定性研究(第三阶段)中,10名实习生对更新后的工具和整体轮转实习体验提供了反馈。在后续阶段之前解决了从第一阶段发现的问题。对完整数据集的第二阶段分析发现,干预后的平均得分(9.44/10)显著高于平均基线得分(7.47/10)(p < 0.001)。在定性研究中,反馈强烈支持将该工具整合以提高实习生的知识水平。据我们所知,这是第一项表明用于医学实习生的肿瘤学教育工具通过提供标准课程来提高肿瘤学知识的研究。未来的工作包括评估该工具,以确定效果是来自教育工具还是轮转实习经历。