Turner Sandra, Seel Matthew, Trotter Theresa, Giuliani Meredith, Benstead Kim, Eriksen Jesper G, Poortmans Philip, Verfaillie Christine, Westerveld Henrike, Cross Shamira, Chan Ming-Ka, Shaw Timothy
Department of Radiation Oncology, Westmead Hospital, Sydney, Australia; University of Sydney, Australia.
Department of Radiation Oncology, Waikato Hospital, Hamilton, New Zealand.
Radiother Oncol. 2017 May;123(2):331-336. doi: 10.1016/j.radonc.2017.04.009. Epub 2017 Apr 25.
The need for radiation oncologists and other radiation oncology (RO) professionals to lead quality improvement activities and contribute to shaping the future of our specialty is self-evident. Leadership knowledge, skills and behaviours, like other competencies, can be learned (Blumenthal et al., 2012). The objective of this study was to define a globally applicable competency set specific to radiation oncology for the CanMEDS Leader Role (Frank et al., 2015).
A modified Delphi consensus process delivering two rounds of on-line surveys was used. Participants included trainees, radiation/clinical oncologists and other RO team members (radiation therapists, physicists, and nurses), professional educators and patients.
72 of 95 (76%) invitees from nine countries completed the Round 1 (R1) survey. Of the 72 respondents to RI, 70 completed Round 2 (R2) (97%). In R1, 35 items were deemed for 'inclusion' and 21 for 'exclusion', leaving 41 'undetermined'. After review of items, informed by participant comments, 14 competencies from the 'inclusion' group went into the final curriculum; 12 from the 'undetermined' group went to R2. In R2, 6 items reached consensus for inclusion.
This process resulted in 20 RO Leader Role competencies with apparent global applicability. This is the first step towards developing learning, teaching and assessment tools for this important area of training.
放射肿瘤学家及其他放射肿瘤学（RO）专业人员引领质量改进活动并为塑造本专业的未来做出贡献的必要性不言而喻。与其他能力一样，领导知识、技能和行为是可以习得的（布卢门撒尔等人，2012年）。本研究的目的是为加拿大医学教育方向（CanMEDS）领导者角色定义一套全球适用的、特定于放射肿瘤学的能力集（弗兰克等人，2015年）。
采用经过改进的德尔菲共识法，进行两轮在线调查。参与者包括学员、放射/临床肿瘤学家及其他RO团队成员（放射治疗师、物理学家和护士）、专业教育工作者和患者。
来自9个国家的95名受邀者中有72名（76%）完成了第一轮（R1）调查。在这72名R1受访者中，70名完成了第二轮（R2）调查（97%）。在R1中，35项被视为“纳入”，21项被视为“排除”，41项“待定”。在参考参与者意见对项目进行审查后，“纳入”组中的14项能力进入最终课程；“待定”组中的12项进入R2。在R2中，6项达成纳入共识。
这一过程产生了20项具有明显全球适用性的RO领导者角色能力。这是为这一重要培训领域开发学习、教学和评估工具的第一步。
