Ford Eric C, Nyflot Matthew, Spraker Matthew B, Kane Gabrielle, Hendrickson Kristi R G
Department of Radiation Oncology, University of Washington, Seattle, WA, 98195, USA.
J Appl Clin Med Phys. 2017 Nov;18(6):268-274. doi: 10.1002/acm2.12166. Epub 2017 Sep 12.
Education in patient safety and quality of care is a requirement for radiation oncology residency programs according to accrediting agencies. However, recent surveys indicate that most programs lack a formal program to support this learning. The aim of this report was to address this gap and share experiences with a structured educational program on quality and safety designed specifically for medical physics therapy residencies. Five key topic areas were identified, drawn from published recommendations on safety and quality. A didactic component was developed, which includes an extensive reading list supported by a series of lectures. This was coupled with practice-based learning which includes one project, for example, failure modes and effect analysis exercise, and also continued participation in the departmental incident learning system including a root-cause analysis exercise. Performance was evaluated through quizzes, presentations, and reports. Over the period of 2014-2016, five medical physics residents successfully completed the program. Evaluations indicated that the residents had a positive experience. In addition to educating physics residents this program may be adapted for medical physics graduate programs or certificate programs, radiation oncology residencies, or as a self-directed educational project for practicing physicists. Future directions might include a system that coordinates between medical training centers such as a resident exchange program.
根据认证机构的要求,患者安全与护理质量教育是放射肿瘤学住院医师培训项目的一项必备内容。然而,近期的调查表明,大多数项目缺乏支持此类学习的正式计划。本报告的目的是填补这一空白,并分享专门为医学物理治疗住院医师设计的质量与安全结构化教育项目的经验。从已发表的关于安全与质量的建议中确定了五个关键主题领域。开发了一个教学部分,其中包括由一系列讲座支持的广泛阅读清单。这与基于实践的学习相结合,包括一个项目,例如失效模式与效应分析练习,以及持续参与部门事件学习系统,包括根本原因分析练习。通过测验、展示和报告对表现进行评估。在2014年至2016年期间,五名医学物理住院医师成功完成了该项目。评估表明住院医师有积极的体验。除了教育物理住院医师外,该项目还可适用于医学物理研究生项目或证书项目、放射肿瘤学住院医师培训项目,或作为执业物理学家的自主教育项目。未来的方向可能包括一个在医学培训中心之间进行协调的系统,例如住院医师交换项目。