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通过跨学科合作提高放射肿瘤学研究水平。

Improving Research in Radiation Oncology through Interdisciplinary Collaboration.

机构信息

a   Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine, Detroit, Michigan.

b   Wayne State University College of Education, Detroit, Michigan.

出版信息

Radiat Res. 2018 Jul;190(1):1-4. doi: 10.1667/RR15023.1. Epub 2018 Apr 25.

Abstract

The contribution of radiation oncology to the future of cancer treatment depends significantly on our continued clinical progress and future research advancements. Such progress relies on multidisciplinary collaboration among radiation oncologists, medical physicists and radiobiologists. Cultivating collaborative educational and research opportunities among these three disciplines and further investing in the infrastructure used to train both clinicians and researchers will therefore help us improve the future of cancer care. This article evaluates the success of a short-term educational environment to foster multidisciplinary collaboration. The NIH-funded educational course developed at Wayne State University, called "Integration of Biology and Physics into Radiation Oncology" (IBPRO), was designed to facilitate the engagement of radiation oncologists, medical physicists and radiobiologists in activities that enhance collaborative investigation. Having now been delivered to nearly 200 participants over the past four years, the relative success of IBPRO in fostering productive interdisciplinary collaboration and producing tangible research outcomes can be evaluated. The 140 IBPRO participants from the first three years were surveyed to quantify the effectiveness of the course. In total, 62 respondents reported developing 23 institutional protocols, submitting more than 25 research grants (nine of which have been funded thus far), and publishing more than 30 research manuscripts attributable to participation in IBPRO. Nearly one-half (45%) of respondents reported generating at least one of these research metrics attributable to participation in IBPRO and these participants reported an average of over four such quantitative research metrics per respondent. This represents a very substantial contribution to radiation oncology research by a relatively small number of researchers within a relatively short time. Nearly one-half of respondents reported ongoing collaborative working relationships generated by IBPRO. In addition, approximately one-half of respondents stated that specific information presented at IBPRO changed the way they practice, and over 80% of respondents practicing in a clinical setting stated that, since participation in IBPRO, they have approached clinical dilemmas more collaboratively. We believe that educational opportunities such as IBPRO can have a significant impact on interdisciplinary collaborative research. In addition, such interventions have the ability to effect significant clinical change. Both of these should have a positive impact on future advancements in radiation oncology and affect the future contribution of radiation oncology to the treatment of cancer.

摘要

肿瘤放射治疗的未来发展在很大程度上取决于我们在临床实践方面的持续进步和未来的研究进展。这种进步依赖于肿瘤放射科医生、医学物理学家和放射生物学家之间的多学科合作。因此,培养这三个学科之间的合作教育和研究机会,并进一步投资于培训临床医生和研究人员的基础设施,将有助于我们改善癌症治疗的未来。本文评估了短期教育环境在促进多学科合作方面的成功。在美国国立卫生研究院(NIH)资助的教育课程中,由韦恩州立大学开发的“将生物学和物理学融入放射肿瘤学”(IBPRO)课程旨在促进肿瘤放射科医生、医学物理学家和放射生物学家参与增强合作研究的活动。该课程自四年前开始实施以来,已经有近 200 人参加,其成功之处在于能够促进富有成效的跨学科合作,并取得切实的研究成果。我们对参加了前三届课程的 140 名 IBPRO 参与者进行了调查,以量化课程的有效性。共有 62 名参与者报告制定了 23 项机构方案,提交了 25 项以上的研究资助申请(其中 9 项迄今为止已获得资助),并发表了 30 多篇归因于参与 IBPRO 的研究论文。近一半(45%)的受访者报告称,由于参与了 IBPRO,他们产生了至少一项上述研究指标,这些参与者平均每人报告了四项以上的此类定量研究指标。这是在相对较短的时间内,由相对较少的研究人员为放射肿瘤学研究做出的巨大贡献。近一半的受访者报告称,他们通过 IBPRO 建立了持续的合作关系。此外,大约一半的受访者表示,他们在 IBPRO 上获得的具体信息改变了他们的实践方式,超过 80%的在临床环境中工作的受访者表示,自参加 IBPRO 以来,他们在处理临床难题时更加注重合作。我们认为,像 IBPRO 这样的教育机会可以对跨学科合作研究产生重大影响。此外,这种干预措施有能力带来重大的临床变化。这两者都将对放射肿瘤学的未来发展产生积极影响,并影响放射肿瘤学对癌症治疗的未来贡献。

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