Radiation Oncology Department, King Hussein Cancer Center, P.O. Box 1269, Al-Jubeiha, Amman, 11941, Jordan.
Biomedical Physics Department, MBC#03, King Faisal Specialist Hospital and Research Center, PO Box 3354, Riyadh, 11211, Kingdom of Saudi Arabia.
J Cancer Educ. 2020 Oct;35(5):1011-1016. doi: 10.1007/s13187-019-01557-8.
One of the main challenges of delivering high quality of care to cancer patients in developing countries is the lack of well-trained radiation oncologists. This is a direct cause for the lack of residency programs coupled with lack of resources. This article describes and details establishments of a successful and sustainable radiation-oncology residency program in our country. The program has been in operation for 14 years and has trained and graduated radiation oncologists who are now working in various countries. The curriculum of the 4-year residency program, fashioned according to American College of Radiologists (ACR) recommendations, includes site-specific clinical rotations and didactic lectures in clinical oncology, radiobiology, medical physics, statistics, and epidemiology. It also includes a component of advanced clinical experience in the form of 3-month externship at one of collaborating centers outside the country. Evaluation of the residents is conducted annually via written exams and 360° feedback. Residents also sit for the formal certification exam in radiation oncology from the national Medical Council. The exam consists of 2 written exams and one oral. As a form of benchmarking residents' knowledge, they are required to sit for the ACR examinations held annually and conducted in Amman in tandem. The program has successfully trained and graduated 28 residents, who now work as consultant radiation oncologists locally and abroad. Each resident has gone through a structured training that includes exposure to a Western-style patient-management culture, enhancing the breadth and width of their clinical experience. The residency program, initiated in a developing country, underwent many challenges, yet it overcome all obstacles and resulted in a successful training of competent radiation oncologists serving the region.
在发展中国家为癌症患者提供高质量护理的主要挑战之一是缺乏训练有素的放射肿瘤学家。这直接导致缺乏住院医师培训计划以及资源匮乏。本文描述并详细介绍了在我国成功建立可持续的放射肿瘤学住院医师培训计划。该计划已经运行了 14 年，培训并培养了现在在各个国家工作的放射肿瘤学家。该 4 年住院医师培训计划的课程根据美国放射学院（ACR）的建议制定，包括特定部位的临床轮转和临床肿瘤学、放射生物学、医学物理学、统计学和流行病学的理论讲座。它还包括在国外合作中心进行为期 3 个月的实习的高级临床经验部分。通过书面考试和 360°反馈对住院医师进行年度评估。住院医师还参加国家医学委员会举行的放射肿瘤学正式认证考试。考试包括 2 次笔试和 1 次口试。作为衡量住院医师知识的基准，他们需要参加每年在安曼举行的 ACR 考试。该计划已成功培训并培养了 28 名住院医师，他们现在在国内外担任顾问放射肿瘤学家。每位住院医师都接受了严格的培训，包括接触西方患者管理文化，从而拓宽了他们的临床经验。该住院医师培训计划在发展中国家启动，经历了许多挑战，但克服了所有障碍，成功培养了为该地区服务的有能力的放射肿瘤学家。
