Padilla Laura, Dault Joshua, Fields Emma
Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia.
Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia.
Pract Radiat Oncol. 2020 Nov-Dec;10(6):e461-e465. doi: 10.1016/j.prro.2019.12.002. Epub 2019 Dec 9.
Image guided radiation therapy is essential to ensure complex treatment plans are delivered safely. Residents in radiation oncology have little to no structured training on how to order or evaluate patient setup imaging. We created a joint image verification workshop for medical and physics residents to learn about setup imaging options available, understand information needed to review patient setup, practice image review, and promote interprofessional collaboration during training. The workshop consisted of a didactic session and a hands-on portion for practice with setup images from example patients. Residents completed pre- and postsurveys where each rated their ability on a 10-point scale to (1) assess the appropriateness of an imaging modality for a given treatment and (2) independently check verification images. The workshop was given twice. Nine residents participated in 2018 and 7 again in 2019, along with 2 new residents. Participant scores were paired for analysis. First-time participants had a significant improvement in both areas (1-tailed t test, α = 0.05): mean:6.27 vs 7.27, P = .029, mean:5.36 vs 7.18, P = .003. Between workshops (2-tailed t test, α = 0.05), repeat participants had a small increase in self-confidence for assessing the appropriateness of imaging (7.14 vs 7.64, P = .038), whereas comfort with independently checking films decreased (7.29 vs 6.00, P = .022). Postworkshop results (1-tailed t test, α = 0.05) were statistically equivalent for both workshops. A formal interprofessional image verification workshop provides valuable resident education, but repeat exposures are necessary to maintain skills.
图像引导放射治疗对于确保复杂治疗计划的安全实施至关重要。放射肿瘤学住院医师在如何订购或评估患者摆位成像方面几乎没有结构化培训。我们为医学和物理专业的住院医师举办了一个联合图像验证研讨会，以了解可用的摆位成像选项，理解审查患者摆位所需的信息，练习图像审查，并在培训期间促进跨专业协作。该研讨会包括一个理论课程和一个实践环节，用于对示例患者的摆位图像进行练习。住院医师完成了课前和课后调查，在调查中，他们以10分制对自己在以下两方面的能力进行评分：（1）评估给定治疗的成像模态的适用性；（2）独立检查验证图像。该研讨会举办了两次。2018年有9名住院医师参加，2019年有7名住院医师再次参加，还有2名新住院医师。对参与者的分数进行配对分析。首次参与者在这两个方面都有显著提高（单尾t检验，α = 0.05）：平均分：6.27对7.27，P = 0.029；平均分：5.36对7.18，P = 0.003。在两次研讨会之间（双尾t检验，α = 0.05），重复参与者在评估成像适用性的自信心方面有小幅提高（7.14对7.64，P = 0.038），而独立检查胶片的舒适度有所下降（7.29对6.00，P = 0.022）。两次研讨会的课后结果（单尾t检验，α = 0.05）在统计学上是等效的。一个正式的跨专业图像验证研讨会为住院医师提供了有价值的教育，但需要重复参与以维持技能。
