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波兰的放射肿瘤学培训:多机构调查。

Radiation Oncology Training in Poland: Multi-institutional Survey.

机构信息

Radiotherapy Department, Maria Skłodowska-Curie Cancer Centre, ul. Wybrzeże Armii Krajowej 15, 44-101, Gliwice, Poland.

Department of Biostatistics and Translational Medicine, Medical University of Lodz, Lodz, Poland.

出版信息

J Cancer Educ. 2021 Aug;36(4):769-778. doi: 10.1007/s13187-020-01702-8.

Abstract

To evaluate the quality of radiation oncology training in Poland and to identify difficulties and needs of radiation oncology trainees (ROTs), an anonymous online survey using Google Forms was conducted in November 2018. All ROTs from Poland (n = 154) were invited to complete the survey. The survey consisted of 30 questions and regarded aspects such as satisfaction from training, cooperation with the supervisor, and education. During the study period, 105 ROTs from 22 Polish cities responded (the response rate was 68%). Almost 85% were satisfied with the choice of specialty, 43% with training and 81% with the teaching place. Clinical cooperation with the supervisor was described as difficult by 25%. With education, 38% of responders experienced obstacles and another 25% stated that educational cooperation with their supervisor was none. "Good practice" understood as treatment according to the latest guidelines or internal protocols were reported by 71%. Obligatory traineeships were shorter than recommended according to 67% of the responders, usually due to shortage of medical staff. Almost two-thirds of ROTs work only in clinics, while 34% perform both clinical and scientific work. The responders suggested that the introduction of organ-specified courses is an appropriate modification of the current program. Noteworthy, current diagnostic imaging and physics courses are not sufficient for the majority of participants (81% and 80%, respectively). Radiation oncology training is conducted relatively well in Poland. Some hospitals need to improve clinical and educational cooperation between trainees and their supervisors.

摘要

为了评估波兰放射肿瘤学培训的质量,并确定放射肿瘤学受训者(ROTs)的困难和需求,我们于 2018 年 11 月使用 Google 表单进行了一项匿名在线调查。邀请所有波兰 ROTs(n=154)完成调查。该调查由 30 个问题组成,涉及培训满意度、与主管的合作以及教育等方面。在研究期间,来自波兰 22 个城市的 105 名 ROTs 做出了回应(回应率为 68%)。近 85%的人对专业选择感到满意,43%的人对培训感到满意,81%的人对教学地点感到满意。25%的人描述与主管的临床合作具有挑战性。38%的受访者在教育方面遇到障碍,另有 25%的人表示与主管的教育合作不存在。71%的人报告说“良好实践”是指根据最新指南或内部方案进行治疗。根据 67%的受访者的说法,强制性实习比建议的时间短,通常是由于医务人员短缺。将近三分之二的 ROTs 仅在诊所工作,而 34%的人同时进行临床和科学工作。受访者建议,引入针对特定器官的课程是对当前课程的适当修改。值得注意的是,目前的诊断成像和物理课程对大多数参与者来说都不足够(分别为 81%和 80%)。波兰的放射肿瘤学培训开展得相对较好。一些医院需要改善受训者与其主管之间的临床和教育合作。

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