Division of Radiation Oncology, Cross Cancer Institute, University of Alberta, 11560 University Avenue, Edmonton, AB, T6G 1Z2, Canada.
Division of Radiation Oncology, University of Calgary, Calgary, AB, Canada.
J Cancer Educ. 2021 Oct;36(5):933-940. doi: 10.1007/s13187-020-01717-1.
Prior Pan-Canadian surveys of Radiation Oncology (RO) residents reveal a decrease in Canadian RO employment opportunities. Canadian RO resident levels increased from 130 in 2003, peaked at 209 in 2009, then decreased to 130 in 2017. Recognizing that RO has entered another period of transition, we re-examined resident motivations and perspectives on the job market and explored well-being and career aspirations among a contemporary cohort of Canadian RO residents. An online survey was distributed to residents at all Canadian RO training programs. Surveys consisted of 75 open-ended, Likert-scale, matrix-style, and multiple-choice questions. Student's t test compared subgroups, with statistical significance at p ≤ 0.05. Out of 128 eligible residents, 84 completed the survey (66% response rate) with representative sampling from each training year. Demographics reveal 53% male, and 85% Canadian registry-funded. Top training-related stressors were exam performance, job prospects, and physical/psychological demands of residency. Most intend to pursue fellowship post-residency (80%) and practice in Canada (88%). Few believe they can obtain staff positions treating preferred tumor sites (38%) or at preferred geographic locations (28%). Residents view job market being less competitive than 5 years ago (40%) and predict it will be less competitive in 5 years (60%). Canadian RO residents feel adequately trained, and most pursue post-residency fellowships. Current perceptions of the Canadian job market remain guarded, but appear more optimistic about the future. This update provides insights into current RO training and identifies areas that could be addressed by incoming competency-based medical education models for RO.
先前针对加拿大放射肿瘤学（RO）住院医师的泛加调查显示，加拿大 RO 的就业机会有所减少。加拿大 RO 住院医师人数从 2003 年的 130 人增加到 2009 年的峰值 209 人，然后在 2017 年减少到 130 人。认识到 RO 已经进入另一个转型期，我们重新审视了住院医师的动机和对就业市场的看法，并探讨了当代加拿大 RO 住院医师的幸福感和职业抱负。我们向所有加拿大 RO 培训计划的住院医师发放了在线调查。调查包括 75 个开放式、李克特量表式、矩阵式和多项选择题。学生 t 检验比较了亚组，统计学意义为 p≤0.05。在 128 名符合条件的住院医师中，有 84 名完成了调查（66%的回复率），每个培训年度都有代表性的样本。人口统计学显示，53%为男性，85%为加拿大注册基金资助。培训相关的最大压力源是考试成绩、工作前景以及住院医师的身体/心理需求。大多数人打算在住院医师培训后攻读专科医师培训（80%）并在加拿大行医（88%）。很少有人认为他们可以获得治疗首选肿瘤部位（38%）或首选地理位置（28%）的员工职位。住院医师认为目前的就业市场竞争不如 5 年前激烈（40%），预计 5 年后竞争将更加激烈（60%）。加拿大 RO 住院医师认为自己得到了充分的培训，大多数人在住院医师培训后追求专科医师培训。目前对加拿大就业市场的看法仍持谨慎态度，但对未来的看法更加乐观。本研究为当前的 RO 培训提供了深入的了解，并确定了基于能力的 RO 医学教育模式可能需要解决的领域。
