Hematology Oncology Fellow, Department of Internal Medicine, Kansas University Medical Center, Suite 210, 2330 Shawnee Mission Pkwy, Westwood, Kansas, 66205, USA.
Temple-Fox School of Business and Management, Philadelphia, PA, USA.
J Cancer Educ. 2021 Dec;36(6):1290-1294. doi: 10.1007/s13187-020-01766-6.
Most oncology education is provided to residents on an inpatient oncology service, with limited outpatient exposure. There exists considerable need to develop effective education strategies to teach resident physicians basic concepts in oncology. We created a 2-hour small-group interactive workshop, using interactive cases, followed by a number of questions regarding curability, survival, and possible treatment options. All residents were asked to fill out optional questionnaires before and after this workshop. A total of 64 residents participated in this study with an average of 16 residents per session. Significant deficits in knowledge were identified, and prognosis was estimated correctly by 40% of residents when presented with a variety of clinical scenarios. We demonstrated an increase in comfort level in basic oncology concerns, comfort level at estimating prognosis, and managing toxicity based on pre- and post-level testing. Our results confirm that the oncology inpatient rotation may not be adequate in educating residents. The format of our workshop demonstrates that it is possible to create and implement a focused intervention with fairly limited resources. This can serve as a platform for evaluation of oncology medical education of internal medicine residents at other institutions.
大多数肿瘤学教育是在住院肿瘤服务中向住院医师提供的，门诊接触有限。因此，需要开发有效的教育策略来向住院医师教授肿瘤学的基本概念。我们创建了一个 2 小时的小组互动研讨会，使用互动案例，然后提出了一些关于可治愈性、生存率和可能的治疗选择的问题。所有住院医师都被要求在参加这个研讨会之前和之后填写可选的问卷。共有 64 名住院医师参加了这项研究，每个会议平均有 16 名住院医师。研究发现，住院医师在知识方面存在明显的不足，当面对各种临床情况时，只有 40%的住院医师能够正确估计预后。我们证明，基于预测试和后测试，住院医师在基本肿瘤学问题、估计预后和管理毒性方面的舒适度水平有所提高。我们的结果证实，肿瘤学住院医师轮转可能不足以教育住院医师。我们的研讨会形式表明，使用相当有限的资源创建和实施重点干预是可能的。这可以作为评估其他机构内科住院医师肿瘤学医学教育的平台。
