Division of Radiation Oncology, University of Alberta, Edmonton, AB, Canada.
Division of Radiation Oncology, Cross Cancer Institute, 11560 University Avenue, Edmonton, AB, T6G 1Z2, Canada.
J Cancer Educ. 2022 Feb;37(1):155-162. doi: 10.1007/s13187-020-01799-x.
Changes in the field of radiation oncology (RO) impacts residency training. Assessing trainee experiences is essential to inform curriculum development. We aim to explore gaps and strengths in current Canadian RO training, as we move towards competency-based medical education (CBME). An online survey was distributed to residents at all Canadian RO training programs. Surveys consisted of 66 open-ended, Likert-scale, matrix-style, and multiple-choice questions, and assessed clinical exposure, didactic teaching, professional relationships, and research experiences. Statistics were calculated from anonymized, aggregate responses. Out of 128 eligible residents, 53 responded (41% response rate). Of these, 57% were male, and 77% were Canadian medical graduates. Senior residents (PGY-4 to PGY-5) perceived insufficient exposure to lymphoma and ocular malignancies, brachytherapy for breast and esophagus malignancies, and stereotactic radiotherapy of the pancreas, prostate, and adrenal gland. Half (51%) had training on image-guided radiotherapy (IGRT) challenges, and 43% had a formal staff mentor. Most residents presented at least one research project at conferences (77%) and authored ≥ 1 publications (66%) during residency. Canadian RO residents are satisfied with their clinical training and educational experience in high-volume tumor sites and high-volume brachytherapy procedures. Areas identified for potential improvement are (1) low-volume tumor sites; (2) low-volume brachytherapy procedures; (3) low-volume stereotactic radiotherapy sites; (4) IGRT challenges; and (5) mentorship opportunities. These findings will inform future CBME curriculum revisions.
放射肿瘤学（RO）领域的变化影响住院医师培训。评估学员的经验对于为课程开发提供信息至关重要。随着我们迈向以能力为基础的医学教育（CBME），我们旨在探索加拿大目前 RO 培训中的差距和优势。向所有加拿大 RO 培训计划的住院医师在线分发了一份调查。调查由 66 个开放式、李克特量表、矩阵式和多项选择题组成，评估了临床暴露、教学、专业关系和研究经验。从匿名、汇总的回复中计算出了统计数据。在 128 名符合条件的住院医师中，有 53 人（41%的回应率）做出了回应。其中，57%为男性，77%为加拿大医学毕业生。高年级住院医师（PGY-4 至 PGY-5）认为对淋巴瘤和眼部恶性肿瘤、乳腺癌和食管恶性肿瘤的近距离放射治疗以及胰腺、前列腺和肾上腺的立体定向放射治疗接触不足。一半（51%）接受过图像引导放射治疗（IGRT）挑战的培训，43%有正式的员工导师。大多数住院医师在会议上展示了至少一个研究项目（77%），并在住院期间发表了至少一篇出版物（66%）。加拿大 RO 住院医师对他们在高容量肿瘤部位和高容量近距离放射治疗程序中的临床培训和教育经验感到满意。确定需要改进的领域是：（1）低容量肿瘤部位；（2）低容量近距离放射治疗程序；（3）低容量立体定向放射治疗部位；（4）IGRT 挑战；（5）指导机会。这些发现将为未来的 CBME 课程修订提供信息。
