Franco Idalid, Oladeru Oluwadamilola T, Saraf Anurag, Liu Kevin X, Milligan Michael, Zietman Anthony, Nguyen Paul L, Hirsch Ariel E, Jimenez Rachel B
Harvard Radiation Oncology Program, Boston, Massachusetts.
Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Adv Radiat Oncol. 2021 Jan-Feb;6(1):100566. doi: 10.1016/j.adro.2020.09.006. Epub 2020 Sep 22.
In response to the coronavirus disease 2019 pandemic, current Association of American Medical Colleges guidelines discourage away rotations, posing significant challenges for attracting students to radiation oncology (RO). This is particularly concerning for medical students underrepresented in medicine (UIM) due to the potential of widening existing disparities in applicant and workforce composition. To proactively address this, we created a Radiation Oncology Intensive Shadowing Experience (RISE) to expose UIM students to the field of RO.
Key stakeholders within the residency program, including both UIM faculty and residents with experience in health disparities and medical education, designed a 1-week virtual RISE intended for fourth year UIM students recruited through established national organizations serving UIM medical students. A 1-week disease-specific curriculum was developed using 4 components: (1) foundational exposure to RO, (2) didactic teaching, (3) mentorship opportunities, and (4) a capstone experience. Mentorship was continuously weaved through the experience by attendings, peer resident mentors, and a UIM resident panel to optimize exposure.
RISE was successfully initiated at 2 academic medical centers with 12 UIM students enrolled through August. Anonymized pre- and postclerkship surveys were developed for students, residents, and faculty involved in RISE to evaluate participants' satisfaction, resident and attending time burden, and perceptions of program effectiveness.
We created a unique virtual RO shadowing experience for UIM students to address a critical gap in exposure to RO, heightened by the corona virus disease 2019 pandemic, with the goal of improving diversity, equity, and inclusion in our field.
为应对2019年冠状病毒病大流行，美国医学院协会当前的指南不鼓励远程轮转，这给吸引学生投身放射肿瘤学（RO）带来了重大挑战。对于医学领域中代表性不足的医学生（UIM）而言，这尤其令人担忧，因为这可能会扩大申请者和劳动力构成中现有的差距。为积极应对这一问题，我们创建了放射肿瘤学强化见习体验（RISE）项目，以使UIM学生接触RO领域。
住院医师培训项目中的关键利益相关者，包括在健康差异和医学教育方面有经验的UIM教员和住院医师，为通过服务UIM医学生的既定全国性组织招募的四年级UIM学生设计了为期1周的虚拟RISE项目。使用4个组成部分开发了为期1周的特定疾病课程：（1）RO基础接触，（2）理论教学，（3）指导机会，以及（4）总结性体验。通过主治医生、住院医师同伴导师和UIM住院医师小组在整个体验过程中持续提供指导，以优化接触机会。
RISE项目已在2个学术医疗中心成功启动，截至8月已有12名UIM学生报名参加。为参与RISE项目的学生、住院医师和教员制定了匿名的实习前和实习后调查问卷，以评估参与者的满意度、住院医师和主治医生的时间负担以及对项目有效性的看法。
我们为UIM学生创建了独特的虚拟RO见习体验，以弥补因2019年冠状病毒病大流行而加剧的RO接触方面的关键差距，目标是提高我们领域的多样性、公平性和包容性。
