Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL.
Department of Radiation Oncology, ABC Medical Center, Mexico City, Mexico.
JCO Glob Oncol. 2021 Jan;7:29-34. doi: 10.1200/GO.20.00330.
With the existing oncology disparities in Latin America, physician expertise has been cited as a possible contributor to inferior oncologic outcomes in some cancers. As two-dimensional radiotherapy rapidly evolved to intensity-modulated radiation therapy in Latin America, adequate contouring education is an actionable target to improving physician knowledge and clinical outcomes. Yet, topics of interest to Latin American radiation oncologists are underreported. We assessed Latin American interest in a virtual platform for case discussion and identified the educational topics of most interest to them.
A Spanish-language online survey was designed by a team of Latin American educators. The questions assessed professional nationality, desire for an online educational platform for case presentation, career length, and topics of interest. Educational topics included head and neck (H&N), CNS, GI, lung, gynecologic, breast, and pediatric cancers, lymphoma, sarcoma, stereotactic body radiotherapy (SBRT), brachytherapy, and medical physics.
One hundred thirty-three surveys were included for analysis. Overall, 127 respondents (98%) affirmed interest in participating in a virtual platform for case discussion and treatment advances. The most popular educational themes were H&N cancers (24%), SBRT (14%), and CNS cancers (13%). Of countries with > 10 respondents, the most popular educational topic remained H&N cancers for Argentina, Chile, and Mexico, but the most popular topic among Peruvian respondents was CNS cancer (27%).
With international collaboration and a large sample size, we present the first survey results describing Latin American radiation oncology educational interests. Participants were overwhelmingly interested in a virtual platform, and most were specifically interested in H&N cancer education. These results can be used for focused didactic preparation in Latin America. Future efforts should expand on improving representation and outreach among Central American radiation oncologists.
鉴于拉丁美洲现有的肿瘤学差异,医生的专业知识被认为是导致某些癌症肿瘤学结果较差的一个可能因素。随着二维放疗在拉丁美洲迅速发展为调强放疗,充分的轮廓勾画教育是提高医生知识和临床结果的可行目标。然而,拉丁美洲放射肿瘤学家关注的主题报道不足。我们评估了拉丁美洲对虚拟病例讨论平台的兴趣,并确定了他们最感兴趣的教育主题。
由一组拉丁美洲教育工作者设计了一份西班牙语在线调查。这些问题评估了专业国籍、对在线病例展示教育平台的渴望、职业年限以及感兴趣的主题。教育主题包括头颈部(H&N)、中枢神经系统(CNS)、胃肠道(GI)、肺部、妇科、乳腺和儿科癌症、淋巴瘤、肉瘤、立体定向体部放疗(SBRT)、近距离放疗和医学物理学。
共纳入 133 份调查进行分析。总体而言,127 名受访者(98%)肯定有兴趣参与虚拟病例讨论和治疗进展平台。最受欢迎的教育主题是 H&N 癌症(24%)、SBRT(14%)和 CNS 癌症(13%)。在有超过 10 名受访者的国家中,阿根廷、智利和墨西哥最受欢迎的教育主题仍然是 H&N 癌症,但秘鲁受访者最感兴趣的主题是 CNS 癌症(27%)。
通过国际合作和大样本量,我们首次展示了描述拉丁美洲放射肿瘤学教育兴趣的调查结果。参与者对虚拟平台非常感兴趣,大多数人特别对 H&N 癌症教育感兴趣。这些结果可用于在拉丁美洲进行有针对性的教学准备。未来的努力应着眼于提高中美洲放射肿瘤学家的代表性和外展。