Department of Radiation Medicine, Oregon Health and Science University, 3181 S. W. Sam Jackson Park Rd, Portland, OR, 97239, USA.
School of Medicine, Virginia Commonwealth University, 730 East Broad St, Richmond, VA, 23298, USA.
J Cancer Educ. 2022 Aug;37(4):1179-1185. doi: 10.1007/s13187-020-01936-6. Epub 2021 Jan 8.
Moving from the role of resident into that of a young attending is one of the most anticipated transitions in a medical trainee's career path. Radiation oncology residency training is typically apprentice-style focused in the outpatient setting, which carries additional unique challenges. Twenty-seven junior attendings at academic institutions within their first 5 years of practice were sent an online open-ended questionnaire in 2018 regarding aspects of their practice using a snowball sampling method. Responses were collected, and a thematic analysis was conducted in which two independent reviewers coded the responses. Nineteen junior attendings (70%) from 18 institutions completed the questionnaire. General themes included the importance of cultivating relationships for peer support and to be professional and polite as confidence was gained to enable them to be seen as an attending. All respondents felt that bringing an open mind, balance, and adaptability was crucial in their transition. Respondents stayed up to date on literature and practices by subscribing to journals, courses, and participation in resident education. Forty-two percent of young attendings were matched with a mentor at their new institution through a formal mentor-mentee relationship. Respondents wished that they had more autonomy during residency to prepare for independent practice. Transitioning from residency to a junior attending provides unique stressors and challenges. Allowing for residents to have more autonomy during their training, such as a senior resident clinic, may help improve this transition by providing an opportunity for independent decision-making with guidance as appropriate.
从住院医师转变为年轻的主治医生是医学受训者职业生涯中最期待的转变之一。放射肿瘤学住院医师培训通常以学徒式的方式专注于门诊环境，这带来了额外的独特挑战。2018 年，采用雪球抽样法，向 27 名在学术机构工作的初级主治医生发送了一份关于他们实践的在线开放式问卷调查。收集了回复，并进行了主题分析，两名独立评审员对回复进行了编码。来自 18 个机构的 19 名（70%）初级主治医生完成了问卷调查。一般主题包括培养关系以获得同行支持以及保持专业和礼貌的重要性，因为随着信心的增强，他们能够被视为主治医生。所有受访者都认为，保持开放的心态、平衡和适应能力对于他们的转变至关重要。受访者通过订阅期刊、参加课程和参与住院医师教育来保持对文献和实践的了解。42%的年轻主治医生通过正式的导师-学员关系在新机构找到了导师。受访者希望在住院医师培训期间有更多的自主权，为独立实践做准备。从住院医师转变为初级主治医生会带来独特的压力和挑战。允许住院医师在培训期间有更多的自主权，例如高级住院医师诊所，可能有助于通过提供在适当指导下独立决策的机会来改善这种转变。
