激励下一代肿瘤学家：一项关于英国医学生对肿瘤学看法的全英研究。
Inspiring the future generation of oncologists: a UK-wide study of medical students' views towards oncology.
作者信息
Rallis Kathrine S, Wozniak Anna Maria, Hui Sara, Nicolaides Marios, Shah Neha, Subba Beena, Papalois Apostolos, Sideris Michail
机构信息
Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Newham University Hospital, Barts Health NHS Trust, London, UK.
出版信息
BMC Med Educ. 2021 Feb 2;21(1):82. doi: 10.1186/s12909-021-02506-0.
BACKGROUND
One in 2 people born in the UK after 1960 are expected to require oncology input in their lifetime. However, only 36% of UK medical schools provide dedicated oncology placements and teaching indicating a discordance between public health impact and training. We designed a UK-wide survey to capture medical students' views on current oncology teaching and the potential role of a national undergraduate oncology symposium as an educational, networking and motivational tool.
METHODS
We undertook a national cross-sectional survey of UK medical students' views in oncology and satisfaction with teaching using pre-designed questionnaires. We also distributed a dedicated survey (pre and post-conference) to compare medical students' motivation towards a career in oncology after attending the national symposium. This study was prospectively approved by QMUL Ethics Committee (Reference number QMREC2348). Statistical analysis included univariate inferential tests on SPSS and GraphPad software.
RESULTS
The national survey was completed by 166 students representing 22 UK medical schools. Students reported limited interest, knowledge and exposure to oncology, lack of confidence in skills, and teaching dissatisfaction. Oncology was perceived as a challenging specialty (mean 4.5/5 ± 0.7), yet most students estimate receiving only 1-2 weeks of dedicated oncology teaching. The national symposium generated a statically significant increase in students' interest, knowledge, and confidence in skills surrounding oncology, improving students' perceived ability to cope with the emotional challenges in this field.
CONCLUSION
Students' views towards oncology alongside their teaching dissatisfaction underpin the need to revisit and strive to improve current undergraduate oncology curricula. Increasing medical student oncology exposure by proposing outcome-based guidelines and adopting a standardised undergraduate oncology curriculum should be the foremost priority in inspiring future oncologists to ensure excellent cancer patient care.
背景
预计1960年后在英国出生的每两个人中就有一人一生中需要肿瘤学方面的医疗服务。然而，英国只有36%的医学院提供专门的肿瘤学实习和教学，这表明公共卫生影响与培训之间存在不一致。我们设计了一项全英国范围的调查，以了解医学生对当前肿瘤学教学的看法，以及全国性本科肿瘤学研讨会作为一种教育、交流和激励工具的潜在作用。
方法
我们使用预先设计的问卷，对英国医学生对肿瘤学的看法以及对教学的满意度进行了全国性横断面调查。我们还分发了一份专门的调查问卷（会前和会后），以比较医学生参加全国研讨会后对肿瘤学职业的积极性。本研究已获得玛丽女王大学伦理委员会的前瞻性批准（参考编号QMREC2348）。统计分析包括在SPSS和GraphPad软件上进行单变量推断测试。
结果
来自英国22所医学院的166名学生完成了全国性调查。学生们表示对肿瘤学的兴趣、知识和接触有限，对技能缺乏信心，对教学不满意。肿瘤学被认为是一个具有挑战性的专业（平均4.5/5 ± 0.7），然而大多数学生估计只接受了1-2周的专门肿瘤学教学。全国研讨会使学生对肿瘤学相关技能的兴趣、知识和信心有了统计学上的显著提高，增强了学生应对该领域情感挑战的感知能力。
结论
学生对肿瘤学的看法以及他们对教学的不满表明，有必要重新审视并努力改进当前的本科肿瘤学课程。通过提出基于结果的指导方针并采用标准化的本科肿瘤学课程，增加医学生对肿瘤学的接触，应该是激励未来肿瘤学家以确保为癌症患者提供优质护理的首要任务。
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