Department of Radiation Oncology, University of California San Francisco, San Francisco, CA.
Rayos Contra Cancer, Nashville, TN.
JCO Glob Oncol. 2021 Feb;7:233-241. doi: 10.1200/GO.20.00315.
To understand trends, pathways, and experiences and to establish a framework for radiation oncology (RO) programs interested in developing global health (GH) initiatives.
An in-depth interview was conducted of all US RO programs with established GH initiatives. Programs were identified by reviewing results of the 2018 Association of Residents in Radiation Oncology Global Health Resident Survey and individualized outreach to screen for additional programs meeting the following criteria: (1) active resident involvement in RO-specific GH opportunities, (2) active faculty involvement in these initiatives, and (3) department chair or program director awareness and support for ongoing opportunities. Among 88 residency programs, 11 were identified. Standardized questions explored the type of initiative, planning, staff and resident involvement, challenges, components to success, and history of programs through December 2018.
Between 2010 and 2018, 11 programs started initiatives. Total resident participants ranged from one to 13 (median = 3) in each program's history. Initiatives spanned education (n = 9 [82%]), clinical mentorship (73%), innovative technology (55%), bilateral hosting programs (45%), clinical development and equipment (45%), promotion of local research (36%), clinical care (36%), industry partnerships (27%), and remote tumor board (18%). Faculty involvement included radiation oncologists (91%), medical physicists (55%), and non-RO department faculty (27%). Six programs (55%) had faculty with prior GH experience. Four (36%) programs reported medical student involvement in projects. Barriers included international communication (36%), time for faculty (18%), funding (9%), and legal (9%) concerns. Commonest components of success included fostering relationships with international sites and identifying needs before solutions.
RO GH initiatives were reported as positive, educational, and feasible across 11 US residency programs. Growth is expected, representing opportunities for innovation and service among US programs.
了解趋势、途径和经验，并为有兴趣开展全球健康（GH）计划的放射肿瘤学（RO）项目建立一个框架。
对所有具有既定 GH 计划的美国 RO 项目进行了深入访谈。通过回顾 2018 年放射肿瘤学住院医师全球健康居民调查的结果，并进行个别外联，以筛选出符合以下标准的其他计划来确定这些计划：（1）住院医师积极参与特定于 RO 的 GH 机会，（2）教职员工积极参与这些计划，以及（3）系主任或项目主任对正在进行的机会的了解和支持。在 88 个居住项目中，确定了 11 个。标准化问题探讨了计划的类型、规划、员工和住院医师的参与、挑战、成功因素以及截至 2018 年 12 月的计划历史。
在 2010 年至 2018 年间，11 个项目启动了计划。每个项目历史上的总住院医师参与者人数从一个到 13 人不等（中位数=3）。计划涵盖了教育（9[82%]）、临床指导（73%）、创新技术（55%）、双边主办计划（45%）、临床开发和设备（45%）、促进当地研究（36%）、临床护理（36%）、行业合作伙伴关系（27%）和远程肿瘤委员会（18%）。教职员工的参与包括放射肿瘤学家（91%）、医学物理学家（55%）和非 RO 部门的教职员工（27%）。六个（55%）项目的教职员工具有先前的 GH 经验。四个（36%）项目报告说，医学生参与了项目。障碍包括国际沟通（36%）、教职员工的时间（18%）、资金（9%）和法律（9%）问题。成功的最常见因素包括与国际站点建立关系和在解决方案之前确定需求。
11 个美国居住项目报告了 RO GH 计划是积极的、教育性的和可行的。随着计划的发展，预计将为美国项目提供创新和服务的机会。
