Sinha Sumi, Xu Melody J, Yee Emily, Buckmeier Troy, Park Catherine, Braunstein Steve E
Department of Radiation Oncology, University of California San Francisco, San Francisco, California.
Adv Radiat Oncol. 2021 Sep 10;6(6):100800. doi: 10.1016/j.adro.2021.100800. eCollection 2021 Nov-Dec.
Medical assistants (MAs) occupy an increasingly prevalent role in the clinical setting. Subspecialized fields such as oncology require specific clinical knowledge; however, MAs have few requirements for continued education. Here we assess the role and effect of a pilot MA Radiation Oncology education curriculum.
A needs assessment survey was conducted and reviewed to develop a comprehensive introductory oncology curriculum. A resident physician-led program was implemented in an academic cancer care center consisting of monthly, 1-hour lectures. Pre- and postlecture surveys were administered to assess learning. Quarterly surveys were conducted over the 20-month curriculum timeframe.
The needs assessment revealed that there were no pre-existing MA continuing education didactics, but all (100%) MAs surveyed were "very interested" in such a curriculum. Sessions were found to be clear, comprehensive, relevant, and associated with a significant increase in a sense of empowerment ( = .035). Topics in Head and Neck and Breast Cancer showed large improvements in understanding (change in median Likert score of 3-4 points each) whereas topics in Introduction to Oncology and New Patient Consultation showed the smallest change (change 0.5-1). For 20 months, there was a sustained improvement in clinical understanding within and outside the scope of the MA role and an improvement in perceived empathy for patients (from median Likert score 3.5-5).
Dedicated education programs for MAs show the potential to improve clinical understanding and participation in patient care. Further studies may demonstrate how such programs translate to staff productivity or patient clinical outcomes. Interprofessional education may facilitate collaboration and enhanced clinical workflow.
医学助理(MAs)在临床环境中发挥着越来越重要的作用。肿瘤学等亚专业领域需要特定的临床知识;然而,医学助理几乎没有继续教育的要求。在此,我们评估了一项医学助理放射肿瘤学教育试点课程的作用和效果。
开展并审查了一项需求评估调查,以制定全面的肿瘤学入门课程。在一家学术癌症护理中心实施了一项由住院医师主导的项目,包括每月1小时的讲座。在讲座前后进行调查以评估学习情况。在为期20个月的课程时间内进行季度调查。
需求评估显示,此前不存在医学助理继续教育教学内容,但所有接受调查的医学助理(100%)对这样的课程“非常感兴趣”。发现课程清晰、全面、相关,并且与一种增强的赋权感显著增加相关(P = 0.035)。头颈癌和乳腺癌主题的理解有大幅提高(李克特量表中位数得分各提高3 - 4分),而肿瘤学导论和新患者咨询主题的变化最小(变化0.5 - 1)。在20个月的时间里,医学助理角色范围内外的临床理解持续改善,对患者的感知同理心也有所改善(从李克特量表中位数得分3.5提高到5)。
针对医学助理的专门教育项目显示出改善临床理解和参与患者护理的潜力。进一步的研究可能会证明此类项目如何转化为员工生产力或患者临床结果。跨专业教育可能会促进协作并改善临床工作流程。