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[肿瘤学第三周期改革头三年应用情况的反馈]

[Feedback on the first three years of application of the reform of the third cycle in oncology].

作者信息

Cren Pierre-Yves, Chartier Julie, Penel Nicolas, Huguet Florence, Spano Jean-Philippe, Ollivier Luc, Delaye Matthieu, Turpin Anthony

机构信息

Centre Oscar-Lambret, département d'oncologie médicale, 59000 Lille, France; Université de Lille, 59000 Lille, France.

Hôpital Cochin, département d'oncologie médicale, 75014 Paris, France; Association pour l'enseignement et la recherche des internes en oncologie, 75014 Paris, France.

出版信息

Bull Cancer. 2022 Feb;109(2):130-138. doi: 10.1016/j.bulcan.2022.01.007. Epub 2022 Feb 4.

DOI:10.1016/j.bulcan.2022.01.007
PMID:35131091
Abstract

Since the establishment of the reform of medical studies' third cycle in 2017, the first two residency semesters define the "phase socle" whose objective is to provide the basic knowledge of the specialty. We have carried out a declarative survey, submitted in 2020 to all French residents in Oncology whose "phase socle" had taken place during the first 3 years of the reform. The main objectives of this survey were to evaluate the theoretical teaching of oncology as well as the practical hospital training provided during this phase. The response rate was 44% (among 355 residents, 155 answered). In terms of theoretical training, the level of satisfaction with the national teaching courses of the Collège National des Enseignants en Cancérologie and the distant learning courses on the SIDES-NG platform was considered satisfactory (average visual analog scale of 6.7/10 and 5.7/10, respectively). There was greater heterogeneity in the organization of local courses, of which only 50% of base phase residents benefited. In terms of practical training, the training value of the medical oncology and radiation oncology residencies was good (visual analogue scale 7.9/10 and 6.7/10, respectively), with educational objectives adapted to the base phase, but with a greater workload for medical oncology. This study provides feedback that shows the success of this reform in oncology. It also offers suggestions, which could be the basis to improve the formation of oncology residents.

摘要

自2017年医学学习第三轮改革确立以来,住院医师培训的前两个学期构成了“基础阶段”,其目标是传授该专业的基础知识。我们开展了一项问卷调查,并于2020年提交给了所有在改革头三年完成“基础阶段”培训的法国肿瘤学住院医师。这项调查的主要目的是评估肿瘤学的理论教学以及该阶段提供的医院实践培训。回复率为44%(355名住院医师中,155人作答)。在理论培训方面,对国立肿瘤学教师学院的国家教学课程以及SIDES-NG平台上的远程学习课程的满意度被认为是令人满意的(视觉模拟量表平均分分别为6.7/10和5.7/10)。地方课程的组织存在较大异质性,只有50%的基础阶段住院医师受益。在实践培训方面,内科肿瘤学和放射肿瘤学住院医师培训的价值良好(视觉模拟量表分别为7.9/10和6.7/10),教育目标适合基础阶段,但内科肿瘤学的工作量更大。这项研究提供的反馈表明了肿瘤学领域这一改革的成功。它还提出了一些建议,这些建议可能成为改进肿瘤学住院医师培训的基础。

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