Department of Radiation Oncology, Dr Ida B Scudder Cancer Centre, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Gynaecologic Oncology, Christian Medical College, Vellore, Tamil Nadu, India.
Indian J Med Res. 2021 Aug;154(2):338-345. doi: 10.4103/ijmr.IJMR_1734_20.
The global increase in cancer burden is a challenge for countries with scarce resources. Amongst all the malignancies, gynaecological cancer still continues to have a high incidence and prevalence leading to significant morbidity and mortality. While a multipronged strategy of decreasing the gynaecological cancer burden is a global priority, one of the key strategies to decrease the morbidity and mortality is to train gynaecological oncology specialists. Most of the developed nations have an established gynaecologic oncology training programme in the form of a well-designed curriculum and skill training. However, in developing countries where the actual disease burden of these cancers is highest, such focused training programmes have only started emerging and evolving over the past two decades. While it is a positive step to initiate such training programmes in a country like India, there are still gaps in the uniformity of curriculum and training. Also, exposure to modern practices in gynaecologic oncology surgery, chemotherapy and technology in radiation oncology, especially brachytherapy, is still insufficient in many centres. This review discusses some of the challenges and opportunities in the still evolving programmes for training gynaecologic oncologists in India.
全球癌症负担的增加是资源匮乏国家面临的一个挑战。在所有恶性肿瘤中,妇科癌症的发病率和患病率仍然较高,导致发病率和死亡率显著升高。虽然减少妇科癌症负担的多管齐下的策略是全球的重点,但降低发病率和死亡率的关键策略之一是培训妇科肿瘤学专家。大多数发达国家都有一个完善的妇科肿瘤学培训计划,包括精心设计的课程和技能培训。然而,在癌症实际负担最高的发展中国家,这种有针对性的培训计划在过去二十年才刚刚开始出现和发展。虽然在印度这样的国家启动这样的培训计划是一个积极的步骤,但课程和培训的统一性仍然存在差距。此外,许多中心在妇科肿瘤学手术、化疗和放射肿瘤学技术(尤其是近距离放疗)方面接触现代实践仍然不足。这篇综述讨论了印度妇科肿瘤学家培训中仍在不断发展的计划所面临的一些挑战和机遇。
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