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放射肿瘤学教育——当前的挑战与困难

Education in Radiation Oncology-Current Challenges and Difficulties.

作者信息

Mireștean Camil Ciprian, Iancu Roxana Irina, Iancu Dragoș Petru Teodor

机构信息

Department of Medical Oncology and Radiotherapy, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Department of Surgery, Railways Clinical Hospital, 700506 Iasi, Romania.

出版信息

Int J Environ Res Public Health. 2022 Mar 22;19(7):3772. doi: 10.3390/ijerph19073772.

Abstract

The evolution and development of radiotherapy in the last two decades has meant that postgraduate medical training has not kept up with this rapid progress both in terms of multidisciplinary clinical approaches and especially in terms of technological advances. Education in radiation oncology is a major priority in the context of the rapid development of radiotherapy, including advanced knowledge of radiobiology, radiation physics and clinical oncology, anatomy, tumor biology and advanced medical imaging. In this context, the lack of training in radiation oncology in the curricula of medical faculties may have detrimental consequences for the training of residents in radiotherapy but also in their choice of specialty after completing their university studies. There is a clear gap between resident physicians' actual and required knowledge of radiotherapy, and this requires urgent remediation. In the context of technical advances in imaging-guided radiotherapy (IGRT) and new radiobiology data, a balanced approach divided equally between general oncology, clinical radiation oncology, radiation oncology technology, medical physics and radiobiology, anatomy and multimodal imaging, including mentorship could bring educational and career choice benefits for students of radiation oncology.

摘要

在过去二十年中,放射治疗的演变和发展意味着研究生医学培训在多学科临床方法方面,尤其是在技术进步方面,未能跟上这一快速发展的步伐。在放射治疗迅速发展的背景下,放射肿瘤学教育是一项主要优先事项,包括放射生物学、放射物理学和临床肿瘤学、解剖学、肿瘤生物学以及先进医学成像等方面的先进知识。在这种情况下,医学院校课程中缺乏放射肿瘤学培训可能会对放疗住院医师的培训产生不利影响,也会影响他们完成大学学业后对专业的选择。住院医师实际掌握的放射治疗知识与所需知识之间存在明显差距,这需要紧急补救。在影像引导放射治疗(IGRT)技术进步和新的放射生物学数据的背景下,在普通肿瘤学、临床放射肿瘤学、放射肿瘤学技术、医学物理学和放射生物学、解剖学以及多模态成像(包括导师指导)之间平均分配的平衡方法,可能会给放射肿瘤学专业的学生带来教育和职业选择方面的益处。

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