Sturdza Alina Emiliana, Stephanides Marianne, Jurgenliemk-Schulz Ina, Eriksen Jesper Grau, Benstead Kim, Hoskin Peter, Vlad Stefanel, Escande Alexandre, Corradini Stefanie, Knoth Johannes, Westerveld Henrike, Tagliaferri Luca, Najari-Jamali Dina, Konat-Baska Katarzyna, Plesinac Vesna, Tan Li Tee, Nout Remi, Strnad Vratislav, Niehoff Peter, Pieters Bradley R, Tanderup Kari, Kamrava Mitchell
Medical University of Vienna, Department of Radiation Oncology, Comprehensive Cancer Center, Vienna, Austria.
Medical University of Vienna, Department of Statistics, Vienna, Austria.
Radiother Oncol. 2022 Dec;177:172-178. doi: 10.1016/j.radonc.2022.10.030. Epub 2022 Oct 31.
We aim to investigate the current state of brachytherapy (BT) training among the radiation oncology trainees in Europe.
A 22-question online survey based on the one by the American Association of Radiation Oncology Residents (2017) with added queries pertinent to training in Europe was sent to 1450 residents in two iterations. These included site-specific training, volume of experience, barriers to training, institutional support, and preferences for further education. Responses to individual statements were given on a 1 to 5 Likert-type scale. The answers were reported by junior (≤3 years of training) and senior years of training (year of training 4/5/6 and junior staff). Descriptive statistics were used to describe frequencies.
Residents from 21 European countries participated, 445 (31%) responded. 205 (47%) were senior residents. 60% residents consider that performing BT independently at the end of residency is very or somewhat important. Confidence in joining a brachytherapy practice at the end of residency was high or somewhat high in 34% of senior residents. They reported as barriers to achieving independence in BT to be lack of appropriate didactic/procedural training from supervisors (47%) and decreased case load (31%). 68% reported their program lacks a formal BT curriculum and standardized training assessment.
Residents in Europe, feel independent BT practice is very or somewhat important, but do not feel confident they will achieve this goal. To address this gap, efforts are needed to develop and implement a formal and comprehensive BT curriculum with easy access to trained instructors.
我们旨在调查欧洲放射肿瘤学受训人员近距离放射治疗(BT)培训的现状。
基于美国放射肿瘤学住院医师协会(2017年)的一份22个问题的在线调查问卷,并添加了与欧洲培训相关的问题,分两轮发送给1450名住院医师。这些问题包括特定部位培训、经验量、培训障碍、机构支持以及继续教育偏好。对各个陈述的回答采用1至5分的李克特量表。答案按初级(培训年限≤3年)和高级培训年限(培训第4/5/6年及初级工作人员)进行报告。使用描述性统计来描述频率。
来自21个欧洲国家的住院医师参与了调查,445人(31%)做出了回应。205人(47%)是高级住院医师。60%的住院医师认为在住院医师培训结束时独立进行BT治疗非常或有点重要。34%的高级住院医师对在住院医师培训结束时加入近距离放射治疗实践的信心较高或有点高。他们报告称,在BT治疗中实现独立的障碍包括缺乏上级适当的理论/程序培训(47%)和病例量减少(31%)。68%的人报告他们的项目缺乏正式的BT课程和标准化培训评估。
欧洲的住院医师认为独立进行BT治疗非常或有点重要,但对能否实现这一目标缺乏信心。为了弥补这一差距,需要努力制定和实施正式且全面的BT课程,并方便获得受过培训的教员指导。