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放疗科住院医师是否有偏好的放疗计划审查格式?

Do Radiation Oncology Residents Have a Preferred Radiation Treatment Planning Review Format?

机构信息

Division of Radiation Oncology, Cross Cancer Institute, University of Alberta, 11560 University Ave, Edmonton, AB, T6G 1Z2, Canada.

Division of Experimental Oncology, Cross Cancer Institute, University of Alberta, Edmonton, AB, Canada.

出版信息

J Cancer Educ. 2023 Aug;38(4):1338-1343. doi: 10.1007/s13187-023-02267-y. Epub 2023 Feb 3.

DOI:10.1007/s13187-023-02267-y
PMID:36735173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9895963/
Abstract

In an era of increasing virtual communication, we aimed to investigate current formats used by radiation oncology residents for reviewing radiation treatment plans with attendings, preferences for formats, and reasons contributing to preferences. Residents enrolled in Canadian radiation oncology programs received questionnaires examining training level, typical review formats, preferred format, and reasons for preference. Analysis excluded PGY-1s due to insufficient exposure. Fifty-two residents participated. National response rate was 55%. Overall, hybrid review was the most used format (77%). Virtual review was the most preferred format (44%). Preference for virtual review was most common among junior residents (57%), while in-person review was most preferred by senior residents (45.4%). Few residents typically use their preferred format (35%). Reasons for preference varied between groups in convenience (p < 0.01), interactivity (p < 0.01), and teaching quality (p = 0.04). The persistence of e-learning suggests that virtual treatment planning education will continue to some degree. Junior residents prefer virtual review, while a clearly preferred review format was less apparent among senior residents. Preferences are multifactorial, and the trends seen in reasons for preference between formats may reflect advantages inherent to each. Progress is still needed in optimizing treatment planning education, as suggested by few residents using their preferred format. Residents and staff should collectively decide which educational format for treatment planning best meets educational needs.

摘要

在虚拟交流日益增多的时代,我们旨在调查放射肿瘤学住院医师目前与主治医生一起审查放射治疗计划的格式、对格式的偏好以及促成偏好的原因。参加加拿大放射肿瘤学项目的住院医师收到了调查问卷,调查了培训水平、典型的审查格式、首选格式以及偏好的原因。由于 PGY-1 接触不足,分析排除了 PGY-1。共有 52 名住院医师参加。全国回复率为 55%。总体而言,混合审查是最常用的格式(77%)。虚拟审查是最受欢迎的格式(44%)。虚拟审查的偏好最常见于初级住院医师(57%),而面对面审查是高级住院医师(45.4%)最受欢迎的。很少有住院医师通常使用他们喜欢的格式(35%)。不同群体对便利性(p < 0.01)、交互性(p < 0.01)和教学质量(p = 0.04)的偏好存在差异。电子学习的持续存在表明,虚拟治疗计划教育将在某种程度上继续存在。初级住院医师更喜欢虚拟审查,而高级住院医师中则不太明显地偏好某种特定的审查格式。偏好是多方面的,不同格式之间偏好原因的趋势可能反映了每种格式固有的优势。正如很少有住院医师使用他们喜欢的格式所表明的那样,在优化治疗计划教育方面仍需取得进展。住院医师和工作人员应共同决定哪种治疗计划教育格式最能满足教育需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec88/9895963/5c15439023cf/13187_2023_2267_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec88/9895963/3ea1312f3127/13187_2023_2267_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec88/9895963/5c15439023cf/13187_2023_2267_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec88/9895963/3ea1312f3127/13187_2023_2267_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec88/9895963/5c15439023cf/13187_2023_2267_Fig2_HTML.jpg

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本文引用的文献

1
Virtual Procedural Supervision During the COVID-19 Pandemic: A Novel Pilot for Supervising Invasive Bedside Procedures in the ICU.新冠疫情期间的虚拟程序监督:一种用于重症监护病房侵入性床边操作监督的新型试点方案
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新的虚拟和数字时代的放射肿瘤学。
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Int J Radiat Oncol Biol Phys. 2021 Jun 1;110(2):315-321. doi: 10.1016/j.ijrobp.2020.12.026. Epub 2020 Dec 26.
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Increasing Medical Student Engagement Through Virtual Rotations in Radiation Oncology.通过放射肿瘤学虚拟轮转提高医学生的参与度
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Virtual Radiation Oncology Clerkship During the COVID-19 Pandemic and Beyond.新冠疫情期间及之后的虚拟放射肿瘤学实习
Int J Radiat Oncol Biol Phys. 2020 Oct 1;108(2):444-451. doi: 10.1016/j.ijrobp.2020.06.050.
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Remote Supervision in Primary Care during the Covid-19 pandemic - the "new normal"?远程监管在新冠疫情期间的初级保健中——“新常态”?
Educ Prim Care. 2020 Nov;31(6):332-336. doi: 10.1080/14739879.2020.1802353. Epub 2020 Aug 6.
8
Clinical Learning, Didactic Education, and Research Experiences of Radiation Oncology Resident Physicians in Canada.加拿大放射肿瘤学住院医师的临床学习、教学教育和研究经历。
J Cancer Educ. 2022 Feb;37(1):155-162. doi: 10.1007/s13187-020-01799-x.
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The Application of the Virtual Environment for Radiotherapy Training to Strengthen IGRT Education.虚拟环境在放射治疗培训中的应用,以加强 IGRT 教育。
J Med Imaging Radiat Sci. 2020 Jun;51(2):207-213. doi: 10.1016/j.jmir.2020.02.005. Epub 2020 Mar 25.
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