Department of Radiotherapy, Peking Union Medical College Hospital，Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.
BMC Med Educ. 2023 May 2;23(1):296. doi: 10.1186/s12909-023-04264-7.
Radiotherapy standardized training (ST) has been conducted for 7 years in China. This investigation evaluated the difficulties of and need for ST of radiation oncology residents (RORs) for gynaecological tumours (GYN) in China.
An anonymous online survey was conducted on the "Questionnaire Star" platform. The questionnaire contained 30 questions, including the basic information of the students, their knowledge of radiotherapy theory, training on GYN, the difficulties and needs they faced, and possible solutions.
A total of 469 valid questionnaires were collected, resulting in a valid response rate of 85.3%. During the ST, only 58-60% of RORs received training in GYN, with a median clinical rotation time of 2-3 months. Among the RORs surveyed, 50.1% knew the physical characteristics of brachytherapy (BRT), and 49.2% could choose the appropriate BRT for patients. At the end of ST, 75.3% were able to complete the target delineation in GYN independently, and 56% were able to complete the BRT operation independently. The scarcity of GYN patients, insufficient teaching awareness of superior doctors, and lack of interest are the main reasons why ST cannot meet the standard.
In China, the ST of RORs in GYN should be strengthened, the teaching awareness of specialist trainers should be increased, and the curriculum should be optimized, especially the curriculum for specialist operation and a strict assessment system.
放疗规范化培训（ST）在中国已经开展了 7 年。本研究评估了中国妇科肿瘤（GYN）放射肿瘤学住院医师（ROR）ST 的困难和需求。
在“问卷星”平台上进行了一项匿名在线调查。问卷包含 30 个问题，包括学生的基本信息、他们对放疗理论的了解、GYN 培训、他们面临的困难和需求以及可能的解决方案。
共收集到 469 份有效问卷，有效回复率为 85.3%。在 ST 期间，只有 58-60%的 ROR 接受了 GYN 培训，中位临床轮转时间为 2-3 个月。在所调查的 ROR 中，50.1%知道近距离放疗（BRT）的物理特性，49.2%能够为患者选择合适的 BRT。在 ST 结束时，75.3%的 ROR 能够独立完成 GYN 的靶区勾画，56%的 ROR 能够独立完成 BRT 操作。GYN 患者数量少、上级医生的教学意识不足以及缺乏兴趣是 ST 无法达标主要原因。
在中国，应加强 GYN 中 ROR 的 ST，提高专科培训师的教学意识，并优化课程，特别是专科操作课程和严格的评估体系。
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