Department of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany.
Partner site Munich, German Cancer Consortium (DKTK), Munich, Germany.
Strahlenther Onkol. 2023 Nov;199(11):961-972. doi: 10.1007/s00066-023-02137-y. Epub 2023 Aug 29.
The aim of this study was to assess the current status of the radiation oncology (RO) residency programs in Germany. For this, RO residents and RO specialists were surveyed regarding the current situation of the RO residency training and the working conditions in Germany.
The Continuing Education Section of the Young DEGRO (yDEGRO) Working Group of the German Society of Radiation Oncology (DEGRO) developed a survey to assess (1) the overall satisfaction, learning objectives, and teaching methods used during training; and (2) the perception of the importance of specific disease patterns in RO training. Open-ended questions were also asked to elicit opinions on areas for improvement. From 21 November to 27 December 2022, RO residents registered with DEGRO and/or in the working group yDEGRO were invited to participate anonymously in an online questionnaire.
Overall, 97 participants completed the survey, including 65 RO residents (67%) and 32 RO specialists (33%); 66 (68%) of the respondents reported being employed in the university setting, 23 (23.7%) in the non-university setting, and 8 (8.3%) in private practice. Within the training, heterogeneity was found in the teaching methods used. In terms of knowledge transfer, the greatest importance was accorded to annual continuing education discussions with the head of the residency training (92.8%), participation in tumor boards (85.6%), written training concepts (81.4%), and evaluations at the beginning (76.3%) and end of a rotation (80.4%). The arithmetic mean of satisfaction with specialist training was 6/10 points (SD: 1.99); 88.7% of respondents would like to see a nationally uniform and mandatory curriculum in RO residency training.
The study provides suggestions for improving RO medical training in Germany: further development of accompanying education and training programs in cooperation with professional associations, e.g., the DEGRO, structured feedback, and supervision.
本研究旨在评估德国放射肿瘤学（RO）住院医师培训计划的现状。为此，对 RO 住院医师和 RO 专家进行了调查，以了解 RO 住院医师培训的现状和德国的工作条件。
德国放射肿瘤学会（DEGRO）青年 DEGRO（yDEGRO）工作组继续教育分会制定了一项调查，以评估（1）培训期间的整体满意度、学习目标和教学方法；以及（2）RO 培训中特定疾病模式的重要性的看法。还提出了一些开放性问题，以征求对改进领域的意见。2022 年 11 月 21 日至 12 月 27 日，邀请 DEGRO 注册的 RO 住院医师和/或 yDEGRO 工作组的 RO 住院医师匿名参加在线问卷调查。
共有 97 名参与者完成了调查，包括 65 名 RO 住院医师（67%）和 32 名 RO 专家（33%）；66（68%）名受访者报告在大学环境中工作，23（23.7%）名在非大学环境中工作，8（8.3%）名在私人执业中工作。在培训中，使用的教学方法存在异质性。在知识转移方面，与住院医师培训负责人进行年度继续教育讨论（92.8%）、参加肿瘤委员会（85.6%）、书面培训概念（81.4%）以及在轮转开始时（76.3%）和结束时（80.4%）进行评估被认为最重要。对专家培训的满意度平均得分为 6/10 分（标准差：1.99）；88.7%的受访者希望在 RO 住院医师培训中看到全国统一和强制性的课程。
该研究为改善德国 RO 医学培训提出了建议：与专业协会（如 DEGRO）合作进一步开发伴随教育和培训计划、结构化反馈和监督。
