Larnaudie A, Bourbonne V, Michalet M, Laune Q, Delaye M, Huguet F, Azria D, Varnier R, Ghannam Y
Service de radiothérapie, centre François-Baclesse, avenue du Général-Harris, 14000 Caen, France; Société française des jeunes radiothérapeutes oncologues (SFJRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France.
Société française des jeunes radiothérapeutes oncologues (SFJRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France; Service de radiothérapie, centre hospitalier universitaire de Brest, 2, avenue Foch, 29200 Brest, France.
Cancer Radiother. 2023 Dec;27(8):718-724. doi: 10.1016/j.canrad.2023.08.003. Epub 2023 Oct 25.
The last year of the radiotherapy oncology internship in France has become a phase of empowerment, called "junior doctor", allowing interns to validate acts previously reserved only for senior doctors. This study focused on the responsibilities given to the first promotion of junior doctors in France and their feelings on this new status.
A cross-sectional survey was carried out by the French associations of interns and young doctors in oncology, Aerio and SFjRO. A questionnaire was sent to the class referents of each city for transmission to the junior doctors of the year 2021-2022 from September 1st to November 30th, 2022. The questions concerned training, the modalities of this year and the feelings. Responses were analyzed anonymously using R. 4.3.1 software.
For radiation oncology, 33 responses were obtained from 21 cities. For most junior doctors, three to four localizations (51%) were performed with an average of five new patients per week. The contours were reviewed either systematically (51%) or only at the beginning (32%). Dosimetry was reported as never countersigned in 19%; 80% of junior doctors described having been the only radiation oncologist during multidisciplinary staff meetings. The two main areas of improvement were theoretical training (45%) and legal frameworks/contracts (42%).
These results relating to the first class of junior doctors showed an overall agreement with the recommendations of the Cnec. Feedback from interns was positive. The supervision of brachytherapy and dosimetry activities, the presence alone in multidisciplinary panel remained points of vigilance.
在法国，放射肿瘤学实习的最后一年已成为一个被称为“初级医生”的赋权阶段，使实习生能够执行以前仅由高级医生保留的操作。本研究聚焦于法国首批初级医生所承担的职责以及他们对这一新身份的感受。
法国肿瘤学实习生和年轻医生协会Aerio和SFjRO开展了一项横断面调查。2022年9月1日至11月30日，向每个城市的班级代表发送了一份问卷，以便传达给2021 - 2022年度的初级医生。问题涉及培训、本年度的模式以及感受。使用R. 4.3.1软件对回复进行匿名分析。
对于放射肿瘤学，从21个城市获得了33份回复。对于大多数初级医生来说，进行了三到四个部位的治疗（51%），平均每周有五名新患者。轮廓要么系统地复查（51%），要么仅在开始时复查（32%）。据报告，19%的剂量测定从未有副署；80%的初级医生称在多学科工作人员会议期间自己是唯一的放射肿瘤学家。两个主要的改进领域是理论培训（45%）和法律框架/合同（42%）。
这些与首批初级医生相关的结果总体上与国家癌症专家委员会（Cnec）的建议一致。实习生的反馈是积极的。近距离放射治疗和剂量测定活动的监督、在多学科小组中独自出席仍是需要警惕的问题。
