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实施一门新颖的“肿瘤学前沿”课程,以使四年级医学生参与基于证据的多学科肿瘤护理。

Implementing a Novel "Frontiers in Neoplasia" Curriculum to Engage Fourth-Year Medical Students in Evidence-Based, Multidisciplinary Oncology Care.

作者信息

Liu Curtis, Ferguson Cole, Vaish Mayuri, Arbab Mona, Kainthla Radhika, Kumar Kiran A, Ahn Chul, Hofmann Sandra L, Syed Samira

机构信息

University of Texas Southwestern Medical School, Dallas, TX, USA.

Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

J Cancer Educ. 2025 Jan 2. doi: 10.1007/s13187-024-02557-z.

DOI:10.1007/s13187-024-02557-z
PMID:39747707
Abstract

Few medical students are exposed to evidence-based, multidisciplinary oncology care, and few studies in oncology education reflect consolidated pre-clinical curricula. We developed a four-week curriculum, "Frontiers in Neoplasia," for fourth-year medical students, which included didactic lectures, interactive site visits, and team-based simulations of tumor boards and clinical trial design. A mixed methods approach was utilized to investigate the course's impact on students' understanding and interest in oncology, involving pre- and post-course responses to Likert-scale and open-ended questions. Quantitative results were analyzed using Wilcoxon rank-sum tests, while open-ended course feedback was analyzed using iterative thematic coding analysis. Of the 107 fourth-year medical students enrolled between 2021 and 2024, 94 (88%) completed the pre-survey and 96 (90%) completed the post-survey. Students enjoyed the course, with 96.9% of students reporting they would choose this course again. Quantitative analysis showed a significant increase in students' comfort in evidence-based medicine in oncology (p < .001) and interest in keeping up-to-date with oncology literature (p < .001). Qualitatively, students reported enjoying the multidisciplinary curriculum, diverse hybrid-format learning modalities, and applicability of coursework to their careers. Exposure to our novel oncology curriculum featuring dynamic learning experiences and hybrid format significantly increased medical students' interest and understanding of evidence-based medicine in multidisciplinary comprehensive cancer care. Our findings support the hybrid learning model, which provided flexibility and student engagement. Through this course, we successfully increased interest and understanding of cancer care among final-year medical students, and we believe this program could be applied to other medical schools.

摘要

很少有医学生接触到循证、多学科的肿瘤护理,肿瘤学教育方面的研究也很少反映出整合的临床前课程。我们为四年级医学生开发了一个为期四周的课程“肿瘤学前沿”,其中包括理论讲座、互动实地考察,以及基于团队的肿瘤病例讨论会模拟和临床试验设计。采用混合方法来研究该课程对学生对肿瘤学的理解和兴趣的影响,包括课程前后对李克特量表和开放式问题的回答。定量结果使用威尔科克森秩和检验进行分析,而开放式课程反馈则使用迭代主题编码分析进行分析。在2021年至2024年入学的107名四年级医学生中,94名(88%)完成了课前调查,96名(90%)完成了课后调查。学生们喜欢这门课程,96.9%的学生表示他们会再次选择这门课程。定量分析显示,学生在肿瘤学循证医学方面的舒适度显著提高(p < 0.001),对跟进肿瘤学文献的兴趣也显著提高(p < 0.001)。从定性方面来看,学生们表示喜欢多学科课程、多样的混合式学习模式,以及课程作业对他们职业的适用性。接触我们以动态学习体验和混合形式为特色的新型肿瘤学课程,显著提高了医学生对多学科综合癌症护理中循证医学的兴趣和理解。我们的研究结果支持混合学习模式,该模式提供了灵活性和学生参与度。通过这门课程,我们成功提高了最后一年医学生对癌症护理的兴趣和理解,我们相信这个项目可以应用于其他医学院校。

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本文引用的文献

1
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.
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Undergraduate oncology education in Sudanese public medical schools; a national cross-sectional study.
苏丹公立医学院的肿瘤学本科教育;一项全国性的横断面研究。
BMC Med Educ. 2023 Dec 10;23(1):940. doi: 10.1186/s12909-023-04883-0.
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Hybrid learning as alternative approach to improve Indonesian medical students' attitude towards clinical skills during COVID-19 pandemic.混合学习作为改善印尼医学生在 COVID-19 大流行期间对临床技能态度的一种替代方法。
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5
Principles of oncology taught in a one-week course.肿瘤学原理在一周课程中的教学。
J Cancer Res Clin Oncol. 2023 Dec;149(19):17071-17079. doi: 10.1007/s00432-023-05377-8. Epub 2023 Sep 26.
6
Impact of Online-Only Instruction on Preclinical Medical Education in the Setting of COVID-19: Comparative Analysis of Online-Only Vs. Hybrid Instructions on Academic Performance and Mental Wellbeing.仅在线教学对 COVID-19 背景下临床前医学教育的影响:仅在线教学与混合教学对学业成绩和心理健康的比较分析。
Med Sci Educ. 2022 Oct 6;32(6):1367-1374. doi: 10.1007/s40670-022-01650-6. eCollection 2022 Dec.
7
Integrating Radiation Oncology Into Undergraduate Medical Education.将放射肿瘤学纳入本科医学教育。
Adv Radiat Oncol. 2021 Jul 28;6(6):100765. doi: 10.1016/j.adro.2021.100765. eCollection 2021 Nov-Dec.
8
Introducing Multidisciplinary Oncology Management to the Medical Student.向医学生介绍多学科肿瘤管理。
Adv Radiat Oncol. 2019 Oct 30;5(2):289-291. doi: 10.1016/j.adro.2019.10.004. eCollection 2020 Mar-Apr.
9
Interprofessional Education in Radiation Oncology.放射肿瘤学中的跨专业教育。
J Am Coll Radiol. 2019 Jul;16(7):964-971. doi: 10.1016/j.jacr.2018.12.022. Epub 2019 May 16.
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Vienna Summer School on Oncology: how to teach clinical decision making in a multidisciplinary environment.维也纳肿瘤学暑期学校:如何在多学科环境中教授临床决策
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