Beddok Arnaud, Bouazzi Leila, Barbe Coralie, Martin Pierre, Gratiaux Julian, Guilbert Philippe, Job Louis, Lemoine Amélie, Morland David, Papathanassiou Dimitri, Perin Stéphane, Merrouche Yacine, Nifosi Gianfilippo, Soibinet Pauline, Vignot Stéphane, Hotton Judicaël
Department of Radiation Oncology, Institut Godinot, Reims, France.
Université de Reims Champagne-Ardenne, CRESTIC, Reims, France.
J Cancer Educ. 2025 Jan 27. doi: 10.1007/s13187-024-02559-x.
Cancer remains a leading cause of mortality worldwide, requiring physicians to understand multidisciplinary treatments. This study assessed the impact of a clinical rotation in a cancer center on medical students' knowledge of cancer treatments from a multidisciplinary perspective. A traditional single-department rotation was compared to a multidisciplinary rotation to determine whether broader exposure enhances knowledge and prepares students for multidisciplinary care. This prospective, comparative study was conducted between April and September 2024 at Institut Godinot, a regional cancer center. Medical students were divided into two groups: Group A (traditional model), where students remained in a single department, and Group B (multidisciplinary model), where students rotated through pharmacy, medical oncology, nuclear medicine, radiology, radiotherapy, and surgery. Knowledge acquisition was assessed using a 20-item multiple-choice questionnaire before and after the rotation, with scores out of 20 representing oncology knowledge. Among the 40 students rotating during the inclusion period, 28 (70%) completed both pre- and post-rotation assessments and were included in the analysis. A total of 13 students were in Group A and 15 in Group B. Students in Group B showed greater improvement in post-rotation scores (14.4 ± 1.7 vs. 11.4 ± 4.2, p = 0.06). Group B also had a larger increase in their score (1.9 ± 1.9 points vs. - 0.9 ± 5.3 points, p = 0.07). Multidisciplinary rotations improved students' understanding of oncology, suggesting this model should be expanded and further evaluated for its long-term impact on clinical competency.
癌症仍然是全球主要的死亡原因,这就要求医生了解多学科治疗方法。本研究从多学科角度评估了在癌症中心进行临床轮转对医学生癌症治疗知识的影响。将传统的单科室轮转与多学科轮转进行比较,以确定更广泛的接触是否能增强知识并让学生为多学科护理做好准备。这项前瞻性比较研究于2024年4月至9月在地区癌症中心戈迪诺研究所进行。医学生被分为两组:A组(传统模式),学生留在单一科室;B组(多学科模式),学生轮转于药学、医学肿瘤学、核医学、放射学、放射治疗学和外科。在轮转前后使用一份包含20个项目的多项选择题问卷评估知识获取情况,满分20分代表肿瘤学知识。在纳入期间轮转的40名学生中,28名(70%)完成了轮转前和轮转后的评估并被纳入分析。A组共有13名学生,B组有15名学生。B组学生在轮转后的分数有更大提高(14.4 ± 1.7 vs. 11.4 ± 4.2,p = 0.06)。B组的分数增加也更大(1.9 ± 1.9分 vs. -0.9 ± 5.3分,p = 0.07)。多学科轮转提高了学生对肿瘤学的理解,表明该模式应予以扩展并进一步评估其对临床能力的长期影响。