Basree Mustafa M, MacDuffie Emily, LeCompte Michael, White Zachary B, Ogunmuyiwa Joy, Sharifzadeh Yasamin, Corrigan Kelsey, Neibart Shane S, Goodman Chelain R, Sim Austin J, Hutten Ryan J, Currey Adam, Pinnix Chelsea C, Kamrava Mitchell, Nelson Bailey
Department of Human Oncology, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin.
Department of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Int J Radiat Oncol Biol Phys. 2025 Sep 1;123(1):28-42. doi: 10.1016/j.ijrobp.2025.03.035. Epub 2025 Mar 29.
Transitioning from radiation oncology (RO) training to independent practice is often challenging. Understanding resident attitudes related to program satisfaction and comfort with treatment modalities is essential for improving resident experience.
Between 2020 and 2024, the Association of Residents in Radiation Oncology conducted web-based surveys of graduating RO residents in the United States. Likert-style scales were used to capture responses and summarized using descriptive statistics. χ tests assessed differences in response rates and nominal variables. Kruskal-Wallis H and Kendall's tau-b tests evaluated ordinal variable distributions and correlations, respectively. Ordinal logistic regression estimated the associations between variables.
A total of 820 graduating residents (of 952 invited) completed the surveys, representing a median response rate of 86.5% (range, 77.8%-93.7%). Ninety-one percent of residents were satisfied or very satisfied with their program (range, 89.6%-94.0%). Dissatisfaction with clinical didactics (odds ratio [OR], 5.34; P < .001) and higher numbers of training sites (OR, 5.73; P = .01) were associated with program dissatisfaction. Compared with the 2014-2015 Association of Residents in Radiation Oncology survey, satisfaction improved in treatment planning (85%) and biostatistics (61%) domains but declined in physics (76%) and radiation biology (68%) didactics. Compared with small programs (<6 residents), residents in larger programs reported greater satisfaction with training (eg, clinical didactics, mentorship). More than a third of residents reported excessive (7.9%) or moderate (31.0%) noneducational tasks, which decreased over survey years (adj P = .049). Confidence levels varied between treatment modalities, with high confidence for lung stereotactic body radiation therapy (96.1%) and nonspine bone stereotactic body radiation therapy (87.7%) and low confidence for high-dose-rate (25.7%) and low-dose-rate (22.6%) prostate brachytherapy.
Graduating RO residents in this analysis were satisfied with their training programs, albeit with low confidence in certain treatment modalities. These data highlight the areas of strength within RO training programs and identify opportunities for improvement to produce graduates ready to enter independent practice with the full scope of RO techniques.
从放射肿瘤学（RO）培训过渡到独立执业往往具有挑战性。了解住院医师对项目满意度以及对治疗方式的适应程度的态度，对于改善住院医师的体验至关重要。
2020年至2024年期间，放射肿瘤学住院医师协会对美国即将毕业的RO住院医师进行了基于网络的调查。采用李克特量表收集回复，并使用描述性统计进行汇总。χ检验评估回复率和名义变量的差异。Kruskal-Wallis H检验和肯德尔tau-b检验分别评估有序变量分布和相关性。有序逻辑回归估计变量之间的关联。
共有820名即将毕业的住院医师（受邀952名）完成了调查，回复率中位数为86.5%（范围为77.8%-93.7%）。91%的住院医师对其项目感到满意或非常满意（范围为89.6%-94.0%）。对临床教学不满意（优势比[OR]，5.34；P<.001）和培训地点数量较多（OR，5.73；P=.01）与项目不满意相关。与2014-2015年放射肿瘤学住院医师协会的调查相比，治疗计划（85%）和生物统计学（61%）领域的满意度有所提高，但物理（76%）和放射生物学（68%）教学的满意度有所下降。与小型项目（<6名住院医师）相比，大型项目的住院医师对培训（如临床教学、指导）的满意度更高。超过三分之一的住院医师报告有过多（7.9%）或中度（31.0%）的非教育性任务，这些任务在调查年份中有所减少（调整后P=.049）。不同治疗方式的信心水平各不相同，对肺部立体定向体部放疗（96.1%）和非脊柱骨立体定向体部放疗（87.7%）信心较高，而对高剂量率（25.7%）和低剂量率（22.6%）前列腺近距离放疗信心较低。
在本分析中，即将毕业的RO住院医师对其培训项目感到满意，尽管对某些治疗方式信心较低。这些数据突出了RO培训项目的优势领域，并确定了改进机会，以使毕业生能够掌握全面的RO技术进入独立执业。
