Tahmasebi Houman, Ko Gary, Lam Christine M, Bilgen Idil, Freeman Zachary, Varghese Rhea, Reel Emma, Englesakis Marina, Cil Tulin D
Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Department of Surgery, University of Toronto, Toronto, ON, Canada.
JMIR Med Educ. 2025 May 26;11:e63655. doi: 10.2196/63655.
Understanding the roles and patient management approaches of the entire oncology team is imperative for effective communication and optimal cancer treatment. Currently, there is no standard residency or fellowship curriculum to ensure the delivery of fundamental knowledge and skills associated with oncology specialties with which trainees often collaborate.
This study is a systematic review that aims to evaluate the multidisciplinary oncology education in postgraduate medical training.
A systematic literature search was performed using MEDLINE, Embase, Cochrane Database of Systematic Reviews, Cochrane CENTRAL, APA PsycINFO, and Education Resources Information Center in July 2021. Updates were performed in February 2023 and October 2024. Original studies reporting the effectiveness of multidisciplinary oncology training among residents and fellows were included.
A total of 6991 studies were screened and 24 were included. Fifteen studies analyzed gaps in existing multidisciplinary training of residents and fellows from numerous fields, including surgical, medical, and radiation oncology; geriatrics; palliative medicine; radiology; and pathology programs. Trainees reported limited teaching and knowledge of oncology outside of their respective fields and endorsed the need for further multidisciplinary oncology training. The remaining 9 studies assessed the effectiveness of educational interventions, including tumor boards, didactic sessions, clinical rotations, and case-based learning. Trainees reported significant improvements in multidisciplinary oncology knowledge and skills following the interventions.
These data suggest postgraduate medical trainees have limited formal multidisciplinary oncology training. Existing educational interventions show promising results in improving trainees' oncology knowledge and skills. There is a need for further research and the development of multidisciplinary oncology curricula for postgraduate medical training programs.
了解整个肿瘤学团队的角色和患者管理方法对于有效的沟通和优化癌症治疗至关重要。目前，尚无标准的住院医师培训或专科培训课程来确保传授与肿瘤学专科相关的基础知识和技能，而实习医生经常与这些专科进行协作。
本研究是一项系统评价，旨在评估研究生医学培训中的多学科肿瘤学教育。
2021年7月使用MEDLINE、Embase、Cochrane系统评价数据库、Cochrane CENTRAL、美国心理学会心理学文摘数据库和教育资源信息中心进行了系统的文献检索。2个更新于2023年2月和2024年10月进行。纳入了报告住院医师和专科培训学员多学科肿瘤学培训效果的原始研究。
共筛选了6991项研究，纳入24项。15项研究分析了来自众多领域（包括外科、内科和放射肿瘤学；老年医学；姑息医学；放射学；以及病理学项目）的住院医师和专科培训学员现有多学科培训中的差距。实习医生报告称，他们在各自领域之外接受的肿瘤学教学和知识有限，并认可需要进一步的多学科肿瘤学培训。其余9项研究评估了教育干预措施的效果，包括肿瘤病例讨论会、理论课程、临床轮转和基于案例的学习。实习医生报告称，干预后多学科肿瘤学知识和技能有显著提高。
这些数据表明，研究生医学实习生接受的正式多学科肿瘤学培训有限。现有的教育干预措施在提高实习生的肿瘤学知识和技能方面显示出了有希望的结果。有必要针对研究生医学培训项目进一步开展研究并开发多学科肿瘤学课程。
