Dantigny Raphaëlle, Sanchez Stéphane, Tanty Arnaud, Ecarnot Fiona, Bruera Eduardo, Bellier Alexandre, Allenet Benoit, Barbaret Cécile
Université Grenoble Alpes, CNRS, CHU Grenoble Alpes, Grenoble INP (Institute of Engineering Univ. Grenoble Alpes, France), TIMC-IMAG, 38000, Grenoble, France.
Palliative Care Unit, Centre Hospitalo-Universitaire Grenoble Alpes, Grenoble, France.
Support Care Cancer. 2025 Jul 21;33(8):707. doi: 10.1007/s00520-025-09749-3.
To improve cancer patient management, international recommendations underline the importance of integrating palliative care (PC) into oncology, and education of future oncologists is key to achieving this. In France, no study has evaluated PC training for oncology residents. This study aims to identify educational needs in PC among French oncology residents and to assess the acceptability of changing their medical training.
A nationwide, descriptive, mixed-methods study was performed between 2021 and 2023. The first qualitative phase used semi-structured interviews with oncology residents to identify their training needs in PC. The second quantitative phase performed a nationwide online survey among all French oncology residents.
The least trained residents were the least keen to receive training, expressing a reductive definition of PC to the end of life, as well as a non-collaborative and integrated vision between PC and oncology. The questionnaire had a participation rate of 24%; 95% (n = 126) were in favour of modifying their PC training. Of these, 98% (n = 123) were strongly in favour of integrating PC training into the national oncology residency programme, and 91.3% (n = 115) were in favour of practical experience in a PC unit during their residency.
This study highlights a need to improve the delivery of PC training both in theory and practice in France. This study corroborates previous reports of inadequate PC training, its heterogeneity, and the benefits to be yielded from improving it. To enable early integrated PC, improving training of oncology residents in PC is an attractive target.
为改善癌症患者的管理，国际指南强调了将姑息治疗（PC）纳入肿瘤学的重要性，而对未来肿瘤学家的教育是实现这一目标的关键。在法国，尚无研究评估肿瘤学住院医师的姑息治疗培训情况。本研究旨在确定法国肿瘤学住院医师在姑息治疗方面的教育需求，并评估改变其医学培训的可接受性。
在2021年至2023年期间开展了一项全国性的描述性混合方法研究。第一个定性阶段采用对肿瘤学住院医师的半结构式访谈，以确定他们在姑息治疗方面的培训需求。第二个定量阶段对所有法国肿瘤学住院医师进行了一项全国性在线调查。
培训最少的住院医师最不愿意接受培训，他们对姑息治疗的定义局限于生命末期，并且对姑息治疗与肿瘤学之间的关系持有非协作和非整合的观点。问卷的参与率为24%；95%（n = 126）的人赞成修改他们的姑息治疗培训。其中，98%（n = 123）的人强烈赞成将姑息治疗培训纳入国家肿瘤学住院医师培训计划，91.3%（n = 115）的人赞成在住院期间到姑息治疗科室进行实践体验。
本研究强调了在法国改善姑息治疗培训理论与实践的必要性。本研究证实了先前有关姑息治疗培训不足、其异质性以及改进培训所带来益处的报道。为了实现早期的综合姑息治疗，改善肿瘤学住院医师的姑息治疗培训是一个有吸引力的目标。
