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弥合差距还是强化孤岛?关于加拿大本科医学教育中ONCARE虚拟肿瘤学课程的思考。

Bridging Gaps or Reinforcing Silos? Reflections on the ONCARE Virtual Oncology Course in Canadian Undergraduate Medical Education.

作者信息

Rattanapitoon Schawanya Kaewpitoon, Arunsan Patpicha, Pechdee Phornphitcha, Rattanapitoon Nathkapach Kaewpitoon

机构信息

Family Medicine and Occupational Medicine Unit, FMC Medical Center, Nakhon Ratchasima, Thailand.

Faculty of Medicine, Vongchavalitkul University, Nakhon Ratchasima, Thailand.

出版信息

J Cancer Educ. 2025 Aug 23. doi: 10.1007/s13187-025-02713-z.

DOI:10.1007/s13187-025-02713-z
PMID:40849396
Abstract

The ONCARE initiative, as presented by Dou et al., represents a timely and commendable national effort to enhance oncology education within Canadian undergraduate medical curricula. In this letter to the editor, we critically appraise the study's implications through critical appraisal and contextualize its findings within broader medical education paradigms. While ONCARE significantly improved self-perceived oncology knowledge and clinical communication skills, its limited long-term evaluation, potential selection bias, and underrepresentation of interdisciplinary and psychosocial content warrant discussion. Moreover, we highlight the broader need for oncology to be integrated meaningfully-not only as a specialty interest but as foundational knowledge-across undergraduate education. Drawing on global evidence and frameworks, this letter to the editor encourages stakeholders to consider not just educational access, but systemic curricular reform in oncology education.

摘要

窦等人提出的ONCARE倡议,是加拿大本科医学课程中加强肿瘤学教育的一项及时且值得称赞的全国性努力。在这封给编辑的信中,我们通过批判性评估对该研究的影响进行了批判性评价,并将其结果置于更广泛的医学教育范式中进行情境化分析。虽然ONCARE显著提高了自我感知的肿瘤学知识和临床沟通技能,但其长期评估有限、潜在的选择偏差以及跨学科和心理社会内容的代表性不足值得讨论。此外,我们强调了将肿瘤学有意义地整合到本科教育中的更广泛需求——不仅作为一种专业兴趣,而且作为基础知识。借鉴全球证据和框架,这封给编辑的信鼓励利益相关者不仅要考虑教育机会,还要考虑肿瘤学教育的系统性课程改革。

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本文引用的文献

1
Impact of a National Virtual Oncology Course on Medical Student Competency and Interest in Oncology.全国虚拟肿瘤学课程对医学生肿瘤学能力和兴趣的影响。
J Cancer Educ. 2024 Oct 25. doi: 10.1007/s13187-024-02533-7.
2
Let Us Have the Conversation: Serious Illness Communication in Oncology: Definitions, Barriers, and Successful Approaches.让我们进行对话:肿瘤学中的重病沟通:定义、障碍和成功方法。
Am Soc Clin Oncol Educ Book. 2024 Jun;44(3):e431352. doi: 10.1200/EDBK_431352.
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Advance care planning in oncology: a scoping review and some recommendations.
肿瘤学中的预先医疗照护计划:范围综述与若干建议。
Curr Opin Oncol. 2023 Jul 1;35(4):261-275. doi: 10.1097/CCO.0000000000000951. Epub 2023 May 15.
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Clinical Objectives of the Canadian Licensing Examination: Exploring the Representation of Oncology.加拿大执照考试的临床目标:探索肿瘤学的代表性。
J Cancer Educ. 2023 Feb;38(1):255-259. doi: 10.1007/s13187-021-02108-w. Epub 2021 Oct 27.
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Radiation Oncology Virtual Education Rotation (ROVER) for Medical Students.医学学生的放射肿瘤学虚拟教育轮转(ROVER)。
Int J Radiat Oncol Biol Phys. 2021 Sep 1;111(1):29-35. doi: 10.1016/j.ijrobp.2021.03.057. Epub 2021 May 25.
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ESO-ESSO-ESTRO Multidisciplinary Course in Oncology for Medical Students: 4 Years of Experience (2016-2019).欧洲肿瘤内科学会-欧洲妇科肿瘤学会-欧洲放射肿瘤学会面向医学生的肿瘤学多学科课程:4 年经验(2016-2019 年)。
J Cancer Educ. 2022 Aug;37(4):1239-1244. doi: 10.1007/s13187-020-01947-3. Epub 2021 Jan 2.
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Oncology and Radiation Oncology Awareness in Final Year Medical Students in Australia and New Zealand.澳大利亚和新西兰最后一年医学生的肿瘤学和放射肿瘤学认知情况。
J Cancer Educ. 2020 Dec;35(6):1227-1236. doi: 10.1007/s13187-019-01586-3.
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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.
9
Novel Approaches To Undergraduate Oncology Education.本科肿瘤学教育的新方法。
J Cancer Educ. 2018 Jun;33(3):500-504. doi: 10.1007/s13187-016-1109-z.
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Oncology education in Canadian undergraduate and postgraduate medical programs: a survey of educators and learners.加拿大本科和研究生医学课程中的肿瘤学教育:教育者和学习者的调查。
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