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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.

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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