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Legouté F, Lesueur P, El Kabbaj O, Ghannam Y, Michalet M, Monpetit E, Azria D, Giraud P, Calais G, Pointreau Y, Ollivier L. [French careers in oncology radiotherapy: Crossing views]. Cancer Radiother 2023; 27:75-79. [PMID: 36008260 DOI: 10.1016/j.canrad.2022.07.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 07/03/2022] [Accepted: 07/04/2022] [Indexed: 02/06/2023]
Abstract
The French Society of Young Radiation Oncologists (SFjRO), the National Union of Radiation Oncologists (SNRO) and the French Society of Oncological Radiotherapy (SFRO) aim to reconcile career opportunities and demographic needs in oncology. In 2021, 932 radiation oncologists (RO) are in regular activity in France, this represents an increase of more than 20% in ten years. Physician distribution is changing in public hospitals, cancer centers and private clinics. Currently one third of ROs works in each sector. In addition, fifteen percent of ROs have a mixed activity. In 2021, 180 young RO (trainees and residents) were questioned by SFjRO board about their training, internship, coaching and career guidance. An interactive communication was organized during the 32nd SFRO Meeting in 2021. It was an opportunity to bring the results of this study. More than 70% RO interviewed answered to the survey, for 55% among them, career choice was difficult. In order to help young ROs in their professional approach, three RO made an oral presentation during this session, about radiotherapy in public hospitals, private centers or with a mixed practice. The aim of this article is to summarize the highlights of the last SFjRO/SFRO session: expectations of young RO, career prospects and trends.
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Affiliation(s)
- F Legouté
- Service de radiothérapie, centre hospitalier départemental Vendée, boulevard Stéphane-Moreau, 85000 La Roche-sur-Yon, France.
| | - P Lesueur
- Département de radiothérapie, centre François-Baclesse, Caen, France; Département de radiothérapie, centre Guillaume-le-Conquérant, Le-Havre, France
| | - O El Kabbaj
- Centre Saint-Yves-radiothérapie, 11, rue du Docteur-Audic, 56000 Vannes, France
| | - Y Ghannam
- Société française des jeunes radiothérapeutes oncologues (SFjRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France; Département de radiothérapie, Institut de cancérologie de l'ouest, 15, rue André-Boquel, 49100 Angers, France
| | - M Michalet
- Société française des jeunes radiothérapeutes oncologues (SFjRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France; Service d'oncologie radiothérapie, Institut du cancer de Montpellier, Montpellier, France
| | - E Monpetit
- Centre Saint-Yves-radiothérapie, 11, rue du Docteur-Audic, 56000 Vannes, France; Syndicat national des radiothérapeutes oncologues (SNRO), centre Saint-Yves radiothérapie, 11, rue du Docteur-Audic, 56000 Vannes, France
| | - D Azria
- Service d'oncologie radiothérapie, Institut du cancer de Montpellier, Montpellier, France; Société française de radiothérapie oncologique (SFRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France
| | - P Giraud
- Société française de radiothérapie oncologique (SFRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France; Service d'oncologie radiothérapie, hôpital européen Georges-Pompidou, université Paris Cité, AP-HP, 20, rue Leblanc, 75015 Paris, France
| | - G Calais
- Service de radiothérapie, centre régional universitaire de cancérologie Henry-S.-Kaplan, hôpital Bretonneau, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours, France
| | - Y Pointreau
- Service de radiothérapie, centre régional universitaire de cancérologie Henry-S.-Kaplan, hôpital Bretonneau, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours, France; Centre Jean-Bernard, clinique Victor-Hugo, (Institut interrégional de cancérologie), 9, rue Beauverger, 72000 Le Mans, France
| | - L Ollivier
- Société française des jeunes radiothérapeutes oncologues (SFjRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France; Département de radiothérapie, Institut de cancérologie de l'ouest, boulevard Professeur-Jacques-Monod, 44800 Saint-Herblain, France
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Lara PC, Benstead K, Erikssen JG. Training in Radiation and Clinical Oncology in Europe. JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT 2023; 10:23821205231197982. [PMID: 37692557 PMCID: PMC10483962 DOI: 10.1177/23821205231197982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 08/11/2023] [Indexed: 09/12/2023]
Abstract
The European population is strongly affected by cancer. Radiotherapy is roughly used in 50% of cancer patients in European countries. The increased cancer burden demands a new generation of radiation/clinical oncologist (RO/CO) that, besides a strong evidence-based oncological knowledge, will be ready for leadership in cancer care. The mutual recognition of professional qualifications of Radiation/Clinical Oncology in the EU needs training harmonization. The European Society of Radiotherapy and Oncology (ESTRO) and the European Union for Medical Specialties (UEMS) made important efforts toward a European Common Curriculum for RO/CO leadership in cancer care. If qualifications are mutually recognized, the training supporting these qualifications should be also harmonized. Since 1991, ESTRO produced several editions of the Core Curriculum in Radiation Oncology (1991, 2004, 2012, 2019). These Core Curricula were endorsed as European Training Requirements by the UEMS in 2004, 2013, and 2019. A core curriculum for clinical oncology was also produced to provide this harmonization tool to countries where radiation oncology is practiced inside the broader specialty of clinical oncology. New initiatives are in place to continuously adapt the training programs to the rapidly evolving cancer care organization.
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Affiliation(s)
- Pedro C Lara
- Canarian Comprehensive Cancer Center, San Roque University Hospital, Fernando Pessoa Canarias University, Las Palmas, Spain
| | - Kim Benstead
- Gloucestershire Hospitals NHS Foundation Trust, Brockworth, UK
| | - Jesper Grau Erikssen
- Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
- Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
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Eren MF, Eren AA. Do radiation oncologists publish what they present? An observational analysis of abstracts presented at the radiation oncology congresses in Turkey: A young radiation oncologists group study. Niger J Clin Pract 2022; 25:817-824. [DOI: 10.4103/njcp.njcp_1794_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Napieralska A, Tomasik B, Spałek M, Chyrek A, Fijuth J. Radiation Oncology Training in Poland: Multi-institutional Survey. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2021; 36:769-778. [PMID: 32052261 PMCID: PMC8328852 DOI: 10.1007/s13187-020-01702-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
To evaluate the quality of radiation oncology training in Poland and to identify difficulties and needs of radiation oncology trainees (ROTs), an anonymous online survey using Google Forms was conducted in November 2018. All ROTs from Poland (n = 154) were invited to complete the survey. The survey consisted of 30 questions and regarded aspects such as satisfaction from training, cooperation with the supervisor, and education. During the study period, 105 ROTs from 22 Polish cities responded (the response rate was 68%). Almost 85% were satisfied with the choice of specialty, 43% with training and 81% with the teaching place. Clinical cooperation with the supervisor was described as difficult by 25%. With education, 38% of responders experienced obstacles and another 25% stated that educational cooperation with their supervisor was none. "Good practice" understood as treatment according to the latest guidelines or internal protocols were reported by 71%. Obligatory traineeships were shorter than recommended according to 67% of the responders, usually due to shortage of medical staff. Almost two-thirds of ROTs work only in clinics, while 34% perform both clinical and scientific work. The responders suggested that the introduction of organ-specified courses is an appropriate modification of the current program. Noteworthy, current diagnostic imaging and physics courses are not sufficient for the majority of participants (81% and 80%, respectively). Radiation oncology training is conducted relatively well in Poland. Some hospitals need to improve clinical and educational cooperation between trainees and their supervisors.
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Affiliation(s)
- Aleksandra Napieralska
- Radiotherapy Department, Maria Skłodowska-Curie Cancer Centre, ul. Wybrzeże Armii Krajowej 15, 44-101, Gliwice, Poland.
| | - Bartłomiej Tomasik
- Department of Biostatistics and Translational Medicine, Medical University of Lodz, Lodz, Poland
- Department of Radiation Oncology, Medical University of Lodz, Lodz, Poland
- Postgraduate School of Molecular Medicine, Medical University of Warsaw, Warsaw, Poland
| | - Mateusz Spałek
- Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Skłodowska-Curie Institute - Oncology Center, Warsaw, Poland
| | - Artur Chyrek
- Brachytherapy Department, Greater Poland Cancer Centre, Poznań, Poland
| | - Jacek Fijuth
- Department of Radiation Oncology, Medical University of Lodz, Lodz, Poland
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Vogin G, Fauvel M, Hossu G, Beaumont M, Micard E, Feltgen K, Androni ML, Moerschel E, Gillet N, Beuret F, Tonnelet R, Texeira P. Assessing the neuroanatomy knowledge and spatial ability of radiotherapy technologist undergraduates using an interactive volumetric simulation tool-the RadioLOG project. Eur Radiol 2020; 31:2132-2143. [PMID: 33037914 DOI: 10.1007/s00330-020-07351-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 08/24/2020] [Accepted: 09/24/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To assess the use of a volumetric image display simulation tool (VDST) for the evaluation of applied radiological neuroanatomy knowledge and spatial understanding of radiotherapy technologist (RTT) undergraduates. METHODS Ninety-two third-year RTT students from three French RTT schools took an examination using software that allows visualization of multiple volumetric image series. To serve as a reference, 77 first- and second-year undergraduates, as well as ten senior neuroradiologists, took the same examination. The test included 13 very-short-answer questions (VSAQ) and 21 exercises in which examinees positioned markers onto preloaded brain MR images from a healthy volunteer. The response time was limited. Each correct answer scored 100 points, with a maximum possible test score of 3,400 (VSAQ = 1,300; marker exercise = 2,100). Answers were marked automatically for the marker positioning exercise and semi-automatically for the VSAQs against prerecorded expected answers. RESULTS Overall, the mean test score was 1,787 (150-3,300) and the standard deviation was 781. Scores were highly significantly different between all evaluated groups (p < 0.001). The interoperator reproducibility was 0.90. All the evaluated groups could be discriminated by VSAQ, marker, and overall total scores independently (p ≤ 0.0001 to 0.001). The test was able to discriminate between the three schools either by VSAQ scores (p < 0.001 to 0.02) or by overall total score (p < 0.001 to 0.05). CONCLUSION This software is a high-quality evaluation tool for the assessment of radiological neuroanatomy knowledge and spatial understanding in RTT undergraduates. KEY POINTS • This VDST allows volumetric image analysis of MR studies. • A high reliability test could be created with this tool. • Test scores were strongly associated with the examinee expertise level.
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Affiliation(s)
- Guillaume Vogin
- Department of Radiation Therapy, Institut de Cancérologie de Lorraine, Vandoeuvre Les Nancy, France. .,Centre François Baclesse, Centre National de Radiothérapie du Grand-Duché de Luxembourg, Boîte postale 436, L-4005, Esch sur Alzette, Luxembourg. .,UMR 7365 CNRS-UL, IMoPA, Vandoeuvre Les Nancy, France.
| | - Marc Fauvel
- INSERM CIC-IT 1433, CHRU Nancy, Nancy, France
| | | | | | | | | | | | | | | | | | | | - Pedro Texeira
- INSERM CIC-IT 1433, CHRU Nancy, Nancy, France.,Guilloz Imaging Department, Central Hospital, CHRU Nancy, Nancy, France
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Walls GM, Hanna GG, McAleer JJ. Learning radiotherapy: the state of the art. BMC MEDICAL EDUCATION 2020; 20:150. [PMID: 32393250 PMCID: PMC7216702 DOI: 10.1186/s12909-020-02054-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 04/27/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND The last two decades have seen revolutionary developments in both radiotherapy technology and postgraduate medical training. Trainees are expected to attain competencies using a mix of experiential learning, formal postgraduate teaching, self-directed learning and peer education. Radiation (Clinical) Oncology is a recognised 'craft specialty' where the apprenticeship model of training is applicable. This scoping review examines the evidence in relation to how medical trainees learn radiotherapy. METHODS A systematic search of MEDINE and EMBASE was undertaken to identify studies of trainee and/or trainer experience of radiotherapy learning published 1999-2018. Results pertaining to Medical Oncology, workforce trends, undergraduate radiotherapy exposure, academic training, global health, non-medical staff, health service infrastructure and recruitment to training programmes were not included. RESULTS A total of 146 publications were included in the synthesis. Five themes were apparent through careful iterative analysis representing broadly inter-related issues. Most articles studied radiotherapy training from the perspective of the trainee doctor. Most literature reports results of observational, local or national surveys with a tightly defined scope. Considerable variation exists within hospitals, within countries, over time and between different curricular areas. CONCLUSIONS Medical education has not kept pace with changes in the field of radiotherapy and large differences are demonstrated in experience between trainees in different hospitals, countries and training stages. Interpersonal relationships, departmental organisation, and national curricula impact on training quality. Qualitative and quantitative research examining modern radiotherapy learning has been uncommon and uncoordinated, until recently. To date no single study has been designed to comprehensively assess a department's training scheme.
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Affiliation(s)
- Gerard M Walls
- Cancer Centre Belfast City Hospital, Belfast Health & Social Care Trust, Belfast, Northern Ireland.
- Patrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland.
| | - Gerard G Hanna
- Patrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, Northern Ireland
- Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australia
| | - James J McAleer
- Cancer Centre Belfast City Hospital, Belfast Health & Social Care Trust, Belfast, Northern Ireland
- Centre for Medical Education, Queen's University Belfast, Belfast, Northern Ireland
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Giuliani M, Frambach J, Broadhurst M, Papadakos J, Fazelad R, Driessen E, Martimianakis MAT. A critical review of representation in the development of global oncology curricula and the influence of neocolonialism. BMC MEDICAL EDUCATION 2020; 20:93. [PMID: 32228538 PMCID: PMC7106787 DOI: 10.1186/s12909-020-1989-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 02/28/2020] [Indexed: 05/23/2023]
Abstract
BACKGROUND Global curricular homogenization is purported to have a multitude of benefits. However, homogenization, as typically practiced has been found to promote largely Western ideals. The purpose of this study was to explore the issue of representation in the development of global oncology curricula. METHODS This systematic review of global oncology curricula involved a comprehensive search strategy of eight databases from inception to December 2018. Where available, both controlled vocabulary terms and text words were used. Two investigators independently reviewed the publications for eligibility. Full global/core oncology curricular documents were included. Data analysis included exploration of representation across a number of axes of power including sex and geographic sector, consistent with a neocolonial approach. RESULTS 32,835 documents were identified in the search and 17 remained following application of the inclusion/exclusion criteria. Eleven of 17 papers were published from 2010 to 2018 and 13 curricula originated from Europe. The 17 curricula had 300 authors; 207 were male and most were from Europe (n = 190; 64%) or North America (n = 73; 24%). The most common curricular purposes were promoting quality patient care (n = 11), harmonization of training standards (n = 10), and facilitating physician mobility (n = 3). The methods for creation of these curricula were most commonly a committee or task force (n = 10). Over time there was an increase in the proportion of female authors and the number of countries represented in the authorship. CONCLUSION Existing global oncology curricula are heavily influenced by Western male authors and as a result may not incorporate relevant socio-cultural perspectives impacting care in diverse geographic settings.
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Affiliation(s)
- Meredith Giuliani
- Radiation Medicine Program, Princess Margret Cancer Centre, Toronto, Canada
- Department of Radiation Oncology, University of Toronto, 610 University Ave, Toronto, ON M5G2M9 Canada
| | - Janneke Frambach
- School of Health Professions Education, Maastricht University, Maastricht, Netherlands
| | | | - Janet Papadakos
- Cancer Education, Princess Margaret Cancer Centre, Toronto, Canada
| | - Rouhi Fazelad
- Information Sciences, Princess Margret Cancer Centre, Toronto, Canada
| | - Erik Driessen
- Department of Educational Development and Research, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands
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Benstead K, Lara PC, Andreopoulos D, Bibault JE, Dix A, Eller YG, Franco P, Guiliani M, Jaal J, Juretic A, Kozma E, Lumsden G, Maddalo M, Magrini S, Mjaaland I, Pfeffer R, de Sousa de Sa Pinto OMT, Spalek M, Vozenin MC, Verfaillie C, Van Egten V, Eriksen JG. Recommended ESTRO Core Curriculum for Radiation Oncology/Radiotherapy 4th edition. Radiother Oncol 2019; 141:1-4. [PMID: 31495514 DOI: 10.1016/j.radonc.2019.08.013] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Revised: 08/14/2019] [Accepted: 08/16/2019] [Indexed: 11/19/2022]
Abstract
INTRODUCTION In 2017 it was decided to revise the European Core Curriculum for Radiation Oncology/Radiotherapy to produce a 4th edition. The aims of the ESTRO curriculum are to develop comparable standards for training across Europe and to facilitate free movement of specialists across borders. It is also hoped that it will improve the level of training across Europe and will make the non-medical expert roles more explicit. MATERIALS AND METHODS A wide range of stakeholders including National Society representatives, trainees, recently appointed specialists, members of the European Union Medical Specialists Radiotherapy section, an RTT, a radiobiologist, a physicist and lay members from ESTRO staff developed and commented on iterations of the curriculum. RESULTS The 4th edition is based on the CanMEDS 2015 framework and identifies 14 Entrustable Professional Activities (EPAs) and the competencies required to perform these. The manager role is replaced by competencies related to leadership. The levels of proficiency required for tumour sites is defined as levels of EPAs. CONCLUSIONS It is hoped that the inclusive method of developing the 4th edition has resulted in a document that will have utility in the wide range of environments in which radiation oncology is practised in Europe.
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Affiliation(s)
- Kim Benstead
- Gloucestershire Oncology Centre, Cheltenham General Hospital, UK.
| | - Pedro C Lara
- Oncology Department, San Roque University Hospital, Las Palmas, Spain.
| | - Demetrius Andreopoulos
- Radiation Oncology and Radiology Department, Bank of Cyprus Oncology Centre, Strovolos-Nicosia, Cyprus.
| | - Jean-Emmanuel Bibault
- Radiation Oncology Department, Georges Pompidou European Hospital, Assistance Publique-Hospitaux de Paris, Paris Descartes University, Paris, France
| | - Anthony Dix
- Department of Physics, Gloucestershire NHS Foundation Trust, Cheltenham, UK.
| | | | - Pierfrancesco Franco
- Department of Oncology-Radiation Oncology, University of Turin School of Medicine, Torino, Italy.
| | | | - Jana Jaal
- Department of Haematology and Oncology, University of Tartu, Estonia.
| | - Antonio Juretic
- School of Medicine, University of Zagreb and University Hospital Centre, Zagreb, Department of Oncology, Zagreb, Croatia.
| | - Elvisa Kozma
- Oncology Service, University Hospital, Tirana, Albania
| | | | - Marta Maddalo
- University and Spedali Civili Hospital, Brescia, Italy
| | - Stefano Magrini
- Brescia University and Spedali Civili Hospital, Brescia, Italy.
| | - Ingvil Mjaaland
- Department of Oncology and Haematology, Stavanger University Hospital, Norway.
| | | | | | - Mateusz Spalek
- Maria Sklodowska-Curie Institute-Oncology Centre, Warsaw, Poland.
| | - Marie-Catherine Vozenin
- Department of Radiation Oncology, Centre Hospitalier, Universitaire Vaudois, Lausanne, Switzerland.
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Arenas M, Sabater S, Biete A, Lara P, Calvo F. Radiation Oncology Teaching Programmes as Part of the Undergraduate Degree in Medicine in Spanish Universities: the Need for an Update of the Contents and Structure. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2018; 33:352-358. [PMID: 27595996 DOI: 10.1007/s13187-016-1106-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The relevance of radiation oncology (RO) teaching in the Faculty of Medicine Degree Plan is justified by the high number of cancer patients who will require it at some point in their evolution of radiotherapy (RT). About 40 % of the population who will suffer cancer will be cured by RT alone or other related treatment modalities. Therefore, cancer education and RT teaching needs to have an in depth impact in the undergraduate medicine programmes. This education component is highly variable, not only among countries but also within each country, in terms of content (theory and practical training), number of credits and departmental affiliation of the teachers. Our aim is to take a snapshot of the situation of the teaching of RO in undergraduate university education in Spain. We have analysed 40 Spanish universities about specific aspects related to the teaching of RT. Information was obtained by mail or telephone contact throughout 2015. We have analysed the elements involved in teaching performance. In universities with various instructional units, we have taken the average of them. Among the Universities consulted in Spain, during the period of the medical degree, the average time allocated to RT lectures is 12 h (range, 0-36), the mean time allocated to seminars is 4 h (range, 0-22), and the mean time assigned to practices is 11 h (range, 0-38). The subject is mainly taught by a radiation oncologist and 80 % of Spanish universities have at least one radiation oncologist on staff. Undergraduate radiation oncology teaching in Spain shows structural heterogeneity. The Spanish Society of Radiation Oncology (SEOR) University Forum has identified new opportunities and elaborated a proposal to improve undergraduate education in oncology.
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Affiliation(s)
- Meritxell Arenas
- Radiation Oncology Department, Hospital Universitari Sant Joan de Reus. School of Medicine, University of Rovira i Virgili, C/ Sant Joan, s/n, Reus, Tarragona, Spain.
| | - Sebastià Sabater
- Radiation Oncology Department, Complejo Hospitalario Universitario de Albacete, Albacete, Spain
| | - Albert Biete
- Radiation Oncology Department, Hospital Clinic Universitari. School of Medicine, University of Barcelona, Barcelona, Spain
| | - Pedro Lara
- Radiation Oncology Department, Dr. Negrín University Hospital. School of Medicine, University of Las Palmas, Las Palmas, Spain
| | - Felipe Calvo
- Oncology Department, Hospital General Universitario Gregorio Marañón. School of Medicine, Complutense University of Madrid, Madrid, Spain
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Bibault JE, Franco P, Borst GR, Van Elmpt W, Thorwhart D, Schmid MP, Rouschop KM, Spalek M, Mullaney L, Redalen KR, Dubois L, Verfaillie C, Eriksen JG. Learning radiation oncology in Europe: Results of the ESTRO multidisciplinary survey. Clin Transl Radiat Oncol 2018; 9:61-67. [PMID: 29594252 PMCID: PMC5862689 DOI: 10.1016/j.ctro.2018.02.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Revised: 02/05/2018] [Accepted: 02/06/2018] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Radiotherapy education can be very different across Europe, despite the publication of the ESTRO core curricula in 2011. The purpose of the current study is to map the different RO European education systems, to report their perceived quality and to understand what could be improved to better teach RO. METHODS An online survey consisting of 30 questions was sent to RO professionals under 40 years of age via email and social media. Clinicians, radiobiologists, physicists and radiation therapists (RTTs) were invited to answer questions regarding (1) demographics data, (2) duration, (3) organization, (4) content, (5) quality and potential improvements of national education programs. RESULTS Four hundred and sixty three questionnaires were received from 34 European countries. All disciplines were represented: 45% clinicians (n = 210), 29% physicists (n = 135), 24% RTTs (n = 108) and 2% radiobiologists (n = 10). Male and female participants were well-balanced in each speciality, except for radiobiologists (80% males). Median age was 31.5 years old (range 21-40). A large range of the duration of the National RO education programs was observed: median = 9 years (range: 3-15). In half of the surveyed countries the European Credit Transfer System (ECTS), that facilitates mobility for trainees, has been implemented. Participants declared only a minority of countries have implemented the ESTRO Core Curriculum (n = 5). A quarter of participants indicated that their national education program is insufficient. CONCLUSION This is the first study to examine the different RO education systems in Europe. Large differences in organization and duration of national education programs have been found, along with perceived quality across Europe within each speciality. These results show the necessity of a discussion on how to move forward in this diversity of education programs and the potential contribution that the ESTRO may fulfil.
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Affiliation(s)
- Jean-Emmanuel Bibault
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- European Society for Radiotherapy & Oncology (ESTRO) Education Council Brussels, Belgium
- Radiation Oncology Department, Hôpital Européen Georges Pompidou, Assistance Publique – Hôpitaux de Paris, Université Paris Descartes, Paris Sorbonne Cité, Paris, France
| | - Pierfrancesco Franco
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- University of Turin School of Medicine, Turin, Italy
| | - Gerben R. Borst
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Oncology, Radiation Oncology Department, The Netherlands Cancer Institute – Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands
| | - Wouter Van Elmpt
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiation Oncology, GROW – School for Oncology and Developmental Biology, Maastricht University Medical Center, The Netherlands
| | - Daniela Thorwhart
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Section for Biomedical Physics, University Hospital for Radiation Oncology Tübingen, Tübingen, Germany
| | - Maximilian P. Schmid
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Medical University of Vienna, Vienna, Austria
| | - Kasper M.A. Rouschop
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiation Oncology, GROW – School for Oncology and Developmental Biology, Maastricht University Medical Center, The Netherlands
| | - Mateusz Spalek
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiotherapy I, Maria-Skłodowska Curie Institute – for Radiation Oncology Centre, Warsaw, Poland
| | - Laura Mullaney
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Applied Radiation Therapy Trinity Research Group, Discipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland
| | - Kathrine Røe Redalen
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Ludwig Dubois
- European Society for Radiotherapy & Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiation Oncology, GROW – School for Oncology and Developmental Biology, Maastricht University Medical Center, The Netherlands
| | - Christine Verfaillie
- European Society for Radiotherapy & Oncology (ESTRO) Education Council Brussels, Belgium
| | - Jesper Grau Eriksen
- European Society for Radiotherapy & Oncology (ESTRO) Education Council Brussels, Belgium
- Department of Eksperimental Clinical Oncology, Aarhus University Hospital, Denmark
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Rosenblatt E, Prajogi GB, Barton M, Fidarova E, Eriksen JG, Haffty B, Millar BA, Bustam A, Zubizarreta E, Abdel-Wahab M. Need for Competency-Based Radiation Oncology Education in Developing Countries. ACTA ACUST UNITED AC 2017. [DOI: 10.4236/ce.2017.81006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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13
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de la Peña L, Garcia-Linares A. Radiotherapy Learning in Medical Undergraduate Courses. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2016; 31:660-665. [PMID: 26084426 DOI: 10.1007/s13187-015-0868-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Approximately 60 % of all cancer patients receive radiotherapy as a component of their treatment. Radiation Oncology concepts, specifically, are not formally introduced to students in most traditional school curricula until their clinical rotations or may only be included as an optional elective during the core clinical clerkships. The aim of this study is to determine whether the teaching of Radiation Oncology by radiation oncologists, in the third year, in block diagnostic and therapeutic procedures, is helpful for student training and changes their attitude towards the specialty. We administered a pre-test and post-test examination of the concepts in general radiation oncology, radiation physics, radiobiology, breast cancer and their opinion to the third year medical students. The 10-question, multiple choice tests were administered before starting the lessons and when they finished the course. Of the 130 third year students, 95 (73.07 %) participated in the pre-test and post-test analysis. For the entire cohort, improvement was seen in all questions except one regarding physics. A statistically significant improvement (p < 0.005) was seen in the question regarding the aspects of general radiotherapy, radiobiology, acute and after-effects of radiation and the management of early-stage breast cancer. With an adequate methodology, third year students can learn aspects of Radiation Oncology.
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Affiliation(s)
- L de la Peña
- Department of Radiology and Physical Medicine, Faculty of Medicine, University of Malaga, Boulevar Louis Pasteur, 32, 29071, Malaga, Spain.
| | - A Garcia-Linares
- Department of Radiology and Physical Medicine, Faculty of Medicine, University of Malaga, Boulevar Louis Pasteur, 32, 29071, Malaga, Spain
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14
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Krug D, Baumann R, Rieckmann T, Fokas E, Gauer T, Niyazi M. Situation of young radiation oncologists, medical physicists and radiation biologists in German-speaking countries : Results from a web-based survey of the Young DEGRO working group. Strahlenther Onkol 2016; 192:507-15. [PMID: 27343188 DOI: 10.1007/s00066-016-1003-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Accepted: 05/18/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND PURPOSE The working group "Young DEGRO" (yDEGRO) was established in 2014 by the German Society of Radiation Oncology (DEGRO). We aimed to assess the current situation of young radiation oncologists, medical physicists and radiation biologists. METHODS An online survey that included 52 questions or statements was designed to evaluate topics related to training, clinical duties and research opportunities. Using the electronic mailing list of the DEGRO and contact persons at university hospitals in Germany as well as at four hospitals in Switzerland and Austria, young professionals employed in the field of radiation oncology were invited to participate in the survey. RESULTS A total of 260 responses were eligible for analysis. Of the respondents 69 % had a professional background in medicine, 23 % in medical physics and 9 % in radiation biology. Median age was 33 years. There was a strong interest in research among the participants; however a clear separation between research, teaching and routine clinical duties was rarely present for radiation oncologists and medical physicists. Likewise, allocated time for research and teaching during regular working hours was often not available. For radiation biologists, a lack of training in clinical and translational research was stated. CONCLUSION This survey details the current state of education and research opportunities in young radiation oncologists, medical physicists and radiation biologists. These results will form the basis for the future working program of the yDEGRO.
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Affiliation(s)
- David Krug
- Department of Radiation Oncology, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. .,National Center for Radiation Oncology (NCRO), Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany.
| | - Rene Baumann
- Department of Radiation Oncology, University of Schleswig-Holstein, Kiel, Germany
| | - Thorsten Rieckmann
- Laboratory for Radiobiology and Department of Otorhinolaryngology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Emmanouil Fokas
- Department of Radiotherapy and Oncology, Goethe University of Frankfurt, Frankfurt, Germany.,Department of Oncology, CRUK/MRC Oxford Institute for Radiation Oncology, Oxford, UK
| | - Tobias Gauer
- Department for Radiotherapy and Radio-Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Maximilian Niyazi
- Department of Radiation Oncology, University of Munich, Munich, Germany
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Franco P, Ciammella P, Peruzzo Cornetto A, De Bari B, Buglione M, Livi L, Alongi F, Filippi AR. The STYRO 2011 project: a survey on perceived quality of training among young Italian radiation oncologists. Med Oncol 2013; 30:729. [PMID: 24072510 DOI: 10.1007/s12032-013-0729-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2013] [Accepted: 09/12/2013] [Indexed: 11/24/2022]
Abstract
In order to evaluate the perceived quality of training and education among young Italian radiation oncologists (age <40), AIRO Giovani (Italian Association of Radiation Oncology-Young Members Working Group) carried out a nationwide online survey in 2011, employing a 63-item-based questionnaire, addressed to physician's self-perception of personal training experience (during decade 2001-2011). Issues explored investigated demographics data, duration/organization/content/characteristics of residency programs, the quality of education in clinical oncology, radiation oncology, management and communication attitudes. A total of 382 questionnaires were sent out to physicians and 217 (56.8%) were returned with 197 (51.6%) appropriately filled in and considered for the analysis. The general perception of education and training is positive in most of the explored fields, however some specific contexts and skills still require optimization (combination therapy, peculiar clinical scenarios, particular radiotherapy technical issues, structural organization of residency programs). The present report is expected to be useful for residents, program directors and scientific societies (such as AIRO), to further continue the effort in the improvement of training in radiation oncology.
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Affiliation(s)
- Pierfrancesco Franco
- Radiation Oncology Department, Tomotherapy Unit, Ospedale Regionale 'U. Parini', AUSL Valle d'Aosta, Viale Ginevra 3, 11100, Aosta, Italy,
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16
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The updated ESTRO core curricula 2011 for clinicians, medical physicists and RTTs in radiotherapy/radiation oncology. Radiother Oncol 2012; 103:103-8. [DOI: 10.1016/j.radonc.2012.02.007] [Citation(s) in RCA: 68] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2012] [Revised: 02/07/2012] [Accepted: 02/07/2012] [Indexed: 11/22/2022]
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Herruzo I, Romero J, Palacios A, Mañas A, Samper P, Bayo E, Guedea F. The white book of radiation oncology in Spain. Clin Transl Oncol 2011; 13:385-95. [PMID: 21680299 DOI: 10.1007/s12094-011-0672-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The White Book of Radiation Oncology provides a comprehensive overview of the current state of the speciality of radiation oncology in Spain and is intended to be used as a reference for physicians, health care administrators and hospital managers. The present paper summarises the most relevant aspects of the book's 13 chapters in order to bring the message to a wider audience. Among the topics discussed are the epidemiology of cancer in Spain, the role of the radiation oncologist in cancer care, human and material resource needs, new technologies, training of specialists, clinical and cost management, clinical practice, quality control, radiological protection, ethics, relevant legislation, research & development, the history of radiation oncology in Spain and the origins of the Spanish Society of Radiation Oncology (SEOR).
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Ahern V, Klein L, Bentvelzen A, Garlan K, Jeffery H. An evaluation of a paediatric radiation oncology teaching programme incorporating a SCORPIO teaching model. J Med Imaging Radiat Oncol 2011; 55:213-9. [DOI: 10.1111/j.1754-9485.2011.02254.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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The role of the biomedical physicist in the education of the healthcare professions: An EFOMP project. Phys Med 2009; 25:133-40. [DOI: 10.1016/j.ejmp.2008.11.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2008] [Revised: 08/29/2008] [Accepted: 11/05/2008] [Indexed: 11/17/2022] Open
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Niemiec M, Kepka L, Maciejewski B, Lindner B, Bujko K. Radiation Oncology Training in Poland: Results of a National Survey (2007). Clin Oncol (R Coll Radiol) 2009; 21:74-5. [DOI: 10.1016/j.clon.2008.10.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2008] [Revised: 10/06/2008] [Accepted: 10/27/2008] [Indexed: 11/30/2022]
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Naredi P, Audisio RA, Taylor I. Why do we need a core curriculum in surgical oncology in Europe? Surg Oncol 2008; 17:267-9. [DOI: 10.1016/j.suronc.2008.06.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2008] [Revised: 02/09/2008] [Accepted: 06/10/2008] [Indexed: 11/24/2022]
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Kantor G, Rivera S, Lafond C, Duparc A, Huguet F, Toledano A, Servagi-Vernat S, Martin E, Mornex F, Bolla M, Bey P. La formation des internes en radiothérapie-oncologie. ONCOLOGIE 2007. [DOI: 10.1007/s10269-007-0605-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ataman OU, Barrett A, Filleron T, Kramar A. Optimization of follow-up timing from study of patterns of first failure after primary treatment. An example from patients with NSCLC: A study of the REACT working group of ESTRO. Radiother Oncol 2006; 78:95-100. [PMID: 16256232 DOI: 10.1016/j.radonc.2005.09.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2004] [Revised: 09/08/2005] [Accepted: 09/22/2005] [Indexed: 11/22/2022]
Abstract
BACKGROUND AND PURPOSE The European Society for Therapeutic Radiology and Oncology was funded by the EU for a project on Recording providing Education, and Ameliorating the Consequences of Treatment (REACT). An important aim of follow-up (FU) after treatment for cancer is to detect various events associated with disease recurrence or metastatic spread or severe treatment-related complications as early as possible. Each tumour type may show a specific pattern and timing of these events related to different prognostic factors. The aim of this study was to propose a way of defining an optimal timing schedule for follow-up after treatment based on the analysis of failure patterns determined from follow-up data from prospective clinical trials. MATERIAL AND METHODS Cox proportional hazards model was used to identify prognostic factors associated with each failure type (loco-regional recurrence (LR), distant metastasis (DM) or side effects (SE)). Competing risks methods were applied to estimate the cumulative incidence functions (CIF), adjusted on the significant prognostic factors. Equally spaced quantiles of the CIF were then used to estimate the corresponding optimised follow-up times depending on a pre-specified total number of visits. Follow-up data from the CHART bronchus clinical trial were used to analyse the pattern of time to first failure. RESULTS A significantly higher risk of failure was observed for males (SE), stage III (DM) and conventional treatment (LR). Overall, patients treated with CHART needed 1 fewer visit in each category of patients compared to the Conventional group. For example, stage III male patients treated with CHART would need 8 visits during the first two years at 7, 11, 16, 24, 37, 52, 64 and 104 weeks rather than the 9 follow-up visits planned in the protocol. Similar patients treated with Conventional radiotherapy would need 8 visits at 3, 5, 7, 11, 15, 24, 52 and 104 weeks. CONCLUSIONS Use of these methods would allow timing of follow-up visits to be adapted according to tumour site and prognostic factors determined previously from audit or clinical trials. Application of this approach could optimize the timing of follow-up visits by placing them closer to the times when failures are expected to occur. It does not address the wider issues of follow-up such as who should do it or what should be done for which further studies are required.
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Affiliation(s)
- Ozlem Uruk Ataman
- Dokuz Eylul University Oncology Institute, Inciralti, Izmir, Turkey.
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Kantor G, Huguet F, Toledano A, Lafond C, Quero L, Servagi S, Gérard JP, Bey P. [Radiation oncology training in France: demography, analysis of motivations of the young specialists, evaluation of the training]. Cancer Radiother 2005; 9:435-43. [PMID: 16256392 DOI: 10.1016/j.canrad.2005.09.021] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
During the 5 past national courses organised by the French society of radiation oncology (SFRO), three different types of survey were performed to analyse demography, motivations and quality of training of the young specialists. During the 5 past years, 50 radiation oncologists were training for the whole country (about 15 per year were graduated). A recent increase the number of young specialists is observed with a total number of 50 in 2000 to 75 in 2005. Nevertheless, the number of young specialists is dramatically insufficient and exposes for the future to an important demographic crisis. Analysis of motivations of choice for radiation oncology confirms the influence of a practical stage of oncology during the second cycle of the medical studies for 60% of the young specialists. Analysis of practical and theoretical training was performed according to the point of view and living experiences of the students. On the other hand, informations from teachers were less complete. Some needs are emphased as: 1) the quality of the follow during the training (importance of the recent implementation of a logbook); 2) importance of theoretical and practical training at the radiotherapy department; 3) help and incentive for research and scientific publication.
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Affiliation(s)
- G Kantor
- Service de radiothérapie, institut Bergonié, centre régional de lutte contre le cancer, Bordeaux, France.
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Heeren G. The bright but ephemeral life of a rainbow. A chronicle of seventeen years of intensive ESTRO-EU cooperation. Radiother Oncol 2005; 75:253-7. [PMID: 16086911 DOI: 10.1016/j.radonc.2005.05.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2005] [Accepted: 06/01/2005] [Indexed: 11/19/2022]
Affiliation(s)
- Germaine Heeren
- ESTRO Office, Brussels, Belgium, Bovenbergstraat 15, 3020 Veltem-Beisem, Belgium.
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Yee D, Fairchild A, Keyes M, Butler J, Dundas G. 2003 survey of Canadian radiation oncology residents. Int J Radiat Oncol Biol Phys 2005; 62:526-34. [PMID: 15890597 DOI: 10.1016/j.ijrobp.2004.10.028] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2004] [Revised: 10/14/2004] [Accepted: 10/18/2004] [Indexed: 11/23/2022]
Abstract
PURPOSE Radiation oncology's popularity as a career in Canada has surged in the past 5 years. Consequently, resident numbers in Canadian radiation oncology residencies are at all-time highs. This study aimed to survey Canadian radiation oncology residents about their opinions of their specialty and training experiences. METHODS AND MATERIALS Residents of Canadian radiation oncology residencies that enroll trainees through the Canadian Resident Matching Service were identified from a national database. Residents were mailed an anonymous survey. RESULTS Eight of 101 (7.9%) potential respondents were foreign funded. Fifty-two of 101 (51.5%) residents responded. A strong record of graduating its residents was the most important factor residents considered when choosing programs. Satisfaction with their program was expressed by 92.3% of respondents, and 94.3% expressed satisfaction with their specialty. Respondents planning to practice in Canada totaled 80.8%, and 76.9% plan to have academic careers. Respondents identified job availability and receiving adequate teaching from preceptors during residency as their most important concerns. CONCLUSIONS Though most respondents are satisfied with their programs and specialty, job availability and adequate teaching are concerns. In the future, limited time and resources and the continued popularity of radiation oncology as a career will magnify the challenge of training competent radiation oncologists in Canada.
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Affiliation(s)
- Don Yee
- Department of Radiation Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada.
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