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Larnaudie A, Bourbonne V, Michalet M, Laune Q, Delaye M, Huguet F, Azria D, Varnier R, Ghannam Y. [Last year of residency for radiation oncologists in France: Overview and perspectives]. Cancer Radiother 2023; 27:718-724. [PMID: 37891037 DOI: 10.1016/j.canrad.2023.08.003] [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: 08/13/2023] [Revised: 08/19/2023] [Accepted: 08/24/2023] [Indexed: 10/29/2023]
Abstract
PURPOSE The last year of the radiotherapy oncology internship in France has become a phase of empowerment, called "junior doctor", allowing interns to validate acts previously reserved only for senior doctors. This study focused on the responsibilities given to the first promotion of junior doctors in France and their feelings on this new status. MATERIAL AND METHODS A cross-sectional survey was carried out by the French associations of interns and young doctors in oncology, Aerio and SFjRO. A questionnaire was sent to the class referents of each city for transmission to the junior doctors of the year 2021-2022 from September 1st to November 30th, 2022. The questions concerned training, the modalities of this year and the feelings. Responses were analyzed anonymously using R. 4.3.1 software. RESULTS For radiation oncology, 33 responses were obtained from 21 cities. For most junior doctors, three to four localizations (51%) were performed with an average of five new patients per week. The contours were reviewed either systematically (51%) or only at the beginning (32%). Dosimetry was reported as never countersigned in 19%; 80% of junior doctors described having been the only radiation oncologist during multidisciplinary staff meetings. The two main areas of improvement were theoretical training (45%) and legal frameworks/contracts (42%). CONCLUSION These results relating to the first class of junior doctors showed an overall agreement with the recommendations of the Cnec. Feedback from interns was positive. The supervision of brachytherapy and dosimetry activities, the presence alone in multidisciplinary panel remained points of vigilance.
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Affiliation(s)
- A Larnaudie
- Service de radiothérapie, centre François-Baclesse, avenue du Général-Harris, 14000 Caen, France; Société française des jeunes radiothérapeutes oncologues (SFJRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France.
| | - V Bourbonne
- Société française des jeunes radiothérapeutes oncologues (SFJRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France; Service de radiothérapie, centre hospitalier universitaire de Brest, 2, avenue Foch, 29200 Brest, France
| | - M Michalet
- Service de radiothérapie, institut de cancérologie, Montpellier, parc Euromédecine, 208, avenue des Apothicaires, 34090 Montpellier, France
| | - Q Laune
- Service de radiothérapie, centre hospitalier universitaire de Brest, 2, avenue Foch, 29200 Brest, France; Association d'enseignement et de recherche des internes en oncologie (Aerio), 149, avenue du Maine, 75014 Paris, France
| | - M Delaye
- Association d'enseignement et de recherche des internes en oncologie (Aerio), 149, avenue du Maine, 75014 Paris, France; Service d'oncologie médicale, institut Curie, 35, rue Daily, 92210 Saint-Cloud, France
| | - F Huguet
- Service d'oncologie radiothérapie, hôpital Tenon, 75020 Paris, France; Collège national des enseignants en cancérologie (Cnec), Paris, France
| | - D Azria
- Service de radiothérapie, institut de cancérologie, Montpellier, parc Euromédecine, 208, avenue des Apothicaires, 34090 Montpellier, France; Société française de radiothérapie oncologique (SFRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France
| | - R Varnier
- Research on Healthcare Performance (Reshape), Inserm, U1290, université Claude-Bernard, Lyon, France; Département d'oncologie médicale, centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France
| | - Y Ghannam
- Société française des jeunes radiothérapeutes oncologues (SFJRO), centre Antoine-Béclère, 47, rue de la Colonie, 75013 Paris, France; Service de radiothérapie, institut de cancérologie de l'Ouest, 15, rue André-Boquel, 49100 Angers, France
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