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Strasser M, Senger MH. Behind the Scenes: Radiotherapy technical training through professionals' eyes. Tech Innov Patient Support Radiat Oncol 2024; 30:100247. [PMID: 38600917 PMCID: PMC11004981 DOI: 10.1016/j.tipsro.2024.100247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Revised: 03/01/2024] [Accepted: 03/20/2024] [Indexed: 04/12/2024] Open
Abstract
Training technical professionals for Radiotherapy is essential due to growing demand caused by early cancer diagnoses, global population aging, rising cancer rates, and evolving equipment and techniques. Our objective was to gather insights from graduates of various courses who are now working professionally, based on the principle that one way to assess educational training is by considering the attributes that trained and active professionals deem important in the improvement courses they have taken. A cross-sectional study (approved at the local Research Ethics Committee) was conducted, involving an online survey for the opinion of professionals already qualified as radiotherapy technicians or technologists and engaged in this work. The questionnaire consisted of 12 objective multiple-choice questions and four open-ended questions. Of the 59 received responses, 49 professionals completed some course. Thirty-one (64.6%) pursued improvement/enhancement, followed by specialization (15; 31.2%) and extension (two; 4.2%). Thirty-four (69.4%) respondents had not engaged in any practical activities during their training. As for course weaknesses, respondents cited: inflexible schedule (29; 59.2%), distance from residence (12; 24.5%), low hourly load (four; 8.2%), and other issues (four; 8.2%). The data underscores the need to adjust technical training in Radiotherapy, emphasizing the importance of a recognized professional team, practical learning, flexible schedules, and financial viability. The strategic perspective of radiotherapy technicians currently working in this job market, emphasized the need for an adjustment in the offering of courses. These insights provide more well-structured foundations for contemporary teaching and learning processes, considering current societal characteristics, technological advances, and future student demands.
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Affiliation(s)
- M Strasser
- Radiation Oncologist, Luthes Radioterapia, Sorocaba, Master's student in Education for Health Professions Program, Pontifical Catholic University of São Paulo, Brazil
| | - M H Senger
- Full Professor in the Areas of Endocrinology and Education for Health Professions, Pontifical Catholic University of São Paulo, Brazil
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Oliveira C, Barbosa B, Couto JG, Bravo I, Hughes C, McFadden S, Khine R, McNair HA. Advanced practice roles amongst therapeutic radiographers/radiation therapists: A European survey. Radiography (Lond) 2023; 29:261-273. [PMID: 36608396 DOI: 10.1016/j.radi.2022.12.003] [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: 08/03/2022] [Revised: 11/24/2022] [Accepted: 12/04/2022] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Advanced Practice (AP) roles in Radiotherapy (RT) over time are variable, often locally developed and not underpinned by professional standards which leads to conceptual and practical gaps. This study aimed to assess AP roles amongst Therapeutic Radiographers/Radiation Therapists (TR/RTTs) and identify educational gaps for this level across Europe. METHODS An anonymous online survey was designed, validated, and distributed across Europe. Convenience sampling was used to recruit advanced TR/RTTs practitioners or TR/RTTs working in AP roles. Descriptive analysis from closed questions and thematic analyses from open questions are reported. RESULTS A total of 272 responses were obtained, of which 189 eligible participations were from 21 European countries. 42% of respondents acknowledged additional education required to perform AP, and 25% reported a minimum of five years of RT practice to perform AP roles/tasks. There is a trend to work more on the clinical practice domain with a low percentage of working time allocated to research. Inconsistency was found in job titles, scopes of practice, and educational backgrounds across and even within countries. Education needs regarding knowledge about image-guided and adaptive RT, multimodal imaging and technologies, and advanced treatment planning were found. Training needs on leadership and management skills and clinical site-specific expertise were identified. CONCLUSION This study clearly shows a gap in education support, a need for standardisation in job titles and scopes of practice across Europe. IMPLICATIONS FOR PRACTICE As the first large-scale assessment of current AP roles and educational support amongst TR/RTTs across Europe, this study recommends the establishment of governance structure and role regulation. It also informs the curricula for master programmes to align the education with current and future practice.
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Affiliation(s)
- C Oliveira
- Radiotherapy Department, Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal; Escola Internacional de Doutoramento, Universidad de Vigo, Circunvalación ao Campus Universitario, 36310 Vigo, Pontevedra, Spain.
| | - B Barbosa
- Radiotherapy Department, Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal; Escola Internacional de Doutoramento, Universidad de Vigo, Circunvalación ao Campus Universitario, 36310 Vigo, Pontevedra, Spain; Medical Physics, Radiobiology Group and Radiation Protection Group, IPO Porto Research Centre (CI-IPOP), Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal.
| | - J G Couto
- Radiography Department, Faculty of Health Sciences, University of Malta, Msida, MSD2080, Malta.
| | - I Bravo
- Medical Physics, Radiobiology Group and Radiation Protection Group, IPO Porto Research Centre (CI-IPOP), Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal.
| | - C Hughes
- School of Health Sciences, Ulster University, Shore Road Newtownabbey Co, Antrim, BT37 0QB, United Kingdom.
| | - S McFadden
- School of Health Sciences, Ulster University, Shore Road Newtownabbey Co, Antrim, BT37 0QB, United Kingdom.
| | - R Khine
- European Federation of Radiographer Societies, Utrecht, Netherlands; School of Health Care and Social Work, Buckinghamshire New University, Buckinghamshire, United Kingdom.
| | - H A McNair
- European Federation of Radiographer Societies, Utrecht, Netherlands; The Royal Marsden NHS Foundation Trust, Radiotherapy and the Institute of Cancer Research, Surrey, SM2 5PT, United Kingdom.
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3
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Kahn JM, Yang JC, Yahalom J, Dabaja BS, Vapiwala N, Hoppe BS, Tseng YD, Pinnix CC, Parikh RR, Sim AJ, Plastaras JP, Gunther JR. Assessment of Lymphoma and Other Hematologic Malignancies Training Needs Among Radiation Oncology Residents: a Brief Report. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2023; 38:201-205. [PMID: 34601699 PMCID: PMC8487329 DOI: 10.1007/s13187-021-02098-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/25/2021] [Indexed: 06/13/2023]
Abstract
The role of radiation therapy (RT) varies across hematologic malignancies (HM). Radiation oncology (RO) resident comfort with specific aspects of HM patient management is unknown. The International Lymphoma RO Group (ILROG) assessed resident HM training opportunities and interest in an HM away elective. RO residents (PGY2-5) in the Association of Residents in RO (ARRO) database (n = 572) were emailed an anonymous, web-based survey in January 2019 including binary, Likert-type scale (1 = not at all, 5 = extremely, reported as median [interquartile range]), and multiple-choice questions. Of 134 resident respondents (23%), 86 (64%) were PGY4/5 residents and 36 (27%) were in larger programs (≥ 13 residents). Residents reported having specialized HM faculty (112, 84%) and a dedicated HM rotation (95, 71%). Residents reported "moderate" preparedness to advocate for RT in multidisciplinary conferences (3 [2-3]); make HM-related clinical decisions (3 [2-4]); and critique treatment planning (3 [2-4]). They reported feeling "moderately" to "quite" prepared to contour HM cases (3.5 [3-4]) and "quite" prepared to utilize the PET-CT five-point scale (4 [3-5]). Overall, residents reported feeling "moderately" prepared to treat HM patients (3 [2-3]); 24 residents (23%) felt "quite" or "extremely" prepared. Sixty-six residents (49%) were potentially interested in an HM away elective, commonly to increase comfort with treating HM patients (65%). Therefore, HM training is an important component of RO residency, yet a minority of surveyed trainees felt quite or extremely well prepared to treat HM patients. Programs should explore alternative and additional educational opportunities to increase resident comfort with treating HM patients.
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Affiliation(s)
- Jenna M Kahn
- Department of Radiation Medicine, Oregon Health and Science University, Portland, OR, USA
| | - Joanna C Yang
- Department of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA
| | - Joachim Yahalom
- Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Bouthaina S Dabaja
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Neha Vapiwala
- Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA
| | - Bradford S Hoppe
- Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL, USA
| | - Yolanda D Tseng
- Department of Radiation Oncology, University of Washington, Seattle, WA, USA
| | - Chelsea C Pinnix
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Rahul R Parikh
- Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA
| | - Austin J Sim
- Department of Radiation Oncology, H. Lee Moffitt Cancer Center and Research Institute/University of South Florida, Tampa, FL, USA
| | - John P Plastaras
- Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA
| | - Jillian R Gunther
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
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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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Offersen BV, Aznar MC, Bacchus C, Coppes RP, Deutsch E, Georg D, Haustermans K, Hoskin P, Krause M, Lartigau EF, Lee AWM, Löck S, Thwaites DI, van der Kogel AJ, van der Heide U, Valentini V, Overgaard J, Baumann M. The role of ESTRO guidelines in achieving consistency and quality in clinical radiation oncology practice. Radiother Oncol 2023; 179:109446. [PMID: 36566990 DOI: 10.1016/j.radonc.2022.109446] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 12/08/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Birgitte Vrou Offersen
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Denmark; Department of Oncology, Aarhus University Hospital, Denmark; Danish Center for Particle Therapy, Aarhus University Hospital, Denmark.
| | - Marianne C Aznar
- Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, The Christie NHS Foundation Trust, United Kingdom
| | - Carol Bacchus
- German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Rob P Coppes
- Department of Biomedical Sciences of Cells & Systems, Section Molecular Cell Biology, Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Eric Deutsch
- Department of Radiation Oncology, Institut d'Oncologie Thoracique (IOT), Gustave Roussy, France
| | - Dieter Georg
- Division Medical Radiation Physics, Department of Radiation Oncology, Medical University of Vienna, Austria
| | - Karin Haustermans
- Department of Radiation Oncology, University Hospitals Leuven, Belgium
| | - Peter Hoskin
- Mount Vernon Cancer Centre and University of Manchester, United Kingdom
| | - Mechthild Krause
- Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany; OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Germany
| | - Eric F Lartigau
- Academic Department of Radiotherapy, Oscar Lambret Comprehensive Cancer Center, Lille, France
| | - Anne W M Lee
- Department of Clinical Oncology, Shenzhen Key Laboratory for Cancer Metastasis and Personalized Therapy, University of Hong Kong - Shenzhen Hospital, China
| | - Steffen Löck
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden - Rossendorf, Germany
| | - David I Thwaites
- Institute of Medical Physics, School of Physics, University of Sydney, Australia; Radiotherapy Research Group, St James's Hospital and University of Leeds, United Kingdom
| | - Albert J van der Kogel
- Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, USA
| | - Uulke van der Heide
- Department of Radiation Oncology, the Netherlands Cancer Institute, Amsterdam, the Netherlands
| | - Vincenzo Valentini
- Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC Radioterapia Oncologica, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy
| | - Jens Overgaard
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Denmark
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Kaplan SO, Atalar B, Akboru MH, Tilki B, Kanat S, Yucel SB, Tepetam H, Ozyigit G. A new perspective on the future of Turkish Society for Radiation Oncology: Young Radiation Oncologists Group (TROD/GROG 001). Rep Pract Oncol Radiother 2023; 28:88-92. [PMID: 37122905 PMCID: PMC10132199 DOI: 10.5603/rpor.a2023.0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Accepted: 01/16/2023] [Indexed: 05/02/2023] Open
Abstract
Radiation oncology is a field of medicine that has been rapidly growing with advances in technology, radiobiology, treatment algorithms and quality of life of modern radiotherapy over the last century. In the context of these advances, it is critical to be aware of the role of the young radiation oncologists and enable them to discover new perspectives. For this purpose, "The Young Radiation Oncologists Group" (GROG) has been established by the Turkish Society for Radiation Oncology (TROD), a subgroup which has focused on the professional developments, early career and integrating into the TROD family while supporting education and innovative research of young radiation oncologists. The purpose of this paper was to outline the structure and responsibilities of GROG and its scientific and social activities within TROD and in its own right.
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Affiliation(s)
| | - Banu Atalar
- Department of Radiation Oncology, Maslak Hospital, Faculty of Medicine, Mehmet Ali Aydinlar Acibadem University, Istanbul, Türkiye
| | | | - Burak Tilki
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
| | - Sevda Kanat
- Department of Radiation Oncology, Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Serap Baskaya Yucel
- Department of Radiation Oncology, Atakent Hospital, Faculty of Medicine, Mehmet Ali Aydınlar Acıbadem University, Istanbul, Türkiye
| | - Hüseyin Tepetam
- Ministry of Health, Department of Radiation Oncology, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Türkiye
| | - Gökhan Ozyigit
- Department of Radiation Oncology, Hacettepe University Faculty of Medicine, Ankara, Türkiye
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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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Pawlowska E, Tomasik B, Spałek M, Chyrek AJ, Napieralska A. Being a young radiation oncologist in Poland: results of a multi-institutional survey. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2022; 37:1614-1620. [PMID: 33783761 PMCID: PMC9681692 DOI: 10.1007/s13187-021-01998-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 03/16/2021] [Indexed: 06/12/2023]
Abstract
In 2018, Polish Society of Radiation Oncology formed a young section (yPTRO), dedicated to radiation oncologists under the age of 40. To evaluate their current situation, an anonymous, nationwide, online survey was carried out. Thirty-two-item-based questionnaire investigated young radiation oncologists' perception of employment, workload, education, malpractice lawsuits, scientific research, and board exam. A total of 44 physicians responded to the questionnaire, yielding a response rate of 25%. Results of the survey identified the main problematic areas. In general, young radiation oncologists in Poland are overloaded with bureaucracy. They complain on spending too much time at work and lack work-life balance. The risk of being sued for medical error is threatening two-thirds of responders in everyday work. Compensation is not satisfying for nearly half of the survey participants. Nearly all young radiation oncologists continue education and participate in national and international educational events. Forty-eight percent of responders do scientific research alongside clinical work. However, the perception of young radiation oncologists on the board exam is alarming and requires further discussion. Fifty-five percent of the survey participants think that current form of the exam is not appropriate. Hopefully, 75% of physicians feel fairly evaluated. The presented report is the first of its kind in Poland. Issues mentioned in our questionnaire will help newly formed yPTRO to develop strategic priorities for the upcoming years.
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Affiliation(s)
- Ewa Pawlowska
- Department of Oncology and Radiotherapy, Faculty of Medicine, Medical University of Gdansk, Gdansk, 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 Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
| | - Artur J Chyrek
- Brachytherapy Department, Greater Poland Cancer Center, Poznan, Poland
| | - Aleksandra Napieralska
- Maria Sklodowska-Curie National Research Institute of Oncology Gliwice Branch, Gliwice, Poland
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9
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Sturdza AE, Stephanides M, Jurgenliemk-Schulz I, Eriksen JG, Benstead K, Hoskin P, Vlad S, Escande A, Corradini S, Knoth J, Westerveld H, Tagliaferri L, Najari-Jamali D, Konat-Baska K, Plesinac V, Tan LT, Nout R, Strnad V, Niehoff P, Pieters BR, Tanderup K, Kamrava M. Brachytherapy training survey among radiation oncology residents in Europe. Radiother Oncol 2022; 177:172-178. [PMID: 36328092 DOI: 10.1016/j.radonc.2022.10.030] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 10/03/2022] [Accepted: 10/23/2022] [Indexed: 11/18/2022]
Abstract
We aim to investigate the current state of brachytherapy (BT) training among the radiation oncology trainees in Europe. MATERIAL AND METHODS A 22-question online survey based on the one by the American Association of Radiation Oncology Residents (2017) with added queries pertinent to training in Europe was sent to 1450 residents in two iterations. These included site-specific training, volume of experience, barriers to training, institutional support, and preferences for further education. Responses to individual statements were given on a 1 to 5 Likert-type scale. The answers were reported by junior (≤3 years of training) and senior years of training (year of training 4/5/6 and junior staff). Descriptive statistics were used to describe frequencies. RESULTS Residents from 21 European countries participated, 445 (31%) responded. 205 (47%) were senior residents. 60% residents consider that performing BT independently at the end of residency is very or somewhat important. Confidence in joining a brachytherapy practice at the end of residency was high or somewhat high in 34% of senior residents. They reported as barriers to achieving independence in BT to be lack of appropriate didactic/procedural training from supervisors (47%) and decreased case load (31%). 68% reported their program lacks a formal BT curriculum and standardized training assessment. CONCLUSIONS Residents in Europe, feel independent BT practice is very or somewhat important, but do not feel confident they will achieve this goal. To address this gap, efforts are needed to develop and implement a formal and comprehensive BT curriculum with easy access to trained instructors.
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Affiliation(s)
- Alina Emiliana Sturdza
- Medical University of Vienna, Department of Radiation Oncology, Comprehensive Cancer Center, Vienna, Austria
| | | | - Ina Jurgenliemk-Schulz
- University Medical Center Utrecht, Department of Radiation Oncology, Utrecht, Netherlands
| | - Jesper Grau Eriksen
- Aarhus University Hospital, Department of Experimental Clinical Oncology, Aarhus, Denmark
| | - Kim Benstead
- Gloucestershire NHS Foundation Trust, Gloucester, United Kingdom
| | - Peter Hoskin
- Mount Vernon Cancer Centre, London, and Division of Cancer Sciences, University of Manchester, United Kingdom
| | - Stefanel Vlad
- Neolife Bucuresti - Enayati Medical City, Bucharest, Romania
| | - Alexandre Escande
- University of Lille, Department of Radiation Oncology, Oscar Lambret Comprehensive Cancer Center, Lille, France
| | - Stefanie Corradini
- Department of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany
| | - Johannes Knoth
- Medical University of Vienna, Department of Radiation Oncology, Comprehensive Cancer Center, Vienna, Austria
| | | | - Luca Tagliaferri
- UOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | | | - Katarzyna Konat-Baska
- Wroclaw Comprehensive Cancer Center, Department of Oncology, Wroclaw Medical University, Poland
| | | | - Li Tee Tan
- Cambridge University Addenbrooke's Hospital, Department of Clinical Oncology, Cambridge, United Kingdom
| | - Remi Nout
- Erasmus MC, Dr. Molewaterplein 40, 3015 GD Rotterdam, Netherlands
| | - Vratislav Strnad
- Dept. of Radiation Oncology, University Hospital Erlangen, Comprehensive Cancer Center Erlangen-EMN, Erlangen, Germany
| | - Peter Niehoff
- Sana Klinikum Offenbach GmbH, Starkenburgring 66, 63069 Offenbach am Main, University Witten - Herdecke, Germany
| | - Bradley R Pieters
- Department of Radiation Oncology, Amsterdam University Medical Centers/University of Amsterdam, Cancer Center Amsterdam, Cancer Treatment and Quality of Life, Netherlands
| | - Kari Tanderup
- Aarhus University Hospital, Department of Experimental Clinical Oncology, Aarhus, Denmark
| | - Mitchell Kamrava
- Department of Radiation Oncology, Cedars-Sinai Medical Center, United States
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10
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Coffey M, Naseer A, Leech M. Exploring radiation therapist education and training. Tech Innov Patient Support Radiat Oncol 2022; 24:59-62. [PMID: 36238200 PMCID: PMC9552092 DOI: 10.1016/j.tipsro.2022.09.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 09/26/2022] [Indexed: 11/29/2022] Open
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11
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Dubois N, Nguyet Diep A, Ghuysen A, Declaye J, Donneau AF, Vogin G, Fleckenstein J, Coucke P, Ben Mustapha S. Training of radiotherapy professionals: status, content, satisfaction and improvement suggestions in the Greater Region. BMC MEDICAL EDUCATION 2022; 22:485. [PMID: 35733149 PMCID: PMC9217112 DOI: 10.1186/s12909-022-03567-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 06/13/2022] [Indexed: 06/04/2023]
Abstract
BACKGROUND The initial training of Radiation Oncology professionals can vary widely across Europe. The aim of this study was to assess the status and content of the initial training programs currently implemented in the Greater Region: Lorraine (Nancy, France), Saarland (Homburg, Germany), Luxembourg, and Liège (Wallonia, Belgium). METHODS A survey was developed to investigate (1) the overall satisfaction, learning objectives, and teaching methods used during initial training programs and (2) the perceptions of the importance of key professional competencies as described by the CanMEDS (a framework that identifies and describes the abilities physicians require to effectively meet the health care needs of the people they serve). In addition, open-ended questions were used to elicit opinions on room for improvement. Participants (N = 38) were physicians (radiation oncologists (RO) seniors and residents) and radiation therapists (RTTs). RESULTS Only 21.1% of the respondents declared having acquired all the competencies required for their professional practice during their initial training. Heterogeneity in teaching methods was noted within professional programs but there is no difference between those from RO and RTT in the teaching of technical and relational skills. Relational skills were not addressed in a range of 39.5-57.9% of respondent's curricula. More practical lessons were deemed necessary to improve radiotherapy (RT) training programs. CONCLUSIONS Radiation oncology professionals expressed the need for more practical teaching, especially in the training of non-technical skills. Regarding the perceived importance of professional aptitudes, radiation oncology professionals highlighted medical and relational skills as the most important competencies.
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Affiliation(s)
- Nadège Dubois
- Medical Simulation Center of Liège, Department of Public Health, Liège University, Liège, Belgium.
| | - Anh Nguyet Diep
- Department of Public Health, Biostatistics Unit, Liège University, Liège, Belgium
| | - Alexandre Ghuysen
- Medical Simulation Center of Liège, Department of Public Health, Liège University, Liège, Belgium
| | - Joséfine Declaye
- Medical Simulation Center of Liège, Department of Public Health, Liège University, Liège, Belgium
| | | | - Guillaume Vogin
- UMR 7365 CNRS-UL IMOPA, Biopole, Vandoeuvre les Nancy, France
- Centre National de Radiothérapie du Luxembourg, Esch sur Alzette, Luxembourg
| | - Jochen Fleckenstein
- Department of Radiotherapy and Radiation Oncology, Saarland University Medical Center, Homburg, Germany
| | - Philippe Coucke
- Department of Radiation Oncology, CHU of Liège, Liège, Belgium
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12
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Li B, Faúndez Salazar J, Rivera AF, Babayemi T, Colqui Campos K, Del Castillo Pacora RF, Noreña Gómez MP, Gamboa Garay OA, Vacaflor Romero L, Rodríguez Moura D, Condori Vasquez N, Martínez Pérez DA. Radiation Oncology Residency Training in Latin America, a Call to Attention. Adv Radiat Oncol 2022; 7:100898. [PMID: 35281882 PMCID: PMC8914461 DOI: 10.1016/j.adro.2022.100898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 01/03/2022] [Indexed: 11/18/2022] Open
Abstract
Purpose Despite the call to increase the number of radiation oncologists in Latin America, the quality, similarity, and number of residency training programs are unknown. We seek to describe the current state of residency programs in radiation oncology in Latin America. Methods and Materials Latin American Residents in Radiation Oncology performed a cross-sectional analysis of universities and training centers for radiation oncologists in Latin America. Latin American Residents in Radiation Oncology members identified and contacted current residents and specialists at each center to obtain information and documents that described their training curricula. Results As of 2020, 13 of 23 (56.5%) Latin American countries have radiation oncology training. Seventy-three training centers were identified (59 active and 14 inactive), associated with 28 universities. On average, each active center trains 2.6 new residents per year, and in total, 156 residents are trained annually. The average length of training programs is 3.6 years. Brazil and Mexico comprise 31 (52.5%) and 7 (11.9%) of active programs, respectively, and 64 (41.8%) and 50 (32.7%) residents, respectively. Training is available in 38 cities in 13 countries, and outside Brazil and Mexico, only 13 cities in 11 countries (9 capitals and 4 noncapital cities). Individualized curriculum documents were provided by 20 (83.3%) of 24 non-Brazilian programs, while 1 standardized guideline was provided for Brazilian training programs. These demonstrated variation between subjects taught, their devoted time, outside specialty rotations, and experiences in modern techniques. Seventy-five percent include volumetric modulated arc therapy, 70% stereotactic radiosurgery, and 55% stereotactic body radiation therapy training. One-hundred percent include gynecologic brachytherapy education and <50% brachytherapy education in other disease sites. Conclusions Training is highly centralized in capital cities. The number of trainees is insufficient to close the current human resource divide but is limited by available job openings. Over 50% of training programs now include technological training in stereotactic radiosurgery, stereotactic body radiation therapy, or volumetric modulated arc therapy; however, substantial variation still exists. The development of radiation oncology specialists must be improved and modernized to address the escalating demand for cancer care.
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Affiliation(s)
- Benjamin Li
- Department of Radiation Oncology, University of California, San Francisco, California
- Rayos Contra Cancer, San Francisco, California
- Corresponding author: Benjamin Li, MD, MBA
| | | | | | - Towo Babayemi
- Rayos Contra Cancer, San Francisco, California
- University of Texas Health Science Center at Houston School of Public Health, Houston, Texas
| | | | | | | | | | - Liceth Vacaflor Romero
- Departamento de Radioterapia, Instituto Oncológico del Oriente Boliviano, Santa Cruz, Bolivia
| | | | - Nancy Condori Vasquez
- Departamento de Oncología Radioterápica, Hospital de Clinicas Dr Manuel Quintela, Montevideo, Uruguay
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13
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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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14
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Ndlovu N, Ndarukwa S, Nyamhunga A, Musiwa-Mba P, Nyakabau AM, Kadzatsa W, Mushonga M. Education and training of clinical oncologists-experience from a low-resource setting in Zimbabwe. Ecancermedicalscience 2021; 15:1208. [PMID: 33912233 PMCID: PMC8057777 DOI: 10.3332/ecancer.2021.1208] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Indexed: 01/17/2023] Open
Abstract
As the burden of cancer increases worldwide, more so in low- and middle-income countries, one of the greatest challenges is human resource capacity development. Addressing this is critical in reducing the burden of cancer in the African continent. Other challenges include socio-economic demographics and disparities in the overall cancer care. Lack of sufficient numbers of qualified staff has been one of the obstacles in developing adequate and modern cancer treatment centres in Africa. Training in clinical oncology in Zimbabwe was established in 1990 through the collaboration between the Government of Zimbabwe and the WHO as a regional project. The training is offered by the University of Zimbabwe through the established Master of Medicine in Radiotherapy and Oncology (MMed Rad & Onco) postgraduate programme. Regional and local fellows have been trained, yielding more than 20 clinical oncologists over the years, who have initiated cancer treatment facilities in Africa and beyond. They have continued to train others, fulfilling the original WHO programme target of transfer of skills in sub-Saharan Africa. Collaborations with external partners have complemented efforts by the local faculty in addressing deficiencies in training, in areas where experts in the subject are lacking and in supporting nationals working abroad to come and teach newer technologies and techniques. The curriculum continues to evolve from knowledge-based training to competency-based training. However, there is a need to expand the current infrastructure to keep up with changing technology. Clinical oncology training in Zimbabwe continues and remains a regional resource. Emphasis on subspecialising seems to be the next natural step in progression. Strengthening of other disciplines, including surgical oncology and medical physics, would be complementary to the training. The programme is an example of a sustainable initiative born out of collaborative partnership and is sustained by local resources. The greater majority of qualified oncologists have remained in Africa.
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Affiliation(s)
- Ntokozo Ndlovu
- University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.,Parirenyatwa Hospital Radiotherapy Centre, Harare, Zimbabwe
| | - Sandra Ndarukwa
- University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.,Sally Mugabe Central Hospital, Harare, Zimbabwe
| | - Albert Nyamhunga
- University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.,Parirenyatwa Hospital Radiotherapy Centre, Harare, Zimbabwe
| | - Patience Musiwa-Mba
- University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.,Sally Mugabe Central Hospital, Harare, Zimbabwe
| | - Anna Mary Nyakabau
- University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.,Parirenyatwa Hospital Radiotherapy Centre, Harare, Zimbabwe
| | - Webster Kadzatsa
- University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.,Parirenyatwa Hospital Radiotherapy Centre, Harare, Zimbabwe
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15
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Büttner M, Cordes N, Gauer T, Habermehl D, Klautke G, Micke O, Mäurer M, Sokoll J, Troost EGC, Christiansen H, Niyazi M. Current status and developments of German curriculum-based residency training programmes in radiation oncology. Radiat Oncol 2021; 16:55. [PMID: 33743750 PMCID: PMC7981823 DOI: 10.1186/s13014-021-01785-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 03/10/2021] [Indexed: 11/24/2022] Open
Abstract
Purpose The current status of German residency training in the field of radiation oncology is provided and compared to programmes in other countries. In particular, we present the DEGRO-Academy within the international context. Methods Certified courses from 2018 and 2019 were systematically assigned to the DEGRO-Curriculum, retrospectively for 2018 and prospectively for 2019. In addition, questionnaires of course evaluations were provided, answered by course participants and collected centrally. Results Our data reveal a clear increase in curriculum coverage by certified courses from 57.6% in 2018 to 77.5% in 2019. The analyses enable potential improvements in German curriculum-based education. Specific topics of the DEGRO-Curriculum are still underrepresented, while others decreased in representation between 2018 and 2019. It was found that several topics in the DEGRO-Curriculum require more attention because of a low DEGRO-curriculum coverage. Evaluation results of certified courses improved significantly with a median grade of 1.62 in 2018 to 1.47 in 2019 (p = 0.0319). Conclusion The increase of curriculum coverage and the simultaneous improvement of course evaluations are promising with respect to educational standards in Germany. Additionally, the early integration of radiation oncology into medical education is a prerequisite for resident training because of rising demands on quality control and increasing patient numbers. This intensified focus is a requirement for continued high standards and quality of curriculum-based education in radiation oncology both in Germany and other countries. Supplementary Information The online version contains supplementary material available at 10.1186/s13014-021-01785-7.
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Affiliation(s)
- Marcel Büttner
- Department of Radiation Oncology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.,German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany
| | - Nils Cordes
- Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,OncoRay-National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany.,National Center for Tumor Diseases (NCT), Partner Site Dresden, Dresden, Germany.,German Cancer Research Center (DKFZ), Heidelberg, Germany.,Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,Helmholtz Association/Helmholtz-Zentrum Dresden - Rossendorf (HZDR), Dresden, Germany.,Helmholtz-Zentrum Dresden-Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany
| | - Tobias Gauer
- Department of Radiotherapy and Radio-Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | | | - Gunther Klautke
- Clinic for Radiation Oncology, Chemnitz Medical Center, Chemnitz, Germany
| | - Oliver Micke
- Department of Radiotherapy and Radiation Oncology, Franziskus Hospital Bielefeld, Kiskerstrasse 26, 33615, Bielefeld, Germany
| | - Matthias Mäurer
- Department of Radiation Oncology, University Medical Center Jena, Jena, Germany
| | - Jan Sokoll
- PRO RadioOncology GmbH, Poststraße 10-12, 27404, Zeven, Germany
| | - Esther Gera Cornelia Troost
- Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,OncoRay-National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany.,National Center for Tumor Diseases (NCT), Partner Site Dresden, Dresden, Germany.,German Cancer Research Center (DKFZ), Heidelberg, Germany.,Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,Helmholtz Association/Helmholtz-Zentrum Dresden - Rossendorf (HZDR), Dresden, Germany.,Helmholtz-Zentrum Dresden-Rossendorf, Institute of Radiooncology - OncoRay, Dresden, Germany
| | - Hans Christiansen
- Department of Radiation Oncology, Hannover Medical School, 30625, Hannover, Germany.
| | - Maximilian Niyazi
- Department of Radiation Oncology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.,German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany
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16
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Damast S, Felder S, Fields E, Singer L. Feasibility of deploying a U.S. simulation-based gynecological brachytherapy educational workshop to an international setting. Brachytherapy 2020; 19:777-782. [PMID: 33221261 DOI: 10.1016/j.brachy.2020.09.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 09/24/2020] [Accepted: 09/28/2020] [Indexed: 01/22/2023]
Abstract
PURPOSE A decline in brachytherapy (BT) use for cervical cancer has negatively affected cure rates in the United States and abroad. To improve trainee exposure to BT, a simulation-based educational curriculum incorporating a pelvic mannequin was developed and implemented at several U.S. residency programs. We sought to describe an initial experience with deployment of this curriculum to an international setting. METHODS AND MATERIALS The setting was in Israel, a middle eastern country with cervical cancer incidence of 5-8 cases per 100,000 women. Israel was selected for this pilot because of its desire to increase exposure to trainees, lack of mandatory BT case requirements, and few residencies nationally. In determining the feasibility of deployment to this setting, a partnership was formed between a U.S. and Israeli brachytherapist to understand cultural context and institutional and logistical needs. Feasibility was defined as successful completion of the workshop. Trainee comfort and knowledge with BT was assessed with preworkshop and postworkshop surveys, with changes compared. RESULTS The curriculum was incorporated into a 1-day course on gynecologic malignancies, with adaptation to local setting and routine. Among 15 attendees, eight were residents, from four programs. All completed the workshop. All domains assessed by the surveys improved and all respondents found the program to be helpful. CONCLUSIONS International deployment of the simulation-based educational BT curriculum was feasible and well-received. Further collaboration is needed to deploy and adapt the curriculum to countries of high cervical cancer incidence that could benefit from increased education.
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Affiliation(s)
| | | | - Emma Fields
- Virginia Commonwealth University, Richmond, VA
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17
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Khader J, Al-Mousa A, Al Khatib S, Wadi-Ramahi S. Successful Development of a Competency-Based Residency Training Program in Radiation Oncology: Our 15-Year Experience from Within a Developing Country. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2020; 35:1011-1016. [PMID: 31154636 DOI: 10.1007/s13187-019-01557-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
One of the main challenges of delivering high quality of care to cancer patients in developing countries is the lack of well-trained radiation oncologists. This is a direct cause for the lack of residency programs coupled with lack of resources. This article describes and details establishments of a successful and sustainable radiation-oncology residency program in our country. The program has been in operation for 14 years and has trained and graduated radiation oncologists who are now working in various countries. The curriculum of the 4-year residency program, fashioned according to American College of Radiologists (ACR) recommendations, includes site-specific clinical rotations and didactic lectures in clinical oncology, radiobiology, medical physics, statistics, and epidemiology. It also includes a component of advanced clinical experience in the form of 3-month externship at one of collaborating centers outside the country. Evaluation of the residents is conducted annually via written exams and 360° feedback. Residents also sit for the formal certification exam in radiation oncology from the national Medical Council. The exam consists of 2 written exams and one oral. As a form of benchmarking residents' knowledge, they are required to sit for the ACR examinations held annually and conducted in Amman in tandem. The program has successfully trained and graduated 28 residents, who now work as consultant radiation oncologists locally and abroad. Each resident has gone through a structured training that includes exposure to a Western-style patient-management culture, enhancing the breadth and width of their clinical experience. The residency program, initiated in a developing country, underwent many challenges, yet it overcome all obstacles and resulted in a successful training of competent radiation oncologists serving the region.
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Affiliation(s)
- Jamal Khader
- Radiation Oncology Department, King Hussein Cancer Center, P.O. Box 1269, Al-Jubeiha, Amman, 11941, Jordan.
| | - Abdelatif Al-Mousa
- Radiation Oncology Department, King Hussein Cancer Center, P.O. Box 1269, Al-Jubeiha, Amman, 11941, Jordan
| | - Sondos Al Khatib
- Radiation Oncology Department, King Hussein Cancer Center, P.O. Box 1269, Al-Jubeiha, Amman, 11941, Jordan
| | - Shada Wadi-Ramahi
- Biomedical Physics Department, MBC#03, King Faisal Specialist Hospital and Research Center, PO Box 3354, Riyadh, 11211, Kingdom of Saudi Arabia
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18
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Couto JG, McFadden S, McClure P, Bezzina P, Camilleri L, Hughes C. Evaluation of radiotherapy education across the EU and the impact on graduates' competencies working on the linear accelerator. Radiography (Lond) 2020; 27:289-303. [PMID: 32943354 DOI: 10.1016/j.radi.2020.08.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 08/21/2020] [Accepted: 08/26/2020] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Regulation and education of the professionals administering radiotherapy treatments in the linear accelerator varies across the EU. However, how different programme characteristics affect the level of competency of these professionals has never been studied before. This study also aimed to assess which are the least and most developed competencies in radiotherapy across the EU. METHODS An online questionnaire was distributed to academic staff teaching radiotherapy across the EU. Staff were asked to identify the characteristics of the course programmes and to classify the level of competency of graduates regarding linear accelerator tasks. RESULTS Fifty respondents from 19 EU countries answered the questionnaire. The least developed competency theme was pharmacology followed by equipment quality assurance and management and leadership. The most developed competency was positioning and immobilisation, followed by radiotherapy treatment delivery and professional and ethical practice. Some competencies are developed at the same level across EU countries, while others vary considerably between member-states. Longer programmes, with more placements, and larger proportions of radiotherapy in the programme showed significant increase in the development of some competencies. Longer placements in skills labs was correlated with a decrease in competency. CONCLUSION There is no harmonisation of radiotherapy eduction across the EU and the differences in programme characteristics are reflected in differences in competency levels of radiotherapy radiographers. This may hinder movement of professionals and create disparities in the level of care offered across the EU. IMPLICATIONS FOR PRACTICE Longer programmes, with longer clinical practice and adequate proportion of radiotherapy in the course are essential to ensure that these professionals are competent at similar levels across the EU and to ensure patient safety.
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Affiliation(s)
- J G Couto
- Radiography Department, Faculty of Health Sciences, University of Malta, Msida, MSD2080, Malta.
| | - S McFadden
- School of Health Sciences, Ulster University, Room 14J15, Shore Road Newtownabbey Co, Antrim, BT37 0QB, UK.
| | - P McClure
- School of Health Sciences, Ulster University, Room 01B113, Shore Road Newtownabbey Co, Antrim, BT37 0QB, UK.
| | - P Bezzina
- Department of Radiography, Faculty of Health Sciences, University of Malta, Msida, MSD2080, Malta.
| | - L Camilleri
- Statistics & Operations Research, Faculty of Science, University of Malta, Msida, MSD2080, Malta.
| | - C Hughes
- School of Health Sciences, Ulster University, Room 01B118, Shore Road Newtownabbey Co, Antrim, BT37 0QB, UK.
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Franco P, Tesio V, Bertholet J, Gasnier A, Gonzalez del Portillo E, Spalek M, Bibault JE, Borst G, Van Elmpt W, Thorwarth D, Mullaney L, Røe Redalen K, Dubois L, Chargari C, Perryck S, Heukelom J, Petit S, Lybeer M, Castelli L. The role of alexithymia and empathy on radiation therapists' professional quality of life. Tech Innov Patient Support Radiat Oncol 2020; 15:29-36. [PMID: 32904144 PMCID: PMC7451808 DOI: 10.1016/j.tipsro.2020.07.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 07/15/2020] [Accepted: 07/19/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND AND PURPOSE Physical and mental well-being are crucial for oncology professionals as they affect performance at work. Personality traits, as alexithymia and empathy, may influence professional quality of life. Alexithymia involves diminished skills in emotion processing and awareness. Empathy is pertinent to the ability to understand another's 'state of mind/emotion'. The PROject on Burn-Out in RadiatioN Oncology (PRO BONO) investigates professional quality of life amongst radiation oncology professionals, exploring the role of alexithymia and empathy. The present study reports on data pertinent to radiation therapists (RTTs). MATERIAL AND METHODS An online survey targeted ESTRO members. Participants were asked to fill out 3 questionnaires for alexithymia, empathy and professional quality of life: (a) Toronto Alexithymia Scale (TAS-20); (b) Interpersonal Reactivity Index (IRI); (c) Professional Quality of Life Scale (ProQoL). The present analysis focuses on RTTS to evaluate compassion satisfaction (CS), secondary traumatic stress (STS) and Burnout and their correlation with alexithymia and empathy, using generalized linear modeling. Covariates found significant at univariate linear regression analysis were included in the multivariate linear regression model. RESULTS A total of 399 RTTs completed all questionnaires. The final model for the burnout scale of ProQoL found, as significal predictors, the TAS-20 total score (β = 0.46, p < 0 0.001), and the individual's perception of being valued by supervisor (β = -0.29, p < 0.001). With respect to CS, the final model included TAS-20 total score (β = -0.33, p < 0.001), the Empatic Concern domain (β = 0.23, p < 0.001) of the IRI questionnaire and the individual's perception of being valued by colleagues (β = 0.22, p < 0.001). CONCLUSIONS Alexithymia increased the likelyhood to experience burnout and negatively affected the professional quality of life amongst RTTs working in oncology. Empathy resulted in higher professional fulfillment together with collegaues' appreciation. These results may be used to benchmark preventing strategies and implement organization-direct and/or individual-directed interventions.
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Affiliation(s)
- Pierfrancesco Franco
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Oncology, Radiation Oncology, University of Turin, Turin, Italy
| | - Valentina Tesio
- Department of Psychology, “ReMind the Body” Research Group, University of Turin, Italy
| | - Jenny Bertholet
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Division of Medical Radiation Physics, Department of Radiation Oncology, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Anne Gasnier
- Radiotherapy Department, Gustave Roussy Cancer Campus, Villejuif, France
| | | | - Mateusz Spalek
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland
| | - Jean-Emmanuel Bibault
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Jean-Emmanuel Bibault, Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA 94305-5847, USA
| | - Gerben Borst
- Department of Oncology, Radiation Oncology Department, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands
| | - Wouter Van Elmpt
- The M-Lab, Department of Precision Medicine, GROW – School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands
| | - Daniela Thorwarth
- Section for Biomedical Physics, University Hospital for Radiation Oncology Tubingen, Tuebingen, Germany
| | - 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
- Department of Physics, Norwegian University of Science and Technology, Trondheim, Norway
| | - Ludwig Dubois
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- The M-Lab, Department of Precision Medicine, GROW – School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands
| | - Cyrus Chargari
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Radiotherapy Department, Gustave Roussy Cancer Campus, Villejuif, France
| | - Sophie Perryck
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland
| | - Jolien Heukelom
- 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
| | - Steven Petit
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiation Oncology – Erasmus Cancer Institute, Rotterdam the Netherlands
| | | | - Lorys Castelli
- Department of Psychology, “ReMind the Body” Research Group, University of Turin, Italy
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Garibaldi C, Jornet N, Tan LT, Boejen A, Franco P, Bussink J, Troost EGC, Bak B, Bibault JE, Dzhugashvili M, Van den Berghe L, Fizaine L, Leci A, Ricardi U, Jereczek-Fossa BA. National societies' needs as assessed by the ESTRO National Societies Committee survey: A European perspective. Radiother Oncol 2020; 151:176-181. [PMID: 32771614 PMCID: PMC7410806 DOI: 10.1016/j.radonc.2020.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 07/31/2020] [Accepted: 08/01/2020] [Indexed: 12/24/2022]
Abstract
A survey to assess the National Societies needs has been developed. 64 out of 89 National societies from 32 European countries completed the questionnaire. The highest priority is Optimal patient care to cure cancer & reduce treatment-related toxicity. High need for more consensus guidelines, exchange of best practices and high quality accredited education. Networking between National Societies and ESTRO will be further reinforced.
Purpose To determine how ESTRO can collaborate with Radiation Oncology National Societies (NS) according to its mission and values, and to define the new roadmap to strengthen the NS network role in the forthcoming years. Materials and methods The ESTRO NS committee launched a survey addressed to all European National Societies, available online from June 5th to October 30th 2018. Questions were divided into three main sections: (1) general information about NS; (2) relevant activities (to understand the landscape of each NS context of action); (3) relevant needs (to understand how ESTRO can support the NS). Eighty-nine European NS were invited to participate. Respondents were asked to rank ESTRO milestones in order of importance, indicating the level of priority to their society. Results A total of 58 out of 89 NS (65.2%) from 31 European countries completed the questionnaire. The majority of NS ranked “Optimal patient care to cure cancer and to reduce treatment-related toxicity” as the highest level of priority. This aligns well with the ESTRO vision 2030 “Optimal health for all together.” NS also indicated a high need for more consensus guidelines and exchange of best practices, access to high quality accredited education, implementation of the ESTRO School Core Curriculum at the national level, and defining quality indicators and standard in Radiation Oncology, improved communication and increased channelling of information. Conclusion The results of this survey will be used to strengthen the relations between ESTRO and European NS to promote and develop initiatives to improve cancer care.
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Affiliation(s)
- Cristina Garibaldi
- Unit of Radiation Research, IEO European Institute of Oncology, IRCCS, Milan, Italy.
| | - Nuria Jornet
- Servei de Radiofísica i Radioprotecció. Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - Li Tee Tan
- Cambridge University Hospitals, Cambridge, UK
| | - Annette Boejen
- Department of Oncology, Aarhus University Hospital, Denmark
| | | | - Johan Bussink
- Radboud University Medical Center, Nijmegen, the Netherlands
| | - Esther G C Troost
- OncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany; Department of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany; Institute of Radiooncology - OncoRay, Helmholtz-Zentrum Dresden-Rossendorf, Germany
| | - Bartosz Bak
- Department of Radiotherapy II, Greater Poland Cancer Center, Poznań University of Medical Sciences, Poland
| | | | | | | | | | | | | | - Barbara A Jereczek-Fossa
- Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy; Division of Radiotherapy, IEO European Institute of Oncology, IRCCS, Milan, Italy
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Professional quality of life and burnout among medical physicists working in radiation oncology: The role of alexithymia and empathy. PHYSICS & IMAGING IN RADIATION ONCOLOGY 2020; 15:38-43. [PMID: 33458324 PMCID: PMC7807595 DOI: 10.1016/j.phro.2020.07.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 06/30/2020] [Accepted: 07/06/2020] [Indexed: 11/21/2022]
Abstract
Burnout is critical for oncology professionals, affecting quality of life and performance at work. Alexithymia and empathy are personality traits influencing the capacity to cope with stress. Alexithymia increases burnout among medical physicists with a negative impact at work. Higher level of empathy are correlated to a better professional quality of life. This data may help identifying subjects at risk to implement preventive strategies.
Background and purpose The professional quality of life of radiation oncology professionals can be influenced by different contributing factors, including personality traits. Alexithymia involves deficits in emotion processing and awareness. Empathy is the ability to understand another’s ‘state of mind/emotion’. We investigated professional quality of life, including burnout, in radiation oncology, exploring the role of alexithymia and empathy and targeting the population of medical physicists (MPs), since this professional category is usually underrepresented in surveys exploring professional well-being in radiation oncology and MPs may experience professional distress given the increasing complexity of multimodal cancer care. Material and methods An online survey was addressed to ESTRO members. Participants filled out three questionnaires to evaluate alexithymia, empathy and professional quality of life: a) Toronto Alexithymia Scale (TAS-20); b) Interpersonal Reactivity Index (IRI); c) Professional Quality of Life Scale (ProQoL). Professional quality of life as per ProQoL was considered as dependent variable. The three domains of the ProQoL, namely compassion satisfaction (CS), secondary traumatic stress (STS) and burnout were correlated with alexithymia (as per TAS-20) and empathy (as per IRI with three subcategories: empathic concern, perspective taking and personal distress) and demographic/professional characteristics as independent variables. Generalized linear modeling was used. Significant covariates on univariate linear regression analysis were included in the multivariate linear regression model. Results A total of 308 medical physicists completed all questionnaires. Alexithymia as per TAS-20 was correlated to decreased CS (β = −0.25, p < 0 0.001), increased likelihood for STS (β = 0.26, p < 0 0.001) and burnout (β = 0.47, p < 0 0.001). With respect to empathy, the ‘Empatic Concern’ subscale of the IRI was found to be a significant predictor for increased CS (β = 0.19, p = 0 0.001) and increased STS (β = 0.19, p < 0 0.001), without significant correlation with burnout. The individual’s perception of being valued by own’s supervisor was correlated to increased CS (β = 0.23, p < 0.001), and decreased burnout (β = −0.29, p < 0.001). Conclusions Alexithymic personality trait increased the likelihood to develop burnout, with less professional satisfaction amongst MPs working in radiation oncology. Empathy results in higher professional fulfilment. These results may be used to benchmark preventing strategies, including peer support, debriefing sessions, leadership initiatives and work-load limitation strategies.
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Franco P, Kochbati L, Siano M, De Bari B. Suggestions for Radiation Oncologists during the COVID-19 Pandemic. BIOMED RESEARCH INTERNATIONAL 2020; 2020:4892382. [PMID: 32509860 PMCID: PMC7254074 DOI: 10.1155/2020/4892382] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 05/19/2020] [Indexed: 01/25/2023]
Abstract
SARS-CoV-2 pandemic and COVID-19 diffusion have recently become an international public health emergency. Cancer patients, as a frail population, are particularly exposed to the risk related to infections. The clinical decision-making process and the organizational workflow of radiotherapy department should be revised in the light of the critical situation. We herein provide practical suggestions derived from the available literature and discussed during an online session held within the e-learning educational program of the European School of Oncology on March 31st 2020.
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Affiliation(s)
| | - Lofti Kochbati
- Department of Radiation Oncology, Ariana, Tunis El Manar University, Tunisia
| | - Marco Siano
- Interdisciplinary Cancer Service-SIC, Riviera-Chablais Hospital, Rennaz, Switzerland
| | - Berardino De Bari
- Department of Radiation Oncology, Réseal Hospitalier Neuchâtelois, La-Chaux-de Fonds, Switzerland
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Giuliani M, Martimianakis MAT, Benstead K, Grau Eriksen J, Verfaillie C, Van Egten V, Umakanthan B, Driessen E, Frambach J. Exploring implementation of the ESTRO Core Curriculum at the national level. Radiother Oncol 2020; 147:118-122. [PMID: 32276192 DOI: 10.1016/j.radonc.2020.03.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Revised: 03/17/2020] [Accepted: 03/22/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND PURPOSE Global curricula exist across medical specialties however, the factors which influence their implementation are not well understood. The purpose of this study is to report the perceived factors that impact the implementation of the ESTRO Core Curriculum. METHODS An anonymous, 37-item, survey was designed and distributed to the Presidents of the National Societies who have endorsed the ESTRO Core Curriculum (n = 29). The survey addressed perceptions about implementation factors related to context, process and curriculum change. The data was summarized using descriptive statistics. RESULTS Twenty-six (90%) National Societies completed the survey. One respondent perceived that the values of the training system of their country would be incompatible with the proposed ESTRO Core Curriculum. The most common contextual barriers to implementation was a lack of support from the government (57%), a lack of internal organizational support (35%) and a 'poor fit' between the ESTRO Core Curriculum and the broader political and economic context (35%). Perceived implementation process barriers included insufficient numbers of faculty (44%), poor coordination between the government and training institutions (48%), and a lack of an influential person leading the implementation (44%). Two barriers related to curriculum change were a lack of funding and lack of assessment tools. CONCLUSIONS The content and values espoused in the ESTRO Core Curriculum are endorsed across diverse geopolitical and sociocultural regions. Barriers to curricular implementation are identified at the organizational and systems level and include insufficient teaching faculty, lack of coordination and the need for influential leadership.
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Affiliation(s)
- Meredith Giuliani
- Radiation Medicine Program, Princess Margret Cancer Centre, Toronto, Canada.
| | | | - Kim Benstead
- Department of Paediatrics University of Toronto, Canada
| | | | - Christine Verfaillie
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Denmark
| | | | | | - Erik Driessen
- MPH, Cancer Education Program, Princess Margaret Cancer Centre, Toronto, Canada
| | - Janneke Frambach
- School of Health Professions Education, Maastricht University, Netherlands
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Murillo R, González A, Galvis JC, Hidalgo I, Marín A, Muñoz JE, Sánchez R. Radiation Oncology Workforce in Colombia. JCO Glob Oncol 2020; 6:190-194. [PMID: 32023125 PMCID: PMC7051247 DOI: 10.1200/jgo.19.00195] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Colombia is experiencing an epidemiologic transition, with an increasing incidence of cancerous neoplasms prevalent in high-income countries, while infection-associated tumors remain highly prevalent. According to international standards, Colombia has a deficit of radiotherapy machines (a shortage of about 47 machines) and radiation oncology specialists (a shortage of about 19 to 149 specialists based on number of centers and incident cases, respectively) to meet the national demand, which may induce an inappropriate dynamic in radiation oncology services. Estimates based on cancer incidence trends and the rate of new specialists in radiation oncology expected to graduate per year suggest that the current deficit will remain unchanged or may even increase during the next decades. The situation is critical because of the existence of a single training program in the country for a population of 45 million inhabitants and the low availability of educational programs offered in the Latin American region to cover the national demand. A comprehensive analysis of radiotherapy services should include data on medical physicists, radiotherapists, and the oncology nursing workforce; however, we found no reliable information available. A better balance between the educational programs offered and the demand for radiotherapy is highly valuable.
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Affiliation(s)
- Raúl Murillo
- Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia.,Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia
| | - Alejandro González
- Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia
| | - Juan Carlos Galvis
- Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia
| | - Iván Hidalgo
- Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia
| | - Alejandro Marín
- Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia
| | - Jorge Emilio Muñoz
- Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia
| | - Ricardo Sánchez
- Centro Javeriano de Oncología, Hospital Universitario San Ignacio, Bogotá, Colombia
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Couto J, McFadden S, McClure P, Bezzina P, Hughes C. Competencies of therapeutic radiographers working in the linear accelerator across Europe: A systematic search of the literature and thematic analysis. Radiography (Lond) 2020; 26:82-91. [DOI: 10.1016/j.radi.2019.06.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2019] [Revised: 05/15/2019] [Accepted: 06/09/2019] [Indexed: 12/31/2022]
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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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Transition to practice in radiation oncology: Mind the gap. Radiother Oncol 2019; 138:126-131. [DOI: 10.1016/j.radonc.2019.06.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 06/03/2019] [Accepted: 06/08/2019] [Indexed: 11/22/2022]
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