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Golden DW, Braunstein S, Jimenez RB, Mohindra P, Spektor A, Ye JC, Bradley KA, Chmura SJ, Currey A, Das P, Du K, Haas-Kogan D, Howard AR, Higgins SA, Hung AY, Kharofa J, Krishnan MS, MacDonald SM, Mancini BR, Parashar B, Thaker NG, Thomas CR, Viswanathan AN, Wheatley M. Multi-Institutional Implementation and Evaluation of a Curriculum for the Medical Student Clerkship in Radiation Oncology. J Am Coll Radiol 2016; 13:203-9. [PMID: 26410347 PMCID: PMC4744090 DOI: 10.1016/j.jacr.2015.06.036] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Revised: 06/21/2015] [Accepted: 06/23/2015] [Indexed: 10/23/2022]
Abstract
PURPOSE Radiation oncology curriculum development is challenging because of limited numbers of trainees at any single institution. The goal of this project is to implement and evaluate a standardized medical student clerkship curriculum following the multi-institutional cooperative group research model. METHODS During the 2013 academic year, a standardized curriculum was implemented at 11 academic medical centers consisting of three 1-hour lectures and a hands-on radiation treatment planning workshop. After the curriculum, students completed anonymous evaluations using Likert-type scales (1 = "not at all" to 5 = "extremely") and free responses. Evaluations asked students to rate their comfort, before and after the curriculum, with radiation oncology as a specialty, knowledge of radiotherapy planning methods, and ability to function as a radiation oncology resident. Nonparametric statistical tests were used in the analysis. RESULTS Eighty-eight students at 11 academic medical centers completed the curriculum de novo, with a 72.7% (64 of 88) survey response rate. Fifty-seven students (89.1%) reported intent to pursue radiation oncology as their specialty. Median (interquartile range) student ratings of the importance of curricular content were as follows: overview, 4 (4-5); radiation biology/physics, 5 (4-5); practical aspects/emergencies, 5 (4-5); and planning workshop, 4 (4-5). Students reported that the curriculum helped them better understand radiation oncology as a specialty (5 [4-5]), increased specialty decision comfort (4 [3-5]), and would help the transition to radiation oncology residency (4 [4-5]). Students rated their specialty decision comfort significantly higher after completing the curriculum (4 [4-5] versus 5 [5-5]; P < .001). CONCLUSIONS A national standardized curriculum was successfully implemented at 11 academic medical centers, providing proof of principle that curriculum development can follow the multi-institutional cooperative group research model.
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Affiliation(s)
- Daniel W. Golden
- Department of Radiation and Cellular Oncology, University of Chicago, Pritzker School of Medicine, 5758 South Maryland Avenue Mail Code 9006, Chicago, Illinois 60637, USA, , ,
| | - Steve Braunstein
- Department of Radiation Oncology, University of California, San Francisco, 1600 Divisadero St, Suite H1031, San Francisco, CA 94143,
| | - Rachel B. Jimenez
- Department of Radiation Oncology, Massachusetts General Hospital, Yawkey 112, 30 Fruit Street, Boston, MA 02114, ,
| | - Pranshu Mohindra
- Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland, 21201,
| | - Alexander Spektor
- Department of Radiation Oncology, Brigham and Women's Hospital and Dana-Farber Cancer Institute, Harvard Medical School, 75 Francis Street, ASBI-L2, Boston, MA 02115, USA, , , ,
| | - Jason C. Ye
- Department of Radiation Oncology, Weill-Cornell Medical College, Stich Radiation Oncology Center, New York-Presbyterian Hospital/Weill Cornell Medical Center, 525 East 68th Street, New York, NY 10065, ,
| | - Kristin A. Bradley
- Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, Wisconsin, 53792,
| | - Steven J. Chmura
- Department of Radiation and Cellular Oncology, University of Chicago, Pritzker School of Medicine, 5758 South Maryland Avenue Mail Code 9006, Chicago, Illinois 60637, USA, , ,
| | - Adam Currey
- Department of Radiation Oncology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, ,
| | - Prajnan Das
- Department of Radiation Oncology, U.T. MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 97, Houston, TX 77030, ,
| | - Kevin Du
- Department of Radiation Oncology, New York University, Perlmutter Cancer Center, 160 East 34th Street, New York, NY 10016,
| | - Daphne Haas-Kogan
- Department of Radiation Oncology, Brigham and Women's Hospital and Dana-Farber Cancer Institute, Harvard Medical School, 75 Francis Street, ASBI-L2, Boston, MA 02115, USA, , , ,
| | - Andrew R. Howard
- Department of Radiation and Cellular Oncology, University of Chicago, Pritzker School of Medicine, 5758 South Maryland Avenue Mail Code 9006, Chicago, Illinois 60637, USA, , ,
| | - Susan A. Higgins
- Department of Therapeutic Radiology, Yale School of Medicine, P.O. Box 208040, New Haven, CT 06520-8040, ,
| | - Arthur Y. Hung
- Department of Radiation Medicine, Knight Cancer Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, KPV4, Portland, Oregon 97229 USA, ,
| | - Jordan Kharofa
- Department of Radiation Oncology, University of Cincinnati, 234 Goodman Street, ML 0757, Cincinnati, OH 45267-0757,
| | - Monica S. Krishnan
- Department of Radiation Oncology, Brigham and Women's Hospital and Dana-Farber Cancer Institute, Harvard Medical School, 75 Francis Street, ASBI-L2, Boston, MA 02115, USA, , , ,
| | - Shannon M. MacDonald
- Department of Radiation Oncology, Massachusetts General Hospital, Yawkey 112, 30 Fruit Street, Boston, MA 02114, ,
| | - Brandon R. Mancini
- Department of Therapeutic Radiology, Yale School of Medicine, P.O. Box 208040, New Haven, CT 06520-8040, ,
| | - Bhupesh Parashar
- Department of Radiation Oncology, Weill-Cornell Medical College, Stich Radiation Oncology Center, New York-Presbyterian Hospital/Weill Cornell Medical Center, 525 East 68th Street, New York, NY 10065, ,
| | - Nikhil G. Thaker
- Department of Radiation Oncology, U.T. MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 97, Houston, TX 77030, ,
| | - Charles R. Thomas
- Department of Radiation Medicine, Knight Cancer Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, KPV4, Portland, Oregon 97229 USA, ,
| | - Akila N. Viswanathan
- Department of Radiation Oncology, Brigham and Women's Hospital and Dana-Farber Cancer Institute, Harvard Medical School, 75 Francis Street, ASBI-L2, Boston, MA 02115, USA, , , ,
| | - Matt Wheatley
- Department of Radiation Oncology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, ,
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