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Journal of Cancer Education

, Volume 33, Issue 2, pp 383–390 | Cite as

Evaluation of the Theoretical Teaching of Postgraduate Radiation Oncology Medical Residents in France: a Cross-Sectional Study

  • Jean-Christophe Faivre
  • Jean-Emmanuel Bibault
  • Thomas Leroy
  • Mikaël Agopiantz
  • Julia Salleron
  • Maxime Wack
  • Guillaume Janoray
  • Henri Roché
  • Stéphane Culine
  • Sofia Rivera
Article

Abstract

This study’s purpose was to have residents evaluate Radiation Oncology (RO) theoretical teaching practices in France. An anonymous electronically cross-functional survey on theoretical teaching practices in the RO residents was conducted by (i) collecting data from residents in the medical faculties in France, (ii) comparing the data across practices when possible and (iii) suggesting means of improvement. A total of 103 out of 140 RO residents responded to the survey (73.5% response rate). National, inter-university, university and internships courses do not exist in 0% (0), 16.5% (17), 53.4% (55) and 40.8% (42) of residents, respectively. Residents need additional training due to the shortage of specialised postgraduate degree training (49.5% (51)), CV enhancement to obtain a post-internship position (49.5% (51)) or as part of a career plan (47.6% (49)). The topics covered in teaching to be improved were the following: basic concept 61.2% (63), advanced concept 61.2 (63) and discussion of frequent clinical cases 50.5% (52). The topics not covered in teaching to be improved were the following: the development of career (66.0% (68)), medical English (56.3% (58)), the organisation of RO speciality (49.5% (51)) and the hospital management of RO department (38.8% (40)). This is the first national assessment of theoretical teaching of RO residents in France.

Keywords

Quality assurance Teaching Medical education Intership and residency Radiation oncology 

Notes

Acknowledgements

The authors thank all the RO residents who responded to the survey. The French National Joint Union of Residents funded this practice survey.

Author’s Contributions

The article was co-authored by JC. Faivre, J.E. Bibault, T. Leroy, M. Agopiantz, J. Salleron, M. Wack, G. Janoray, H. Roché, S. Culine and S. Rivera. All those named authors have made a sufficient contribution to the work.

- J.C. Faivre, J.E. Bibault, J. Salleron and M. Wack designed the study, performed the statistical analysis and wrote the manuscript.

- T. Leroy, M. Agopiantz and G. Janoray reviewed the manuscript.

- H. Roché, S. Culine and S. Rivera provided mentorship and reviewed the manuscript.

All named authors have read the manuscript and have agreed to submit the paper to RO in its present form.

Compliance with Ethical Standards

None

Consent to Publish Statements

Not applicable

Competing Interests

The authors declare that they have no conflict of interest.

Funding

None

Availability of Data and Materials Statement

On demand

Supplementary material

13187_2017_1170_MOESM1_ESM.docx (53 kb)
ESM 1 (DOCX 53 kb)

References

  1. 1.
    Kantor G, Huguet F, Toledano A et al (2005) Radiation oncology training in France: demography, analysis of motivations of the young specialists, evaluation of the training. Cancer Radiothérapie 9:435–443CrossRefPubMedGoogle Scholar
  2. 2.
    Fumagalli I, Faivre J-C, Thureau S et al (2014) Brachytherapy training: a survey of French radiation oncology residents. Cancer Radiothérapie 18:28–34CrossRefPubMedGoogle Scholar
  3. 3.
    Jagsi R, Buck DA, Singh AK et al (2005) Results of the 2003 Association of Residents in Radiation Oncology (ARRO) surveys of residents and chief residents in the United States. Int J Radiat Oncol Biol Phys 61:642–648CrossRefPubMedGoogle Scholar
  4. 4.
    Bibault J-E, Denis F, Marchesi V et al (2014) Nationwide implementation of stereotactic radiotherapy: the challenges of initial training and continuing professional education. Cancer Radiothérapie 18:387–390CrossRefPubMedGoogle Scholar
  5. 5.
    Thureau S, Challand T, Bibault J-E et al (2013) Delegation of medical tasks in French radiation oncology departments: current situation and impact on residents’ training. Cancer Radiothérapie 17:370–377CrossRefPubMedGoogle Scholar
  6. 6.
    Barton MB, Thode RJ (2010) Distance learning in the applied sciences of oncology. Radiother Oncol 95:129–132CrossRefPubMedGoogle Scholar
  7. 7.
    Giuliani M, Gillan C, Wong O et al (2014) Evaluation of high-fidelity simulation training in radiation oncology using an outcomes logic model. Radiat Oncol 9:189CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Jagadeesan VS, Raleigh DR, Koshy M et al (2014) A national radiation oncology medical student clerkship survey: didactic curricular components increase confidence in clinical competency. Int J Radiat Oncol Biol Phys 88:51–56CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Lambert C, Gagnon R, Nguyen D, Charlin B (2009) The script concordance test in radiation oncology: validation study of a new tool to assess clinical reasoning. Radiat Oncol 4:7CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Bibault J-E, Leroy T, Blanchard P et al (2014) Mobile technology and social media in the clinical practice of young radiation oncologists: results of a comprehensive nationwide cross-sectional study. Int J Radiat Oncol Biol Phys 90:231–237CrossRefPubMedGoogle Scholar
  11. 11.
    Eriksen JG, Beavis AW, Coffey MA et al (2012) The updated ESTRO core curricula 2011 for clinicians, medical physicists and RTTs in radiotherapy/radiation oncology. Radiother Oncol 103:103–108CrossRefPubMedGoogle Scholar
  12. 12.
    Eriksen JG, Salembier C, Rivera S et al (2014) Four years with FALCON—an ESTRO educational project: achievements and perspectives. Radiother Oncol 112:145–149CrossRefPubMedGoogle Scholar
  13. 13.
    Royal College :: CanMEDS. http://www.royalcollege.ca/portal/page/portal/rc/canmeds. Accessed 24 Mar 2016
  14. 14.
    Kwan JYY, Nyhof-Young J, Catton P, Giuliani ME (2015) Mapping the future: towards oncology curriculum reform in undergraduate medical education at a Canadian medical school. Int J Radiat Oncol Biol Phys 91(3):669–677Google Scholar
  15. 15.
    American Society of Clinical Oncology (2013) American Society of Clinical Oncology: policy for relationships with companies. J Clin Oncol 31:2043–2046CrossRefGoogle Scholar
  16. 16.
    World Health Organization (2002) Declaration of interests for WHO experts. Int J Occup Environ Health 8:274–276CrossRefGoogle Scholar
  17. 17.
    Höschl C, Fialová L, European Psychiatric Association (2012) European psychiatric association guidance on the conflicts of interest. Eur Psychiatry 27:142–146CrossRefPubMedGoogle Scholar
  18. 18.
    Dubois MY, American Academy of Pain Medicine Ethics Council (2010) American academy of pain medicine ethics council statement on conflicts of interest: interaction between physicians and industry in pain medicine. Pain Med 11:257–262CrossRefPubMedGoogle Scholar
  19. 19.
    Hall P, Byszewski A, Sutherland S, Stodel EJ (2012) Developing a sustainable electronic portfolio (ePortfolio) program that fosters reflective practice and incorporates CanMEDS competencies into the undergraduate medical curriculum. Acad Med 87:744–751CrossRefPubMedGoogle Scholar
  20. 20.
    Colbert CY, Ownby AR, Butler PM (2008) A review of portfolio use in residency programs and considerations before implementation. Teach Learn Med 20:340–345CrossRefPubMedGoogle Scholar
  21. 21.
    Hunter RD, Maciejewski B, Leer JW et al (2004) Training logbook for radiotherapy. Radiother Oncol 70:117–121CrossRefPubMedGoogle Scholar
  22. 22.
    Pötter R, Eriksen JG, Beavis AW et al (2012) Competencies in radiation oncology: a new approach for education and training of professionals for radiotherapy and oncology in Europe. Radiother Oncol 103:1–4CrossRefPubMedGoogle Scholar

Copyright information

© American Association for Cancer Education 2017

Authors and Affiliations

  • Jean-Christophe Faivre
    • 1
    • 2
    • 3
  • Jean-Emmanuel Bibault
    • 2
    • 4
  • Thomas Leroy
    • 2
    • 5
  • Mikaël Agopiantz
    • 1
    • 6
  • Julia Salleron
    • 7
  • Maxime Wack
    • 8
  • Guillaume Janoray
    • 2
    • 9
  • Henri Roché
    • 10
  • Stéphane Culine
    • 11
    • 12
  • Sofia Rivera
    • 13
    • 14
  1. 1.French National Joint Union of Residents (ISNI)ParisFrance
  2. 2.French Society of Young Radiation Oncologists (SFjRO)ParisFrance
  3. 3.Institut de Cancérologie de Lorraine, Département Universitaire de RadiothérapieVandoeuvre-lès-nancy cedexFrance
  4. 4.Georges Pompidou European HospitalAssistance Publique-Hôpitaux de ParisParisFrance
  5. 5.Academic Radiation Oncology DepartmentOscar Lambret Comprehensive Cancer CenterLilleFrance
  6. 6.Department of Endocrinology and Medical GynaecologyNancy University HospitalVandœuvre-lès-NancyFrance
  7. 7.Biostatistics DepartmentLorraine Institute of Cancerology - Alexis-Vautrin Comprehensive Cancer CenterVandœuvre-lès-NancyFrance
  8. 8.Department of BiostatisticsNancy University HospitalVandœuvre-lès-NancyFrance
  9. 9.S. Kaplan Cancer Center, Radiation Oncology DepartmentUniversity Hospital of ToursToursFrance
  10. 10.Institut Claudius RegaudInstitut Universitaire du Cancer OncopoleToulouseFrance
  11. 11.Medical Oncology DepartmentUniversity Hospital of Paris (Saint-Louis Hospital)ParisFrance
  12. 12.French National College of Teachers of Cancer (CNEC)ParisFrance
  13. 13.Department of Radiation OncologyGustave RoussyVillejuifFrance
  14. 14.European Society for Radiotherapy & Oncology (ESTRO) Education CommitteeBrusselsBelgium

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