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Medical Student Exposure to Radiation Oncology Through the Pre-clerkship Residency Exploration Program (PREP): Effect on Career Interest and Understanding of Radiation Oncology

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Abstract

Medical students receive little exposure to Radiation Oncology (RO) during pre-clinical training and clerkship. Pre-clerkship Residency Exploration Program (PREP) was developed by medical students at our institution to provide students with exposure to disciplines like RO with which they may not have had previous exposure, with the goal of helping with career decision making. The purpose of this study was to review how PREP affected self-reported interest in RO. PREP is a 2-week intensive elective developed by students at Dalhousie University that provides exposure to 12 specialties, including RO. PREP includes five components: half day clinical rotations, skills sessions, simulations, specialty-specific workshops, and lunchtime panel discussions. PREP participants completed questionnaires pre- and post-participation to assess career interest and understanding of Radiation Oncology. Forty participants took part in PREP. Thirty-six responded to pre-PREP questionnaires and 37 to the post-PREP questionnaire. Participants reported increasing interest in RO (24 students, 64.8%) and an increase in the understanding of the role and responsibilities of a radiation oncologist such that they felt comfortable making a career decision about RO. In pre-PREP, five (13.8%) participants listed RO as a top 3 career choice. Post-program, this number increased to nine (25.0%) of the same surveyed participants. PREP has demonstrated early exposure to RO can increase interest in RO as a career choice. Early clinical exposure experiences like we describe here may be useful for specialties such as RO, which is having difficulty filling residency positions in Canada despite an optimistic job forecast for trainees.

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References

  1. Canadian Resident Matching Service (CaRMS), www.carms.ca, accessed 25 October 2018. [Online]

  2. Debenham B, Banerjee R, Fairchild A, Dundas G, Trotter T, Yee D (2012) 2009 Canadian radiation oncology resident survey. Int J Radiat Oncol Biol Phys 82:1326–1331

    Article  Google Scholar 

  3. Sullivan P (1997) For first time, unemployment line awaits group of new Canadian specialists. CMAJ 156:1739–1741

    PubMed  PubMed Central  CAS  Google Scholar 

  4. Loewen S, Halperin R, Lefresne S, Trotter T, Stuckless T, Brundage M (2015) Delayed workforce entry and high emigration rates for recent Canadian radiation oncology graduates. Int J Radiat Oncol Biol Phys 93:251–256

    Article  Google Scholar 

  5. Loewen S, Brundage M, Tankel K, Fairchild A, Trotter T, Wiebe E, Ingledew P, Stuckless T, Yee D (2012) Radiation oncology workforce recruitment survey of 2000–2010 graduates: is there a need for better physician resource planning? Can Med Educ J 3:e52–e63

    PubMed  PubMed Central  Google Scholar 

  6. Stuckless T, Milosevic M, de Metz C, Parliament M, Tompkins B, Brundage M (2012) Managing a national radiation oncologist workforce: a workforce planning model. Radiother Oncol 103:123–129

    Article  Google Scholar 

  7. Canadian Cancer Society (2015) Canadian Cancer Society’s Advisory Committee on Cancer Statistics, Toronto: Canadian Cancer. Society

  8. Barton M, Jacob S, Shafiq J, Wong K, Thompson S, Hanna T, Delaney G (2014) Estimating the demand for radiotherapy from the evidence: a review of changes from 2003 to 2012. Radiother Oncol 112:140–144

    Article  Google Scholar 

  9. Tyldesley S, Delaney G, Foroudi F, Barbera L, Kerba M, Mackillop W (2011) Estimating the need for radiotherapy for patients with prostate, breast, and lung cancers: verification of model estimates of need with radiotherapy utilization data from British Columbia. Int J Radiat Oncol Biol Phys 79:1507–1515

    Article  Google Scholar 

  10. Zaorsky N, Shaikh T, Handorf E, Eastwick G, Hesney A, Scher E, Jones R, Showalter T, Avkshtol V, Rice S, Horwitz E, Meyer J (2016) What are medical students in the United States learning about radiation oncology? Results of a multi-institutional survey. Int J Radiat Oncol Biol Phys 94:235–242

    Article  Google Scholar 

  11. Bernstein J, Dicaprio M, Mehta S (2004) The relationship between required medical school instruction in musculoskeletal medicine and application rates to orthopaedic surgery residency programs. J Bone Joint Surg Am 86-A:2335–2338

    Article  Google Scholar 

  12. Pianosi K, Bethune C, Hurley KF (2016) Medical student career choice: a qualitative study of fourth-year medical students at Memorial University, Newfoundland. CMAJ Open 4:E147–E152

    Article  Google Scholar 

  13. Bonnie Stahn, Sigrid Harendza , Role models play the greatest role—a qualitative study on reasons for choosing postgraduate training at a university hospital, GMS Z Med Ausbild, vol. 31, p. Doc45, 2014

  14. Gawad N, Moussa F, Christakis G, Rutka J (2013) Planting the ‘SEAD’: early comprehensive exposure to surgery for medical students. J Surg Educ 70:487–494

    Article  Google Scholar 

  15. Head L, Greene B, Gawad N, Seabrook C, Tardioli K, Hamstra S, Brandys T (2016) Growing the ‘SEAD’: expansion of the surgical exploration and discovery program. J Surg Educ 73:101–110

    Article  Google Scholar 

  16. Neppala P, Sherer M, Larson G, Bryant A, Panjwani N, Murphy J, Gillespie E (2018) An interactive contouring module improves engagement and interest in radiation oncology among preclinical medical students: results of a randomized trial. Pract Radiat Oncol 8:e190–e198

    Article  Google Scholar 

  17. Agarwal A, DeNunzio N, Ahuja D, Hirsch A (2014) Beyond the standard curriculum: a review of available opportunities for medical students to prepare for a career in radiation oncology. Int J Radiat Oncol Biol Phys 88:39–44

    Article  Google Scholar 

  18. Stone JP, Charette JH, McPhalen DF, Temple-Oberle C (2015) Under the knife: medical student perceptions of intimidation and mistreatment. J Surg Educ 72:749–753

    Article  Google Scholar 

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Authors and Affiliations

  1. Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada

    T. Sebastian Haupt, Todd Dow, Mike Smyth, J. Thomas Toguri, Alysha Roberts, K. L. Raju & David Bowes

  2. Department of Radiation Oncology, Dalhousie University, 5820 University Avenue, Halifax, Nova Scotia, B3H 1V7, Canada

    David Bowes

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  1. T. Sebastian Haupt
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  2. Todd Dow
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  3. Mike Smyth
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  4. J. Thomas Toguri
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Correspondence to David Bowes.

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Ethics approval was provided by the Nova Scotia Health Authority Research Ethics Board (File No. 1023087).

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Haupt, T.S., Dow, T., Smyth, M. et al. Medical Student Exposure to Radiation Oncology Through the Pre-clerkship Residency Exploration Program (PREP): Effect on Career Interest and Understanding of Radiation Oncology. J Canc Educ 35, 388–394 (2020). https://doi.org/10.1007/s13187-019-1477-2

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  • DOI: https://doi.org/10.1007/s13187-019-1477-2

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