Nonclinical Time in US Radiation Oncology Residency Programs: Number of Months and Resident Opinion of Value
Nonclinical Time in US Radiation Oncology Residency Programs: Number of Months and Resident Opinion of Value
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DOI：
10.1016/j.ijrobp.2019.11.030
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发表时间：
2020-03-15
影响因子：
7
通讯作者：
Amdur, Robert J.
中科院分区：
文献类型：
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作者：
Parekh, Akash D.;Culbert, Matthew M.;Amdur, Robert J.
目的：关于放射肿瘤住院医师计划中非临床时间（NCT）的数量和使用的数据很少。我们调查了每一个美国放射肿瘤学住院医师计划，以获得基准数据，以告知最佳方案structure.Methods和材料的决定：一个匿名的，基于网络的调查分发给研究生5年的居民在认证委员会研究生医学教育认可的放射肿瘤学培训计划的认证理事会。该调查包括33个是/否、Likert量表和自由回答问题。分析所有程序的程序数据，包括根据Doximity被认为是“前10名”的程序和“非前10名”的程序。李克特量表的反应分为“不太满意”（1，2，3）或“非常满意”（4，5）。获得了100%程序（n = 82）的程序特定数据。几乎所有的培训项目（98%）都为住院医师提供了受保护的NCT。包括没有NCT的项目，所有项目的中位NCT为10个月。“前10名”项目的中位NCT为12个月，“非前10名”项目的中位NCT为9个月（P < .01）。大多数项目（68%）报告了>6个月的NCT。随着NCT量的增加，希望更多NCT的居民比例下降（4-6，7-9和10-12个月分别为73%，52%和19%; P < .01）。对NCT灵活性非常满意的居民比例随着NCT的增加而增加（4-6个月、79个月和10-12个月分别为64%、79%和94%; P < .01），对NCT期间的成就非常满意的居民比例也是如此（4-6、7-9和10-12个月分别为35%、53%和72%; P <0.01）。当被问及居民理论上是否会放弃一些NCT以缩短居住时间时，愿意缩短居住时间的居民比例随着NCT的增加而下降（4-6、7-9和10-12个月分别为65%、47%和33%; P = 0.04）。计划应继续强调NCT，并采取措施确保有意义的住院医师体验。(C)2019爱思唯尔公司All rights reserved.
Purpose: Data regarding the amount and use of nonclinical time (NCT) in radiation oncology residency programs are scarce. We surveyed every U.S. radiation oncology residency program to obtain benchmark data to inform decisions about optimal program structure.Methods and Materials: An anonymous, web-based survey was distributed to postgraduate year 5 residents at Accreditation Council for Graduate Medical Education-accredited radiation oncology training programs. The survey included 33 yes/no, Likert-scale, and free-response questions. Program data were analyzed for all programs, including those considered "top 10" per Doximity and those "not top 10." Likert-scale responses were dichotomized as "not as satisfied" (1, 2, 3) or "very satisfied" (4, 5).Results: One hundred twenty-six residents (69%) completed the survey. Program-specific data were obtained for 100% of programs (n = 82). Almost all training programs (98%) provide residents with protected NCT. Including programs with no NCT, the median NCT is 10 months in all programs. The median NCT is 12 months in "top 10" programs and 9 months in "not top 10" programs (P < .01). Most programs (68%) reported >6 months of NCT. The proportion of residents wanting more NCT decreased as the amount of NCT increased (73%, 52%, and 19% for 4-6, 7-9, and 10-12 months, respectively; P < .01). The proportion of residents who were very satisfied with NCT flexibility increased with more NCT (64%, 79%, and 94% for 4-6, 79, and 10-12 months, respectively; P < .01), as did the proportion of residents who were very satisfied with accomplishments during NCT (35%, 53%, and 72% for 4-6, 7-9, and 10-12 months, respectively; P < .01). When asked whether residents would theoretically give up some NCT to shorten residency, the proportion of residents willing to shorten their residencies decreased as the amount of NCT increased (65%, 47%, and 33% for 4-6, 7-9, and 10-12 months respectively; P = .04).Conclusions: Programs should maintain an emphasis on NCT and implement measures to ensure meaningful resident experiences. (C) 2019 Elsevier Inc. All rights reserved.