A Qualitative Assessment of Radiotherapy Training at a UK Regional Cancer Centre |
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| Authors: | G.M. Walls A.J. Cole J.J. McAleer G.G. Hanna |
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| Affiliation: | 1. Cancer Centre Belfast City Hospital, Belfast Health & Social Care Trust, Belfast, Northern Ireland, UK;2. Patrick G Johnston Centre for Cancer Research, Queen''s University Belfast, Belfast, Northern Ireland, UK;3. Centre for Medical Education, Queen''s University Belfast, Belfast, Northern Ireland, UK;4. Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Australia;1. Peter MacCallum Cancer Centre, Radiation Oncology, Parkville, Victoria, Australia;2. Sir Peter MacCallum Department of Oncology, Melbourne University, Parkville, Victoria, Australia;1. Radiation Medicine Program, The Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada;2. Division of Radiation Oncology, University of Ottawa, Ottawa, Ontario, Canada;3. Radiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA;1. Royal Marsden NHS Foundation Trust, Sutton, Surrey, UK;2. Royal College of Radiologists, London, UK;1. University College London Cancer Institute, London, UK;2. Department of Clinical Oncology, University College London Hospitals NHS Foundation Trust, London, UK;3. Department of Medical Physics and Biomedical Engineering, University College London, London, UK;4. Department of Radiotherapy Physics, University College London Hospitals NHS Foundation Trust, London, UK;5. Division of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA;7. Saudi Particle Therapy Centre, Riyadh, Saudi Arabia;1. Division of Oncology, Department of Radiation Oncology, University of Calgary, Tom Baker Cancer Center, Calgary, Alberta, Canada;2. ICES, Toronto, Ontario, Canada;3. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada;4. Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada;5. Cancer Care Ontario, Toronto, Ontario, Canada;1. Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College Dublin, Dublin, Ireland;2. School of Mathematics, Statistics and Applied Mathematics, National University of Ireland, Galway, Ireland;3. Patrick G Johnston Centre for Cancer Research, Queen''s University Belfast, Belfast, UK |
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| Abstract: | AimsSpecialty trainees in clinical oncology must be competent in the coordination of both radiotherapy and systemic therapy at the completion of their training. Radiotherapy technology and postgraduate medical education have evolved significantly over the last two decades, but little is known of the educational impact of those changes within the dual training of the clinical oncology programme. A qualitative assessment of the radiotherapy component of training was undertaken at a single regional cancer centre in order to identify potential areas for improvement.Materials and methodsConsultants and trainees (n = 10) at a regional cancer centre underwent semi-structured interviews regarding their lived experience of learning radiotherapy skills and knowledge. As consultants and trainees can be considered equal co-investors in the process of radiotherapy learning, the same question stems were used for both groups. An interpretative phenomenological analysis was undertaken by the investigators to elicit the perception of both groups.ResultsConsultant and trainee assessments of current radiotherapy learning standards differ for several aspects of training, as do their expectations of the other in learning processes. A lack of time is a major barrier in modern practice, and both groups can propose novel measures to improve learning locally.ConclusionsArrangements for learning radiotherapy have not kept pace with the rate of change in the clinical oncology discipline. Trainees and consultants have contrasting views on the state of training, its strengths and weaknesses, and pathways to improvement, which should be reconciled by programme coordinators charged with upgrading the training system. |
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| Keywords: | Apprenticeship clinical oncology learning radiation oncology radiotherapy training |
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