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Multi-Institutional Implementation and Evaluation of a Curriculum for the Medical Student Clerkship in Radiation Oncology
Affiliation:1. Department of Radiation and Cellular Oncology, University of Chicago, Pritzker School of Medicine, Chicago, Illinois;3. Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts;5. Department of Radiation Oncology, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts;6. Department of Radiation Oncology, Weill-Cornell Medical College, Stich Radiation Oncology Center, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York;7. Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas;8. Department of Therapeutic Radiology, Yale School of Medicine, New Haven, Connecticut;9. Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin;10. Department of Radiation Medicine, Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon;11. Department of Radiation Oncology, University of Cincinnati, Cincinnati, Ohio;12. Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin;13. Department of Radiation Oncology, New York University, Perlmutter Cancer Center, New York, New York;1. Department of Radiation and Cellular Oncology, University of Chicago, Pritzker School of Medicine, Chicago, Illinois;2. Department of Radiation Oncology, University of California, San Francisco, San Francisco, California;3. Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts;4. Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland;5. Department of Radiation Oncology, Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts;6. Department of Radiation Oncology, Weill-Cornell Medical College, Stich Radiation Oncology Center, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York;1. University of Colorado, Anschutz Medical Campus, Aurora, Colorado;2. Harvey L. Neiman Health Policy Institute, Reston, Virginia;3. George Mason University, Fairfax, Virginia;4. South Texas Radiology Group, San Antonio, Texas;5. University of Texas Health Science Center at San Antonio, San Antonio, Texas;6. Emory University School of Medicine, Atlanta, Georgia;1. Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts;2. Steward Health Care Network, Boston, Massachusetts, and the Department of Radiology, St Elizabeth’s Medical Center, Boston, Massachusetts;1. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;2. Department of Radiology, Emory University School of Medicine, Atlanta, Georgia;1. Harvard Radiation Oncology Program, Massachusetts General Hospital, Boston, United States;2. Division of Radiation Oncology, University of Ottawa, Canada;3. Brigham and Women’s Hospital and Dana-Farber/Harvard Cancer Center, Boston, United States;4. New York University Medical Center, New York City, United States
Abstract:PurposeRadiation 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.MethodsDuring 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.ResultsEighty-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).ConclusionsA 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.
Keywords:Radiation oncology  undergraduate medical education  curriculum  medical students
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