Multi-Institutional Implementation and Evaluation of a Curriculum for the Medical Student Clerkship in Radiation Oncology

作者：Golden Daniel W^*; Braunstein Steve; Jimenez Rachel B; Mohindra Pranshu; Spektor Alexander; Ye Jason C; Bradley Kristin A; Chmura Steven J; Currey Adam; Das Prajnan; Du Kevin; Haas Kogan Daphne; Howard Andrew R; Higgins Susan A; Hung Arthur Y; Kharofa Jordan; Krishnan Monica S; MacDonald Shannon M; Mancini Brandon R; Parashar Bhupesh; Thaker Nikhil G; Thomas Charles R Jr; Viswanathan Akila N; Wheatley Matt

来源：Journal of the American College of Radiology, 2016, 13(2): 203-209.

DOI：10.1016/j.jacr.2015.06.036

• Radiation oncology
• undergraduate medical education
• curriculum
• medical students

Purpose: Radiation 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.
Methods: During 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.
Results: Eighty-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).
Conclusions: A 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.

• 出版日期2016-2