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TU_45_2926 - Radiation Oncology Education for Medical Oncology Fellowship Trainees: A Pilot Needs Assessment

Tuesday, October 23
1:00 PM - 2:30 PM
Location: Innovation Hub, Exhibit Hall 3

Radiation Oncology Education for Medical Oncology Fellowship Trainees: A Pilot Needs Assessment
N. Paudel1, B. Pro2, C. Boddy2, W. T. Iams2, D. W. Golden3, and T. J. Kruser4; 1Northwestern Feinberg School of Medicine, Chicago, IL, 2Northwestern Memorial Hospital, Chicago, IL, 3University of Chicago, Chicago, IL, 4Department of Radiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL

Purpose/Objective(s): To assess the current status of education in radiation oncology during medical oncology fellowship training and to identify educational needs to develop a radiation oncology curriculum for medical oncology trainees.

Materials/Methods: An anonymous online survey consisting of 10 questions was distributed to the current medical oncology fellows at a single institution. Qualitative and quantitative data was collected to assess the level and type of interaction with radiation oncology during internal medicine residency and medical oncology fellowship. Fellows were asked to rate their confidence in knowing when to consult radiation oncology in the setting of a new cancer diagnosis and oncologic emergencies. They also rated topics to include in a formal didactic series. A 5-point Likert-type scale was used to identify training needs and interest in learning more about radiation oncology.

Results: 11/13 medical oncology fellows completed the survey for an 84.6% response rate. One participant (9%) completed a formal rotation in radiation oncology during internal medicine residency. Ten respondents (91%) reported either no training or only a single lecture on radiation oncology topics during internal medicine residency. Ten respondents (91%) reported limited interaction with a radiation oncologist during fellowship, in the form of calling consults for patients. Only 1 respondent (9%) deemed their interaction with radiation oncology as “significant.” Eight participants (73%) reported education in radiation oncology during fellowship training limited to a single lecture every quarter while 3/11 (27%) reported that they have had no radiation oncology training. On average, fellows reported in knowing when to call for radiation oncology consult in the setting of oncologic emergencies, and 60% confidence in knowing when to consult radiation oncology in the curative setting. Seventy-three percent strongly agreed and 27% agreed that they would benefit from more education and training in radiation oncology. Seventy-five percent expressed interest in doing rotation in radiation oncology during fellowship. Topics of interest for a formal radiation oncology didactic series included basics of techniques and modalities, fractionation regimens, toxicities, palliative radiation, and re-irradiation.

Conclusion: This pilot study identifies the need to develop a structured radiation oncology curriculum for medical oncology fellows to foster interdisciplinary understanding with the goal of improving care coordination. A broader needs assessment survey is being conducted to confirm these data. A curriculum is under development to address the gaps in radiation oncology education among trainees in medical oncology and other oncologic sub-specialties.

Author Disclosure: N. Paudel: None. B. Pro: None. C. Boddy: None. D.W. Golden: manager; Radonc Questions LLC, HemOnc Review LLC. T.J. Kruser: Employee; Northwestern Memorial Hospital. Consultant; Varian Medical Systems. Advisory Board; Abbvie Inc.

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