Radiation Oncology History/Education/Social Media

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TU_44_2924 - National Radiation Oncology Medical Student Clerkship Trends From 2013-2017

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

National Radiation Oncology Medical Student Clerkship Trends From 2013-2017
L. Ni1, S. J. Chmura2, and D. W. Golden2; 1Pritzker School of Medicine, University of Chicago, Chicago, IL, 2Department of Radiation and Cellular Oncology, University of Chicago, Chicago, IL

Purpose/Objective(s): Over the past five academic years, the Radiation Oncology Education Collaborative Study Group (ROECSG) implemented and expanded upon a national standardized curriculum for the fourth-year medical student radiation oncology clerkship. There are now 24 institutions that are actively using the ROECSG curriculum. We hypothesized that with the implementation and expansion of the ROESCG curriculum at an increasing number of institutions, there would be changes in clerkship educational methods on a national level.

Materials/Methods: From 2013 to 2017, all applicants to a single United States radiation oncology residency program were sent an anonymous clerkship experience survey annually after the ranklist deadline. The survey inquired about their radiation oncology clerkship experiences for the previous academic year. The survey was composed of three main sections including 1) questions regarding baseline demographic information and prior radiation oncology experience, 2) rotation experiences and post-clerkship confidence in various areas of radiation oncology, 3) and overall confidence and final comments.

Results: 415/992 students completed the survey (41.8% response rate). 1,097 total clerkship experiences were described. From 2013 to 2017, there has been a significant increase in clerkships with lectures designed specifically for medical students (Cochran-Armitage test for trend p = 0.03). 28.3% of clerkships in 2013 were reported with ≥1 lecture designed specifically for medical students, with an increase to 37.4% by 2017. Students who received ≥1 formal lecture perceived greater post-clerkship confidence in knowledge of radiation biology (Wilcoxon rank-sum p < 0.01), radiation physics (p < 0.01), treatment setup and positioning (p < 0.01), treatment planning (p < 0.01), and ability to integrate evidence-based medicine into treatment (p < 0.01). Students who completed any rotation with ≥1 lecture designed for medical students also reported greater overall confidence in their ability to function as a PGY-2 resident in radiation oncology (Wilcoxon rank-sum p = 0.02). Completing clerkships at ROECSG curriculum sites was associated with increased number of lectures specifically for medical students (p < 0.01).

Conclusion: These results demonstrate a national trend toward inclusion of structured didactics in radiation oncology clerkships coinciding with the expansion of the ROECSG curriculum. These data support the addition of structured didactics to the clerkship experience to provide medical students with foundational radiation oncology knowledge.

Author Disclosure: L. Ni: None. S.J. Chmura: Employee; Astellas. D.W. Golden: Partnership; RadOnc Questions, LLC, HemOnc Review, LLC.

Lisa Ni, BS

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