Radiation Oncology History/Education/Social Media

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TU_43_2910 - Views on Global Health Among Radiation Oncology Residency Program Directors: A Knowledge, Attitudes, and Practices Survey

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

Views on Global Health Among Radiation Oncology Residency Program Directors: A Knowledge, Attitudes, and Practices Survey
S. N. C. Elmore1,2, T. J. Royce2, C. Freese3, and A. L. Zietman4; 1Harvard Medical School, Boston, MA, 2Harvard Radiation Oncology Program, Boston, MA, 3University of Cincinnati, Cincinnati, OH, 4Massachusetts General Hospital, Boston, MA

Purpose/Objective(s): Global health interest has risen dramatically among medical students and residents, often outpacing available educational and training offerings. Specialties such as internal medicine and infectious disease have an established record of attracting and mentoring interested students. The path is less clear for radiation oncology trainees, though anecdotal evidence suggests change. The Global Health Subcommittee (GHSC) of the Association of Residents in Radiation Oncology (ARRO) sought to determine the perceptions of program directors in radiation oncology and their current or planned global health curricular offerings.

Materials/Methods: A standardized, Knowledge, Attitudes and Practices survey of 32 binary items was sent to the directors for all Accreditation Council for Graduate Medical Education (ACGME)-accredited radiation oncology programs. Personal emails and/or phone follow-up was undertaken as needed.

Results: Response rate was 58% (64/111). Responding programs were distributed evenly geographically and included a variety of program sizes. Most programs with ³ four residents per post-graduate year responded. Selected results are highlighted in Table 1.
Table 1: Program Director Views on Global Health
Item Percent Agreement
My program looks favorably on medical student applicants who have global health experience. 94%
My program would allow a resident with an interest in global health to pursue a rotation abroad during clinical or research elective (1-2 months) if they were able obtain outside funding or self-fund. 89%
Global health is a worthy field for an academic radiation oncology career. 94%
My program has at least one identified faculty mentor for residents interested in global health. 42%
My program has a formal resident rotation in global health. 48%
My program believes that strengthening global health research and practice within radiation oncology will be an important way to reduce disparities in cancer outcomes. 91%
My program is concerned that global health is not yet a rigorous academic pursuit. 39%

Conclusion: Radiation oncology program directors express favorable views of global health as a pursuit and affirm medical student and trainee interest. However, faculty commitment and program offerings lag behind. In particular, a substantial number of program directors do not feel that global health is yet a rigorous academic endeavor. Future progress in academic global health in radiation oncology will require strategies to systematically support pathways for development of experience and scholarship both within and beyond residency.

Author Disclosure: S.N. Elmore: None. T.J. Royce: None. C. Freese: None. A.L. Zietman: Independent Contractor; Elsevier. Consultant; National Cancer Institute. Trustee; American Board of Radiology. GU Steering Committee Co-chair; National Cancer Institute.

Shekinah Elmore, MD, MPH

Disclosure:
No relationships to disclose.

Biography:
Shekinah Nefreteri Cluff Elmore, MD, MPH is a resident in the Harvard Radiation Oncology Program. She is both a pediatric and young adult cancer survivor and has written about her experience in NEJM and JAMA. Her clinical interests include young adult oncology, palliative radiotherapy, and global health. She is a former Fulbright grantee in Rwanda at the Butaro Cancer Center of Excellence and currently a Holman Pathway candidate working on locally advanced breast cancer research in Zimbabwe.

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