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Transition to practice in radiation oncology: Mind the gap
Lara R Best1, Arpita Sengupta1, René J L Murphy2
1Department of Radiation Oncology, Nova Scotia Cancer Center, Halifax, Canada; Dalhousie University, Halifax, Canada.
Radiation oncology residents perceive gaps in non-clinical skills needed for independent practice, including practice management and healthcare system navigation. Educational interventions like mentorship and formal curricula are recommended to address these transition-to-practice deficiencies.
Area of Science:
- Medical Education
- Radiation Oncology
- Healthcare Management
Background:
- Physicians transitioning to independent practice often face challenges with non-clinical responsibilities.
- Radiation oncology (RO) residents may lack preparedness for the business and administrative aspects of practice.
Purpose of the Study:
- To assess the perceived preparedness of radiation oncology residents for independent practice.
- To identify specific education gaps in the transition to practice (TtP).
- To propose strategies for improving TtP education in radiation oncology.
Main Methods:
- Focus groups were conducted with senior RO residents, fellows, new practitioners, and program directors.
- Thematic analysis was employed, guided by the Canadian Medical Education Directives for Specialists (CanMEDS) competencies.
Main Results:
- Key TtP gaps include practice management, healthcare system understanding, financial planning, communication, documentation, and radiotherapy problem-solving.
- Participants suggested mentorship, educational resources, courses, simulation, graded responsibility, and formal curricula.
Conclusions:
- Significant TtP education gaps exist for radiation oncology trainees.
- A competency-based medical education framework offers opportunities to enhance TtP preparation.
- Addressing these gaps is crucial for developing competent, independent radiation oncologists.
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