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Association of a Disease Site Specific Chart Rounds Format With Peer Review Feedback: A Prospective Study.

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Implementing disease site-specific chart rounds in radiation oncology increases peer review feedback and plan changes without affecting resident education. This format is favored by physicians and should be considered for multisite departments.

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Area of Science:

  • Radiation Oncology
  • Medical Physics
  • Clinical Practice Improvement

Background:

  • Peer review of radiation treatment plans is crucial for quality assurance.
  • Current implementation of chart rounds varies across institutions.
  • Professional societies recommend peer review for radiation therapy.

Purpose of the Study:

  • To investigate the association between disease site-specific chart rounds and peer review feedback frequency.
  • To evaluate the impact of a structured chart rounds format on radiation treatment plan modifications.

Main Methods:

  • A prospective observational study was conducted in an academic radiation oncology department.
  • Transitioned from clinical practice site to disease site-specific chart rounds.
  • Analyzed peer review feedback and participant surveys using multivariable models.

Main Results:

  • Disease site-specific chart rounds significantly increased the frequency of requested plan changes (5.2% vs 1.4%).
  • Time spent per case increased with the disease-specific format (3.36 vs 2.09 minutes).
  • No change in resident teaching points was observed; 89% of physicians favored the new format.

Conclusions:

  • Transitioning to disease site-specific chart rounds enhances peer review feedback and plan changes.
  • This format does not compromise resident education and is favored by attending physicians.
  • Multisite radiation oncology departments should consider implementing disease-specific chart rounds.