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Design and Implementation of Novel Internal Mini Fellowship Concentrations Within a Radiation Oncology Residency
Christina C Huang1, Junzo P Chino1, Diandra Ayala-Peacock1
1Department of Radiation Oncology, Duke University School of Medicine, Durham, North Carolina.
International Journal of Radiation Oncology, Biology, Physics
|February 27, 2026
Summary
Radiation oncology mini-fellowships in gynecologic brachytherapy, CNS, head and neck, and GI disease sites were well-received by residents and faculty. These programs offered valuable case experience and research opportunities, enhancing training.
Area of Science:
- Medical Education
- Radiation Oncology Training
- Subspecialty Education
Background:
- Novel mini-fellowship concentrations were introduced in radiation oncology to enhance subspecialty training.
- These concentrations focused on gynecologic (GYN) brachytherapy, central nervous system (CNS), head and neck (HN), and gastrointestinal (GI) disease sites.
Purpose of the Study:
- To assess resident and faculty impressions of new mini-fellowship concentrations.
- To evaluate the educational benefits and resident experiences within these specialized training programs.
Main Methods:
- Mini fellowship concentrations were established in 2022, incorporating procedures, treatment planning, and research.
- Surveys were administered to current residents, recent graduates, and faculty concentration directors.
- A high response rate (95%) was achieved among surveyed residents.
Main Results:
- 16 out of 18 residents expressed interest in or had completed a concentration.
- Residents gained significant case volume, nearing ACGME total case requirements.
- Key motivators included disease site mastery (89%), competency maintenance (67%), and career appeal (56%).
- Faculty unanimously agreed concentrations provided educational benefits and disease site mastery.
Conclusions:
- Residents and faculty reported positive experiences with the mini-fellowship concentrations.
- Residents valued the increased case exposure, hands-on teaching, and research collaboration.
- These concentrations represent a potential model for enhancing radiation oncology training programs.
