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Evaluation of Departmental Peer Review and Implementation Into Resident Didactics
Jason Gurewitz1, Aishwarya Shah1, Tran Do1
1Department of Radiation Oncology, NYU Grossman School of Medicine, New York.
Practical Radiation Oncology
|June 2, 2026
Summary
Radiation oncology peer review has a low disapproval rate (2%). A pilot quality assessment demonstrated that mock peer review sessions are valuable for resident education and improving radiation treatment plans.
Area of Science:
- Radiation Oncology
- Medical Physics
- Quality Improvement
Background:
- Peer review is critical for ensuring radiation oncology treatment plans meet clinical and dosimetric standards.
- This study assessed the quality of an institutional peer review process and its educational utility.
Purpose of the Study:
- To evaluate the quality of the radiation oncology peer review process.
- To develop a model for using peer review data for resident education.
Main Methods:
- Prospective tracking of peer review outcomes over 9 months.
- Analysis of reasons for treatment plan disapproval.
- Development of a mock peer review didactics session for residents using anonymized cases.
- Pre- and post-session surveys to assess educational value.
Main Results:
- Out of 2,209 treatment plans, 37 (2%) were not approved.
- Common reasons for disapproval included contouring (24%), dose (22%), and workflow (22%).
- Skin and breast cases had the highest number of not approved plans; skin had the highest disapproval rate (5.4%).
Conclusions:
- The radiation oncology peer review process demonstrated a low rate of treatment plan disapproval.
- Mock peer review didactics sessions were highly valued by residents and recommended for future training.
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