Related Experiment Video
Updated: Jun 4, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
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.
Purpose:
Peer review is an integral process in the field of radiation oncology to ensure that radiation plans meet appropriate clinical and dosimetric standards. We report a pilot quality assessment of our peer-review process and a model for using the results of this pilot project for resident education.
Methods And Materials:
This study prospectively tracked peer review in our department over the course of 9 months and tracked all plans that were not approved. Reasons for the lack of approval were recorded. Plans that did not pass peer review were anonymized and imported to a shared folder for future educational use. Eight cases were used in a mock peer-review didactics session with the residents. The session was led by 2 residents, a dosimetrist, and an attending physician, while the remaining residents were tasked with finding the error or reason for the lack of approval. Presession and postsession surveys were conducted to evaluate the value of the session.
Results:
Of 2209 total cases presented during peer review, 37 treatment plans (2%) were not approved. The most common reasons for disapproval included contours (24%), dose (22%), and workflow (22%). Breast and skin cases had the highest numbers of not-approved plans, 19% and 16%, respectively. Relative to the total number of cases presented for each disease site, skin had the highest rate of disapproval at 5.4%, followed by gynecologic treatments at 4.3%. All residents found the mock peer-review didactics session to be "helpful" or "very helpful" on the postsession survey and would want additional sessions in the future.
Conclusions:
Overall, our study showed a low rate of disapproval during peer review, and our resident survey results indicated that a mock peer-review didactics session would be a valuable addition to training.
Related Concept Videos
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nursing Evaluation
Section...
Role of Communication in the Nursing Process III: Evaluation and Documentation
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Self-Evaluation: Self-Enhancement and Self-Verification