Jenna Adleman1, Caitlin Gillan2, Amanda Caissie3, Carol-Anne Davis4, Brian Liszewski5, Andrea McNiven2, Meredith Giuliani6. 1. Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada. 2. Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada. 3. Department of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia, Canada; Saint John Regional Hospital, Saint John, New Brunswick, Canada. 4. Department of Radiation Oncology, Dalhousie University, Halifax, Nova Scotia, Canada; Nova Scotia Cancer Centre, Halifax, Nova Scotia, Canada. 5. Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. 6. Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada. Electronic address: Meredith.Giuliani@rmp.uhn.ca.
Abstract
PURPOSE: To develop an entry-to-practice quality and safety competency profile for radiation oncology residency. METHODS AND MATERIALS: A comprehensive list of potential quality and safety competency items was generated from public and professional resources and interprofessional focus groups. Redundant or out-of-scope items were eliminated through investigator consensus. Remaining items were subjected to an international 2-round modified Delphi process involving experts in radiation oncology, radiation therapy, and medical physics. During Round 1, each item was scored independently on a 9-point Likert scale indicating appropriateness for inclusion in the competency profile. Items indistinctly ranked for inclusion or exclusion were re-evaluated through web conference discussion and reranked in Round 2. RESULTS: An initial 1211 items were compiled from 32 international sources and distilled to 105 unique potential quality and safety competency items. Fifteen of the 50 invited experts participated in round 1: 10 radiation oncologists, 4 radiation therapists, and 1 medical physicist from 13 centers in 5 countries. Round 1 rankings resulted in 80 items included, 1 item excluded, and 24 items indeterminate. Two areas emerged more prominently within the latter group: change management and human factors. Web conference with 5 participants resulted in 9 of these 24 items edited for content or clarity. In Round 2, 12 participants rescored all indeterminate items resulting in 10 items ranked for inclusion. The final 90 enabling competency items were organized into thematic groups consisting of 18 key competencies under headings adapted from Deming's System of Profound Knowledge. CONCLUSIONS: This quality and safety competency profile may inform minimum training standards for radiation oncology residency programs.
PURPOSE: To develop an entry-to-practice quality and safety competency profile for radiation oncology residency. METHODS AND MATERIALS: A comprehensive list of potential quality and safety competency items was generated from public and professional resources and interprofessional focus groups. Redundant or out-of-scope items were eliminated through investigator consensus. Remaining items were subjected to an international 2-round modified Delphi process involving experts in radiation oncology, radiation therapy, and medical physics. During Round 1, each item was scored independently on a 9-point Likert scale indicating appropriateness for inclusion in the competency profile. Items indistinctly ranked for inclusion or exclusion were re-evaluated through web conference discussion and reranked in Round 2. RESULTS: An initial 1211 items were compiled from 32 international sources and distilled to 105 unique potential quality and safety competency items. Fifteen of the 50 invited experts participated in round 1: 10 radiation oncologists, 4 radiation therapists, and 1 medical physicist from 13 centers in 5 countries. Round 1 rankings resulted in 80 items included, 1 item excluded, and 24 items indeterminate. Two areas emerged more prominently within the latter group: change management and human factors. Web conference with 5 participants resulted in 9 of these 24 items edited for content or clarity. In Round 2, 12 participants rescored all indeterminate items resulting in 10 items ranked for inclusion. The final 90 enabling competency items were organized into thematic groups consisting of 18 key competencies under headings adapted from Deming's System of Profound Knowledge. CONCLUSIONS: This quality and safety competency profile may inform minimum training standards for radiation oncology residency programs.
Authors: Andrea Baehr; Daniel Hummel; Tobias Gauer; Michael Oertel; Christopher Kittel; Anastassia Löser; Manuel Todorovic; Cordula Petersen; Andreas Krüll; Markus Buchgeister Journal: Strahlenther Onkol Date: 2022-08-05 Impact factor: 4.033
Authors: Matthew B Spraker; Matthew J Nyflot; Kristi R G Hendrickson; Stephanie Terezakis; Shannon E Fogh; Gabrielle M Kane; Eric C Ford; Jing Zeng Journal: Radiat Oncol Date: 2018-09-24 Impact factor: 3.481
Authors: Mobarak A Al Mulhim; Robert G Darling; Ritu Sarin; Alex Hart; Hetaf Kamal; Abdullah Al Hadhirah; Amalia Voskanyan; Lewis Hofmann; Bradley A Connor; Roger A Band; James Jones; Richard Tubb; Ronny Jackson; Amado Alejandro Baez; Edward Wasser; Sean Conley; William Lang; Gregory Ciottone Journal: Int J Emerg Med Date: 2020-02-21