nach oben

Strahlentherapie und Onkologie

Erschienen in:

18.01.2018 | Original Article

Quality of training in radiation oncology in Germany: where do we stand?

Results from a 2016/2017 survey performed by the working group “young DEGRO” of the German society of radiation oncology (DEGRO)

verfasst von: Dr. med. C. T. Dietzel, K. Jablonska, M. Niyazi, T. Gauer, N. Ebert, C. Ostheimer, D. Krug

Erschienen in: Strahlentherapie und Onkologie | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate the current situation of young radiation oncologists in Germany with regard to the contents and quality of training and level of knowledge, as well as their working conditions and professional satisfaction.

Methods

From June 2016 to February 2017, a survey was conducted by the young DEGRO (yDEGRO) using an online platform. The questionnaire consisted of 28 items examining a broad range of aspects influencing residency. There were 96 completed questionnaires

Results

83% of participants stated to be very or mostly pleased with their residency training. Moderate working hours and a good colleagueship contribute to a comfortable working environment. Level of knowledge regarding the most common tumor sites (i.e. palliative indications, lung, head and neck, brain, breast, prostate) was pleasing. Radiochemotherapy embodies a cornerstone in training. Modern techniques such as intensity-modulated radiotherapy (IMRT) and stereotactic procedures are now in widespread use. Education for rare indications and center-based procedures offers room for improvement.

Conclusion

Radiation oncology remains an attractive and versatile specialty with favorable working conditions. Continuing surveys in future years will be a valuable measuring tool to set further priorities in order to preserve and improve quality of training.

Nur mit Berechtigung zugänglich

Smith BD, Haffty BG, Wilson LD, Smith GL, Patel AN, Buchholz TA (2010) The future of radiation oncology in the United States from 2010 to 2020: will supply keep pace with demand? J Clin Oncol 28(35):5160–5165. https://doi.org/10.1200/JCO.2010.31.2520 CrossRefPubMed

Datta NR, Samiei M, Bodis S (2014) Radiotherapy infrastructure and human resources in Europe – present status and its implications for 2020. Eur J Cancer 50(15):2735–2743. https://doi.org/10.1016/j.ejca.2014.06.012 CrossRefPubMed

Lievens Y, Defourny N, Coffey M, Borras JM, Dunscombe P, Slotman B, Malicki J, Bogusz M, Gasparotto C, Grau C, Kokobobo A, Sedlmayer F, Slobina E, Coucke P, Gabrovski R, Vosmik M, Eriksen JG, Jaal J, Dejean C, Polgar C, Johannsson J, Cunningham M, Atkocius V, Back C, Pirotta M, Karadjinovic V, Levernes S, Maciejewski B, Trigo ML, Šegedin B, Palacios A, Pastoors B, Beardmore C, Erridge S, Smyth G, Cleries Soler R, Consortium H (2014) Radiotherapy staffing in the European countries: final results from the ESTRO-HERO survey. Radiother Oncol 112(2):178–186. https://doi.org/10.1016/j.radonc.2014.08.034 CrossRefPubMed

Bölling T, Seegenschmiedt H, Semrau R, Rödel C (2009) Training in radiation oncology in Germany. Current status and necessary developments. Strahlenther Onkol 185(5):275–281. https://doi.org/10.1007/s00066-009-2003-y CrossRefPubMed

Filippi AR, Alongi F, Ciammella P, De Bari B, Franco P, Livi L (2012) A strategy for young members within national radiation oncology societies: the Italian experience (AIRO Giovani group). Rep Pract Oncol Radiother 17(5):259–261. https://doi.org/10.1016/j.rpor.2012.07.011 CrossRefPubMedPubMedCentral

Spanish Young Radiation Oncology Group (SYROG). http://grupojovenseor.blogspot.de. Accessed 8 May 2017

Bibault JE, Fumagalli I, Diaz O, Faivre JC, Leroy T, Pichon B, Riou O, Thureau S, Rivera S (2012) The French Society of Young Radiation Oncologists: history, goals and perspective. Rep Pract Oncol Radiother 17(5):255–258. https://doi.org/10.1016/j.rpor.2012.07.006 CrossRefPubMedPubMedCentral

Meredith RF, Eisert DR (1987) 1986 Association of Residents in Radiation Oncology Survey. Int J Radiat Oncol Biol Phys 13(12):1893–1895CrossRefPubMed

yESTRO committee. http://www.estro.org/about/governance-organisation/scientific-council/committees/young-estro-committee. Accessed 8 May 2017

10.

Semrau R, Hansemann K, Adam M, Andratschke N, Brunner T, Heinzelmann F, Hildebrandt G, Vordermark D, Zips D (2008) Quality of training in radiation oncology in Germany. Results of a 2006 survey. Strahlenther Onkol 184(5):239–244. https://doi.org/10.1007/s00066-008-1821-7 CrossRefPubMed

11.

Krug D, Baumann R, Rieckmann T, Fokas E, Gauer T, Niyazi M (2016) Situation of young radiation oncologists, medical physicists and radiation biologists in German-speaking countries: results from a web-based survey of the Young DEGRO working group. Strahlenther Onkol 192(8):507–515. https://doi.org/10.1007/s00066-016-1003-y CrossRefPubMed

12.

Krause M, Supiot S (2015) Advances in radiotherapy special feature. Br J Radiol 88(1051):20150412. https://doi.org/10.1259/bjr.20150412 CrossRefPubMedPubMedCentral

13.

Nakamura K, Sasaki T, Ohga S, Yoshitake T, Terashima K, Asai K, Matsumoto K, Shioyama Y, Honda H (2014) Recent advances in radiation oncology: intensity-modulated radiotherapy, a clinical perspective. Int J Clin Oncol 19(4):564–569. https://doi.org/10.1007/s10147-014-0718-y CrossRefPubMed

14.

Darby S, McGale P, Correa C, Taylor C, Arriagada R, Clarke M, Cutter D, Davies C, Ewertz M, Godwin J, Gray R, Pierce L, Whelan T, Wang Y, Peto R, Early Breast Cancer Trialists’ Collaborative Group (EBCTCG) (2011) Effect of radiotherapy after breast-conserving surgery on 10-year recurrence and 15-year breast cancer death: meta-analysis of individual patient data for 10,801 women in 17 randomised trials. Lancet 378(9804):1707–1716. https://doi.org/10.1016/S0140-6736(11)61629-2 CrossRefPubMed

15.

Vujovic O, Perera F, Dar AR, Stitt L, Yu E, Voruganti SM, Truong PT (1998) Does delay in breast irradiation following conservative breast surgery in node-negative breast cancer patients have an impact on risk of recurrence? Int J Radiat Oncol Biol Phys 40(4):869–874CrossRefPubMed

16.

Sauer R, Liersch T, Merkel S, Fietkau R, Hohenberger W, Hess C, Becker H, Raab HR, Villanueva MT, Witzigmann H, Wittekind C, Beissbarth T, Rödel C (2012) Preoperative versus postoperative chemoradiotherapy for locally advanced rectal cancer: results of the German CAO/ARO/AIO-94 randomized phase III trial after a median follow-up of 11 years. J Clin Oncol 30(16):1926–1933. https://doi.org/10.1200/JCO.2011.40.1836 CrossRefPubMed

17.

van Hagen P, Hulshof MC, van Lanschot JJ, Steyerberg EW, van Berge Henegouwen MI, Wijnhoven BP, Richel DJ, Nieuwenhuijzen GA, Hospers GA, Bonenkamp JJ, Cuesta MA, Blaisse RJ, Busch OR, ten Kate FJ, Creemers GJ, Punt CJ, Plukker JT, Verheul HM, Spillenaar Bilgen EJ, van Dekken H, van der Sangen MJ, Rozema T, Biermann K, Beukema JC, Piet AH, van Rij CM, Reinders JG, Tilanus HW, van der Gaast A, Group C (2012) Preoperative chemoradiotherapy for esophageal or junctional cancer. N Engl J Med 366(22):2074–2084. https://doi.org/10.1056/NEJMoa1112088 CrossRefPubMed

18.

Stupp R, Mason WP, van den Bent MJ, Weller M, Fisher B, Taphoorn MJ, Belanger K, Brandes AA, Marosi C, Bogdahn U, Curschmann J, Janzer RC, Ludwin SK, Gorlia T, Allgeier A, Lacombe D, Cairncross JG, Eisenhauer E, Mirimanoff RO, European Organisation for Research and Treatment of Cancer Brain Tumor and Radiotherapy Groups, National Cancer Institute of Canada Clinical Trials Group (2005) Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 352(10):987–996. https://doi.org/10.1056/NEJMoa043330 CrossRefPubMed

19.

Bundesärztekammer (2011) Evaluation der Weiterbildung 2011. http://www.bundesaerztekammer.de/aerzte/aus-weiter-fortbildung/weiterbildung/evaluation-der-weiterbildung/fachrichtungen/. Accessed 24 June 2017

20.

Bundesärztekammer (2009) Evaluation der Weiterbildung 2009. http://www.bundesaerztekammer.de/aerzte/aus-weiter-fortbildung/weiterbildung/evaluation-der-weiterbildung/ergebnisse-2009/auswertung/. Accessed 24 June 2017

21.

Lunau T, Bambra C, Eikemo TA, van der Wel KA, Dragano N (2014) A balancing act? Work-life balance, health and well-being in European welfare states. Eur J Public Health 24(3):422–427. https://doi.org/10.1093/eurpub/cku010 CrossRefPubMed

22.

Nabavizadeh N, Burt LM, Mancini BR, Morris ZS, Walker AJ, Miller SM, Bhavsar S, Mohindra P, Kim MB, Kharofa J, Committee AE (2016) Results of the 2013–2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States. Int J Radiat Oncol Biol Phys 94(2):228–234. https://doi.org/10.1016/j.ijrobp.2015.10.014 CrossRefPubMed

23.

Rolston AM, Hartley SE, Khandelwal S, Christner JG, Cheng DF, Caty RM, Santen SA (2015) Effect of doximity residency rankings on residency applicants’ program choices. West J Emerg Med 16(6):889–893. https://doi.org/10.5811/westjem.2015.8.27343 CrossRefPubMedPubMedCentral

24.

Doximity Residency Navigator 2015/16. https://blog.doximity.com/articles/residency-programs-is-there-a-personalized-prescription. Accessed 9 May 2017

25.

Stienen MN, Netuka D, Demetriades AK, Ringel F, Gautschi OP, Gempt J, Kuhlen D, Schaller K (2016) Working time of neurosurgical residents in Europe – results of a multinational survey. Acta Neurochir (wien) 158(1):17–25. https://doi.org/10.1007/s00701-015-2633-z CrossRef

26.

Oker N, Escabasse V, Pensky H, Alotaibi N, Coste A, Albers AE (2014) Training satisfaction and work environment in otorhinolaryngology, head and neck surgery: a comparison between France and Germany. Eur Arch Otorhinolaryngol 271(9):2565–2573. https://doi.org/10.1007/s00405-014-3046-y CrossRefPubMed

27.

Parikh JR, Harolds JA, Bluth EI (2017) Workplace bullying in radiology and radiation oncology. J Am Coll Radiol. https://doi.org/10.1016/j.jacr.2016.12.021

28.

Trad M, Johnson J (2014) Bullying among radiation therapists: effects on job performance and work environment. Radiol Technol 86(2):122–131PubMed

29.

Frenzel T, Krüll A (2015) The use of IMRT in Germany. Strahlenther Onkol 191(11):821–826. https://doi.org/10.1007/s00066-015-0832-4 CrossRefPubMed

30.

Weber HE, Dröge LH, Hennies S, Herrmann MK, Gaedcke J, Wolff HA (2015) Volumetric intensity-modulated arc therapy vs. 3‑dimensional conformal radiotherapy for primary chemoradiotherapy of anal carcinoma: effects on treatment-related side effects and survival. Strahlenther Onkol 191(11):827–834. https://doi.org/10.1007/s00066-015-0859-6 CrossRefPubMed

31.

Petereit DG, Frank SJ, Viswanathan AN, Erickson B, Eifel P, Nguyen PL, Wazer DE (2015) Brachytherapy: where has it gone? J Clin Oncol 33(9):980–982. https://doi.org/10.1200/JCO.2014.59.8128 CrossRefPubMedPubMedCentral

32.

Patel S, Ragab O, Demanes DJ, Chen AM, Kamrava M (2016) Brachytherapy: where has it gone … again? J Clin Oncol 34(10):1155. https://doi.org/10.1200/JCO.2015.65.0267 CrossRefPubMed

33.

Guedea F, Venselaar J, Hoskin P, Hellebust TP, Peiffert D, Londres B, Ventura M, Mazeron JJ, Limbergen EV, Pötter R, Kovacs G (2010) Patterns of care for brachytherapy in Europe: updated results. Radiother Oncol 97(3):514–520. https://doi.org/10.1016/j.radonc.2010.09.009 CrossRefPubMed

34.

Gill BS, Lin JF, Krivak TC, Sukumvanich P, Laskey RA, Ross MS, Lesnock JL, Beriwal S (2014) National Cancer Data Base analysis of radiation therapy consolidation modality for cervical cancer: the impact of new technological advancements. Int J Radiat Oncol Biol Phys 90(5):1083–1090. https://doi.org/10.1016/j.ijrobp.2014.07.017 CrossRefPubMed

35.

DEGRO-Akademie Curriculum. https://www.degro.org/akademie/curriculum/. Accessed 9 May 2017

36.

Kondoh C, Shitara K, Nomura M, Takahari D, Ura T, Tachibana H, Tomita N, Kodaira T, Muro K (2015) Efficacy of palliative radiotherapy for gastric bleeding in patients with unresectable advanced gastric cancer: a retrospective cohort study. Bmc Palliat Care 14:37. https://doi.org/10.1186/s12904-015-0034-y CrossRefPubMedPubMedCentral

37.

Chow E, Zeng L, Salvo N, Dennis K, Tsao M, Lutz S (2012) Update on the systematic review of palliative radiotherapy trials for bone metastases. Clin Oncol (R Coll Radiol) 24(2):112–124. https://doi.org/10.1016/j.clon.2011.11.004 CrossRef

38.

Tsao MN, Lloyd N, Wong RK, Chow E, Rakovitch E, Laperriere N, Xu W, Sahgal A (2012) Whole brain radiotherapy for the treatment of newly diagnosed multiple brain metastases. Cochrane Database Syst Rev 4:CD3869. https://doi.org/10.1002/14651858.CD003869.pub3

39.

Franco P, Ciammella P, Peruzzo Cornetto A, De Bari B, Buglione M, Livi L, Alongi F, Filippi AR (2013) The STYRO 2011 project: a survey on perceived quality of training among young Italian radiation oncologists. Med Oncol 30(4). https://doi.org/10.1007/s12032-013-0729-y PubMedCentral

40.

Hos D, Steven P, Dietrich-Ntoukas T (2015) The situation of residents in ophthalmology in Germany: results of an online survey. Ophthalmologe 112(6):498–503. https://doi.org/10.1007/s00347-015-0030-x CrossRefPubMed

41.

Eriksen JG, Beavis AW, Coffey MA, Leer JW, Magrini SM, Benstead K, Boelling T, Hjälm-Eriksson M, Kantor G, Maciejewski B, Mezeckis M, Oliveira A, Thirion P, Vitek P, Olsen DR, Eudaldo T, Enghardt W, François P, Garibaldi C, Heijmen B, Josipovic M, Major T, Nikoletopoulos S, Rijnders A, Waligorski M, Wasilewska-Radwanska M, Mullaney L, Boejen A, Vaandering A, Vandevelde G, Verfaillie C, Pötter R (2012) The updated ESTRO core curricula 2011 for clinicians, medical physicists and RTTs in radiotherapy/radiation oncology. Radiother Oncol 103(1):103–108. https://doi.org/10.1016/j.radonc.2012.02.007 CrossRefPubMed

42.

Borgmann H, Arnold HK, Meyer CP, Bründl J, König J, Nestler T, Ruf C, Struck J, Salem J (2016) Training, research, and working conditions for urology residents in Germany: a contemporary survey. Eur Urol Focus. https://doi.org/10.1016/j.euf.2016.12.001 PubMed

Titel: Quality of training in radiation oncology in Germany: where do we stand?
Results from a 2016/2017 survey performed by the working group “young DEGRO” of the German society of radiation oncology (DEGRO)
verfasst von: Dr. med. C. T. Dietzel
K. Jablonska
M. Niyazi
T. Gauer
N. Ebert
C. Ostheimer
D. Krug
Publikationsdatum: 18.01.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Strahlentherapie und Onkologie / Ausgabe 4/2018
Print ISSN: 0179-7158
Elektronische ISSN: 1439-099X
DOI: https://doi.org/10.1007/s00066-017-1250-6

Neu im Fachgebiet Onkologie

24.04.2024 | DGIM 2024 | Nachrichten

Springer Medizin

Quality of training in radiation oncology in Germany: where do we stand?

Results from a 2016/2017 survey performed by the working group “young DEGRO” of the German society of radiation oncology (DEGRO)

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Onkologie

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Krebspatienten impfen: Was? Wen? Und wann nicht?

Müde im Alter? Auch an die Nebenniere denken

Update Onkologie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2018

Long-term outcomes in patients younger than 60 years of age treated with brachytherapy for prostate cancer

Oligometastases in prostate cancer

Komplikationen statt Überlebensvorteil und lokale Rezidivfreiheit nach früher radikaler Zystektomie bei muskelinvasivem Harnblasenkarzinom im Vergleich zur multimodalen Erhaltungstherapie

Correction to: Analysis of primary tumor metabolic volume during chemoradiotherapy in locally advanced non-small cell lung cancer

Kommentar zu „T1–2 glottic cancer treated with radiotherapy and/or surgery“

Automated volumetric modulated arc therapy planning for whole pelvic prostate radiotherapy

Neu im Fachgebiet Onkologie

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Krebspatienten impfen: Was? Wen? Und wann nicht?

Müde im Alter? Auch an die Nebenniere denken

Update Onkologie