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01.12.2018 | Research | Ausgabe 1/2018 Open Access

Radiation Oncology 1/2018

Radiation oncology resident training in patient safety and quality improvement: a national survey of residency program directors

Zeitschrift:
Radiation Oncology > Ausgabe 1/2018
Autoren:
Matthew B. Spraker, Matthew J. Nyflot, Kristi R. G. Hendrickson, Stephanie Terezakis, Shannon E. Fogh, Gabrielle M. Kane, Eric C. Ford, Jing Zeng
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s13014-018-1128-5) contains supplementary material, which is available to authorized users.

Abstract

Background

Physicians and physicists are expected to contribute to patient safety and quality improvement (QI) in Radiation Oncology (RO), but prior studies suggest that training for this may be inadequate. RO and medical physics (MP) program directors (PDs) were surveyed to better understand the current patient safety/QI training in their residency programs.

Methods

PDs were surveyed via email in January 2017. Survey questions inquired about current training, curriculum elements, and barriers to development and/or improvement of safety and QI training.

Results

Eighty-nine RO PDs and 84 MP PDs were surveyed, and 21 RO PDs (28%) and 31 MP PDs (37%) responded. Both RO and MP PDs had favorable opinions of current safety and QI training, and used a range of resources for program development, especially safety and QI publications. Various curriculum elements were reported. Curriculum elements used by RO and MP PDs were similar, except RO were more likely than MP PDs to implement morbidity and mortality (M&M) conference (72% vs. 45%, p < 0.05). RO and MP PDs similarly cited various barriers, but RO PDs were more likely to cite lack of experience than MP PDs (40% vs. 16%, p < 0.05). PDs responded similarly independent of whether they reported using a departmental incident learning system (ILS) or not.

Conclusions

PDs view patient safety/QI as an important part of resident education. Most PDs agreed that residents are adequately exposed to patient safety/QI and prepared to meet the patient safety/QI expectations of clinical practice. This conflicts with other independent studies that indicate a majority of residents feel their patient safety/QI training is inadequate and lacks formal exposure to QI tools.
Zusatzmaterial
Additional file 1: Figure S1. “What advice would you have for program directors seeking to improve the patient safety and QI resident training experience in their program?”. Depicts free text responses of the survey participants, edited for brevity and clarity. Table S1. Program directors’ (PDs) responses regarding residents and their patient safety and QI training by Incident Learning System (ILS) use. Depicts PD responses split by those reporting departmental use of an ILS versus those not reporting ILS use (No ILS). P-values are reported for the chi-square test. RO = Radiation Oncology, QI = Quality Improvement. Table S2. Program directors’ (PDs) reporting of resources used, curricular elements used, how effectiveness is assessed, and barriers faced in creating and/or improving patient safety and QI programs by Incident Learning System (ILS) use. Responses are split by those reporting departmental use of an ILS versus those not reporting ILS use (No ILS). P-values are reported for t-tests between groups. RO = Radiation Oncology, QI = Quality Improvement, M&M = Morbidity and Mortality, PD = Program Director. (DOCX 27 kb)
13014_2018_1128_MOESM1_ESM.docx
Literatur
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