The online version of this article (https://doi.org/10.1186/s13014-018-1128-5) contains supplementary material, which is available to authorized users.
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.
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.
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.
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.
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
Marks LB, et al. The need for physician leadership in creating a culture of safety. Int J Radiat Oncol Biol Phys. 2011;79(5):1287–9. CrossRef
Marks LB, et al. The impact of advanced technologies on treatment deviations in radiation treatment delivery. Int J Radiat Oncol Biol Phys. 2007;69(5):1579–86. CrossRef
CMS Quality Strategy. [cited 2015 March 13]; Available from: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy.html.
ACGME Common Program Requirements. 2017 [cited 2017; Available from: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy.html.
Spraker MB, et al. A survey of residents' experience with patient safety and quality improvement concepts in radiation oncology. Pract Radiat Oncol. 2017;7(4):e253–9. CrossRef
Wagner R, et al. Detailed findings from the CLER National Report of findings 2016. J Grad Med Educ. 2016;8(2 1):35–54. CrossRef
Fogh S, Pawlicki T. A report on quality and safety education for radiation oncology residents. Int J Radiat Oncol Biol Phys. 2014;90(5):988–9. CrossRef
Harris PA, et al. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81. CrossRef
Asp L, et al. AAPM report no. 38: statement on the role of a physicist in radiation oncology. New York: American Association of Physicists in Medicine; 1993.
Safety is no accident: A framework for quality radiation oncology and care. 2012.
Zietman A, Palta J, Steinberg M. Safety is no accident: a framework for quality radiation oncology and care. Arlington: American Society for Radiation Oncology; 2012.
Adleman J, et al. Development of a quality and safety competency curriculum for radiation oncology residency: an international Delphi study. Int J Radiat Oncol Biol Phys. 2017;98(2):428–37. CrossRef
Yeung A, Greenwalt J. A framework for quality improvement and patient safety education in radiation oncology residency programs. Pract Radiat Oncol. 2015;5(6):423–6. CrossRef
Woodhouse KD, et al. The implementation and assessment of a quality and safety culture education program in a large radiation oncology department. Pract Radiat Oncol. 2016;6(4):e127–34. CrossRef
Ford EC, et al. A patient safety education program in a medical physics residency. J Appl Clin Med Phys. 2017;18(6):268–74. CrossRef
ACGME Program Requirements for Graduate Medical Education in Radiation Oncology. 2014 [cited 2016 May 7th]; Available from: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/430_radiation_oncology_2017-07-01.pdf.
Jani AB, et al. Results of the 2014 survey of the Association of Directors of radiation oncology programs (ADROP). Pract Radiat Oncol. 2015;5(6):e673–8. CrossRef
Church JA, et al. National study to determine the comfort levels of radiation therapists and medical dosimetrists to report errors. Pract Radiat Oncol. 2013;3(4):e165–70. CrossRef
Hoopes DJ, et al. Practice patterns for peer review in radiation oncology. Pract Radiat Oncol. 2015;5(1):32–8. CrossRef
- Radiation oncology resident training in patient safety and quality improvement: a national survey of residency program directors
Matthew B. Spraker
Matthew J. Nyflot
Kristi R. G. Hendrickson
Shannon E. Fogh
Gabrielle M. Kane
Eric C. Ford
- BioMed Central
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