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首页> 外文期刊>World neurosurgery >Training Neurosurgery and Radiation Oncology Residents in Stereotactic Radiosurgery: Assessment Gathered from Participants in AANS and ASTRO Training Course
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Training Neurosurgery and Radiation Oncology Residents in Stereotactic Radiosurgery: Assessment Gathered from Participants in AANS and ASTRO Training Course

机译：培养神经外科和辐射肿瘤学居民立体定向放射牢房：评估来自AANS和Astro培训课程的参与者

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Objective Stereotactic radiosurgery (SRS) represents an expanding approach for neurosurgeons and radiation oncologists. We evaluate educational gaps of senior residents drawn from each specialty as part of a focused SRS course. We also evaluate the strengths and limitations of SRS training in current residency programs of the course residents and faculty. Methods The American Association of Neurological Surgeons and American Society of Radiation Oncology jointly held a senior resident course in SRS. Residents were nominated by program directors from across the United States. Thirty residents were chosen to participate in the course. The residents were surveyed before and after the course. Faculty ( n ?= 14) were also surveyed to ascertain their perspectives on current training in SRS. Results Most (96.7%) of the residents planned to perform SRS when finished, and 94% anticipated SRS indications to expand. Regarding SRS technique, 47% reported average/above average understanding of intracranial SRS; only 17% expressed similar understanding of spinal SRS. Before the course, 76.6% noted below average/average ability to recognize and manage SRS complications. Twenty-three percent of the faculty indicated that graduating residents from their programs were unprepared to perform radiosurgery. Residents' self-assessed understanding of brain SRS indication ( P ?= 0.000693), SRS techniques ( P ?= 0.000021), spinal SRS indications ( P ?=?0.000050), spinal SRS techniques ( P ?= 0.000019), and complication recognition and management ( P ?= 0.00033) significantly improved following the course. Conclusions Knowledge and training gaps in SRS appear evident to the senior residents and faculty of both specialties. We believe that other educational opportunities for SRS experience are necessary to optimize clinical competency, as well as meet future clinical staffing needs for this expanding, multidisciplinary approach. Further evaluation of gaps in SRS is necessary through a larger, nationwide survey of U.S. neurosurgeons, program directors, and residents.
机译：目标立体定向放射外科（SRS）代表神经外科和辐射肿瘤学家的扩展方法。我们评估从每个专业绘制的高级居民的教育差距，作为专注的SRS课程的一部分。我们还评估课程居民和教师当前居住计划中SRS培训的优势和局限。方法对美国神经外科医生和美国放射学会协会联合举办了SRS的高级居民课程。居民由来自美国的方案董事提名。选择三十名居民参加课程。居民在课程之前和之后进行了调查。还调查了教师（N？= 14）以确定他们对SRS目前培训的看法。结果大多数（96.7％）居民计划在完成后进行SRS，94％的预期SRS指示扩大。关于SRS技术，47％报告的平均/高于对颅内SRS的平均理解;只有17％的人表达对脊柱SRS的类似了解。在课程之前，76.6％低于平均值/平均识别和管理SRS并发症的能力。 23％的教师表示，从他们的计划中毕业居民没有准备好进行放射外科。居民的自我评估了解脑SRS指示（P？= 0.000693），SRS技术（P？= 0.000021），脊柱SRS指示（P？= 0.000050），脊柱SRS技术（P？= 0.000019），并复制识别和管理（P？= 0.00033）课程明显改善。结论SRS中的知识和培训差距显然是两种专业的高级居民和学院。我们认为，SRS经验的其他教育机会是优化临床能力的必要条件，并满足未来的临床人员配置这种扩展，多学科方法。通过对美国神经外科医生，计划董事和居民的较大，全国范围的调查，进一步评估SRS中的差距。

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