Successful Development of a Competency-Based Residency Training Program in Radiation Oncology: Our 15-Year Experience fr

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Successful Development of a Competency-Based Residency Training Program in Radiation Oncology: Our 15-Year Experience from Within a Developing Country Jamal Khader 1

&

Abdelatif Al-Mousa 1 & Sondos Al Khatib 1 & Shada Wadi-Ramahi 2

# American Association for Cancer Education 2019

Abstract One of the main challenges of delivering high quality of care to cancer patients in developing countries is the lack of well-trained radiation oncologists. This is a direct cause for the lack of residency programs coupled with lack of resources. This article describes and details establishments of a successful and sustainable radiation-oncology residency program in our country. The program has been in operation for 14 years and has trained and graduated radiation oncologists who are now working in various countries. The curriculum of the 4-year residency program, fashioned according to American College of Radiologists (ACR) recommendations, includes site-specific clinical rotations and didactic lectures in clinical oncology, radiobiology, medical physics, statistics, and epidemiology. It also includes a component of advanced clinical experience in the form of 3-month externship at one of collaborating centers outside the country. Evaluation of the residents is conducted annually via written exams and 360° feedback. Residents also sit for the formal certification exam in radiation oncology from the national Medical Council. The exam consists of 2 written exams and one oral. As a form of benchmarking residents’ knowledge, they are required to sit for the ACR examinations held annually and conducted in Amman in tandem. The program has successfully trained and graduated 28 residents, who now work as consultant radiation oncologists locally and abroad. Each resident has gone through a structured training that includes exposure to a Western-style patient-management culture, enhancing the breadth and width of their clinical experience. The residency program, initiated in a developing country, underwent many challenges, yet it overcome all obstacles and resulted in a successful training of competent radiation oncologists serving the region. Keywords Radiation oncology . Postgraduate education . Residency . Jordan . Developing countries

Introduction The ever-changing oncology guidelines and the rising new technologies have necessitated higher quality clinical training of radiation oncologists. In developed countries, competencybased radiation oncology training programs have become the Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13187-019-01557-8) contains supplementary material, which is available to authorized users. * Jamal Khader [email protected] 1

Radiation Oncology Department, King Hussein Cancer Center, P.O. Box 1269, Al-Jubeiha, Amman 11941, Jordan

2

Biomedical Physics Department, MBC#03, King Faisal Specialist Hospital and Research Center, PO Box 3354, Riyadh 11211, Kingdom of Saudi Arabia

pathway for qualified radiation oncologists [1–3]. Creating similar competency-based