JCO Global Oncology (Nov 2020)

Radiation Sciences Education in Africa: An Assessment of Current Training Practices and Evaluation of a High-Yield Course in Radiation Biology and Radiation Physics

  • Shane R. Stecklein,
  • Cullen M. Taniguchi,
  • Adam D. Melancon,
  • Dorothy Lombe,
  • Kennedy Lishimpi,
  • Lewis Banda,
  • Catherine Mwaba,
  • George Pupwe,
  • Maurice Mwale,
  • Harry Munkupa,
  • Mulape Kanduza,
  • Barbara Mule,
  • Augustine Mwale,
  • Laurence Court,
  • Jared D. Ohrt,
  • Michael E. Kupferman,
  • Anuja Jhingran,
  • Susan Citonje Msadabwe-Chikuni

DOI
https://doi.org/10.1200/GO.20.00350
Journal volume & issue
no. 6
pp. 1631 – 1638

Abstract

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PURPOSEFormal education in the radiation sciences is critical for the safe and effective delivery of radiotherapy. Practices and patterns of radiation sciences education and trainee performance in the radiation sciences are poorly described. This study assesses the current state of radiation sciences education in Africa and evaluates a high-yield, on-site educational program in radiation biology and radiation physics for oncology and radiation therapy trainees in Africa.METHODSAn anonymous survey was distributed to members of the African Organization for Research and Treatment in Cancer Training Interest Group to assess current attitudes and practices toward radiation sciences education. A 2-week, on-site educational course in radiation biology and radiation physics was conducted at the Cancer Diseases Hospital in Lusaka, Zambia. Pre- and postcourse assessments in both disciplines were administered to gauge the effectiveness of an intensive high-yield course in the radiation sciences.RESULTSSignificant deficiencies were identified in radiation sciences education, especially in radiation biology. Lack of expert instructors in radiation biology was reported by half of all respondents and was the major contributing factor to deficient education in the radiation sciences. The educational course resulted in marked improvements in radiation biology assessment scores (median pre- and posttest scores, 27% and 55%, respectively; P < .0001) and radiation physics assessment scores (median pre- and posttest scores, 30% and 57.5%, respectively; P < .0001).CONCLUSIONRadiation sciences education in African oncology training programs is inadequate. International collaboration between expert radiation biology and radiation physics instructors can address this educational deficiency and improve trainee competence in the foundational radiation sciences that is critical for the safe and effective delivery of radiotherapy.