An International Expert Delphi Consensus to Develop Dedicated Geriatric Radiation Oncology Curriculum Learning Outcomes

Lucinda Morris; Sandra Turner; Niluja Thiruthaneeswaran; Anita O'Donovan; Richard Simcock; Anthea Cree; Jane Phillips; Shabbir Alibhai; Martine Puts; Ewa Szumacher; Heather Lane; Arielle Berger; Meera Agar

doi:10.1016/j.ijrobp.2022.04.030

An International Expert Delphi Consensus to Develop Dedicated Geriatric Radiation Oncology Curriculum Learning Outcomes

Int J Radiat Oncol Biol Phys. 2022 Aug 1;113(5):934-945. doi: 10.1016/j.ijrobp.2022.04.030. Epub 2022 Apr 29.

Authors

Affiliations

¹ Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia; St. George Cancer Care Centre, St. George Hospital, Sydney, New South Wales, Australia. Electronic address: lucinda.morris@health.nsw.gov.au.
² Sydney Medical School, University of Sydney, Sydney, Australia; Crown Princess Mary Cancer Centre, Westmead Hospital, Sydney, New South Wales, Australia.
³ Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin, Ireland.
⁴ Brighton and Sussex University Hospitals NHS Trust, Brighton, East Sussex, United Kingdom.
⁵ Clatterbridge Cancer Centre, Liverpool, United Kingdom.
⁶ Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia; Queensland University of Technology, School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
⁷ Department of Medicine, University Health Network, Toronto, Canada; Department of Medicine, Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
⁸ Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
⁹ Department of Radiation Oncology, Sunnybrook Odette Cancer Centre, University of Toronto, Toronto, Canada.
¹⁰ Sir Charles Gairdner Hospital, Perth, Washington, Australia.
¹¹ Department of Medicine, University of Toronto and Sinai Health/University Health Network Hospitals, Toronto, Canada.
¹² Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.

PMID: 35500796
DOI: 10.1016/j.ijrobp.2022.04.030

Abstract

Purpose: The management of older adults with cancer is rapidly becoming a significant challenge in radiation oncology (RO) practice. The education of future radiation oncologists in geriatric oncology is fundamental to ensuring that older adults receive high-quality care. Currently RO trainees receive little training and education in geriatric oncology. The objective of this study was to define core geriatric RO curriculum learning outcomes relevant to RO trainees worldwide.

Methods and materials: A 2-stage modified Delphi consensus was conducted. Stage 1 involved the formation of an expert reference panel (ERP) of multiprofessional experts in geriatric oncology and/or RO and the compilation of a potential geriatric RO learning outcomes set. Stage 2 involved 3 iterative rounds: round 1 and round 2 (both online surveys), and an intervening ERP round. These aimed at identifying and refining ideal geriatric RO learning outcomes. Invited participants for round 1 and 2 included oncology health care professionals with expertise across RO, geriatric oncology, and/or education and consumers. Predefined Delphi consensus definitions were applied to the results of rounds 1 and 2.

Results: An ERP of 11 experts in geriatric oncology and/or RO was formed. Seventy potential knowledge- and skill-based learning outcomes were identified. In round 1, 103 of 179 invited eligible Delphi participants completed the survey (58% response rate). The ERP round was conducted, resulting in the exclusion of 28 learning outcomes. In round 2, 54 of 103 completed the survey (52% response rate). This identified a final total of 33 geriatric RO learning outcomes.

Conclusions: The geriatric RO learning outcomes described in this study form an international consensus that can inform RO training bodies worldwide. This represents the first fundamental step in developing a global educational framework aimed at improving RO trainee knowledge and skills in geriatric oncology.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Clinical Competence
Consensus
Curriculum
Delphi Technique
Humans
Neoplasms*
Radiation Oncology* / education