Klin Padiatr
DOI: 10.1055/a-2260-4374
Original Article

Committed Lone Fighters And Group Experiences: An International Survey On Pediatric Hematology And Oncology Training In German-Speaking Countries

Engagierte Einzelkämpfer und Gruppenerfahrungen: Internationale Umfrage zur Ausbildung in der pädiatrischen Hämatologie und Onkologie im deutschsprachigen Raum
Anke Barnbrock*
1   Centre for Paediatrics and Adolescent Medicine, Pediatric Hematology and Oncology, Hospital of the Goethe University Frankfurt, Frankfurt am Main, Germany
,
Kristine Schäfer*
2   Pediatric Hematology and Oncology, University Hospital Giessen, Giessen, Germany
,
Jana Stursberg
3   Pediatric Hematology and Oncology, Ulm University Hospital, Ulm, Germany
,
Benjamin Siebald
1   Centre for Paediatrics and Adolescent Medicine, Pediatric Hematology and Oncology, Hospital of the Goethe University Frankfurt, Frankfurt am Main, Germany
,
Norbert Graf
4   Pediatric Hematology and Oncology, Saarland University Hospital, Homburg/Saar, Germany
,
Urs Mücke
5   Pediatric Hematology and Oncology, Hannover Medical School Centre for Paediatrics and Adolescent Medicine, Hannover, Germany
,
Dominik T. Schneider
6   Centre for Paediatrics and Adolescent Medicine, Pediatric Hematology and Oncology, Hospital Dortmund, Dortmund, Germany
,
Konrad Bochennek**
1   Centre for Paediatrics and Adolescent Medicine, Pediatric Hematology and Oncology, Hospital of the Goethe University Frankfurt, Frankfurt am Main, Germany
,
Miriam Füller**
7   Bone marrow transplantation and Pediatric Hematology and Oncology, University Hospital Münster, Munster, Germany
› Author Affiliations

Abstract

Introduction In German-speaking countries children with cancer are treated in about 70 hospitals. While national and European curricula for pediatric oncology and hematology (POH) have been developed, little is known, how far these curricula have been implemented into daily training and what topics are deemed urgent by instructors.

Methods and Materials In 2022 the Didactics and Educational working party of the German Pediatric Hematology/Oncology Society conducted a survey plus interview by phone call on local educational conditions in POH and needs of educators.

Results Thirty-two (45%) POH centers answered the questionary, half have appointed persons overseeing the training. A wide range educational scenarios were described in some centers. Trainees identified urgent needs in areas such as hybrid education and demanded training workshops on specific topics and intensified networking and a general curriculum implemented into daily care as mandatory.

Conclusion This is the first survey on educational issues in POH in German speaking centers, describing the current situation before and under pandemic conditions. Great individual efforts have already been achieved by dedicated teachers. A comprehensive training program in POH is still missing, which translates the national curriculum into daily practice, while improving networking and balancing the resources of the individual centers.

Zusammenfassung

Einführung Im deutschsprachigen Raum werden krebskranke Kinder in etwa 70 Krankenhäusern behandelt. Während nationale und europäische Curricula für pädiatrische Onkologie und Hämatologie (POH) entwickelt wurden, ist wenig darüber bekannt, inwieweit diese Curricula in die tägliche Ausbildung implementiert wurden und welche Themen von den Ausbildern als dringlich erachtet werden.

Methoden und Materialien Die AG Didaktik und Lehre der Deutschen Gesellschaft für Pädiatrische Hämatologie/Onkologie (ADuL der GPOH) führte im Jahr 2022 eine Umfrage mit telefonischer Befragung zu Ausbildungsbedingungen in der Pädiatrischen Onkologie und den Bedürfnissen der Ausbilder durch.

Ergebnisse Zweiunddreißig (45%) POH-Zentren beantworteten den Fragebogen, die Hälfte hat Verantwortliche für die Ausbildung benannt. In einigen Zentren wurde ein breites Spektrum an Ausbildungsszenarien beschrieben. Die Auszubildenden sahen dringenden Bedarf in Bereichen wie der Hybridausbildung und forderten Fortbildungsworkshops zu spezifischen Themen sowie eine intensivere Vernetzung und ein allgemeines Curriculum, das in die tägliche Ausbildung implementiert wird, als obligatorisch.

Schlussfolgerung Dies ist die erste Umfrage zur Ausbildungssituation in der POH in deutschsprachigen Zentren, die die aktuelle Situation vor und unter pandemischen Bedingungen beschreibt. Es wurden bereits große individuelle Anstrengungen von engagierten Lehrern unternommen. Es fehlt noch ein umfassendes Ausbildungsprogramm in der POH, das das nationale Curriculum in die tägliche Praxis umsetzt und gleichzeitig die Vernetzung und die Nutzung der Ressourcen der einzelnen Zentren verbessert.

* contributed equally as first authors


** contributed equally as last authors




Publication History

Article published online:
01 March 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag
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  • References

  • 1 Bochennek K, Simon A, Laws HJ. et al. Fieber während der Granulozytopenie bei krebkranken Kindern und Jugendlichen. Monatsschr Kinderheilkd 169: 443-450 2021; DOI: 10.1007/s00112-021-01146-4.
  • 2 Lewitan L, Burdach S. Warnsignale für Krebserkrankungen im Kindesalter. Monatsschr Kinderheilkd 169: 13-19 2021; DOI: 10.1007/s00112-020-01081-w.
  • 3 Tiroke P, Sänger B, Mücke U. et al SICKO. Development of a Multi-Disciplinary Training-Concept for Paediatric Oncology. Klin Padiatr 2017; 229: 316-321 DOI: 10.1055/s-0043-119290. Epub 2017 Oct 18 PMID: 29045996
  • 4 Frederick NN, Fine E, Michaud A. et al 2020; Pediatric hematology and oncology fellow education in sexual and reproductive health: A survey of fellowship program directors in the United States. Pediatr Blood Cancer 67: e28245 10.1002/pbc.28245 Epub 2020 Mar 8 PMID: 32147938
  • 5 Essig S, Steiner C, Kühne T. et al (2019). Communication Skills Training for Professionals Working with Adolescent Patients with Cancer Based on Participants’ Needs: A Pilot. Adolesc Young Adult Oncol. 8: 354-362 10.1089/jayao.2018.0078 Epub 2019 Jan 16 PMID: 30648933
  • 6 Doddaiah SK, Kulkarni P, Mohandas A. et al 2021). Learning with lockdown: Utility of whatsApp status-based multiple-choice question discussion on COVID-19 among medical students and teaching faculty. J Educ Health Promot. 10: 168 10.4103/jehp.jehp_609_20.PMID: 34250102 PMCID: PMC8249983
  • 7 Moreau CM. KA. (2022). Nursing students’ use of social media in their learning: a case study of a Canadian School of Nursing. BMC Nurs. 21: 195 10.1186/s12912-022-00977-0.PMID: 35864461 PMCID: PMC9303836: 29045996.
  • 8 Smink GM, Jeffe DB, Hayashi RJ. et al Pediatric-Oncology Simulation Training for Resident Education. BMJ Simul Technol Enhanc Learn. 2019; 5: 155-160 DOI: 10.1136/bmjstel-2018-000347. Epub 2018 Sep 7 PMID: 31485338 PMCID: PMC6724731.
  • 9 Knoll J, Li A, Smith CH. et al. Improving Detection of Cancer Predisposition Syndromes in Pediatric Oncology. J Pediatr Hematol Oncol. 2021; 43: e891-e896 10.1097/MPH.0000000000001987 . PMID: 33370000
  • 10 Minor S, Bonnin R. What Do Medical Students Want From a Mentor?. PRiMER 2022; 6: 36 10.22454/PRiMER.2022.552177 eCollection 2022 PMID: 36132540
  • 11 Pusic MV, Best R, Black JB. et al. 2016; Exploring Medical Student Learning Needs in the Pediatric Emergency Depment: “What Do You Want to Learn Right Now?”. Pediatr Emerg Care 32: 217-221 10.1097/PEC.0000000000000766 PMID: 26990847
  • 12 Hastings C, Wechsler DS, Stine KC. et al. 2007; Consensus on a core curriculum in American training programs in pediatric hematology-oncology: a report from the ASPHO Training Committee. Pediatr Hematol Oncol 24: 503-512 DOI: 10.1080/08880010701533645. PMID: 17786786
  • 13 Vassal G, Landman-Parker J, Baruchel A. et al [Multidisciplinarity, education, and training in pediatric oncology-hematology]. Arch Pediatr 2015; 22: 1217-1222 10.1016/j.arcped.2015.09.012 Epub 2015 Nov 18 PMID: 26604021
  • 14 Nathan PC, Schiffman JD, Huang S. et al Childhood cancer survivorship educational resources in North American pediatric hematology/oncology fellowship training programs: a survey study. Pediatr Blood Cancer. 2011; 57: 1186-1190 10.1002/pbc.23214 Epub 2011 Jun 14 PMID: 21674761
  • 15 Granek L, Bartels U, Barrera M. et al. Challenges faced by pediatric oncology fellows when patients die during their training. J Oncol Pract 2015; 11: e182-e189 10.1200/JOP.2014.001727 . PMID: 25784578
  • 16 Whitford B, Nadel AL, Fish JD. Burnout in pediatric hematology/oncology-time to address the elephant by name. Pediatr Blood Cancer. 2018; 65: e27244 10.1002/pbc.27244 Epub 2018 May 24 PMID: 29797652.
  • 17 File W, Bylund CL, Kesselheim J. et al Do pediatric hematology/oncology (PHO) fellows receive communication training?. Pediatr Blood Cancer. 2014; 61: 502-506 10.1002/pbc.24742 Epub 2013 Sep 4 PMID: 24039096 PMCID: PMC5561546.
  • 18 Yap ES, Koh PL, Ng CH. et al. A Bone Marrow Aspirate and Trephine Simulator. Simul Healthc 2015; 10: 245-248 10.1097/SIH.0000000000000092 PMID: 26098493
  • 19 Feraco AM, Brand SR, Mack JW. et al Communication Skills Training in Pediatric Oncology: Moving Beyond Role Modeling. Pediatr Blood Cancer. 2016; 63: 966-972 10.1002/pbc.25918 Epub 2016 Jan 29 PMID: 26822066
  • 20 Fallowfield L, Jenkins V. Communicating sad, bad, and difficult news in medicine. Lancet 2004; 363: 312-319 DOI: 10.1016/S0140-6736(03)15392-5. PMID: 14751707
  • 21 Frugé E, Mahoney DH, Poplack DG. et al. Leadership: “They never taught me this in medical school”. J Pediatr Hematol Oncol 2010; 32: 304-308 10.1097/MPH.0b013e3181cf4594 PMID: 20445418.
  • 22 Roth M, Wang D, Kim M. et al. An assessment of the current state of palliative care education in pediatric hematology/oncology fellowship training. Pediatr Blood Cancer 2009; 53: 647-651 10.1002/pbc.22110 PMID: 19449397
  • 23 Widger K, Wolfe J, Friedrichsdorf S. et al National Impact of the EPEC-Pediatrics Enhanced Train-the-Trainer Model for Delivering Education on Pediatric Palliative Care. J Palliat Med. 2018; 21: 1249-1256 10.1089/jpm.2017.0532 Epub 2018 May 21 PMID: 29782212
  • 24 Nageswara Rao AA, Warad DM, Weaver AL. et al. Cross-Cultural Medical Care Training and Education: a National Survey of Pediatric Hematology/Oncology Fellows-in-Training and Fellowship Program Directors. J Cancer Educ 2019; 34: 478-487 DOI: 10.1007/s13187-018-1326-8. PMID: 29380222
  • 25 Kaul V, Gallo de Moraes A, Khateeb D. et al Medical Education During the COVID-19 Pandemic. Chest 2021; 159: 1949-1960 10.1016/j.chest.2020.12.026 Epub 2020 Dec 30 PMID: 33385380
  • 26 Jiang Z, Wu H, Cheng H. et al. Twelve tips for teaching medical students online under COVID-19. Med Educ Online. 2021; 26: 1854066 10.1080/10872981.2020.1854066 PMID: 33280546
  • 27 Lenes A, Klasen M, Adelt A. et al Crisis as a chance. A digital training of social competencies with simulated persons at the Medical Faculty of RWTH Aachen, due to the lack of attendance teaching in the SARS-Cov-2 pandemic. GMS J Med Educ. 2020; 37: Doc82 10.3205/zma001375 eCollection 2020 PMID: 33364361
  • 28 Peters T, Thrien C. German Association for Medical Education, committee for simulated patients. (2020). The digital use of simulated patients in times of the corona pandemic – considerations and proposals. GMS J Med Educ. 37: Doc93 10.3205/zma001386 eCollection 2020 PMID: 33364372
  • 29 Moya-Plana A, Tselikas L, Lambotte O. et al Postgraduate oncology educational shifts during the COVID-19 pandemic: results of faculty and medical student surveys. ESMO Open. 2022; 7: 100451 10.1016/j.esmoop.2022.100451 Epub 2022 Mar 2 PMID: 35427841
  • 30 Singhi EK, Dupuis MM, Ross JA. et al. Medical Hematology/Oncology Fellows’ Perceptions of Online Medical Education During the COVID-19 Pandemic. J Cancer Educ. 2020; 35: 1034-1040 DOI: 10.1007/s13187-020-01863-6. PMID: 32888144
  • 31 Walls GM, Houlihan OA, Mooney C. et al Radiation oncology teaching provision and practice prior to and during the first wave of the COVID-19 pandemic in medical schools in the United Kingdom and the Republic of Ireland: a cross-sectional survey. Br J Radiol. 2021; ). 94: 20210614 10.1259/bjr.20210614 Epub 2021 Oct 27
  • 32 Balanchivadze N, Donthireddy V. Hematology/Oncology Fellowship Emergency Restructuring in Response to the COVID-19 Pandemic-Henry Ford Hospital, Michigan. JCO Oncol Pract. 2020; 16: e943-e947 10.1200/OP.20.00261 Epub 2020 May 14 PMID: 32407178