The value of observerships abroad: Lessons from UA-MED supporting Ukrainian cancer care during the war.
Notice bibliographique
Résumé
9036 Background: This study evaluates the influence of international observerships organized by the coalition of healthcare professionals from academic institutions - the Ukrainian Alliance for Medical Exchange and Development (UA-MED) - on the professional development, knowledge transfer, and clinical practice improvement of Ukrainian oncology professionals during the war. Methods: A total of 126 international observerships were facilitated for various Ukrainian medical professionals across 17 participating institutions the US, Canada, Europe, and Australia. A survey was administered to assess the impact of observerships on oncology care in Ukraine, focusing on procedural knowledge gained, lessons learned, and challenges faced when implementing new techniques upon return. Results: Eighty-six respondents participated in the survey. Seventy-three percent of respondents were oncology professionals, including 30.1% radiation oncologists, 31.7% surgeons, 15.9% medical oncologists, and 14% medical physicists. The median duration of the observerships was 4 weeks with 79.7% observers attending a professional conference. The average satisfaction score for the observerships was 9.6 ± 0.7 out of 10. Importantly, 93% of respondents reported a shift in their perception of how to practice medicine, 90% learned new procedures and techniques, and 71.2% implemented these new procedures upon returning to Ukraine. However, despite this progress, significant barriers to implementation were encountered, including lack of material resources (70.7%), human resources (43.1%), and support from department leadership (43.1%) and colleagues (32.8%). Encouraged to disseminate their knowledge, participants provided informal training to colleagues (78.0%), prepared presentations for their institutions (69.5%), national conferences (44.1%), and incorporated learned materials into educational lectures (49.2%). Notably, 83.0% of participants maintained ongoing mentorship contact with their training institutions. Key institutional advancements included transition from Co-60 to linear accelerators at few centers, the launch of an allogeneic bone marrow transplant program, and the development of educational programs across various specialties. Participants emphasized improved confidence in their clinical decision-making and highlighted the value of multidisciplinary team approaches they observed abroad. Conclusions: The international observerships played a crucial role in enhancing the skills and knowledge of Ukrainian cancer care professionals during the war. Despite the ongoing conflict, significant improvements were made in clinical practice, medical education, and the implementation of new procedures. The success of these observerships underscores the potential for similar programs to be replicated in other LMICs/UMICs.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,007 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,003 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,005 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».