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Teaching Oncology Residents Anatomy: A Multidisciplinary (MDT) Approach

2013· article· en· W2337093536 on OpenAlexaff
Leah D’Souza, Jasbir Jaswal, Marjorie Johnson, KengYeow Tay, Kevin Fung, David A. Palma

Bibliographic record

VenueThe FASEB Journal · 2013
Typearticle
Languageen
FieldPhysics and Astronomy
TopicAdvanced Radiotherapy Techniques
Canadian institutionsVictoria HospitalLondon Health Sciences CentreCancer Care OntarioWestern University
Fundersnot available
KeywordsContouringRadiation oncologistMedicineCurriculumWilcoxon signed-rank testMedical physicsRadiation oncologyHead and neckTest (biology)Head and neck cancerOtorhinolaryngologyMedical educationGross anatomyRadiation therapyRadiologyNuclear medicineInternal medicineSurgeryPsychologyPathologyComputer science

Abstract

fetched live from OpenAlex

Radiation oncology has undergone a paradigm shift with the advent of precision radiotherapy techniques, demanding a thorough understanding of gross and radiologic anatomy for diagnostic and therapeutic applications. Complex anatomic sites present challenges for learners and are not well‐addressed in traditional postgraduate curricula. We developed a novel, MDT, hands‐on head‐and‐neck curriculum for residents and empirically assessed learning outcomes. 15 post‐graduate trainees participated in 4 MDT head‐and‐neck workshops, created collaboratively by an anatomist, radiologist, radiation oncologist, and otolaryngologist. Pre‐ and posttesting was performed to assess knowledge and accuracy of contouring, with a demographic profile survey and post‐intervention feedback survey. Paired analyses of knowledge pretests and postests were performed by Wilcoxon signed‐rank test. A statistically significant (p<0.001) mean absolute change of 4.6 points was observed between knowledge pretest and posttest scores. Contouring accuracy will be analyzed qualitatively (adequacy assessed by an expert) and quantitatively (calculating spatial overlap of participants’ contours and a gold standard through the dice similarity coefficient). Incorporating MDT anatomic workshops into the curriculum is a beneficial intervention associated with improved post‐intervention scores and resident satisfaction. Grant Funding Source : Departmental Submitted to PAEA 5/25/2012 (bqmelcher)

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: none
Teacher disagreement score0.011
Threshold uncertainty score0.038

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.006
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0110.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.014
GPT teacher head0.316
Teacher spread0.302 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreMethods

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2013
Admission routes1
Has abstractyes

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