Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)

Purpose: In response to the coronavirus disease 2019 pandemic, current Association of American Medical Colleges guidelines discourage away rotations, posing significant challenges for attracting students to radiation oncology (RO). This is particularly concerning for medical students underrepresente...

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Main Authors: Idalid Franco, MD, MPH, Oluwadamilola T. Oladeru, MD, MA, Anurag Saraf, MD, Kevin X. Liu, MD, DPhil, Michael Milligan, MD, MBA, Anthony Zietman, MD, Paul L. Nguyen, MD, Ariel E. Hirsch, MD, Rachel B. Jimenez, MD
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Advances in Radiation Oncology
Online Access:http://www.sciencedirect.com/science/article/pii/S2452109420302554
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author Idalid Franco, MD, MPH
Oluwadamilola T. Oladeru, MD, MA
Anurag Saraf, MD
Kevin X. Liu, MD, DPhil
Michael Milligan, MD, MBA
Anthony Zietman, MD
Paul L. Nguyen, MD
Ariel E. Hirsch, MD
Rachel B. Jimenez, MD
author_facet Idalid Franco, MD, MPH
Oluwadamilola T. Oladeru, MD, MA
Anurag Saraf, MD
Kevin X. Liu, MD, DPhil
Michael Milligan, MD, MBA
Anthony Zietman, MD
Paul L. Nguyen, MD
Ariel E. Hirsch, MD
Rachel B. Jimenez, MD
author_sort Idalid Franco, MD, MPH
collection DOAJ
description Purpose: In response to the coronavirus disease 2019 pandemic, current Association of American Medical Colleges guidelines discourage away rotations, posing significant challenges for attracting students to radiation oncology (RO). This is particularly concerning for medical students underrepresented in medicine (UIM) due to the potential of widening existing disparities in applicant and workforce composition. To proactively address this, we created a Radiation Oncology Intensive Shadowing Experience (RISE) to expose UIM students to the field of RO. Methods and Materials: Key stakeholders within the residency program, including both UIM faculty and residents with experience in health disparities and medical education, designed a 1-week virtual RISE intended for fourth year UIM students recruited through established national organizations serving UIM medical students. A 1-week disease-specific curriculum was developed using 4 components: (1) foundational exposure to RO, (2) didactic teaching, (3) mentorship opportunities, and (4) a capstone experience. Mentorship was continuously weaved through the experience by attendings, peer resident mentors, and a UIM resident panel to optimize exposure. Results: RISE was successfully initiated at 2 academic medical centers with 12 UIM students enrolled through August. Anonymized pre- and postclerkship surveys were developed for students, residents, and faculty involved in RISE to evaluate participants’ satisfaction, resident and attending time burden, and perceptions of program effectiveness. Conclusions: We created a unique virtual RO shadowing experience for UIM students to address a critical gap in exposure to RO, heightened by the coronavirus disease 2019 pandemic, with the goal of improving diversity, equity, and inclusion in our field.
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spelling doaj.art-cfd3e57d6a354f849658abc412c3b2432022-12-21T19:48:19ZengElsevierAdvances in Radiation Oncology2452-10942021-01-0161100566Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)Idalid Franco, MD, MPH0Oluwadamilola T. Oladeru, MD, MA1Anurag Saraf, MD2Kevin X. Liu, MD, DPhil3Michael Milligan, MD, MBA4Anthony Zietman, MD5Paul L. Nguyen, MD6Ariel E. Hirsch, MD7Rachel B. Jimenez, MD8Harvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts; Department of Radiation Oncology, Dana Farber Cancer Institute/Brigham & Women’s Hospital, Boston, MassachusettsHarvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts; Department of Radiation Oncology, Dana Farber Cancer Institute/Brigham & Women’s Hospital, Boston, MassachusettsHarvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts; Department of Radiation Oncology, Dana Farber Cancer Institute/Brigham & Women’s Hospital, Boston, MassachusettsHarvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts; Department of Radiation Oncology, Dana Farber Cancer Institute/Brigham & Women’s Hospital, Boston, MassachusettsHarvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts; Department of Radiation Oncology, Dana Farber Cancer Institute/Brigham & Women’s Hospital, Boston, MassachusettsHarvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Massachusetts General Hospital, Boston, MassachusettsHarvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Dana Farber Cancer Institute/Brigham & Women’s Hospital, Boston, MassachusettsDepartment of Radiation Oncology, Boston Medical Center, Boston University School of Medicine, Boston, MassachusettsHarvard Radiation Oncology Program, Boston, Massachusetts; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts; Corresponding author: Rachel B. Jimenez, MDPurpose: In response to the coronavirus disease 2019 pandemic, current Association of American Medical Colleges guidelines discourage away rotations, posing significant challenges for attracting students to radiation oncology (RO). This is particularly concerning for medical students underrepresented in medicine (UIM) due to the potential of widening existing disparities in applicant and workforce composition. To proactively address this, we created a Radiation Oncology Intensive Shadowing Experience (RISE) to expose UIM students to the field of RO. Methods and Materials: Key stakeholders within the residency program, including both UIM faculty and residents with experience in health disparities and medical education, designed a 1-week virtual RISE intended for fourth year UIM students recruited through established national organizations serving UIM medical students. A 1-week disease-specific curriculum was developed using 4 components: (1) foundational exposure to RO, (2) didactic teaching, (3) mentorship opportunities, and (4) a capstone experience. Mentorship was continuously weaved through the experience by attendings, peer resident mentors, and a UIM resident panel to optimize exposure. Results: RISE was successfully initiated at 2 academic medical centers with 12 UIM students enrolled through August. Anonymized pre- and postclerkship surveys were developed for students, residents, and faculty involved in RISE to evaluate participants’ satisfaction, resident and attending time burden, and perceptions of program effectiveness. Conclusions: We created a unique virtual RO shadowing experience for UIM students to address a critical gap in exposure to RO, heightened by the coronavirus disease 2019 pandemic, with the goal of improving diversity, equity, and inclusion in our field.http://www.sciencedirect.com/science/article/pii/S2452109420302554
spellingShingle Idalid Franco, MD, MPH
Oluwadamilola T. Oladeru, MD, MA
Anurag Saraf, MD
Kevin X. Liu, MD, DPhil
Michael Milligan, MD, MBA
Anthony Zietman, MD
Paul L. Nguyen, MD
Ariel E. Hirsch, MD
Rachel B. Jimenez, MD
Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)
Advances in Radiation Oncology
title Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)
title_full Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)
title_fullStr Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)
title_full_unstemmed Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)
title_short Improving Diversity and Inclusion in the Post–Coronavirus Disease 2019 Era Through a Radiation Oncology Intensive Shadowing Experience (RISE)
title_sort improving diversity and inclusion in the post coronavirus disease 2019 era through a radiation oncology intensive shadowing experience rise
url http://www.sciencedirect.com/science/article/pii/S2452109420302554
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