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<p>Purpose. Although hematology/oncology (H/O) topics are essential for clinicians, many internal medicine (IM) residents perceive inadequate H/O education. This perception may be due to the lack of a standardized H/O curriculum. To address this gap, we aimed to achieve consensus about the most important H/O topics for IM residents to learn. Methods. In 2023, we conducted a 2-round modified Delphi study of IM generalists and H/O specialists at the University of California, San Francisco and Stanford University. In round 1, participants rated the importance of H/O topics on a 5-point scale (1 = very unimportant; 5 = very important). In round 2, participants viewed their own ratings vs. the group mean and could change their ratings. We used a content validity index (CVI, the percentage of respondents who rated the topic ≥ 4) of ≥ 75% to identify the most important topics. We calculated the effect sizes of between-group rating differences using Cohen’s d. Results. The round 1 and 2 response rates were 70% (92/132) and 77% (71/92), respectively. Ninety-one of the 239 topics met the CVI threshold (41 classical hematology, 14 malignant hematology, and 36 solid oncology), of which only 4 out of 91 (4%) had a large effect size, indicating agreement between generalists and specialists. There were 14 topics with a CVI of 100%, including deep venous thrombosis/pulmonary embolism, iron deficiency anemia, advance care planning, and management of end-of-life issues. Conclusion. With input from IM generalists and H/O specialists, we identified the most important H/O topics for IM residents, which can guide curriculum development.</p>

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Optimizing a Hematology/Oncology Curriculum for Internal Medicine Residents: A Two-Institution Modified Delphi Study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月30日

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  • Jordyn F. Silverstein,
  • Laura A. Huppert,
  • Matthew Schwede,
  • Sarah Goglin,
  • Tyler P. Johnson,
  • Jennifer M. Babik,
  • Sam Brondfield

摘要

Purpose. Although hematology/oncology (H/O) topics are essential for clinicians, many internal medicine (IM) residents perceive inadequate H/O education. This perception may be due to the lack of a standardized H/O curriculum. To address this gap, we aimed to achieve consensus about the most important H/O topics for IM residents to learn. Methods. In 2023, we conducted a 2-round modified Delphi study of IM generalists and H/O specialists at the University of California, San Francisco and Stanford University. In round 1, participants rated the importance of H/O topics on a 5-point scale (1 = very unimportant; 5 = very important). In round 2, participants viewed their own ratings vs. the group mean and could change their ratings. We used a content validity index (CVI, the percentage of respondents who rated the topic ≥ 4) of ≥ 75% to identify the most important topics. We calculated the effect sizes of between-group rating differences using Cohen’s d. Results. The round 1 and 2 response rates were 70% (92/132) and 77% (71/92), respectively. Ninety-one of the 239 topics met the CVI threshold (41 classical hematology, 14 malignant hematology, and 36 solid oncology), of which only 4 out of 91 (4%) had a large effect size, indicating agreement between generalists and specialists. There were 14 topics with a CVI of 100%, including deep venous thrombosis/pulmonary embolism, iron deficiency anemia, advance care planning, and management of end-of-life issues. Conclusion. With input from IM generalists and H/O specialists, we identified the most important H/O topics for IM residents, which can guide curriculum development.