Advances and gaps in undergraduate medical oncology education: a scoping review
摘要
Cancer remains one of the leading causes of death worldwide, yet undergraduate medical curricula often provide limited and inconsistent exposure to oncology. Despite calls for reform, there has been no recent comprehensive synthesis of educational strategies to prepare medical students for the complexities of cancer care. To address this gap, we conducted a scoping review to update and expand upon the earlier work of Gaffan et al., systematically synthesizing 18 years (2004–2022) of literature on medical oncology education for undergraduate medical students, with a focus on teaching interventions and curriculum implementation.
MethodsThe authors conducted a comprehensive literature search in multiple databases employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist, developed in collaboration with a librarian. The inclusion criteria targeted studies on pre-clinical and clinical medical oncology educational interventions for medical students, and exclusion criteria removed non-relevant studies, focusing solely on undergraduate medical education. Multiple reviewers independently conducted screening and data extraction to minimize bias and ensure detailed results.
ResultsThe search identified 3314 studies, with 63 meeting the inclusion criteria. These studies were categorized into pre-clinical curricular, clinical curricular, and extracurricular interventions, focusing on various teaching modalities, ethics, disparities, and communication skills. Notably, the majority of studies concentrated on teaching modalities (48 papers), with fewer addressing ethics (11 papers) and communication skills (4 papers).
ConclusionsThis review provides an accessible summary of undergraduate oncology education research and helps to inform educators of innovative, effective educational practices to be uniformly implemented. It also points to the necessity for increased research focus in this area to enhance the preparedness of medical students in handling the complexities of caring for patients with cancer.