État des lieux de la formation initiale de l’internat d’oncologie après la quatrième vague pandémie de la COVID-19 : une enquête AERIO-SFJRO Formation of French oncology resident: A national survey

Contexte La pandémie de la COVID-19 a perturbé le fonctionnement des hôpitaux et de l’enseignement supérieur. Une précédente enquête a montré que la formation des internes avait été affectée lors de la première vague. Un an plus tard, nous souhaitons évaluer l’état des lieux de la formation des internes d’oncologie. Méthodes Il s’agit d’une enquête transversale, réalisée par l’AERIO et la SFJRO, auprès des internes d’oncologie français, diffusée via les canaux de communication de ces associations. Résultats Cent soixante-quatre internes ont répondu. Soixante-quatre (39 %) étaient des hommes et 99 (60,4 %) étaient des femmes et un n’a pas souhaité se prononcer sur son sexe (0,6 %). L’âge moyen était de 26,8 ans et le semestre moyen était de 5,7. Cent cinq (64 %) avaient choisi l’option oncologie médicale et 53 (32,3 %) l’option oncologie radiothérapie. Des cours étaient organisés lors des stages pour cent quarante internes (85,4 %), majoritairement dans les CLCC (77,1 %) et les CHU (60,7 %). Des cours de DES étaient organisés pour 121 internes (73,8 %), à une fréquence mensuelle dans 34,7 % des cas. Respectivement, 42,7 et 18,3 % des internes accédaient rarement et jamais à leurs demi-journées de formation. L’attractivité de l’internat en oncologie résidait dans le dynamisme scientifique (91,9 %), la richesse clinique (82 %) et l’approfondissement des connaissances (78,9 %). Les freins à l’attractivité de l’internat d’oncologie étaient la lourdeur psychologique (64 %), une charge administrative trop importante (48,2 %) et des horaires de travail trop lourdes (47 %). Conclusion Cette enquête sur les internes d’oncologie dresse l’état des lieux de la formation fin 2021 et résume les principales attentes des internes en oncologie pour sauvegarder l’attractivité de leur internat.

Spreading geriatric oncology culture through professional caregivers: Results of a French massive open online course (MOOC).

Geriatric oncology is based on the synergy between several professionals whose common goal is to improve care for older patients with cancer. This requires sharing a common core of knowledge to facilitate collaboration between them. To date, training in geriatric oncology has been limited in scope and difficult to access for caregivers, particularly nurses and healthcare aides. To meet this need, a massive open online course (MOOC), in geriatric oncology has been developed in France. This kind of course aims to provide simultaneous access for a large number of participants and to foster communication with the pedagogical team through discussion forums. The first session of the MOOC, which has been set up in the Occitania region of France, went online nationwide from March 6 to June 23, 2020. Despite the SARS CoV-2 global health crisis, 1020 people subscribed to the first session and 417 (40.9%) were certified at the end of the course. Most are nurses (35.2%) and work outside Occitania (56.3%). A survey revealed a high satisfaction level regarding relevance of lessons (97.9%), pedagogical quality of teaching team (97.9%), knowledge acquisition (93.6%), meeting learners' needs (90.4%) and practical value of the course (88.3%). This preliminary experience demonstrates the ability of this MOOC to spread the culture of geriatric oncology and the educational potential of this new type of online training.

[COVID-19 impact on the cancer care structuration: Example of the multidisciplinary team meeting dedicated to oncology in Occitanie]

This work examines the impact of the SARS-CoV2 epidemic and the organizational recommendations that have been issued since March 16 on tumor boards (TB) activity. The tumor board activity was measured from tumor board sheets extracted from the oncologic electronic file between January 7, 2019 and April 24, 2020. The pre-containment activity was compared to the activity of the containment periods but also to the equivalent periods in 2019. The number of meetings held, the average number of files reviewed per meeting including first presentations and the average number of physicians' attendance were the evaluation criteria. The study covered 191 TB that held 3943 multidisciplinary team meetings (MTM) and reviewed 72,070 files (including 30,127 first submissions). There was a moderate decrease of 8 % in the number of meetings after March 16, 2020. The number of files examined decreased by 23 % in the following month and even more by 33 % in the third period. The physicians' number who attended MTM also decreased by 25 %. The negative impact was higher in the Mediterranean part of the region. This first study of tumor board activity, covering a large region but little affected by the pandemic, shows that its impact on the participation to the MTM has been moderate. In addition, tumor boards have followed the recommendations for optimizing quorum. However, the decrease in average MTM activity, particularly for first submissions, suggests a potential delay in patient management. Complementary qualitative and quantitative works are warranted to estimate the real impact on carcinologic outcomes.