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Trainee experiences and attitudes to phase 1 oncology trials: a cross‐sectional survey of Australian medical oncology trainees

Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Phase 1 oncology trials (POTs) are challenging to discuss with patients due to safety and efficacy uncertainties. In Australia, there is currently no formal training on POTs for oncology trainees. AIMS: This study aims to assess trainees' experiences and attitudes towards POTs to identify gaps that could inform the development of training and educational resources. METHODS: A 25-item online questionnaire was distributed to recently fellowed or current medical oncology advanced trainees in Australia. Responses regarding experience, perceptions and confidence in POT patient care and communication were analysed descriptively. Wilcoxon rank sum tests were performed to identify factors positively associated with confidence in POT domains. RESULTS: Twenty trainees completed the questionnaire. Although trainees typically had considerable clinical experience with POTs, half (n = 10) received 'None' or 'Slight' training, and only three (15%) evaluated the quality of their training to be above average. Trainees expressed confidence in assessing POT eligibility (mean score 3.55) and tumour response evaluation (mean score 3.3). Trainees reported lower confidence with discussing efficacy, toxicity and logistics of POTs (combined mean score 2.8). Higher levels of oncology experience (P = 0.011) and training in POTs (P = 0.034) were significantly associated with greater confidence in POT clinical domains. CONCLUSION: Australian medical oncology trainees are highly involved in the care of patients on POTs despite receiving minimal training. Trainees report greater confidence in performing trial-specific clinical assessments than in discussing clinical aspects of POTs. This study highlights the need for formalised training and the development of education resources to enhance conduct and information provision regarding POTs.
DOI: 10.1111/imj.70306
Language: English
Field: Medicine
Open Access status: bronze
OpenAlex ID: W7116724770
FWCI:
Cites: 13
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