Though the electronic medical record has streamlined the process for ordering chemotherapy and reduced medical error, it has come at the cost of potentially hindering medical oncology fellows’ acquisition of basic principles of chemotherapy administration. Recognizing the need for improving fellow knowledge and comfort level in chemotherapy prescription, we created an anticancer therapeutics curriculum for fellows at the University of North Carolina (UNC). The curriculum, which was comprised of a self-assessment, review session, and chemotherapy writing workshop, was offered voluntarily to all UNC fellows planning to take the medical oncology boards. We distributed a pre-intervention and post-intervention survey. In total, 11 of 18 fellows participated. After our interventions, there were statistically significant improvements in comfortability with calculating a dose of chemotherapy (p = 0.002), writing orders (p = 0.004), and taking the American Society of Clinical Oncology (ASCO) In-Training Exam (ITE) (p = 0.002). Furthermore, we saw a 4% overall improvement in pharmacology subset scores on the ITE compared to the prior year. Overall, our study suggested that the addition of a chemotherapy competency curriculum led to improved outcomes on the ASCO ITE, improved comfortability in chemotherapy administration, and hopefully improved patient care.

尽管电子病历简化了订购化疗的流程并减少了医疗错误，但其代价是潜在地阻碍了肿瘤内科研究员掌握化疗管理的基本原则。认识到需要提高化疗处方方面的知识和舒适度，我们为北卡罗来纳大学 (UNC) 的研究员创建了抗癌治疗课程。该课程由自我评估、审查会议和化疗写作研讨会组成，自愿提供给所有计划参加医学肿瘤学委员会的 UNC 研究员。我们分发了干预前和干预后调查。共有 18 名研究员中的 11 名参加。在我们介入之后，p  = 0.002)、书写订单 ( p  = 0.004) 和参加美国临床肿瘤学会 (ASCO) 培训考试 (ITE) ( p  = 0.002)。此外，与上一年相比，我们发现 ITE 的药理学子集分数总体提高了 4%。总体而言，我们的研究表明，增加化疗能力课程可改善 ASCO ITE 的结果，提高化疗给药的舒适度，并有望改善患者护理。