Table 2.
Prompt | ROs (n=22) | MS1s (n=315) | MS4s (n=404) | PCPs (n=43) | MS4s or PCPs with RO rotation in med school (n=42) | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
n answering “YES” | n answering “NO” | Agreement | n answering “YES” | % answering correctly | Chi-squared p-value | 95% CI | n answering “YES” | % answering correctly | Chi-squared p-value | 95% CI | n answering “YES” | % answering correctly | Chi-squared p-value | 95% CI | n answering “YES” | % answering correctly | Chi-squared p-value | 95% CI | ||||||
RT can be used to cure (i.e. not just palliate) certain cancers | • alone | 22 | 0 | 100% | 236 | 75% | 0.007 | 0.70 | 0.80 | 338 | 84% | 0.04 | 0.80 | 0.87 | 37 | 86% | 0.07 | 0.76 | 0.96 | 41 | 98% | 0.47 | 0.87 | 1.00 |
• with surgery | 21 | 1 | 95% | 264 | 84% | 0.13 | 0.80 | 0.88 | 353 | 87% | 0.16 | 0.84 | 0.91 | 39 | 91% | 0.17 | 0.82 | 0.99 | 40 | 95% | 0.94 | 0.84 | 0.99 | |
• with chemo | 21 | 1 | 95% | 269 | 85% | 0.18 | 0.81 | 0.89 | 343 | 85% | 0.17 | 0.81 | 0.88 | 38 | 88% | 0.38 | 0.79 | 0.98 | 40 | 95% | 0.94 | 0.84 | 0.99 | |
Radiation RT can be used as a part of the standard initial management of the following conditions: | • Arteriovenous malformations | 22 | 0 | 100% | 110 | 35% | <0.0001 | 0.30 | 0.40 | 169 | 42% | <0.0001 | 0.37 | 0.47 | 19 | 44% | <0.0001 | 0.29 | 0.59 | 33 | 79% | 0.02 | 0.66 | 0.91 |
• Breast cancer | 21 | 1 | 95% | 277 | 88% | 0.29 | 0.84 | 0.92 | 342 | 85% | 0.16 | 0.81 | 0.88 | 36 | 84% | 0.17 | 0.73 | 0.95 | 39 | 93% | 0.68 | 0.81 | 0.99 | |
• Kidney cancer | 1 | 21 | 5% | 234 | 13% | <0.0001 | 0.10 | 0.17 | 216 | 36% | <0.001 | 0.31 | 0.41 | 24 | 26% | <0.001 | 0.13 | 0.39 | 18 | 38% | <0.0001 | 0.23 | 0.53 | |
• Lung cancer | 22 | 0 | 100% | 24 | 8% | <0.0001 | 0.09 | 0.16 | 317 | 78% | 0.02 | 0.74 | 0.82 | 38 | 88% | 0.10 | 0.79 | 0.98 | 41 | 98% | 0.47 | 0.87 | 1.00 | |
• Lymphoma | 22 | 0 | 100% | 181 | 57% | <0.0001 | 0.52 | 0.63 | 228 | 56% | <0.0001 | 0.52 | 0.61 | 30 | 70% | <0.001 | 0.56 | 0.83 | 31 | 74% | 0.008 | 0.61 | 0.87 | |
• Pancreatic cancer | 21 | 1 | 95% | 229 | 73% | 0.018 | 0.68 | 0.78 | 216 | 53% | <0.0001 | 0.49 | 0.58 | 22 | 51% | <0.0001 | 0.36 | 0.66 | 24 | 57% | 0.002 | 0.42 | 0.72 | |
• Prostate cancer | 22 | 0 | 100% | 279 | 89% | 0.09 | 0.85 | 0.92 | 366 | 91% | 0.13 | 0.88 | 0.93 | 39 | 91% | 0.14 | 0.82 | 1.0 | 40 | 95% | 0.3 | 0.84 | 0.99 | |
• Spinal cord compression from cancer | 22 | 0 | 100% | 155 | 49% | <0.0001 | 0.44 | 0.55 | 289 | 72% | <0.001 | 0.67 | 0.76 | 32 | 74% | 0.01 | 0.61 | 0.87 | 39 | 93% | 0.19 | 0.81 | 0.99 | |
• Superior vena cava (SVC) syndrome | 22 | 0 | 100% | 90 | 29% | <0.0001 | 0.24 | 0.34 | 213 | 53% | <0.0001 | 0.48 | 0.58 | 26 | 60% | <0.001 | 0.46 | 0.75 | 34 | 81% | 0.03 | 0.69 | 0.93 | |
• Urosepsis | 0 | 22 | 0% | 81 | 57% | 0.006 | 0.51 | 0.62 | 27 | 82% | 0.22 | 0.78 | 0.86 | 0 | 72% | <0.001 | 0.59 | 0.85 | 1 | 86% | 0.46 | 0.75 | 0.96 | |
For prostate cancer, proton therapy is associated with improved outcomes compared to conventional radiation therapy. | 0 | 22 | 0% | 235 | 12% | <0.0001 | 0.09 | 0.16 | 253 | 63% | <0.0001 | 0.58 | 0.67 | 27 | 21% | <0.0001 | 0.09 | 0.33 | 14 | 67% | 0.002 | 0.52 | 0.81 | |
IMRT stands for: Intensity modulated radiation therapy | 22 | 0 | 100% | 152 | 48% | <0.0001 | 0.43 | 0.54 | 225 | 56% | <0.0001 | 0.51 | 0.61 | 24 | 56% | <0.0001 | 0.41 | 0.71 | 35 | 83% | 0.04 | 0.72 | 0.95 | |
Radiation therapy is never used in pediatric cancers due to the high risk of a second cancer and/or developmental defects. | 0 | 22 | 100% | 94 | 70% | 0.008 | 0.65 | 0.75 | 84 | 76% | 0.02 | 0.72 | 0.80 | 3 | 86% | 0.01 | 0.76 | 0.96 | 3 | 93% | 0.2 | 0.81 | 0.99 | |
Once an area receives radiation, it cannot be radiated again. | 1 | 21 | 95% | 24 | 90% | 0.59 | 0.86 | 0.93 | 37 | 88% | 0.45 | 0.85 | 0.91 | 11 | 67% | 0.01 | 0.53 | 0.81 | 4 | 90% | 0.13 | 0.82 | 0.99 | |
Radiation therapy is almost always used for palliation (i.e. to improve symptoms but not to cure). | 1 | 21 | 95% | 64 | 77% | 0.07 | 0.72 | 0.81 | 40 | 89% | 0.41 | 0.86 | 0.92 | 36 | 84% | <0.001 | 0.73 | 0.95 | 41 | 98% | 0.63 | 0.87 | 1.00 |
Abbreviations: CI: confidence interval MS1: first year medical student; MS4: fourth year medical student; PCP: primary care physician; RO: radiation oncologist/oncology; RT: radiation therapy
Note: p-values < 0.05 are in red boxes; others are in green.