ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2026
Mixed-Stage Radiation Oncology Training Within a National Cross-Specialty Oncology Program: Educational Outcomes and Regulatory Implications.
Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
France's national cross-specialty oncology training program (Transversal Specialized Training, FST) includes 6-month rotations in medical oncology and radiation oncology. For selected specialties, a mixed-stage pathway may replace the standard radiation oncology rotation with 3 months in radiation oncology plus 3 months in medical oncology or an oncology-certified parent-specialty service. We explored this alternative pathway's educational outcomes. We conducted an exploratory subgroup analysis of 19 residents who completed mixed-stage FST training within a nationwide FST evaluation cohort (n = 203). Outcomes included satisfaction across nine radiation oncology domains, pedagogical evaluations, organization preferences, perceived adequacy of a 3-month radiation oncology placement, and subsequent oncological engagement. Mixed-stage participants (mean age 30.5 ± 1.6 years; 10 males) were residents in urology (n = 7), dermatology (n = 5), hepato-gastroenterology (n = 3), endocrinology (n = 2), and pulmonology (n = 2). Most completed sequential training (16/19), which was also the preferred organization (17/19). Overall, six residents (31.6%) achieved high general satisfaction, defined as a composite score ≥ 7/10. Satisfaction varied substantially by specialty: both pulmonology residents achieved high satisfaction, whereas no hepato-gastroenterology resident did. Patient communication scored highest (6.47 ± 2.61), while clinical research training was lowest-rated (3.79 ± 2.27). High oncological engagement was reported by 8 of 19 residents. Mixed-stage radiation oncology training showed heterogeneous educational outcomes and variable implementation across specialties. Within the limits of this small exploratory analysis, these findings support prioritizing standardized 6-month radiation oncology rotations, or at minimum strictly auditable criteria when mixed-stage pathways are authorized.
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