{"id":"https://openalex.org/W7225738804","doi":"https://doi.org/10.12688/mep.21987.1","title":"What Shapes a Radiation Oncologist? A Preliminary National Survey of Residents and Attendings on Perceived Determinants of Residency Training Quality","display_name":"What Shapes a Radiation Oncologist? A Preliminary National Survey of Residents and Attendings on Perceived Determinants of Residency Training Quality","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225738804","doi":"https://doi.org/10.12688/mep.21987.1"},"language":"en","primary_location":{"id":"doi:10.12688/mep.21987.1","doi":"https://doi.org/10.12688/mep.21987.1","is_oa":true,"landing_page_url":"https://doi.org/10.12688/mep.21987.1","pdf_url":null,"source":{"id":"https://openalex.org/S2764564362","display_name":"MedEdPublish","issn_l":"2312-7996","issn":["2312-7996"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4362643901","host_organization_name":"Association for Medical Education in Europe","host_organization_lineage":["https://openalex.org/P4362643901"],"host_organization_lineage_names":["Association for Medical Education in Europe"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedEdPublish","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.12688/mep.21987.1","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161402332","display_name":"Kirti Sharma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]},{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kirti Sharma","raw_affiliation_strings":["New Hyde Park New York Northwell Health","Richmond Virginia Virginia Commonwealth University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"New Hyde Park New York Northwell Health","institution_ids":["https://openalex.org/I1302444339"]},{"raw_affiliation_string":"Richmond Virginia Virginia Commonwealth University School of Medicine","institution_ids":["https://openalex.org/I184840846"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033006878","display_name":"Husneara Rahman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Husneara Rahman","raw_affiliation_strings":["New Hyde Park New York Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"New Hyde Park New York Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028818987","display_name":"Louis Potters","orcid":"https://orcid.org/0000-0003-4922-2061","observed_orcids":["https://orcid.org/0000-0003-4922-2061"]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]},{"id":"https://openalex.org/I4210106353","display_name":"Donald & Barbara Zucker School of Medicine at Hofstra/Northwell","ror":"https://ror.org/01ff5td15","country_code":"US","type":"education","lineage":["https://openalex.org/I1302444339","https://openalex.org/I139290212","https://openalex.org/I4210106353"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Louis Potters","raw_affiliation_strings":["Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","New Hyde Park New York Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","institution_ids":["https://openalex.org/I4210106353"]},{"raw_affiliation_string":"New Hyde Park New York Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161402146","display_name":"Rajiv Sharma","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]},{"id":"https://openalex.org/I4210106353","display_name":"Donald & Barbara Zucker School of Medicine at Hofstra/Northwell","ror":"https://ror.org/01ff5td15","country_code":"US","type":"education","lineage":["https://openalex.org/I1302444339","https://openalex.org/I139290212","https://openalex.org/I4210106353"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rajiv Sharma","raw_affiliation_strings":["Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","New Hyde Park New York Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","institution_ids":["https://openalex.org/I4210106353"]},{"raw_affiliation_string":"New Hyde Park New York Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043314766","display_name":"A. Gabriella Wernicke","orcid":"https://orcid.org/0000-0001-8335-3845","observed_orcids":["https://orcid.org/0000-0001-8335-3845"]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]},{"id":"https://openalex.org/I4210106353","display_name":"Donald & Barbara Zucker School of Medicine at Hofstra/Northwell","ror":"https://ror.org/01ff5td15","country_code":"US","type":"education","lineage":["https://openalex.org/I1302444339","https://openalex.org/I139290212","https://openalex.org/I4210106353"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"A. Gabriella Wernicke","raw_affiliation_strings":["Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","New Hyde Park New York Northwell Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","institution_ids":["https://openalex.org/I4210106353"]},{"raw_affiliation_string":"New Hyde Park New York Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5075567509","display_name":"Bhupesh Parashar","orcid":"https://orcid.org/0000-0002-1668-2611","observed_orcids":["https://orcid.org/0000-0002-1668-2611"]},"institutions":[{"id":"https://openalex.org/I1302444339","display_name":"Northwell Health","ror":"https://ror.org/02bxt4m23","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339"]},{"id":"https://openalex.org/I4210106353","display_name":"Donald & Barbara Zucker School of Medicine at Hofstra/Northwell","ror":"https://ror.org/01ff5td15","country_code":"US","type":"education","lineage":["https://openalex.org/I1302444339","https://openalex.org/I139290212","https://openalex.org/I4210106353"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bhupesh Parashar","raw_affiliation_strings":["Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","New Hyde Park New York Northwell Health"],"raw_orcid":"https://orcid.org/0000-0002-1668-2611","affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology Northwell, Hempstead New York Donald and Barbara Zucker School of Medicine at Hofstra","institution_ids":["https://openalex.org/I4210106353"]},{"raw_affiliation_string":"New Hyde Park New York Northwell Health","institution_ids":["https://openalex.org/I1302444339"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1296,"currency":"GBP","value_usd":1589},"apc_paid":{"value":1296,"currency":"GBP","value_usd":1589},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":null,"first_page":"195","last_page":"195"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9726999998092651,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.9726999998092651,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13123","display_name":"Advances in Oncology and Radiotherapy","score":0.006300000008195639,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.006200000178068876,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2992520072","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation oncology","level":3,"score":0.7860000133514404},{"id":"https://openalex.org/C2776535583","wikidata":"https://www.wikidata.org/wiki/Q967647","display_name":"Mentorship","level":2,"score":0.765999972820282},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.6769000291824341},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.5708000063896179},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5598000288009644},{"id":"https://openalex.org/C3019285220","wikidata":"https://www.wikidata.org/wiki/Q256698","display_name":"Residency training","level":3,"score":0.5521000027656555},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.5253999829292297},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.46720001101493835},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4587000012397766},{"id":"https://openalex.org/C2780801425","wikidata":"https://www.wikidata.org/wiki/Q5164392","display_name":"Construct (python library)","level":2,"score":0.4415999948978424},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.4350000023841858},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.38580000400543213},{"id":"https://openalex.org/C2992394448","wikidata":"https://www.wikidata.org/wiki/Q7246234","display_name":"Private practice","level":2,"score":0.37139999866485596},{"id":"https://openalex.org/C2992404031","wikidata":"https://www.wikidata.org/wiki/Q1203526","display_name":"Pilot test","level":2,"score":0.36980000138282776},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.3668000102043152},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.30889999866485596},{"id":"https://openalex.org/C2909208188","wikidata":"https://www.wikidata.org/wiki/Q2046313","display_name":"Radiation Therapist","level":3,"score":0.3043000102043152},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.303600013256073},{"id":"https://openalex.org/C2984224174","wikidata":"https://www.wikidata.org/wiki/Q25324239","display_name":"Survey instrument","level":2,"score":0.2976999878883362},{"id":"https://openalex.org/C2779767262","wikidata":"https://www.wikidata.org/wiki/Q5592059","display_name":"Graduate medical education","level":3,"score":0.2937000095844269},{"id":"https://openalex.org/C188198153","wikidata":"https://www.wikidata.org/wiki/Q1613840","display_name":"Limiting","level":2,"score":0.2922999858856201},{"id":"https://openalex.org/C49453240","wikidata":"https://www.wikidata.org/wiki/Q1592163","display_name":"Construct validity","level":3,"score":0.28349998593330383},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.2802000045776367},{"id":"https://openalex.org/C22156102","wikidata":"https://www.wikidata.org/wiki/Q5341294","display_name":"Educational measurement","level":3,"score":0.2542000114917755},{"id":"https://openalex.org/C2992702578","wikidata":"https://www.wikidata.org/wiki/Q1203526","display_name":"Pilot program","level":2,"score":0.2531000077724457},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.25290000438690186}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.12688/mep.21987.1","doi":"https://doi.org/10.12688/mep.21987.1","is_oa":true,"landing_page_url":"https://doi.org/10.12688/mep.21987.1","pdf_url":null,"source":{"id":"https://openalex.org/S2764564362","display_name":"MedEdPublish","issn_l":"2312-7996","issn":["2312-7996"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4362643901","host_organization_name":"Association for Medical Education in Europe","host_organization_lineage":["https://openalex.org/P4362643901"],"host_organization_lineage_names":["Association for Medical Education in Europe"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedEdPublish","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.12688/mep.21987.1","doi":"https://doi.org/10.12688/mep.21987.1","is_oa":true,"landing_page_url":"https://doi.org/10.12688/mep.21987.1","pdf_url":null,"source":{"id":"https://openalex.org/S2764564362","display_name":"MedEdPublish","issn_l":"2312-7996","issn":["2312-7996"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4362643901","host_organization_name":"Association for Medical Education in Europe","host_organization_lineage":["https://openalex.org/P4362643901"],"host_organization_lineage_names":["Association for Medical Education in Europe"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedEdPublish","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W2033361460","https://openalex.org/W2102806183","https://openalex.org/W2120855906","https://openalex.org/W2142826528","https://openalex.org/W2484918796","https://openalex.org/W2499333236","https://openalex.org/W3049313109","https://openalex.org/W3092822192","https://openalex.org/W4283654346","https://openalex.org/W4293792414","https://openalex.org/W4387643081","https://openalex.org/W4388735512","https://openalex.org/W4410564041","https://openalex.org/W4410733202","https://openalex.org/W4413053055","https://openalex.org/W4414144933","https://openalex.org/W4415991577","https://openalex.org/W4416229163","https://openalex.org/W7225085707"],"related_works":[],"abstract_inverted_index":{"Introduction/Background":[0],"The":[1,120],"modifiable":[2],"features":[3],"of":[4,122,142,173,210,257],"the":[5,112,125,164,219,261],"radiation":[6,52],"oncology":[7,53],"residency":[8,54],"environment":[9],"that":[10],"most":[11,94,113,126,165],"strongly":[12],"influence":[13,117],"perceived":[14],"training":[15,60,66,96],"quality":[16],"remain":[17],"incompletely":[18],"characterized.":[19],"We":[20],"sought":[21],"to":[22,27,124,181],"identify":[23],"physician-reported":[24],"determinants":[25],"and":[26,32,45,68,145,204,239,255],"compare":[28],"perceptions":[29],"between":[30,132],"residents":[31,103,152],"practicing":[33],"attendings.":[34],"Methods":[35],"Cross-sectional,":[36],"anonymous,":[37],"electronic":[38],"pilot":[39,193],"survey":[40],"distributed":[41],"through":[42],"program":[43],"directors":[44],"chairs":[46],"at":[47],"110":[48],"United":[49],"States":[50],"academic":[51,237],"programs.":[55],"A":[56,245],"15-item":[57],"instrument":[58,248],"covered":[59],"content,":[61],"technology":[62],"exposure,":[63],"teaching":[64,167,199],"methods,":[65],"environment,":[67],"satisfaction.":[69],"Between-group":[70,213],"differences":[71],"were":[72],"assessed":[73],"with":[74,196,249],"Fisher\u2019s":[75],"exact":[76],"test":[77],"(SAS":[78],"9.4).":[79],"Results/Findings":[80],"Eighty-three":[81],"physicians":[82,259],"responded":[83],"(42":[84],"residents,":[85],"41":[86],"attendings).":[87],"Education":[88],"during":[89],"outpatient":[90,201],"consultations":[91],"was":[92,111,163],"ranked":[93],"important":[95],"component":[97],"more":[98],"often":[99],"by":[100,138],"attendings":[101],"than":[102,184],"(58.5%":[104],"vs.":[105,158],"38.1%;":[106],"p":[107],"=":[108,135,187],"0.032).":[109],"Mentorship":[110],"commonly":[114],"cited":[115],"positive":[116],"(49.4%":[118],"overall).":[119],"distribution":[121],"responses":[123],"negative":[127],"training-environment":[128],"factor":[129],"differed":[130],"significantly":[131],"groups":[133],"(p":[134,186],"0.003),":[136],"driven":[137],"attendings\u2019":[139],"greater":[140],"endorsement":[141],"malignant":[143],"leadership":[144],"a":[146,231,240],"markedly":[147],"higher":[148],"non-response":[149],"rate":[150],"among":[151],"on":[153,215],"this":[154,192],"single":[155],"item":[156],"(28.6%":[157],"2.4%).":[159],"One-on-one":[160],"case":[161],"discussion":[162],"valued":[166],"modality":[168],"(combined":[169],"75.9%);":[170],"only":[171],"12%":[172],"respondents":[174],"rated":[175],"remote":[176],"didactic":[177],"instruction":[178,206],"as":[179,207],"equal":[180],"or":[182],"better":[183],"in-person":[185],"0.85).":[188],"Discussion/Implications":[189],"Signals":[190],"from":[191,236],"are":[194,228],"consistent":[195],"mentorship,":[197],"faculty":[198],"engagement,":[200],"clinical":[202],"teaching,":[203],"one-on-one":[205],"candidate":[208],"pillars":[209],"high-quality":[211],"training.":[212],"discordance":[214],"negative-experience":[216],"items":[217],"underscores":[218],"need":[220],"for":[221,224],"confidential":[222],"channels":[223],"trainee":[225],"feedback.":[226],"Findings":[227],"hypothesis-generating":[229],"given":[230],"convenience":[232],"sample":[233],"drawn":[234],"predominantly":[235],"practice":[238],"non-validated":[241],"forced-choice":[242],"instrument.":[243],"Conclusion":[244],"formally":[246],"validated":[247],"broader":[250],"construct":[251],"coverage,":[252],"multi-site":[253],"sampling,":[254],"inclusion":[256],"community-practice":[258],"is":[260],"appropriate":[262],"next":[263],"step.":[264]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}