ESTRO 2023 - Abstract Book
S883
Digital Posters
ESTRO 2023
assessing the sexual health of oncology patients in general and in different tumor locations (4 questions) 4) 1 question for the need of specific training on sexual health. Results The participation rate was 70% (42 residents: 25 radiation oncologists (59.5%) and 17 (40.5%) medical oncologists). The median age was 27.5 years [23-34] with a sex ratio of 0.35. All training levels were represented and 15 participants 35.7%) were in 4th grade. Most participants (30 participants; 71.4%) have already assessed the sexual health of their patients in a clinical routine (n=12; 40%) or at the patient’s request (n=11; 36.7%). Thirty-eight participant (90%) believe that sexual health assessment of oncology patients is at least necessary (necessary: n=16 (38.1%); very important n=12 (28.6%), and mandatory n=10 (23.8%)). This assessment must be done by the oncologist according to 19 participants (45.2%) and throughout care according to 28 participants (66.7%). Sexual health assessment was considered mandatory by the majority of participants for the following tumor locations: Prostate cancer (27 participants; 64.3%), Cervical cancer (27 participants; 64.3%), endometrial cancer (26 participants; 61.9%), and other urological cancers (21 participants; 50%). For the question "On a scale of 1 (does not affect) to 5 (maximum effect), to what extent do these different parameters affect the sexual health of oncology patients?" most participants gave a score of 4 or 5 for organic lesion (26 participants; 61.9%), radiotherapy (22 participants; 52.4%), chemotherapy and hormonotherapy (30 participants each; 71.4%), body image alteration (33 participants; 78.6%), depression (36 participants; 85.7%), and partner's fears (31 participants; 73,8%). Thirty-seven participants (88.1%), 35 participants (83.5%), and 34 participants (81%) report not having training in sexual health assessment of oncology patients, Sexual management and do not know a sexual assessment scale respectively. Thirty-four participants (81%) would be interested in training on oncology patient sexuality. Conclusion The results of our study confirm the lack of knowledge about sexual health among oncology residents. The importance of sexual health assessment and management of sexual dysfunction for oncology patients underscores the need to strengthen resident training on these topics. 1 Centre Antoine-Lacassagne, Medical physics unit, NICE, France; 2 French Society of Medical Physicists, SFPM, PARIS, France; 3 Institut de Cancérologie de l'Ouest, Medical Physics Department, Saint Herblain, France; 4 Clinique Mutualiste de l'Estuaire, Medical Physics Unit, Saint Nazaire, France; 5 French Society of Radiation Oncologists, SFRO, PARIS, France; 6 Hôpital Tenon, Radiation oncology department, PARIS, France; 7 Hôpital Haut-Lévêque - CHU de Bordeaux, Radiation oncology department, PESSAC, France; 8 Centre Henri Becquerel, Medical Physics Unit, ROUEN, France Purpose or Objective Integrity, skills, responsibility, respect of the patient by being honest and trustworthy are the pillars of health professions. Since 2019, a strong bond already existed between French radiation oncologist (SFRO) ethics commission including RTT, medical physicist, philosopher, psychologist… and French medical physicist society (SFPM) but thus far in France, ethics in medical physics is not implemented via scientific organization. To have a snapshot of the situation and of the need of French medical physicists, a survey based on AAPM work (Ozturk 2013) was conducted by SFPM. Materials and Methods A comprehensive web-based survey that captured the current state of practice concerning ethics and professionalism for medical physicists was provided. Parameters were adapted to the French educational system and European legal context. The survey consisted of five sections: i) demographics, ii) initial and continuous training, iii) experiences with ethically/professionally questionable practices in clinical, iv) research and educational settings, v) positioning concerning ethics training. An open commentary was also provided. Results 249 answers were received (57% male, 42,6% female, 0,4% other; median age 38,5y). PhD was present for 39,4% of the respondents. Vast majority was working in France (94,8%), 2,8% in Europe. Majority of the respondents are male graduated with a master degree, trained and working in France, mean age 40,5years and 13,7 mean years of professional experience. Lack of specific training concerning ethics and/or professionalism during Master (92% of negative responses) was highlighted. This percentage is slightly lower (86% of negative responses) for the dedicated professional specialization year. Ethics should be part of the initial training for 92% of the respondents and of continuous education for 73%. Direct personal knowledge of unethical or questionable behaviour was always quoted, mainly hostile work environment (56,6%), followed by favouritism (55%). Close to 92% of the respondents state the importance of ethics being a part of initial training and 73% part of continuous training. Among them, 83% would be interested in attending dedicated workshop or seminars. Conclusion To meet the expectations of French medical physicists, SFPM has created a working group on ethics and professionalism. In its scope is the definition of a code of ethics in the dynamic of the already existing codes. It will work particularly on initial and continuous training to include in a better way ethics in medical physicist profession. Publications issued from the pluriprofessional dynamic [e.g., Haaser, 2020] disseminate Ethics considerations in the community. [Ozturk, 2013] Ozturk N, Armato S, Giger ML, et al. Ethics and professionalism in medical physics: a survey of AAPM members. Med Phys. 2013 PO-1104 Ethics and professionalism in French medical physicist community: survey results and implications. C. Dejean 1,2 , A. Lisbona 3 , M. Moreau 4 , J. Lagrange 5 , F. Huguet 6 , T. Haaser 7 , A. Dieudonne 8
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