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. 2025 Sep 3:12:23821205251372109.
doi: 10.1177/23821205251372109. eCollection 2025 Jan-Dec.

Practice and Evaluation of Competence in the Application of Monaco Planning System in Undergraduate Radiotherapy Internship Teaching: A Randomized Controlled Study

Hongbo Zou  1 , Qichao Xie  1 , Bijing Mao  1
Affiliations

Practice and Evaluation of Competence in the Application of Monaco Planning System in Undergraduate Radiotherapy Internship Teaching: A Randomized Controlled Study

Hongbo Zou et al. J Med Educ Curric Dev. .

Abstract

Objectives: To explore the efficacy of a novel teaching model based on the Monaco planning system in radiation oncology education.

Methods: Forty clinical undergraduate medical interns were randomized and equally divided into a control group and an experimental group. The experimental group underwent the Monaco planning system-based teaching model, while the control group received conventional clinical teaching activities. Upon completion of the internship, both groups were simultaneously assessed mini clinical evaluation exercise (Mini-CEX), direct observation of procedural skills (DOPS), and end-of-rotation theoretical and clinical skills assessment. A satisfaction survey was also conducted. The assessment scores were compared to evaluate the teaching effectiveness.

Results: The experimental group demonstrated significantly better scores than the control group according to the 7 core evaluation indicators of Mini-CEX, DOPS assessment results, final departmental exam performance, and satisfaction scores, with statistically significant differences (P < .05).

Conclusion: The Monaco planning system-based teaching model significantly enhances clinical competency and learner satisfaction in radiation oncology education compared to traditional methods.

Keywords: Monaco planning system; direct observation of procedural skills; mini-clinical exercise evaluation; radiation oncology; teaching model.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart of this research.
Figure 2.
Figure 2.
The Monaco planning system reconstructs CT scans into three-dimensional images. (A) CT images in axial, coronal, and sagittal planes; (B) 3D-reconstructed images viewable from multiple angles using the Monaco planning system.
See this image and copyright information in PMC

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