Search

Purpose Although mentorship is described extensively in academic medical literature, there are few descriptions of mentorship specific to radiation oncology. The goal of the current study was to investigate the state of mentorship in radiation oncology through a scoping review of the literature. Methods and Materials A search protocol was defined according to Preferred Reporting Items for Systematic Reviews and Meta Analyses extension for scoping reviews (PRISMA-ScR) guidelines. Predefined search terms and medical subject headings were used to search PubMed for English language articles published after January 1, 1990, on mentorship in radiation oncology. Additionally, in-press articles from major radiation oncology and medical education journals were searched. Three reviewers determined article eligibility. Included articles were classified based on predefined evaluation criteria. Results Fourteen publications from 2008 to 2019 met inclusion criteria. The most commonly described form of mentorship was the dyad (64.3%), followed by team (14.3%) and peer (7.1%); 2 articles did not specify mentorship type (14.3%). The most commonly mentored participants were residents (35.7%), followed by medical students (35.7%) and attendings (21.4%); 1 study included participants of all levels (7.1%). Thirteen studies (92.9%) identified an experimental study design, most of which were cross-sectional (42.9%), followed by cohort studies (28.6%) and before/after (21.4%). Median sample size, reported in 12 of 13 experimental studies, was 132 (coefficient of variation, 1.06). Although outcomes varied widely, the majority described successful implementation of mentorship initiatives with high levels of participant satisfaction. Conclusions Although few initiatives are currently reported, the present study suggests that these initiatives are successful in promoting career development and increasing professional satisfaction. The interventions overwhelmingly described mentorship dyads; other forms of mentorship are either less common or understudied. Limitations included interventions not being evaluated in a controlled setting, and many were assessed using surveys with low response rates. This review highlights rich opportunities for future scholarship to develop, evaluate, and disseminate radiation oncology mentorship initiatives.

Important, yet unexplored effects of chemically distinct initiator fragments incorporated at chain ends in linear polymer are investigated in depth. Polystyrene (PS) samples of a wide range of molecular weight (MW) were synthesized by conventional free radical polymerization and controlled radical polymerization using seven different initiators and compared with anionically polymerized PS. The initiator fragments incorporated during polymerization have major consequences on the glass transition temperature (Tg) and dynamic fragility of low MW PS. For example, with ∼4 kg/mol PS, the Tg onset value and fragility can be tuned from ∼334 K and ∼65, respectively, with dodecanethiol and hydrogen atom chain ends to ∼367 K and ∼130, respectively, with cyanopentanoic acid chain ends. A similar high Tg and high fragility were measured with isobutyric acid/SG1 nitroxide chain ends. These remarkable effects, with a greater than 30 K difference in Tg and a factor of 2 difference in fragility, indicate that chain ends i...