Reshma Jagsi

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. A study of resident experiences and perceptions before and after hours reductions
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109 5010, USA
    Arch Intern Med 168:493-500. 2008
  2. ncbi request reprint The "gender gap" in authorship of academic medical literature--a 35-year perspective
    Reshma Jagsi
    Department of Radiation Oncology, Office for Women s Careers, Massachusetts General Hospital, Boston, MA 02114, USA
    N Engl J Med 355:281-7. 2006
  3. pmc Patterns and correlates of adjuvant radiotherapy receipt after lumpectomy and after mastectomy for breast cancer
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, UHB2C490, SPC 5010, 1500 E Medical Center Dr, Ann Arbor, MI 48109 5010, USA
    J Clin Oncol 28:2396-403. 2010
  4. pmc Factors associated with receipt of breast cancer adjuvant chemotherapy in a diverse population-based sample
    Jennifer J Griggs
    University of Michigan, North Campus Research Complex, 2800 Plymouth Rd, Bldg 16, 400S, Ann Arbor, MI 48109 2800, USA
    J Clin Oncol 30:3058-64. 2012
  5. pmc Adjuvant endocrine therapy initiation and persistence in a diverse sample of patients with breast cancer
    Christopher R Friese
    University of Michigan, 400 North Ingalls 4162, Ann Arbor, MI, USA
    Breast Cancer Res Treat 138:931-9. 2013
  6. pmc Correlates of worry about recurrence in a multiethnic population-based sample of women with breast cancer
    Nancy K Janz
    Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan 48109 20296, USA
    Cancer 117:1827-36. 2011
  7. doi request reprint Coordination of breast cancer care between radiation oncologists and surgeons: a survey study
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA
    Int J Radiat Oncol Biol Phys 82:2072-8. 2012
  8. ncbi request reprint Perceived impact of resident work hour limitations on medical student clerkships: a survey study
    Reshma Jagsi
    Office for Graduate Medical Education, Bulfinch 2, Massachusetts General Hospital, 10 Fruit Street, Boston, MA 02114, USA
    Acad Med 80:752-7. 2005
  9. pmc Coordinating cancer care: patient and practice management processes among surgeons who treat breast cancer
    Steven J Katz
    Department of Internal Medicine and Health Management Policy, University of Michigan Health System, Ann Arbor, MI 48109, USA
    Med Care 48:45-51. 2010
  10. doi request reprint Frequency, nature, effects, and correlates of conflicts of interest in published clinical cancer research
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan 48109 5010, USA
    Cancer 115:2783-91. 2009

Detail Information

Publications52

  1. doi request reprint The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. A study of resident experiences and perceptions before and after hours reductions
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109 5010, USA
    Arch Intern Med 168:493-500. 2008
    ..We sought to assess the impact of Accreditation Council for Graduate Medical Education resident work hour limits implemented on July 1, 2003, on resident experiences and perceptions regarding patient safety...
  2. ncbi request reprint The "gender gap" in authorship of academic medical literature--a 35-year perspective
    Reshma Jagsi
    Department of Radiation Oncology, Office for Women s Careers, Massachusetts General Hospital, Boston, MA 02114, USA
    N Engl J Med 355:281-7. 2006
    ..Advancement is largely driven by peer-reviewed original research, so we sought to determine the representation of female physician-investigators among the authors of selected publications during the past 35 years...
  3. pmc Patterns and correlates of adjuvant radiotherapy receipt after lumpectomy and after mastectomy for breast cancer
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, UHB2C490, SPC 5010, 1500 E Medical Center Dr, Ann Arbor, MI 48109 5010, USA
    J Clin Oncol 28:2396-403. 2010
    ..To use patient self-report to provide more valid estimates of whether radiotherapy (RT) is underutilized than possible with registry data, as well as to evaluate for disparities and the influence of preferences and provider interactions...
  4. pmc Factors associated with receipt of breast cancer adjuvant chemotherapy in a diverse population-based sample
    Jennifer J Griggs
    University of Michigan, North Campus Research Complex, 2800 Plymouth Rd, Bldg 16, 400S, Ann Arbor, MI 48109 2800, USA
    J Clin Oncol 30:3058-64. 2012
    ..We investigated factors associated with receipt of chemotherapy in a diverse population-based sample...
  5. pmc Adjuvant endocrine therapy initiation and persistence in a diverse sample of patients with breast cancer
    Christopher R Friese
    University of Michigan, 400 North Ingalls 4162, Ann Arbor, MI, USA
    Breast Cancer Res Treat 138:931-9. 2013
    ..98, 95 % CI 0.95-0.99). Enhanced patient education about potential side effects and the effectiveness of adjuvant endocrine therapy in improving outcomes may improve initiation and persistence rates and optimize breast cancer survival...
  6. pmc Correlates of worry about recurrence in a multiethnic population-based sample of women with breast cancer
    Nancy K Janz
    Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan 48109 20296, USA
    Cancer 117:1827-36. 2011
    ..Worry about recurrence (worry) is a persistent concern of breast cancer survivors. Little is known about whether race/ethnicity or healthcare experiences are associated with worry...
  7. doi request reprint Coordination of breast cancer care between radiation oncologists and surgeons: a survey study
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA
    Int J Radiat Oncol Biol Phys 82:2072-8. 2012
    ..To assess whether radiation oncologists and surgeons differ in their attitudes regarding the local management of breast cancer, and to examine coordination of care between these specialists...
  8. ncbi request reprint Perceived impact of resident work hour limitations on medical student clerkships: a survey study
    Reshma Jagsi
    Office for Graduate Medical Education, Bulfinch 2, Massachusetts General Hospital, 10 Fruit Street, Boston, MA 02114, USA
    Acad Med 80:752-7. 2005
    ..To assess medical students' perceptions of the impact of recent Accreditation Council for Graduate Medical Education policies limiting resident work hours on students' clerkship experiences, resident teaching, and quality of patient care...
  9. pmc Coordinating cancer care: patient and practice management processes among surgeons who treat breast cancer
    Steven J Katz
    Department of Internal Medicine and Health Management Policy, University of Michigan Health System, Ann Arbor, MI 48109, USA
    Med Care 48:45-51. 2010
    ..These initiatives parallel those underway to integrate the management of patients with chronic conditions...
  10. doi request reprint Frequency, nature, effects, and correlates of conflicts of interest in published clinical cancer research
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan 48109 5010, USA
    Cancer 115:2783-91. 2009
    ..Relationships between clinical researchers and industry are becoming increasingly complex. The frequency and impact of conflicts of interest in the full range of high-impact, published clinical cancer research is unknown...
  11. pmc Decision involvement and receipt of mastectomy among racially and ethnically diverse breast cancer patients
    Sarah T Hawley
    Division of General Medicine, Department of Internal Medicine, University of Michigan, 300 N Ingalls, Ste 7E12, Box 0429, Ann Arbor, MI 48109 0429, USA
    J Natl Cancer Inst 101:1337-47. 2009
    ....
  12. doi request reprint Is there a dose-response relationship for heart disease with low-dose radiation therapy?
    Eugene Chung
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109 5010, USA
    Int J Radiat Oncol Biol Phys 85:959-64. 2013
    ..To quantify cardiac radiation therapy (RT) exposure using sensitive measures of cardiac dysfunction; and to correlate dysfunction with heart doses, in the setting of adjuvant RT for left-sided breast cancer...
  13. doi request reprint Gender differences in the salaries of physician researchers
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, UHB2C490, SPC 5010, 1500 E Medical Center Dr, Ann Arbor, MI 48109 5010, USA
    JAMA 307:2410-7. 2012
    ..It is unclear whether male and female physician researchers who perform similar work are currently paid equally...
  14. ncbi request reprint The educational impact of ACGME limits on resident and fellow duty hours: a pre-post survey study
    Reshma Jagsi
    Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
    Acad Med 81:1059-68. 2006
    ..To assess the educational impact of Accreditation Council for Graduate Medical Education resident work-hour limits implemented in July 2003...
  15. ncbi request reprint Residents report on adverse events and their causes
    Reshma Jagsi
    Department of Radiation Oncology, and Institute for Health Policy, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Arch Intern Med 165:2607-13. 2005
    ..Resident physicians are frontline providers with a unique vantage point from which to comment on patient safety-related events...
  16. pmc Mentor networks in academic medicine: moving beyond a dyadic conception of mentoring for junior faculty researchers
    Rochelle DeCastro
    Center for Bioethics and Social Science in Medicine, Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan, USA
    Acad Med 88:488-96. 2013
    ..The authors sought to gain a nuanced understanding of mentoring from the perspective of a diverse national sample of faculty clinician-researchers who were all members of formal mentoring relationships...
  17. pmc Underascertainment of radiotherapy receipt in Surveillance, Epidemiology, and End Results registry data
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan 48109 5010, USA
    Cancer 118:333-41. 2012
    ..The authors sought to determine rates and correlates of underascertainment of radiotherapy in recent SEER data...
  18. pmc Batting 300 is good: perspectives of faculty researchers and their mentors on rejection, resilience, and persistence in academic medical careers
    Rochelle DeCastro
    Center for Bioethics and Social Science in Medicine, Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan 48109 5010, USA
    Acad Med 88:497-504. 2013
    ..The authors sought to understand how rejection affects those pursuing such careers and why some individuals may be more resilient than others in a population of individuals with demonstrated ability and interest in research careers...
  19. pmc Negotiation in academic medicine: narratives of faculty researchers and their mentors
    Dana Sambuco
    Center for Bioethics and Social Science in Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan 48109 5010, USA
    Acad Med 88:505-11. 2013
    ..The authors sought to understand medical faculty researchers' experiences with and perceptions of negotiation...
  20. doi request reprint Adoption of intensity-modulated radiation therapy for breast cancer in the United States
    Benjamin D Smith
    Department of Radiation Oncology, The University of Texas M D Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX 77030, USA
    J Natl Cancer Inst 103:798-809. 2011
    ..It is thus controversial whether such treatment justifies billing for intensity-modulated radiation therapy (IMRT)...
  21. doi request reprint Similarities and differences in the career trajectories of male and female career development award recipients
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan 48109 5010, USA
    Acad Med 86:1415-21. 2011
    ..To examine the careers of career development award recipients...
  22. ncbi request reprint Rates of myocardial infarction and coronary artery disease and risk factors in patients treated with radiation therapy for early-stage breast cancer
    Reshma Jagsi
    Radiation Oncology Department, University of Michigan School of Medicine, Ann Arbor, Michigan 48109, USA
    Cancer 109:650-7. 2007
    ..Radiation therapy (RT), a critical component of breast-conserving therapy for breast cancer, has been associated with coronary artery disease (CAD) in numerous older studies, but the risk may be lower with modern techniques...
  23. ncbi request reprint Results of the 2003 Association of Residents in Radiation Oncology (ARRO) surveys of residents and chief residents in the United States
    Reshma Jagsi
    Department of Radiation Oncology, Cox 3, Massachusetts General Hospital, 100 Blossom Street, Boston, MA 02114, USA
    Int J Radiat Oncol Biol Phys 61:642-8. 2005
    ..To document demographic characteristics of current residents, career motivations and aspirations, and training program policies and resources...
  24. ncbi request reprint Postmastectomy radiation therapy: indications and controversies
    Marie Catherine Lee
    Department of Surgery, University of Michigan Hospitals, 1500 East Medical Center Drive, 3216A Cancer Center Box 0932, Ann Arbor, MI 48109, USA
    Surg Clin North Am 87:511-26, xi. 2007
    ..This article discusses the 2001 American Society of Clinical Oncology guidelines for PMRT and current practices using PMRT in selected groups of patients who have breast cancer...
  25. doi request reprint Evaluation of four techniques using intensity-modulated radiation therapy for comprehensive locoregional irradiation of breast cancer
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Michigan, USA
    Int J Radiat Oncol Biol Phys 78:1594-603. 2010
    ..To establish optimal intensity-modulated radiation therapy (IMRT) techniques for treating the left breast and regional nodes, using moderate deep-inspiration breath hold...
  26. pmc Development and validation of a heart atlas to study cardiac exposure to radiation following treatment for breast cancer
    Mary Feng
    Department of Radiation Oncology, University of Michigan Medical Center, Ann Arbor, Michigan 48109, USA
    Int J Radiat Oncol Biol Phys 79:10-8. 2011
    ..Here we have developed a heart atlas and evaluated its effect on contour accuracy and concordance...
  27. doi request reprint Sex differences in attainment of independent funding by career development awardees
    Reshma Jagsi
    University of Michigan and Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan, USA
    Ann Intern Med 151:804-11. 2009
    ..Concerns have been raised about the career pipeline in academic medicine, including whether women with a demonstrated commitment to research succeed at the same rate as male colleagues...
  28. doi request reprint Unacceptable cosmesis in a protocol investigating intensity-modulated radiotherapy with active breathing control for accelerated partial-breast irradiation
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan Comprehensive Cancer Center, University of Michigan, Ann Arbor, MI 48109 5010, USA
    Int J Radiat Oncol Biol Phys 76:71-8. 2010
    ..To report interim cosmetic results and toxicity from a prospective study evaluating accelerated partial-breast irradiation (APBI) administered using a highly conformal external beam approach...
  29. doi request reprint Surgeons' knowledge and practices regarding the role of radiation therapy in breast cancer management
    Jessica Zhou
    Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan
    Int J Radiat Oncol Biol Phys 87:1022-9. 2013
    ..Therefore, we sought to evaluate surgeons' knowledge of pertinent risk information, their patterns of referral, and the correlates of surgeon knowledge and referral in specific breast cancer scenarios...
  30. pmc Gender differences in salary in a recent cohort of early-career physician-researchers
    Reshma Jagsi
    Dr Jagsi is associate professor, Center for Bioethics and Social Sciences in Medicine, Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan Mr Griffith is statistician expert, Center for Cancer Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan Dr Stewart is professor, Department of Psychology, Women s Studies Program, University of Michigan, Ann Arbor, Michigan Ms Sambuco is research area specialist intermediate, Center for Bioethics and Social Sciences in Medicine, Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan Ms DeCastro is research area specialist intermediate, Center for Bioethics and Social Sciences in Medicine, Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan Dr Ubel is professor, Fuqua School of Business, Sanford School of Public Policy, Duke University, Durham, North Carolina
    Acad Med 88:1689-99. 2013
    ..Studies have suggested that male physicians earn more than their female counterparts. The authors examined whether this disparity exists in a recently hired cohort...
  31. doi request reprint A research agenda for radiation oncology: results of the radiation oncology institute's comprehensive research needs assessment
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109, USA
    Int J Radiat Oncol Biol Phys 84:318-22. 2012
    ..The Radiation Oncology Institute commissioned an independent, comprehensive assessment of research needs for the advancement of radiation oncology care...
  32. doi request reprint Postmastectomy radiation therapy for patients with locally advanced breast cancer
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109 5010, USA
    Semin Radiat Oncol 19:236-43. 2009
    ..It concludes with a summary of consensus guideline recommendations in this important area...
  33. ncbi request reprint Becoming a doctor, starting a family--leaves of absence from graduate medical education
    Reshma Jagsi
    University of Michigan Medical School, Ann Arbor, USA
    N Engl J Med 357:1889-91. 2007
  34. doi request reprint Postmastectomy radiotherapy for breast cancer: patterns, correlates, communication, and insights into the decision process
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan 48109 5010, USA
    Cancer 115:1185-93. 2009
    ..Given accumulating evidence supporting postmastectomy radiotherapy (PMRT) in selected patients, it is important to evaluate patterns and correlates of PMRT utilization, including communication and attitudinal factors...
  35. ncbi request reprint A targeted intervention for the career development of women in academic medicine
    Reshma Jagsi
    Center for Faculty Development and Partners Office for Women s Careers at Massachusetts General Hospital, 370 Bulfinch, Boston, MA 02114, USA
    Arch Intern Med 167:343-5. 2007
  36. pmc Work-life balance in academic medicine: narratives of physician-researchers and their mentors
    Erin A Strong
    University of Michigan Medical School, 1301 Catherine Road, Ann Arbor, MI, 48109, USA
    J Gen Intern Med 28:1596-603. 2013
    ..Leaders in academic medicine are often selected from the ranks of physician-researchers, whose demanding careers involve multiple professional commitments that must also be balanced with demands at home...
  37. ncbi request reprint Women in radiation oncology: time to break through the glass ceiling
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, MI, USA
    J Am Coll Radiol 3:901-3. 2006
  38. ncbi request reprint Outcomes of a pilot faculty mentoring program
    Erin E Tracy
    Vincent Obstetrics and Gynecology Department, Massachusetts General Hospital, Founders 406, Fruit St, Boston, MA 02114, USA
    Am J Obstet Gynecol 191:1846-50. 2004
    ..The purpose of this study was to determine whether a junior faculty mentoring program is beneficial to participants and to identify particular positive and negative aspects of such a program to enable others to institute similar programs...
  39. ncbi request reprint Locoregional recurrence rates and prognostic factors for failure in node-negative patients treated with mastectomy: implications for postmastectomy radiation
    Reshma Jagsi
    Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, 100 Blossom Street, Boston, MA 02114, USA
    Int J Radiat Oncol Biol Phys 62:1035-9. 2005
    ..Survival appears improved in patients at higher risk for LRR. This study addresses whether subsets of node-negative patients with sufficiently high risk of LRR might benefit from PMRT...
  40. pmc Prospective head and neck cancer research: a four-decade bibliometric perspective
    Gordon H Sun
    Robert Wood Johnson Foundation Clinical Scholars, University of Michigan, Ann Arbor, Michigan, USA
    Oncologist 18:584-91. 2013
    ..It is unknown whether changes in study sponsorship have affected the proportion of prospective research on surgery, radiotherapy, and pharmacotherapy for head and neck squamous cell carcinoma (HNSCC) being published over time. Patients and..
  41. doi request reprint Under-representation of women in high-impact published clinical cancer research
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA
    Cancer 115:3293-301. 2009
    ..Adequate representation of women in research has been deemed essential...
  42. pmc Respiratory motion of the heart and positional reproducibility under active breathing control
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA
    Int J Radiat Oncol Biol Phys 68:253-8. 2007
    ..Information about cardiac motion with respiration and positional reproducibility under active breathing control (ABC) is necessary to evaluate these techniques...
  43. ncbi request reprint Regulation of junior doctors' work hours: an analysis of British and American doctors' experiences and attitudes
    Reshma Jagsi
    Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 3, 100 Blossom Street, Boston, MA 02114, USA
    Soc Sci Med 58:2181-91. 2004
    ..Understanding the lessons that emerge from implementation of the original regulations is essential if future reforms are to succeed and a high-quality system of health care is to be sustained...
  44. ncbi request reprint Special report: results of the 2000-2002 Association of Residents in Radiation Oncology (ARRO) surveys
    Reshma Jagsi
    Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA 02114, USA
    Int J Radiat Oncol Biol Phys 59:313-8. 2004
    ..This report summarizes these results. The demographic characteristics of residents in training between 2000 and 2002 are detailed, as are issues regarding the quality of training and career choices of residents entering practice...
  45. pmc Current perceptions regarding surgical margin status after breast-conserving therapy: results of a survey
    Alphonse Taghian
    Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 302, 100 Blossom Street, Boston, MA 02114, USA
    Ann Surg 241:629-39. 2005
    ....
  46. doi request reprint Residual disease after re-excision lumpectomy for close margins
    Michael S Sabel
    Division of Surgical Oncology, Department of Surgery, Biostatistics Core of the University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA
    J Surg Oncol 99:99-103. 2009
    ..We sought to examine the incidence of residual disease after re-excision for close margins and to identify predictive factors that may better select patients for re-excision...
  47. ncbi request reprint Real-time rationing of scarce resources: the Northeast Proton Therapy Center experience
    Reshma Jagsi
    DPhil, Massachusetts General Hospital, Department of Radiation Oncology, Cox 3, 100 Blossom St, Boston, MA 02114, USA
    J Clin Oncol 22:2246-50. 2004
  48. pmc The ethics of medical education
    Reshma Jagsi
    Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
    BMJ 329:332-4. 2004
  49. ncbi request reprint Conflicts of interest and the physician-patient relationship in the era of direct-to-patient advertising
    Reshma Jagsi
    Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109 0010, USA
    J Clin Oncol 25:902-5. 2007
  50. ncbi request reprint Stroke rates and risk factors in patients treated with radiation therapy for early-stage breast cancer
    Reshma Jagsi
    Radiation Oncology Department, University of Michigan Cancer Center Biostatistics Core, and the University of Michigan School of Medicine, Ann Arbor, MI 48109 0010, USA
    J Clin Oncol 24:2779-85. 2006
    ..To examine whether stroke risk is elevated in American breast cancer patients treated with modern techniques, as well as whether supraclavicular radiation therapy (RT) is associated with increased risk...
  51. doi request reprint The representation of women on the editorial boards of major medical journals: a 35-year perspective
    Reshma Jagsi
    Arch Intern Med 168:544-8. 2008
  52. ncbi request reprint Results of the 2004 Association of Residents in Radiation Oncology (ARRO) survey
    Shilpen Patel
    University of Maryland, Baltimore, MD, USA
    Int J Radiat Oncol Biol Phys 66:1199-203. 2006
    ..The aim of this study was to document adequacy of training, career plans after residency, use of the in-service examination, and motivation for choice of radiation oncology as a specialty...