Radiation therapy staffing model 2014.

Area of Science:

• Medical Radiation Physics
• Health Services Management
• Oncology Workforce Planning

Background:

• The Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) previously established a radiation therapist (RT) staffing model in 2001.
• A review between 2012-2013 identified the need to update the model to align with current radiation therapy practices and technological advancements.

Purpose of the Study:

• To develop and validate an updated radiation therapist staffing model for Australian radiation oncology services.
• To ensure the model facilitates effective workforce planning and accommodates diverse service delivery profiles.

Main Methods:

• Data from 24 Australian sites were collected on megavoltage simulation, planning, and treatment delivery activities.
• Time-motion studies were conducted, correlating activity completion times with Medicare Benefits Schedule (MBS) items and common treatment delivery tasks.
• Modelling assumptions were explicitly detailed within the methodology.

Main Results:

• A new staffing model was created, maintaining the core parameter of full-time equivalent (FTE) radiation therapists per linear accelerator operating hour.
• The revised model incorporates significant refinements, enhancing its utility and flexibility for both strategic workforce planning and site-specific application.

Conclusions:

• The 2014 RT staffing model offers radiation oncology services a flexible and practical tool for establishing staffing levels.
• The model provides a robust framework for governments and service planners to guide future radiation therapist workforce planning.