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Area of Science:

  • Medical practice
  • Oncology
  • Healthcare professional collaboration

Background:

  • Advanced practitioners (APs), including physician assistants (PAs) and nurse practitioners (NPs), possess advanced training for diagnosing and treating medical conditions.
  • APs have a long history of collaboration in radiation oncology, complementing the work of radiation oncologists.
  • Research since 1999 highlights the increasing involvement of APs across various radiation oncology practice aspects.

Purpose of the Study:

  • To review the historical and current roles of APs in radiation oncology.
  • To identify barriers limiting APs' optimal practice in radiation oncology.
  • To advocate for enhanced AP collaboration to address service shortages and maintain patient satisfaction.

Main Methods:

  • Literature review of APs' participation in radiation oncology practice over the past two decades.
  • Analysis of legislative, regulatory, and educational factors influencing AP roles.
  • Synthesis of findings to propose strategies for improved collaboration.

Main Results:

  • APs are integral to radiation oncology, contributing to nearly all practice areas.
  • Significant legislative, regulatory, and educational barriers hinder the full potential of APs.
  • Increased collaboration with APs is essential for managing projected radiation oncology service shortages.

Conclusions:

  • Optimizing APs' roles in radiation oncology is crucial for practice sustainability.
  • Overcoming identified barriers will enhance APs' contributions and improve patient care.
  • Enhanced collaboration with APs is a necessary strategy to meet future demands in radiation oncology.