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Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant

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Framework Development: Standardizing Definition of Advanced Practice Radiation Therapy Activities for Clinical

Kitty Chan^1,2, Biu Chan¹, Kelly Linden³

¹Princess Margaret Cancer Centre, Canada.

Technical Innovations & Patient Support in Radiation Oncology

|March 1, 2024

Summary

This study quantifies advanced practice (AP) roles in radiation therapy (RT) in Ontario. A consensus project identified and ranked AP activities, establishing a framework for monitoring clinical impact.

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Published on: March 11, 2021

Area of Science:

Radiation Therapy
Oncology
Healthcare Professions

Background:

Advanced practice (AP) roles in radiation therapy (RT) are expanding globally.
Understanding the specific clinical activities and impact of AP professionals in RT is crucial for service delivery and professional development.

Purpose of the Study:

To establish a consensus-based mechanism for quantifying the clinical activities and impact of advanced practice radiation therapists (APRTs) in Ontario, Canada.
To develop a standardized framework for monitoring APRT clinical activities.

Main Methods:

A consensus-building project involving 20 APRTs and 14 RT managers in Ontario.
Expert feedback and online surveys using Likert scales (0-5) were employed to generate and refine an AP Activity List.
Activities were consolidated and ranked by importance and applicability to APRT roles.

Main Results:

An initial list of 47 AP activities was refined to 20 inclusive activities after incorporating feedback from RT managers.
The most applicable activities identified by APRTs included Technical Consultation, Contouring Target Volume, and Planning Consultation.
The least applicable activity was MR Applicator Assessment.

Conclusions:

This study represents the first systematic effort to achieve consensus on AP clinical activities in radiation therapy.
The developed AP Activity List and Definitions provide a standardized framework for ongoing monitoring of APRT clinical activities and impact.
Non-clinical AP activities such as research and education were outside the scope of this project.