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  • 1
    Online Resource
    Online Resource
    85 Faculty Development Needs and Wants in Radiation Medicine
    Elsevier BV ; 2019
    In:  Radiotherapy and Oncology Vol. 139 ( 2019-10), p. S38-
    Details
    In: Radiotherapy and Oncology, Elsevier BV, Vol. 139 ( 2019-10), p. S38-
    Type of Medium: Online Resource
    ISSN: 0167-8140
    URL: Article
    DOI: 10.1016/S0167-8140(19)33376-6
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 1500707-8
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  • 2
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    Online Resource
    Clinical specialist radiation therapists (CSRT): Creating capacity while improving quality of care.
    American Society of Clinical Oncology (ASCO) ; 2016
    In:  Journal of Clinical Oncology Vol. 34, No. 7_suppl ( 2016-03-01), p. 124-124
    Details
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 34, No. 7_suppl ( 2016-03-01), p. 124-124
    Abstract: 124 Background: Ontario’s cancer system faces many challenges, including a rising incidence of cancer, aging population, increasingly complex cancer treatment, and health human resource (HHR) constraints. In response, Cancer Care Ontario and the Ontario Ministry of Health and Long Term Care collaborated on a project to assess whether a new advanced practice radiation therapist role – the ‘Clinical Specialist Radiation Therapist’ (CSRT) – could enhance access to high quality, innovative care by optimizing the use of HHR. Methods: This innovative model of care aims to enable radiation therapists with advanced training and accreditation (CSRTs) to assume responsibility for certain activities traditionally performed by radiation oncologists (ROs) while maintaining and improving the quality, accessibility and efficiency of radiotherapy (RT) for patients. To assess CSRTs’ impacts standardized metrics, including efficiency (access, wait times (WTs), team function) and quality (new/enhanced services, patient experience) measures, were used. Results: Currently there are 24 CSRTs in 9 of 14 regional cancer centres. 2014/15 data demonstrated that CSRTs can improve the efficiency of referral processes and clinic operations, decrease WTs, and increase capacity (2-28 additional patients seen in clinic/month). Optimized team function and time savings (5-66 RO hours/month) have been achieved through CSRTs’ assumption of certain patient assessment and treatment planning activities. Efficiencies have improved patient experience by facilitating quicker, more coordinated flow through the RT process, and greater continuity of care. Further, CSRTs have enhanced access to high quality RT, through 〉 75 innovative initiatives (rapid access clinics, telemedicine consults). Conclusions: The CSRT role demonstrates how innovative models of care can improve patient access to high quality cancer care. With 24 CSRTs implemented, opportunities for analysis of factors which facilitate achievement of maximal impact and position sustainability exist. Such investigations could inform the refinement and further implementation of CSRTs in Ontario and other jurisdictions, improving patients’ access to RT more broadly.
    Type of Medium: Online Resource
    ISSN: 0732-183X , 1527-7755
    URL: Article
    DOI: 10.1200/jco.2016.34.7_suppl.124
    RVK:
    XA 52760
    RVK:
    XA 10000
    Language: English
    Publisher: American Society of Clinical Oncology (ASCO)
    Publication Date: 2016
    detail.hit.zdb_id: 2005181-5
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  • 3
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    Online Resource
    Communities of practice: A jurisdictional approach to improving the quality of care in radiation medicine in Ontario.
    American Society of Clinical Oncology (ASCO) ; 2016
    In:  Journal of Clinical Oncology Vol. 34, No. 7_suppl ( 2016-03-01), p. 122-122
    Details
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 34, No. 7_suppl ( 2016-03-01), p. 122-122
    Abstract: 122 Background: The Radiation Treatment Program (RTP) at Cancer Care Ontario (CCO) established several Communities of Practice (CoPs), with the goal of improving radiation treatment (RT) quality and safety. The RTP identifies variation in practice and quality improvement (QI) opportunities in the 14 Regional Cancer Centres (RCCs) and facilitates the development of CoPs to share best practices and standardize care. Methods: Since 2010, the RTP has formed 7 CoPs ( 〉 185 members in total): 4 intra-disciplinary (Radiation Therapy, Medical Physics, Advanced Practice Radiation Therapy, Radiation Safety) and 3 inter-disciplinary (Head and Neck (HN), Gynecological (GYNE) and Lung Cancer). Members are recruited with the aim of securing engagement from all RCCs to ensure representation of regional diversity and to facilitate adoption of best practices. CoPs are supported with nominal funding and resources provided by CCO, but are led and driven by members, who identify and prioritize key quality issues and select corresponding QI projects to pursue. The RTP performs regular evaluation activities to assess initiative engagement and impact. Results: RTP CoPs have enhanced the quality and safety of RT delivery in Ontario through QI initiatives, advice documents and tools that have enabled: Improved RT safety (use of safety straps in RT delivery); Adoption of best practices (RT plan evaluation guidance); Education and knowledge transfer – (stereotactic body RT implementation and training framework); and Support for infrastructure improvements (recommendation for additional Magnetic Resonance-guided brachytherapy units) ( https://www.cancercare.on.ca/ocs/clinicalprogs/radiationtreatment/ ). Advice documents have improved alignment with recommended practice (40% and 50% absolute increases in two HN initiatives). Evaluation surveys indicate that members believe the CoPs have enhanced inter-regional communication and collaboration (89%), knowledge transfer/exchange (91%), and professional networking between RCCs (92%). Conclusions: CoPs can be a highly effective model for improving quality of care. The establishment of CoPs should be considered for QI in other areas of the healthcare system.
    Type of Medium: Online Resource
    ISSN: 0732-183X , 1527-7755
    URL: Article
    DOI: 10.1200/jco.2016.34.7_suppl.122
    RVK:
    XA 52760
    RVK:
    XA 10000
    Language: English
    Publisher: American Society of Clinical Oncology (ASCO)
    Publication Date: 2016
    detail.hit.zdb_id: 2005181-5
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  • 4
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    Online Resource
    The Big “C”
    Elsevier BV ; 2014
    In:  Journal of Medical Imaging and Radiation Sciences Vol. 45, No. 4 ( 2014-12), p. 354-355
    Details
    In: Journal of Medical Imaging and Radiation Sciences, Elsevier BV, Vol. 45, No. 4 ( 2014-12), p. 354-355
    Type of Medium: Online Resource
    ISSN: 1939-8654
    URL: Article
    DOI: 10.1016/j.jmir.2014.09.006
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2014
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  • 5
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    Online Resource
    The palliative clinical specialist radiation therapist: A CAMRT White Paper
    Elsevier BV ; 2021
    In:  Journal of Medical Imaging and Radiation Sciences Vol. 52, No. 4 ( 2021-12), p. 636-649
    Details
    In: Journal of Medical Imaging and Radiation Sciences, Elsevier BV, Vol. 52, No. 4 ( 2021-12), p. 636-649
    Type of Medium: Online Resource
    ISSN: 1939-8654
    URL: Article
    DOI: 10.1016/j.jmir.2021.08.016
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
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  • 6
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    Online Resource
    Letter in response to ‘The role of research for advanced practitioners’
    Wiley ; 2015
    In:  Journal of Medical Radiation Sciences Vol. 62, No. 4 ( 2015-12), p. 292-293
    Details
    In: Journal of Medical Radiation Sciences, Wiley, Vol. 62, No. 4 ( 2015-12), p. 292-293
    Type of Medium: Online Resource
    ISSN: 2051-3895 , 2051-3909
    URL: Article
    DOI: 10.1002/jmrs.147
    Language: English
    Publisher: Wiley
    Publication Date: 2015
    detail.hit.zdb_id: 2734841-6
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  • 7
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    Online Resource
    Radiation therapist perspectives on cone-beam computed tomography practices and response to information
    Cambridge University Press (CUP) ; 2013
    In:  Journal of Radiotherapy in Practice Vol. 12, No. 3 ( 2013-09), p. 237-244
    Details
    In: Journal of Radiotherapy in Practice, Cambridge University Press (CUP), Vol. 12, No. 3 ( 2013-09), p. 237-244
    Abstract: With recent technological advances in image-guided radiation therapy (IGRT), through cone-beam computed tomography (CBCT), more image-related clinical information is being collected, at more frequent intervals throughout the treatment course. As radiation therapy (RT) programmes further develop IGRT technology, the aim of this study is to assess whether the distribution and communication of professional responsibilities is evolving to ensure appropriate use of the technology. Methods Radiation therapists practicing at any of the 14 Ontario RT centres were sent an electronic survey ( n = 400). Closed-ended quantitative items addressed perceptions regarding policies, comfort, and professional responsibility in addressing CBCT concerns. Focus was on gynaecological, lung, head and neck (H & N) disease sites. Options for qualitative comments and explanations were included where appropriate. Results Seventy-nine surveys were submitted. Respondents from 12/14 (85·7%) centres used CBCT for at least one of three disease sites, most commonly on a daily basis. Five of these centres (41·7%) did not require radiation oncologist CBCT review, with others requiring it Day 1 or weekly. Potential CBCT observations of concern were grouped as set-up issues, tumour changes, organ-at-risk (OAR) changes, contour changes and ancillary findings (especially lung and airway changes). Respondents believed they consulted another professional about a CBCT in 20·2% of H & N patients, 19·6% of lung patients and 9·7% of gynaecological patients. The level of comfort in doing so varied from 77·0% for H & N to 89·5% for lung. Respondents were most likely to believe themselves responsible for changes in OARs (92·2% believing themselves responsible), and least likely for ancillary findings (62·7%). Conclusions Through preliminary insight from Ontario therapists, a degree of inconsistency is apparent between perceptions, practices and assigned roles in the management of CBCT information. Clear definition of the scope and nature of therapists’ responsibility for interpreting and addressing changes on CBCT images should be developed within each centre.
    Type of Medium: Online Resource
    ISSN: 1460-3969 , 1467-1131
    URL: Article
    DOI: 10.1017/S1460396913000149
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2013
    detail.hit.zdb_id: 2194408-8
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  • 8
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    Online Resource
    Team-based clinical simulation in radiation medicine: value to attitudes and perceptions of interprofessional collaboration
    Cambridge University Press (CUP) ; 2015
    In:  Journal of Radiotherapy in Practice Vol. 14, No. 2 ( 2015-06), p. 117-125
    Details
    In: Journal of Radiotherapy in Practice, Cambridge University Press (CUP), Vol. 14, No. 2 ( 2015-06), p. 117-125
    Abstract: Simulation has been effective for changing attitudes towards team-based competencies in many areas, but its role in teaching interprofessional collaboration (IPC) in radiation medicine (RM) is unknown. This study reports on feasibility and IPC outcomes of a team-based simulation event; ‘Radiation Medicine Simulation in Learning Interprofessional Collaborative Experience’ (RM SLICE). Methods Radiation therapy (RTT), medical physics (MP) and radiation oncology (RO) trainees in a single academic department were eligible. Scheduled closure of a modern RM clinic allowed rotation of five high-fidelity cases in three 105-minute timeslots. A pre/post-survey design evaluated learner satisfaction and interprofessional perceptions. Scales included the Readiness for Interprofessional Learning Scale (RIPLS), UWE Entry Level Interprofessional Questionnaire (UWEIQ), Trainee Test of Team Dynamics and Collaborative Behaviours Scale (CBS). Results Twenty-one trainees participated; six ROs (28·57%), six MPs (28·57%) and nine RTTs (42·86%). All cases were conducted, resolved and debriefed within the allotted time. Twenty-one complete sets (100%) of evaluations were returned. Participants reported limited interaction with other professional groups before RM SLICE. Perceptions of team functioning and value of team interaction in ‘establishing or improving the care plan’ were high for all cases, averaging 8·1/10 and 8·9/10. Average CBS scores were 70·4, 71·9 and 69·5, for the three cases, scores increasing between the first and second case for 13/21 (61·9%) participants. RIPLS and UWEIQ scores reflected positive perceptions both pre- and post-event, averaging 83·5 and 85·2 (RIPLS) and 60·6 and 55·7 (UWEIQ), respectively. For all professions for both scales, the average change in score reflected improved IP perceptions, with agreement between scales for 15/20 (75·0%) participants. Overall, perception of IPC averaged 9·14/10, as did the importance of holding such an event annually. Conclusions Team-based simulation is feasible in RM and appears to facilitate interprofessional competency-building in high-acuity clinical situations, reflecting positive perceptions of IPC.
    Type of Medium: Online Resource
    ISSN: 1460-3969 , 1467-1131
    URL: Article
    DOI: 10.1017/S1460396915000060
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2015
    detail.hit.zdb_id: 2194408-8
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  • 9
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    Online Resource
    Professional implications of introducing artificial intelligence in healthcare: an evaluation using radiation medicine as a testing ground
    Cambridge University Press (CUP) ; 2019
    In:  Journal of Radiotherapy in Practice Vol. 18, No. 1 ( 2019-03), p. 5-9
    Details
    In: Journal of Radiotherapy in Practice, Cambridge University Press (CUP), Vol. 18, No. 1 ( 2019-03), p. 5-9
    Abstract: This study will evaluate radiation medicine professionals’ perceptions of clinical and professional risks and benefits, and the evolving roles and responsibilities with artificial intelligence (AI). Methods Radiation oncologists (ROs), medical physicists (MPs), treatment planners (TP-RTTs) and treatment delivery radiation therapists (TD-RTTs) at a cancer centre in preliminary stages of implementing an AI-enabled treatment planning system were invited to participate in uniprofessional focus groups. Semi-structured scripts addressed the perceptions of AI, including thoughts regarding changing roles and competencies. Sessions were audiorecorded, transcribed and coded thematically through consensus-building. Results A total of 24 participants (four ROs, five MPs, seven TP-RTTs and eight TD-RTTs) were engaged in four focus groups of 58 minutes average duration (range 54–61 minutes). Emergent themes addressed AI’s impact on quality of care, changing professional tasks and changing competency requirements. Time-consuming repetitive tasks such as delineating targets, generating treatment plans and quality assurance were thought conducive to offloading to AI. Outcomes data and adaptive planning would be incorporated into clinical decision-making. Changing workload would necessitate changing skills, prioritising plan evaluation over generation and increasing interprofessional communication. All groups discussed AI reducing the need for TP-RTTs, though displacement was thought more likely than replacement. Conclusions It is important to consider how professionals perceive AI to be proactive in informing change, as gains in quality and efficiency will require new workflows, skills and education.
    Type of Medium: Online Resource
    ISSN: 1460-3969 , 1467-1131
    URL: Article
    DOI: 10.1017/S1460396918000468
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2019
    detail.hit.zdb_id: 2194408-8
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  • 10
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    Online Resource
    The Clinical Specialist Radiation Therapist (CSRT): A case study exploring the effectiveness of a new advanced practice role in Canada
    Wiley ; 2018
    In:  Journal of Medical Radiation Sciences Vol. 65, No. 2 ( 2018-06), p. 86-96
    Details
    In: Journal of Medical Radiation Sciences, Wiley, Vol. 65, No. 2 ( 2018-06), p. 86-96
    Abstract: The Clinical Specialist Radiation Therapist (CSRT), is a new advanced practice (AP) role for radiation therapists (RTTs). Following training, education and evaluation, the CSRT performs specific duties in autonomous ways, making advanced clinical decisions in their area of specialization. This case study examines the CSRT's impact on quantity (i.e., increasing capacity), improving quality and stimulating research and innovation. Methods Between 2007 and 2016, 23 CSRTs worked in 10 cancer centres in various AP position. A standardised metrics package, focusing on wait‐times, patient volumes, patient throughput, time‐savings, quality initiatives, satisfaction, research and innovation was developed and used to collect qualitative and quantitative data. Data were self‐reported by the CSRTs but electronic databases, pre/post‐studies, surveys and interviews were also used. Results Quantity projects ( n = 76) related to patient volumes, wait‐times, patient throughput and time‐savings increased capacity and allowed more patients to enter the system. The presence of a CSRT allowed, on average, 13 additional patients (either new or re‐treated) to be seen, at their respective cancer centre, per month. An average of 1.4 yearly quality improvement initiatives were led by each CSRT, which contributed to improvements in quality of care and satisfaction. CSRTs demonstrated a high level of involvement in research, innovation and knowledge translation activities, either as leaders or part of interprofessional teams. Conclusion CSRTs positively impact quantity (capacity of the system), quality, research and innovation. Future efforts include permanent and sustainable team integration, practice standards, formal and comprehensive educational preparation, and approaches to consistent, valid assessment of AP in radiation therapy.
    Type of Medium: Online Resource
    ISSN: 2051-3895 , 2051-3909
    URL: Issue
    URL: Article
    DOI: 10.1002/jmrs.2018.65.issue-2
    DOI: 10.1002/jmrs.281
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 2734841-6
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