ESTRO 2023 - Abstract Book

S595

Monday 15 May 2023

ESTRO 2023

Poster Discussion: Education is the RTT superpower

PD-0728 Standardizing Definition of Advanced Practice Radiation Therapy Clinical Activities: Ontario, Canada K. Chan 1 , K. Linden 2 , B. Chan 1 , D. Erler 3 , L. D’Almonté 4 , V. Kong 1 , J. Kraus 5 , N. Harnett 1 1 Princess Margaret Cancer Centre, Radiation Medicine Program, Toronto, Canada; 2 The Ottawa Health Science Center, Radiation Therapy, Ottawa, Canada; 3 Odette Cancer Centre, Radiation Therapy, Toronto, Canada; 4 Windsor Regional Hospital, Radiation Therapy, Windsor, Canada; 5 Ontario Health, Radiation Treatment Program, Toronto, Canada Purpose or Objective Clinical Specialist Radiation Therapist (CSRT) is the title assigned to a radiation therapist (RTT) practicing in an advanced capacity with advanced knowledge, skills and judgement in Ontario. A CSRT Community of Practice (CoP) formed a workgroup (WG) to demonstrate impact of CSRTs in their roles. Materials and Methods In 2017, a consensus building project involving 20 CSRTs and 14 radiation therapy (RT) department managers in Ontario was completed to quantify CSRTs’ clinical impact/workload. In Round 1 & 2, expert feedback was gathered to generate an Advanced Practice (AP) Activity List. In Round 3: 20 CSRTs completed an e-survey to assess applicability of each AP Activity to their role using Likert scale (0-5). A final AP Activity List & Definitions was generated. Results Round 1: Forty-seven AP activities were identified to generate the activity list. Round 2: 3/14 RT managers provided 145 feedback statements on Round 1 AP Activity List. The most time consuming part was classifying whether a clinical activity performed by CSRT was considered ‘advanced’. The WG used RT managers’ feedback to clarify AP activities and definitions such as: Patient Education, Contouring Target Volume and combined small AP tasks to a single AP activity, such as New Patient Consultation. These comments were incorporated with the internal AP workload capturing lists from 2 Ontario cancer centres to generate a revised AP Activity List with 20 AP activities. Round 3: 14/20 CSRTs provided Likert scores on this revised list. The most applicable to CSRT were Technical Consultation (4.0), Contouring Target Volume (3.8) and Planning Consultation (3.8); the least applicable was MR Applicator Assessment (0.9).