ESTRO 2024 - Abstract Book

S5839

RTT - Education, training, advanced practice and role developments

ESTRO 2024

The questionnaire was released for completion for a period of 21 days from 28 March 2023 to 18 April 2023. Survey responses were collected through the REDCapTM data management system. Quantitative results were analysed by descriptive statistics including the number and percentages of respondents answering in different categories.

Results:

A total of 68 survey responses (~23% of all RTTs) were received, with 25 grade 1-2 (~15% of grade 1-2), 33 grade 3-4 (~29% of grade 3-4), 8 grade 5 or above (~40% of grade 5 or above) and 2 who preferred not to disclose grade. There was good response rate from each of the 5 campuses (~13-30% at each campus). Most respondents disagreed or strongly disagreed that SABR IGRT should be the responsibility of ROs only (75%). The majority agreed or strongly agreed that RTT-Led SABR IGRT should be core practice for all RTTs (60.3%), however the minority agreed or strongly agreed that clinical experience alone is sufficient to perform RTT-Led SABR IGRT (35.3%). Most agreed or strongly agreed that SABR IGRT is more complex (82.4%) and advanced clinical expertise and skills are essential for RTT-Led SABR IGRT (85.3%). All respondents agreed or strongly agreed that the clinical responsibilities need to be clearly defined, and the majority indicated that there needs to be appropriate training (98.5%), credentialling (95.6%) and rostering (92.6%) to gain and maintain competence. Most respondents agreed or strongly agreed that RO workload would be relieved (95.6%) and timeliness (95.6%) and quality (82.4%) of care for patients would be improved. The majority also indicated that RTT job satisfaction would increase from RTT-led SABR IGRT (79.4%).

Currently 50 RTTs are credentialled for lung, 28 for spine and 29 for bone SABR IGRT respectively.

Conclusion:

Organisations are at different stages of implementing RTT-led SABR IGRT. In order to credential for the specific scope of RTT-led SABR IGRT, additional training, experience and ongoing proficiency all need to be considered taking into account service provision and organisation capabilities. As organisational needs and capabilities change credentialling and scope should be reviewed and renewed. This presentation will detail the steps undertaken by our organisation to initiate RTT led SABR IGRT and changes to credentialing over time following review. Key recommendations and lessons learnt will be shared, such that others can learn from our experience.

Keywords: IGRT, SABR, Credentialling

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