Work-based content
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 6 |
Competency
Identify and review types of treatment-planning algorithms, explaining the effect of the choice on clinical treatment plans |
Action View |
| # 2 | Learning outcome 4,5 |
Competency
Audit and critically appraise a departmental treatment planning procedure |
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| # 3 | Learning outcome 1,5 |
Competency
Perform image registration using available software Computed Tomography (CT) to CT, Magnetic Resonance Imaging (MRI) to CT, Positron emission tomography (PET) to CT), critically evaluate results of image registration and explain any shortcomings of each imaging method and the registration technique |
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| # 4 | Learning outcome 1 |
Competency
Generate outlines for anatomical structures and International Commission on Radiation Units and Measurements (ICRU) volumes for complex situations |
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| # 5 | Learning outcome 1,4,5 |
Competency
Plan and critically assess non- routine/complex treatments (eg intensity-modulated radiation therapy (IMRT), craniospinal irradiation, total body irradiation, Stereotactic radiosurgery (SRS), Stereotactic body radiation therapy (SABR) |
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| # 6 | Learning outcome 2 |
Competency
Undertake independent monitor unit calculations and critically appraise the results |
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| # 7 | Learning outcome 4,5 |
Competency
Identify the course of action to be taken should a plan become clinically unsuitable during treatment (eg changes of shape, position, etc) |
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| # 8 | Learning outcome 1,4 |
Competency
Advise on the use of electron beams taking into account energy, applicators, appropriate field size, cut-outs, changes of FSD, use of bolus, etc |
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| # 9 | Learning outcome 4,5 |
Competency
Calculate biological effective doses for different fractionation regimens for tumours and organs at risk |
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| # 10 | Learning outcome 4,5 |
Competency
Analyse the dosimetric effect of an error in the treatment process and propose a correction strategy |
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| # 11 | Learning outcome 5 |
Competency
Calibrate in-vivo dosimetry equipment |
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| # 12 | Learning outcome 5 |
Competency
Undertake in-vivo dosimetry during patient treatments |
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| # 13 | Learning outcome 3 |
Competency
Analyse in-vivo dosimetry measurements |
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Assessments
You must complete:
- 3 case-based discussion(s)
- 2 of the following DOPS/ OCEs:
| Measure and analyse in-vivo dosimetry data | DOPS |
| Perform image registration of planning eg MRI to CT and verification (eg CBCT to CT) using available software. Discuss the potentail uncertainties in the results | DOPS |
| Generate outlines for anatomical structures and ICRU volumes for complex situations. | DOPS |
| Analyse the dosimetric effect of an error eg laterality error in the treatment process and propose a correction strategy. | DOPS |
| Calculate biological effective doses for different fractionation regimes for tumours and organs at risk, including compensation strategy for unintended gap in treatment. | DOPS |
| Participate in the resolution of clinical queries and explain possible solutions to clincial colleagues to ensure successful patient delivery. | OCE |
| Attend a multidisciplinary meeting and explain the treatment plan options for a patient undergoing radiotherapy treatment. | OCE |
| Advise a clinical team on the use of electron beams taking into account energy, applicators, appropriate field size, cut-outs, changes of FSD, use of bolus etc. | OCE |
| Identify and explain the advantages and shortcomings of treatment planning algorithms in routine use for a variety of treatment sites | OCE |
| discuss with the clinical team of the value of the Dose-Volume Hsitograms in assessing complex treatment plans. Include a discussions on the uncertainties involved | OCE |
Learning outcomes
- Plan all but the most complex cases.
- Check calculations and standard plans.
- Provide and analyse in-vivo dosimetry data.
- Provide advice on treatment techniques.
- Analyse effectiveness of treatment plan delivery.
- Understand the appropriate use of treatment-planning algorithms.
- Quality assure the whole treatment-planning process.