creating and maintaining a pool of skilled practitioners: the estro … · 2017. 9. 22. · - at...
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Creating and maintaining a pool of skilled practitioners:
the ESTRO approach.
Yolande Lievens, MD, PhDGhent University Hospital
European Society for Radiotherapy & Oncology
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image registration & correction
treatment preparation
imaging delineation planning
imaging
treatment delivery
per‐treatment dosimetry
treatment
daily
pre‐treatment dosimetry
state-of-the-art radiotherapy
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reduced acute & late toxicity
reduced acute & late toxicity
better tumour control
better tumour control
shorter fractionation schedules
shorter fractionation schedules
more efficient
resource use
more efficient
resource use
state-of-the-art radiotherapy
we can only make this happen with adequate (human) resources
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available resourcesvs. resources needed
actual gap in radiotherapy provision
Atun et al, Lancet Oncology 2015
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Atun et al, Lancet Oncology 2015
how many radiotherapy professionalswill we need to close this gap?
2035
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radiation oncologistsmedical physicists & dosimetrists
radiation therapists (RTTs) & nurses
radiotherapy professionals……a heterogeneous landscape
Lievens et al, Radiotherapy & Oncology 2014
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we need
innovative education to train these professionals
innovative approaches to define the appropriate skill sets
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educational activities of the ESTRO Schoolbackbone = live courses, 41 Radiation Oncology topics460 in total, 62 outside Europe (worldwide)> 40.000 participants, of which about 9.000 worldwide
Education Council
Live programme
Blended learning
programme
Intercontinental Education programme
CC/UEMS/exams/Fellow programme
Pedagogical programme
Mobility programme
FALCONFALCON
broadeducational offer
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Train-The-Trainer Best practice in Radiation Oncology –
a workshop to train RTT trainers
• Train the RTT Trainers
ESTRO + local faculty
ESTRO + local faculty
• First local course
local facultylocal faculty
• Consolidation course
ESTRO + local faculty
ESTRO + local faculty
1‐year programme, interim support
1 decade,49 teams
Advanced Technologies (India ESTRO‐AROI)Basic Clinical Radiobiology (Australia, RANZCR)
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online contouring platform live work shops
- in live courses (2010)- at ESTRO congresses (ESTRO 29, 2010)
online workshops - web-conferences, interactive, over 3 weeks
4 cases available online for ESTRO members life events from 3rd parties
- IAEA - worldwide National Radiotherapy Societies
support for - guidelines- clinical trials- educational research project (IAEA 20450 NA)
FALCONfellowship in anatomical delineation and contouring
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Blended Teaching CoursePositioning and Immobilization for Radiation Therapy
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the potential of skilled personnel…ex. prone breast irradiation
Advanced Technology
Dedicated Personnel
Mulliez et al, Radiotherapy & Oncology 2013
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Thank you !
Acknowledgements
Richard PötterJesper EriksenChristine Verfaillieover 200 ESTRO teachers annuallythe National Radiotherapy Societies
Mary GospodarowiczEduardo Zubizarreta