Sunnybrook Health Sciences Centre Fully Affiliated with the University of Toronto

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Gregory Barnett
5 years ago
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1 Appendix2 Sunnybrook Health Sciences Centre Fully Affiliated with the University of Toronto Vacancy Exists For: Advanced Practice Radiation Therapist (APRT) SBRT Program Competition # Location: Odette Cancer Centre Classification: Temporary Full-time (1 year) Department: Radiation Therapy Department OCC Salary: Union: Non-unionized Hours of Work: Days (Monday to Friday) Summary of Duties: This will initially be a 1 year position as part of the Provincial CSRT Project. Continuation of the position will be evaluated at the end of 1 year. The Advanced Practice Radiation Therapist (APRT) functions as a self-regulated independent practitioner for SBRT patients referred to the Odette Cancer Centre SBRT Program. The Advanced Practice Radiation Therapist in SBRT is a registered Radiation Therapist who has acquired advanced knowledge and skills through a combination of formal courses, (Master s Degree) workplace learning, and professional development activities. Responsibilities include: triaging patients for SBRT, contouring, plan assessment, approval of IGRT images, obtaining patient consent, collecting and analyzing patient/technical data; acting as clinical and academic co-coordinator across all tumour sites; initiating research activities; professional and organizational leadership. Qualifications/Skills: The APRT in SBRT is a registered Radiation Therapist who has acquired advanced knowledge and skills through a combination of formal courses, workplace learning, and professional development activities Candidates must either have a graduate degree or will be required to complete a Masters Program within in a defined time period if the position becomes permanent at the end of the evaluative phase. Graduate of a recognized Radiation Therapy training program with registration with the College of Medical Radiation Technologists of Ontario (CMRTO). Minimum 5 years experience as a Radiation Therapist. Current CPR certificate is required. Demonstrated teaching, research, project initiation & management as well as, presentation skills. Strong interpersonal skills and the ability to work both independently and within an interprofessional team. Date Posted: Last Day for Application: Qualified Applicants must submit both an Internal Application/Transfer Form and current Resume to the Human Resources Department at their campus by October 21 st, Supplemental Information: Qualified Applicants must submit a portfolio showing evidence of experience and learning at an advanced level. All applicants must submit their portfolio by October 28, 2011 to the Radiation Therapy Administration Office (TB95). Only applicants who have the required qualifications and demonstrated

2 Appendix2 satisfactory job performance and attendance will be given consideration for an interview.

3 Appendix 3 TITLE: REPORTS TO: Advanced Practice Stereotactic Body Radiation Therapy (SBRT) Radiation Therapist Jointly to the Manager and Head of Radiation Therapy and the Radiation Oncologist Head of the SBRT Group POSITIONS REPORTING: BUDGET RESPONSIBILITY: Not applicable Research Grants as required. PURPOSE: Under the direction and guidance of the Manager of Radiation Therapy and the Radiation Oncologist Head of the SBRT group, the Advanced Practice Radiation Therapist will enhance radiation therapy practice and patient-focused outcomes for patients undergoing SBRT through expanded, direct and comprehensive care, education, research, professional and organizational leadership. The Advanced Practice SBRT Radiation Therapist is a registered Radiation Therapist who has acquired advanced knowledge and skills through a combination of workplace learning, formal courses and/or professional development activities. The Advanced Practice Radiation Therapist is a highly competent academic practitioner with advanced knowledge, skills and judgment in clinical practice in the management of patients undergoing SBRT for a variety of tumor sites. The Advanced Practice Radiation Therapist functions as a self-regulated practitioner guided by strong moral, ethical and personal values in a spectrum of environments taking into account the unique qualities of each. He/she will integrate theoretical, research and practical knowledge to exercise sound judgment across complex and varying social, cultural and organizational contexts making a unique and significant contribution to the timely provision of excellent radiation therapy treatment and patient care in the cancer care system. DUTIES & RESPONSIBILITIES: The Advanced Practice SBRT Radiation Therapist will play an integral role for SBRT patients referred to the Odette Cancer Centre. By liaising with various site groups and team members, and triaging patients as required, the individual will be able to facilitate appropriate and efficient movement of the patient through the system. The individual will function within the interdisciplinary healthcare team by providing comprehensive assessment, and referral, and contouring, treatment planning, plan assessment and image approval for patients treated with SBRT. This individual will be responsible for ensuring quality patient care as part of the multidisciplinary health care team with a focus on ensuring continuity of care from referral to follow up and efficient navigation of the patient through the system. With a high level of autonomy, the APRT will formulate care plans in conjunction with the radiation oncologist, patient/family/caregiver and obtain consent where necessary. He/she will conduct ongoing assessment of the patient, provide

4 education to the patient on expected toxicities and ongoing support for the management of those toxicities, as well as participate in weekly review and follow up care. From a technical standpoint, the APRT will perform lung contours, contouring of normal structures and organs at risk in certain defined cases, target volumes. The APRT will attend at the treatment unit on the first day of treatment in place of the oncologist and will approve set-up and treatment images. The APRT will serve as a consultant within the interdisciplinary and multi site SBRT team and provide education and mentorship to others. At the program level, the APRT will apply leadership, research and educational expertise to enhance the application of evidence-based practice, principles of best practice, and quality practices. The APRT will collaborate on SBRT research with the various site groups employing SBRT e.g. Lung, GI and GU, as well as work in collaboration with other members of the patient s treatment team. Optimizing patient care and maximizing patient health outcomes in the realm of radiation therapy is the central focus of the Advanced Practice Radiation Therapist. 1.0 CLINICAL COMPETENCIES Works as a member of the SBRT interdisciplinary care team to provide optimal patient care for patients undergoing SBRT in a variety of tumor sites in accordance with the scope of practice, medical directives/protocols and practice guidelines. a) Triage patients to ensure identify patients suitable for SBRT and the various trials and protocols at the appropriate urgency level b) Assess patient at first clinic appointment, before, during and after radiation therapy, for physical and psychosocial distress with appropriate documentation of findings or referrals. c) Act as a patient navigator to ensure patients identified for SBRT are steered through the process efficiently. d) Interpret relevant diagnostic information e) Perform /order additional tests/diagnostic procedures where appropriate and necessary. f) Formulate, implement, and continuously assess effectiveness of patient care/treatment plan. g) Communicate the results of specific tests/procedures h) Obtain informed consent and consent for participation in clinical studies. i) Administer/dispense pharmaceutical within defined medical directives j) Consult, as part of the interdisciplinary team, on relevant patient cases. k) Act as a resource and central coordinating individual across all the site groups using SBRT (e.g. Lung, GI, GU) 2.0 TECHNICAL COMPETENCIES Utilizes advanced technical knowledge to function as an expert in the SBRT Group. a) Provide technical and dosimetric consultation at all phases of the radiation therapy planning and treatment process b) Employ technical expertise in the area of dosimetry for SBRT patients c) Order the appropriate imaging/planning. d) Approve/conduct treatment localization of appropriate treatment volumes

5 e) Accurately locate relevant organs, target volumes, organs at risk and regions of interest for use in the creation of an optimized treatment plan. f) Perform contouring of normal structures, critical organs at risk (and target volume where applicable) for SBRT plans. g) Perform plan assessment. h) Approve treatment unit verification/localization images and image guidance shift trends where applicable i) Refer cases that fall out of standard protocol to the radiation oncologist. j) Apply advanced technical knowledge to improve the integration of existing, or facilitate the application of new technology throughout practice where applicable 3.0 PROFESSIONAL COMPETENCIES Functions as a leader, role model, educator, researcher and mentor in all aspects of radiation therapy practice especially with skin cancer patient population. Service and Quality Enhancement (Q) a) Promote, advocate and employ evidence-based approaches to develop and engage in best professional practice b) Select cases and participate in SBRT QA rounds. c) Participate in overall program review and external program/service audit (e.g. accreditation processes) d) Ensure SBRT treatment and planning is coordinated to make the most efficient use of resources (i.e. Hexapod equipped treatment units) and minimize wait times. e) Proactively plan for and order equipment for the SBRT program. Leadership (L) a) Contribute to the optimal function of the health care team through continual assessment, evaluation and self-reflection b) Optimize awareness and utilization of a program/service through communication, promotion and advocacy c) Participate in the selection, mentoring, supervision and evaluation of junior staff d) Participate in strategic planning and goal setting for the program or service e) Engage in personal and professional reflective practice Research (R) a) Contribute to the scholarly endeavors of the SBRT team through collaboration and participation in existing studies. b) Participate in and lead research new research projects for the SBRT group. c) Collect, maintain and analyze data required by the SBRT Program d) Present research findings at conferences, rounds and in-services. e) Facilitate the translation of research findings into treatment practice. Education (E) a) Assess learning needs of new radiation therapists rotating to SBRT machines. b) Create learning plans and materials as required. c) Provide training to radiation therapists in Simulator or Treatment Units on any new SBRT protocols/ techniques/equipment.

6 d) Deliver presentations and educational sessions. e) Assess staff knowledge of SBRT, identify need for remediation and collaborate with Educator to provide remediation. 4.0 OTHER Perform other related duties and activities as assigned. QUALIFICATIONS: Qualified Radiation Therapist Registered with CMRTO Minimum 5 years experience in the field of Radiation Therapy Bachelor of Science Degree (Masters Degree obtained or in progress required upon acceptance of position) CPR Certified. Strong interpersonal and team based skills Demonstrated leadership skills Able to work independently with a minimum of direction. Excellent communication and organizational skills Demonstration of leadership and research experience required Strong knowledge of SBRT, indications, treatment planning, imaging etc. physiology, disease progression and management of radiation therapy related side effects Awareness of legislation relevant to the position

The ASRT is seeking public comment on proposed revisions to the Practice Standards for Medical Imaging and Radiation Therapy titled Medical Dosimetry.

The ASRT is seeking public comment on proposed revisions to the Practice Standards for Medical Imaging and Radiation Therapy titled Medical Dosimetry. To submit comments please access the public comment