WP7 - Digital skills for Therapy Radiographers (TR)- a document - - PowerPoint PPT Presentation

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WP7 - Digital skills for Therapy Radiographers (TR)- a document - - PowerPoint PPT Presentation

WP7 - Digital skills for Therapy Radiographers (TR)- a document analysis Brbara Barbosa 1,4 , Isabel Bravo 1 , Celeste Oliveira 1 , Lus Antunes 1 , Jos Couto 2 , Sonyia McFadden 3 , Ciara Hughes 3 , Patricia McClure 3 , Anabela Dias 1 1-


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WP7 - Digital skills for Therapy Radiographers (TR)- a document analysis

Bárbara Barbosa1,4, Isabel Bravo1, Celeste Oliveira1, Luís Antunes1, José Couto2, Sonyia McFadden3, Ciara Hughes3, Patricia McClure3, Anabela Dias1

1- Portuguese Institute of Oncology, Porto, Portugal 2- Radiography Department, University of Malta, Malta. 3- Ulster University, UK. 4- Vigo University, Spain

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Disclaimer

The European Commission's support for the production of this publication does not constitute an endorsement of the contents, which reflect the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

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Background

 EU Digital skills agenda  Digital Skills for TRs

Literature review

 Methodology  Results

  • Discussion/Conclusion

Future directions

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EU Digital Skills agenda

“Digital skills and related concepts, such as digital competence, have become key terms in the discussion on the kind of skills needed by citizens – in Europe and beyond – to participate and thrive in our society…” European Commission 2010; Ferrari 2012; Gallardo-Echenique et al. 2015

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https://www.coventrytelegraph.net/lifestyle/nostalgia/gallery/old-news

  • sports-photos-taken-11295826

https://www.itnonline.com/content/establishing-igrt-program

  • observations-two-treatment-centers

And Digital Skills for TRs?

  • Key role in health care provision
  • New technological challenges (diversity of software)
  • Role expansion and shift of responsibilities
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I just told you that there is no common regulation for that, yet !!!

What????

Digital Skills for TRs

Aim: Assess the literature and identify the relevant digital skills for Trs.

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Methodology

Systematic search: ✔ Databases and Journals: ✔PMC ✔Science Direct ✔ERIC ✔Cochrane Library ✔PubMed.gov ✔IEEE Xplore ✔Radiography Journal ✔TipsRO Journal ✔ Zotero Software ✔ Two reviewers Query:

(digital) AND (competenc* OR task* OR skill*) AND (“therapeutic radiographer” OR “therapeutic radiography” OR radiographer* OR radiotherapist* OR RTT* OR “radiation therapist” OR “radiation technologist” OR “radiation therapy technician” OR “Radiological technologist” OR “Radiological technician”) AND (radiotherapy OR “radiation therapy” OR “radiation oncology”)

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Database search (n=216) Database search (n=216)

Duplicates records removed (n=12) Duplicates records removed (n=12) Records excluded after review of abstract (n=172 ) Records excluded after review of abstract (n=172 )

Full-text articles assessed for eligibility (n=32) Full-text articles assessed for eligibility (n=32)

Full-text articles excluded (n=14) Full-text articles excluded (n=14)

Full –text articles included (n=18) Full –text articles included (n=18) Articles added through snowballing (n=8 ) Articles added through snowballing (n=8 )

Studies included (n=26 ) Studies included (n=26 )

Records screened (n=204) Records screened (n=204)

Literature Selection Process

Inclusion criteria:

  • 10 year period
  • Languages: EN/PT
  • Focus on TR’s digitals skills

Exclusion criteria:

  • Focus on digital skills of
  • ther healthcare

professionals

  • Irrelevancy to the topic of

research

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Radiotherapy

✔ Benchmarking documents ✔ Recommendations documents ✔ Educational guidelines

Digital skills/competencies

✔ EU’ Digital Programmes ✔ European projects (reports) ✔ International frameworks

Technical Publications

✔ User guide manuals ✔ Reference guide manuals

Methods

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Results

I can’t find anything!

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Transversal Management and Research

Quality, Safety and Risk Management

T reatment Planning Image T reatment Planning

Results

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T reatment Planning

  • Plan treatment
  • Plan parameters
  • Dose calculation
  • Inverse planning

(IMRT/VMAT)

  • 4D planning
  • SRS/SBRT planning
  • Plan evaluation
  • Prerequisites for treatment

T ransversal

  • Technologies/ Information

Systems (IS)

  • Communication
  • Electronic Patient Record

(EPR)

  • Patient Agenda
  • Workstation

Planning Image

  • Computerized Tomography
  • 4D Computerized

Tomography

  • Image Processing and

Enhancement

  • Image Registration and

Correlation

  • Image Segmentation and

Contouring

Management and Research

  • Department

administration and management

  • Education and research

T reatment

  • System setup
  • Treatment delivery planning
  • Treatment verification:

conventional techniques

  • Treatment verification:

advanced techniques

  • Image matching
  • Image analysis
  • Treatment delivery
  • Respiratory gating treatment

delivery

  • SRS/SBRT treatment delivery

Quality, Safety and Risk Management

  • Quality assurance
  • Security
  • Risk management
  • Data protection
  • Information integrity
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202 Digital Skills

6 Dimensions 34 Sub- Dimensions

Results

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Dose Calculation

Treatment Planning

  • Select calculation parameters
  • Calculate dose distribution

Computerized Tomography

Planning Image

  • Create scan protocols
  • Set acquisition parameters

Communication

Transversal

  • Use an internal communication channel
  • Create multimedia content for patient

education

Education and research

Management and Research

  • Use data analysis software
  • Create training programs

Security

Quality, Safety and Risk Management

  • Record all procedures concerning the

radiation delivered

  • Review LINAC, MLC and imaging

system failures/interlocks

Image analysis

Treatment

  • View online/offline images
  • Use analysis tools

Results

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Conclusions

TRs needs to deal with the digital revolution! Digital skills are already in use in daily practice! Ensure that TRs are trained with the necessary skills (from early education to CPD), to adopt the best practice across Europe. Closing the digital skills gaps will improve the quality of practice which will result in better patient outcomes. TRs must have a good level of digital skills, or risk losing autonomy and influence. Make TRs co-developers of digital solutions for Radiotherapy workflow. This set of digital skills will also allow for the anticipation of future needs, regarding the new technologies (such as machine learning, big data and cybersecurity).

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Future directions - WP7

Survey distribution (Europe) Focus group interviews - design Recommendations and webinars

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Conclusions

January 2020

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“Digital skills require the mastery of particular relatively complex operations, interfaces, and applications of digital technology…Thus, digital skills are a complex policy problem that calls for both technological and educational solutions.” Van Dijke, 2014