Li Winnie, Cashell Angela, Jaffray David A, Moseley Douglas
Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario; Department of Radiation Oncology, University of Toronto, Toronto, Ontario.
Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario; Department of Radiation Oncology, University of Toronto, Toronto, Ontario.
J Med Imaging Radiat Sci. 2016 Mar;47(1):43-48. doi: 10.1016/j.jmir.2015.12.001. Epub 2016 Jan 11.
Image-guided radiation therapy (IGRT) through daily cone-beam computed tomography (CBCT) has significantly impacted the role of the radiation therapist at our institution; continuing education is crucial to ensure safe practice of technology in the clinical environment. The purpose of this work was to develop and implement an electronic learning (eLearning) module as a yearly refresher for CBCT-practicing radiation therapists.
To provide an innovative interface to engage the learner's interest, a module themed "Myths in Cone Beam Computed Tomography Practice" was developed by content experts at our institution. The eLearning tool focused on the technical aspects and fundamental theory of CBCT acquisition, with an aim to refresh the user's knowledge and confidence in image fusion and assessment. Ten myths were identified in the module and evidence-based content was referenced within each myth to support theory. Evaluation of the learner was performed through a multiple choice quiz at the end of the module. The tool and 12 multiple choice questions were reviewed and validated by subject matter and non-subject matter experts in CBCT-IGRT before departmental implementation.
The CBCT eLearning module has been clinically implemented and used over the last 3 years by radiation therapists in our department. Completion of the tool is an annual mandatory requirement for CBCT-practicing therapists; over 100 participants completed the module per year. The median time for module completion decreased over the 3-year interval, from 42 minutes 25 seconds during the first year of implementation to 20 minutes and 48 seconds in the third year.
An electronic online training tool for CBCT refresher training has been developed and implemented at our institution, with an aim to equip staff with the critical thinking skills and clinical judgment required to operate in a CBCT-IGRT environment. The module's format ensures delivery of consistent information as a component of yearly continuing education for radiation therapists.
通过每日锥形束计算机断层扫描（CBCT）进行的图像引导放射治疗（IGRT）对我们机构放射治疗师的角色产生了重大影响；继续教育对于确保在临床环境中安全应用该技术至关重要。这项工作的目的是开发并实施一个电子学习（eLearning）模块，作为对从事CBCT工作的放射治疗师的年度复习课程。
为了提供一个创新的界面以吸引学习者的兴趣，我们机构的内容专家开发了一个主题为“锥形束计算机断层扫描实践中的误区”的模块。该电子学习工具聚焦于CBCT采集的技术方面和基础理论，旨在更新用户在图像融合和评估方面的知识与信心。在该模块中识别出了十个误区，并在每个误区内引用了基于证据的内容来支持理论。通过在模块末尾的多项选择题测验对学习者进行评估。在部门实施之前，该工具和12道多项选择题由CBCT - IGRT领域的主题专家和非主题专家进行了审查和验证。
CBCT电子学习模块在过去3年中已在我们科室临床实施并使用。完成该工具是从事CBCT工作的治疗师的年度强制要求；每年有超过100名参与者完成该模块。在这3年期间，模块完成的中位时间有所下降，从实施第一年的42分钟25秒降至第三年的20分钟48秒。
我们机构已开发并实施了一个用于CBCT复习培训的电子在线培训工具，旨在使工作人员具备在CBCT - IGRT环境中操作所需的批判性思维技能和临床判断力。该模块的形式确保了作为放射治疗师年度继续教育一部分的一致信息的传递。
