Brachytherapy education and certification-A Canadian approach.

The Royal College of Physicians and Surgeons of Canada has established a diploma certification program in brachytherapy, with the goal of standardizing brachytherapy training and standards. The diploma may be obtained either by way of a training route or a Practice Eligibility Route. Training is undergone through a Royal College-accredited brachytherapy program, analogous to a residency program with clearly defined curriculum, objectives, and expectations. The trainee submits a portfolio demonstrating achievement of the various competencies required and typically takes 12 months to complete. The trainee is then equipped to function as a competent specialist in brachytherapy, capable of an enhanced practice in this area. To date, the University of Toronto has the only Royal College-accredited training program in brachytherapy, but other Universities are in the process of applying for accreditation. Those already in practice may apply for accreditation through a Practice Eligibility Route, by submitting evidence of competency in brachytherapy. Either route can lead to the awarding of a diploma in brachytherapy, recognized by the designation DRCPSC. The overall goal of this program is to enhance quality of care and improve patient safety by setting pan-Canadian standards for training and practice in this area.