Royal Marsden NHS Foundation Trust, London, UK.
St George's University of London, UK.
Radiography (Lond). 2023 Jul;29(4):818-826. doi: 10.1016/j.radi.2023.05.015. Epub 2023 Jun 16.
Therapeutic radiographers (TRs) have adapted to the changing requirements and demands of the oncology service and in response to advanced techniques such as on-line adaptive MRI-guided radiotherapy (MRIgRT). The skills required for MRIgRT would benefit many TRs not just those involved in this technique. This study presents the results of a training needs analysis (TNA) for the required MRIgRT skills in readiness for training TRs for current and future practice.
A UK-based TNA was used to ask TRs about their knowledge and experience with essential skills required for MRIgRT based on previous investigations into the topic. A five-point Likert scale was used for each of the skills and the difference in values were used to calculate the training need for current and future practice.
261 responses were received (n = 261). The skill rated the most important to current practice was CBCT/CT matching and/or fusion. The current highest priority needs were radiotherapy planning and radiotherapy dosimetry. The skill rated the most important to future practice was CBCT/CT matching and/or fusion. The future highest priority needs were MRI acquisition and MRI Contouring. Over 50% of participants wanted training or additional training in all skills. There was an increase in all values for skills investigated from current to future roles.
Although the examined skills were viewed as important to current roles, the future training needs, both overall and high priority, were different compared to current roles. As the 'future' of radiotherapy can arrive rapidly, it is essential that training is delivered appropriately and timely. Before this can occur, there must be investigations into the method and delivery of this training.
Role development. Education changes for therapeutic radiographers.
治疗放射技师（TR）已经适应了肿瘤学服务不断变化的要求和需求，并针对在线自适应 MRI 引导放射治疗（MRIgRT）等先进技术进行了调整。MRIgRT 所需的技能将使许多 TR 受益，而不仅仅是那些参与该技术的 TR。本研究报告了为 MRIgRT 所需技能进行培训需求分析（TNA）的结果，以便为当前和未来的实践培训 TR。
采用基于英国的 TNA，根据先前对该主题的调查，询问 TR 对 MRIgRT 基本技能的知识和经验。对每个技能使用五点李克特量表，通过数值差异来计算当前和未来实践的培训需求。
共收到 261 份回复（n=261）。目前对实践最重要的技能是 CBCT/CT 匹配和/或融合。当前优先级最高的需求是放射治疗计划和放射治疗剂量学。未来对实践最重要的技能是 CBCT/CT 匹配和/或融合。未来优先级最高的需求是 MRI 采集和 MRI 轮廓勾画。超过 50%的参与者希望在所有技能方面接受培训或额外培训。从当前到未来角色，所有调查技能的数值都有所增加。
尽管所检查的技能对当前角色很重要，但与当前角色相比，未来的培训需求，无论是整体需求还是高优先级需求，都有所不同。由于放射治疗的“未来”可能很快到来，因此必须适时适当地提供培训。在这之前，必须对培训的方法和交付进行调查。
角色发展。治疗放射技师的教育变革。
