دورية أكاديمية

Radiation oncologists' scope of practice and role in cancer management in Australia, New Zealand, and Singapore: Are we clinicians or technicians?

التفاصيل البيبلوغرافية
العنوان: Radiation oncologists' scope of practice and role in cancer management in Australia, New Zealand, and Singapore: Are we clinicians or technicians?
المؤلفون: Leung J; Radiation Oncology, GenesisCare, Adelaide, South Australia, Australia., James M; Christchurch Oncology Service, Canterbury Regional Cancer and Haematology Centre, Christchurch, New Zealand.; Department of Medicine, Christchurch Hospital, University of Otago, Christchurch, New Zealand., Adams G; Radiation Oncology, GenesisCare, Bundaberg, Queensland, Australia., Gupta N; Royal Australian and New Zealand College of Radiologists, Sydney, New South Wales, Australia.
المصدر: Journal of medical imaging and radiation oncology [J Med Imaging Radiat Oncol] 2023 Oct; Vol. 67 (7), pp. 769-776. Date of Electronic Publication: 2023 Jul 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Pub. Asia Country of Publication: Australia NLM ID: 101469340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1754-9485 (Electronic) Linking ISSN: 17549477 NLM ISO Abbreviation: J Med Imaging Radiat Oncol Subsets: MEDLINE
أسماء مطبوعة: Publication: Carlton, Vic. : Wiley-Blackwell Pub. Asia
Original Publication: Carlton, Vic. : Blackwell Pub. Asia, c2008-
مواضيع طبية MeSH: Neoplasms*/radiotherapy , Oncologists*, Humans ; Radiation Oncologists ; New Zealand ; Singapore ; Scope of Practice ; Australia ; Surveys and Questionnaires ; Practice Patterns, Physicians'
مستخلص: Introduction: To evaluate the scope of practice and role in cancer management for radiation oncologists in Australia, New Zealand, and Singapore (ANZ).
Methods: A 27-question survey was emailed to all practicing radiation oncologists listed on the RANZCR database in mid-2021.
Results: There was a 54% response rate. Respondents reported managing symptoms associated with radiation therapy (96%), cancer-related symptoms (86%), writing narcotic and analgesic prescriptions (76%), being involved in palliative care (57%), prescribing non-cytotoxic systemic therapy (45%), and admitting patients (41%). Just over 20% wanted to expand their scope of practice, but for those who were unable to, insufficient time (35%), inter-specialty political difficulties (14%), and lack of support from the organisation (12%) were the major reasons. Over half of respondents (56.4%) thought they provided an opinion on the overall role of cancer management. Just under 20% provided a radiation therapy opinion only and <1% provided radiation therapy at the request of the referring clinician. The remainder reported a combination of these. Over 80% of respondents thought their ideal role was to be involved in overall cancer management and 20% believed they should be providing an opinion on radiation therapy only. The ideal role matched the actual role in over 87% of respondents and most respondents thought radiation oncology training enabled an opinion on overall cancer management. Over 90% of respondents were satisfied with their current role in cancer management. Radiation oncologists felt they were perceived as independent clinicians and the large majority (87%) thought radiation oncologists should be part of a multidisciplinary team rather than leaders in cancer management.
Conclusion: This study has revealed a broad but expected scope of practice for ANZ radiation oncologists with the large majority providing an opinion on overall cancer management or radiation therapy and their ideal role matching their actual role.
(© 2023 The Authors. Journal of Medical Imaging and Radiation Oncology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Radiologists.)
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فهرسة مساهمة: Keywords: clinical practice; radiation oncologist; role; scope; technician
تواريخ الأحداث: Date Created: 20230720 Date Completed: 20231101 Latest Revision: 20231101
رمز التحديث: 20231215
DOI: 10.1111/1754-9485.13565
PMID: 37469112
قاعدة البيانات: MEDLINE
الوصف
تدمد:1754-9485
DOI:10.1111/1754-9485.13565