(Sunday, 7/29/2018) 3:00 PM - 6:00 PM
Room: Exhibit Hall
Purpose: To develop and document standardized delivery of physics outreach services at remote sites for purposes of convergence with primary institution.
Methods: An outreach system implementation was designed to encompass common aspects of advanced commissioning, treatment planning, and quality assurance techniques in order to provide seamless integration of physics services between multiple facilities. Methods utilized at the main institution were translated to the initial outreach facility to the maximum extent possible in order to permit rotation of physics and dosimetry staff between facilities and the utilization of common scripts, quality assurance methods and software. All facilities share common treatment, dosimetry, imaging, quality assurance and accreditation systems. The techniques adopted permit remote coverage and have been optimized for the convergence of outreach and the home institution radiation oncology facilities.
Results: The initial outreach program within a 100 mile radius of main facility integrated services seamlessly. The physics workload experienced an unforeseen increase due to the decision to implement the most current version of R&V / TPS architecture at the outreach site that was not yet upgraded at the primary institution. The daily, monthly and annual QA and practice templates were adopted by the new department, with caveats. Implementation of advanced treatment technologies is ongoing following practice workload growth.
Conclusion: The implementation of our convergence techniques provided the ability to bring new systems on-line faster by utilizing a team commissioning approach and ensuring uniform adoption of TG142 baselines. A constant awareness of updated versions of software and phantoms is necessary to ensure compatibility and uniform convergence between facilities. Clinical leadership skills were emphasized.
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