Cited by 20Nursing Roles and PracticesAdvances in Oncology and RadiotherapyInnovations in Medical Education

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

The implementation of an advanced practice radiation therapy (APRT) program in Singapore

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Wong, Sharon M.M., Sin, S.Y., Lim, L.H., Nurul Tassha, B.M.A., Lin, Jeannie, Melissa, K., Koh, W.Y., Ho, Francis, Quah, Daniel S.C., Sommat, Kiatissa, Tuan, Jeffrey K.L., Wong, F.Y., Ng, W.L., Yeo, Richard M.C., Soong, Y.L., Wang, Michael L.C.·2021·Technical Innovations & Patient Support in Radiation Oncology

Abstract

BACKGROUND: The exploration of Advanced Practiced Radiation Therapists (APRTs) development in Singapore started in 2011. This study aims to provide an overview of the development of the APRT roles, and to discuss the approaches used to develop and implement these roles in Singapore. MATERIALS AND METHODS: A mixed methods approach was used in the development of the APRT program. A literature review was carried out to define the APRT scope of practice and core responsibilities. A competency and assessment framework were setup to assess the core competency areas. With this framework, a structured 1-year residency training program was developed. RESULTS: The scope of practice and core responsibilities of APRTs were defined with five proposed advanced practice profiles being successfully validated. A competency framework was set up to assess the core competency domains: clinical, technical and professional competencies, research, education and leadership. A 4-point scoring system was developed for the competency assessment based on two criteria; the frequency with which RTTs would demonstrate competency, and the ability of performing the task competently. A 1-year structured APRT residency program was developed and implemented. The programme consisted of structured lectures, and clinical practice-based modules where APRT residents receive structured mentoring under a mentorship program. CONCLUSION: The APRT program in Singapore employed an evidence-based implementation process that tested the feasibility of a new practice model. Multidisciplinary involvements, mentorship and clinical training were important factors for the success of the APRT program.

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Crossref · 10.1016/j.tipsro.2021.02.002

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Figures

Fig. 1 PEPPA (RT) Framework [6].
Fig. 1 PEPPA (RT) Framework [6].CC BY-NC-ND · PubMed Central
Fig. 2 APRT Residency Training Program.
Fig. 2 APRT Residency Training Program.CC BY-NC-ND · PubMed Central
Fig. 3a Current VSM of patient HDR-IVB procedure from patient arrival to completion of brachytherapy treatment).
Fig. 3a Current VSM of patient HDR-IVB procedure from patient arrival to completion of brachytherapy treatment).CC BY-NC-ND · PubMed Central
Fig. 3b VSM of patient procedure with APRT role involvement.
Fig. 3b VSM of patient procedure with APRT role involvement.CC BY-NC-ND · PubMed Central

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Metadata

Authors
Wong, S. M. M., Sin, S. Y., Lim, L. H., Nurul Tassha, B. M. A., Lin, J., Melissa, K., Koh, W. Y., Ho, F., Quah, D. S. C., Sommat, K., Tuan, J. K. L., Wong, F. Y., Ng, W. L., Yeo, R. M. C., Soong, Y. L., & Wang, M. L. C.
Affiliations
  • SingHealth (SG)
  • National Cancer Centre Singapore (SG)
  • National University Cancer Institute, Singapore (SG)
  • National University of Singapore (SG)
Corresponding author
Wong, Sharon M.M.
Venue
Technical Innovations & Patient Support in Radiation Oncology
Publisher
Elsevier BV
Published
2021-03
Volume
17
Pages
63-70
ISSN
2405-6324 (ISSN-L)
OpenAlex
W3136854713
Cited by
20
References
26
Citations by year
2026: 3 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 2 · 2021: 3
FWCI
3.65
Type
journal article
Language
en
Open access
Locations
  • Technical Innovations & Patient Support in Radiation Oncology (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • National University of Singapore (submittedVersion)
  • Figshare (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advances in Oncology and Radiotherapy
  • Social Sciences › Education › Innovations in Medical Education
Keywords
scope of practice, competency framework, competency assessment, mentoring, clinical teaching, Singapore

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