Comprehensive Quality Management in Radiotherapy - Quality Assessment and Improvement

Dublin, Ireland

[ Early deadline: 12 July 2019 ]
[ Quality improvement ]

Good quality is impossible to attain if quality standards are not embedded in the culture of the department/institution. Therefore, all staff contributing to the treatment chain are encouraged to attend. Obviously without a heavy involvement of team leaders a quality system will be difficult to set up and to maintain, consequently, all heads of departments and future leaders - should ideally be familiar with what this course will cover. For the above reasons, the course is aimed at radiation oncologists, medical physicists, radiation therapists (RTTs) and hospital/department administrators. It is also of interest to any team member who might have embarked on a teaching programme with the aim of becoming head of department.

Course directors 

  • NĂºria Jornet, Physicist, Hospital de la Santa Creu i Sant Pau, Barcelona (ES) 

  • Nicolas Pourel, Radiation Oncologist, Institut Sainte Catherine, Avignon (FR)


  • Marjolein Van Os, Radiation Technologist, Erasmus MC Cancer Institute, Rotterdam (NL) 

  • Yolande Lievens, Radiation Oncologist, Ghent University Hospital, Ghent (BE) 

  • Coen Hurkmans, Medical Physicist, Catharina Hospital, Eindhoven (NL)

  • Karine Gerard-Herlevin, Medical Physicist, Institut de Cancerologie de Lorraine (FR) 

  • Amanda Caissie, Radiation Oncologist, Dalhousie University (CA) 

Local organizer  

  • Mary Coffey, Radiation Therapist, Trinity College Dublin, Dublin (IE)


This course aims to: 

  • Deliver a comprehensive overview of how to set up a quality system in a department, define useful quality indicators and learn different methods to monitor and improve quality 

  • Provide awareness of what clinical audits and clinical trials can contribute to a quality system 

  • Introduce techniques for technology assessment and algorithms to calculate staffing levels in a department, topics of outmost importance in this time of financial crisis. 

Learning outcomes

By the end of this course participants should be able to set up or review the quality system in their department. 
In particular they should be able to: 

  • Explain how risk management, quality monitoring and quality improvement are linked 

  • Construct a process chart from the different steps in the treatment 

  • Define quality indicators and quality standards 

  • Compare tools and methods to monitor quality, application to radiotherapy 

  • Apply LEAN method for quality improvement 

  • Explain how clinical audits are set up and how they contribute to quality assessment and improvement 

  • List different methods for technology assessment 

  • Perform staffing levels calculations.

Course content

Lectures will be held in the morning followed by practical cases and discussion in the afternoon. We aim to allow the participants to put to practice what will have been discussed during the morning lectures and to learn how to work in a multidisciplinary and international group. 

  • From risk management to quality improvement: how can we use the information that we get from FMEA, fault tree analysis, etc. to feed our QI system? 

  • Quality assessment: 

  • Metrics for quality measurement: quality indicators 

  • Quality standards 

  • Monitoring quality indicators (general) 

  • How to interpret quality measures 

  • Monitoring quality indicators through SPC 

  • How should tolerance and action levels be set? 

  • Methods for quality improvement: 

  • Introduction to different methods 

  • A focus on LEAN. 

  • Quality improvement strategies:Clinical audits and feedback 

  • Technology assessment methods: 

  • Cost-effectiveness studies: HERO project 

  • QA in Clinical trials. 

  • Staffing levels in RT 

  • European Directives on quality and safety in radiotherapy


The two courses on Quality Management, Risk Management and Quality Assessment, have been designed to be complementary and it is recommended to attend both to get a complete picture of quality management. However, the order in which they are taken does not matter. To fully profit from the course it is recommended that participants have at least three years’ experience in a radiation oncology or medical physics department to have a complete picture of the radiotherapy process.

Teaching methods

  • 13 hours of lectures 
  • 5 hours of practical workshops 
  • 3 hours of case discussions

Methods of assessment

Evaluation form MCQ


Available here

Further reading / Web resources

To be provided if available


Application for CME recognition will be submitted to the European Accreditation Council for Continuing Medical Education (EACCME), an institution of the European Union of Medical Specialists (UEMS). EACCME credits are recognised by the American Medical Association towards the Physician’s Recognition Award (PRA). Information on the status of the applications can be obtained from the ESTRO office


Crowne Plaza Dublin – Blanchardstown - Blanchardstown Centre, Dublin 15, D15 T1FD, Ireland


You can book a room at Crowne Plaza Dublin at a preferential ESTRO rate here or you can contact the hotel directly Phone: +353 (0) 1 897 7721 Email:


ESTRO members can order products at substantially reduced prices. Please note that in order to benefit from the member price, you must renew your membership for 2019 before registering to the course.To benefit from these member rates, please visit the membership page to become a member or renew your membership BEFORE proceeding with your order.



Early rate

Late rate

In-training members* 450 EUR 625 EUR
Members 600 EUR 725 EUR
Non Members 750 EUR 850 EUR

* Members with specialty RadiationTherapist (RTT) may register at the In Training fee

Early rates are applied up to three months before the starting date of the course. 
Late rates are applied three months before the starting date of the course.

The fee includes the course material, coffees, lunches, and the social event.

Advance registration & payment are required.

On-site registration will not be available.

Since the number of participants is limited, late registrants are advised to contact the ESTRO office before payment, to inquire about availability of places. Access to homework and/or course material will become available upon receipt of full payment.


Insurance and cancellation

The organiser does not accept liability for individual medical, travel or personal insurance. Participants are strongly advised to take out their own personal insurance policies.   
In case an unforeseen event would force ESTRO to cancel the meeting, the Society will reimburse the participants fully the registration fees. ESTRO will not be responsible for the refund of travel and accommodation costs.

In case of cancellation, full refund of the registration fee minus 15% for administrative costs may be obtained up to three months before the course and 50% of the fee up to one month before the course. No refund will be made if the cancellation request is postmarked less than one month before the start of the course.

Reduced fees

ESTRO members from economically challenged countries may register at a preferential rate of 350 Euro if three conditions are met:

  1. Only ESTRO members for 2019 are eligible (please make sure your 2019 membership is in order before you apply for the reduced fees)
  2. Only one course per person per year can be subsidized by ESTRO
  3. Sponsored candidates are not entitled to reduced fees (the invoicing address has to be the one of the participant)  

Please note: 

  • We can only guarantee a certain number of reduced fees per course
  • Application deadlines are the same as early registration fees (3 months before the course date

List of Economically challenged countries and eligible courses 


Many of our course participants are able to find full or partial funding from sources available locally. 

For more please go to: GRANTS

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