Faculty members:

• Monica Buijs (The Netherlands)
• Winnie Li (Canada)
• Maeve Kearney (Ireland)
• Sophie Perryck (Switzerland)

Keywords: Radiation Therapist; Clinical Decision-Making; Protocols; Quality and Safety, personalized medicine

Motivation:

Standardised protocols and streamlined workflows are fundamental to the safe, efficient, and high-quality delivery of Radiation Therapy (RT). They support consistency in clinical practice, facilitate training for new graduates and staff, and maintain acceptable standards in treatment delivery. However, the increasing complexity of modern RT means that protocols alone are no longer sufficient to guide every clinical decision. With advances in imaging, treatment planning, and the growing implementation of Adaptive Radiotherapy (ART) into routine clinical practice, RT is becoming increasingly individualised. These developments require radiation therapists (RTTs) to apply critical thinking and clinical judgement alongside established protocols to ensure that treatment decisions remain patient-centred while maintaining quality and safety. The challenge for the RTT profession is to determine how best to balance standardisation with the flexibility required to manage patient-specific scenarios and how to train for these situations. RTTs must be equipped to recognise when deviation from standard pathways is appropriate, while ensuring that governance, quality assurance, and patient safety are maintained. This workshop will explore how the profession can expand practice beyond standard protocols without compromising consistency or safety. Outcomes will identify strategies to support education, workforce development, and clinical governance that enable RTTs to confidently manage increasingly individualised RT treatments while maintaining excellence in patient care.