Empowering advanced practice radiation therapists through medical directives: A progressive step in radiation therapy in Canada

The future of the healthcare workforce continues to face challenges such as physician shortages health human resource constraints, an aging population, and increasing treatment complexities, prompting innovative approaches in fields like radiation oncology. The World Health Organization suggests task shifting, redistributing duties within interdisciplinary teams, as a solution to these issues. One effective method to employ task shifting is through the use of medical directives and delegations, enhancing access to care for patients and easing physician burdens. In radiation oncology, advanced practice radiation therapists (APRTs) with specialized skills are well-positioned to receive delegations, allowing for autonomous management/completion of additional duties which benefit patients, the team, and the healthcare system.

APRTs need advanced knowledge, skills, and judgment to execute these directives and delegations effectively. They must undergo rigorous training, including needs assessments, stakeholder consultations, and performance readiness evaluations. This paper discusses how APRTs implement medical directives into practice (using the PEPPA (Participatory, Evidence-informed, Patient-centred Process for APN role development, implementation and evaluation) framework). The Canadian Association of Medical Radiation Technologists’ (CAMRT) APRT(T) competency profile outlines the full scope of practice that can be achieved with the use of appropriate delegations, directives comprehensive training programs, and proper documentation/approval processes. Medical directives and delegations improve healthcare efficiency, optimize workflows, and enhance patient care, positioning APRTs to be pivotal in addressing health human resource challenges. Implementation of these practices may promote autonomy and professional growth, ultimately benefiting the healthcare system and improving patient outcomes.