The Pediatric Clinical Specialist Radiation Therapist (CSRT): Advancing Care and Innovation in Pediatric Radiotherapy

Purpose/Aim

Our radiotherapy department treats approximately 130 pediatric cancer patients per year, working in close clinical collaboration with the pediatric hospital. Starting in 2024, our department implemented the first CSRT role within a pediatrics program. The aim of this abstract is to provide an overview of pediatric radiotherapy processes at our institution, and to describe the unique benefits and challenges associated with the implementation of a pediatric CSRT role.

Methods/Process

The process of developing this CSRT role has involved a review of current clinical workflows within the pediatric program. It was necessary to identify bottlenecks and gaps in care, and to determine how best a CSRT can support the clinical care team. It has also been helpful to determine how other CSRTs at our institution have integrated themselves within the clinical space. Understanding scope of their roles and contributions within their teams has provided critical insights into how the pediatric CSRT role can evolve. Finally, close collaboration with pediatric nurses and radiation oncologists has been essential in identifying opportunities for the pediatric CSRT to improve care delivery, optimize workflows, and streamline processes.

Results or Benefits/Challenges

Implementing this unique role has presented challenges, as there had to be careful consideration of paths that may not ultimately benefit the team. Deciding which new skills to prioritize and which may not align with the program's needs has at times been a daunting task. Additionally, the large, interdisciplinary team responsible for caring for pediatric patients spans multiple hospitals, adding another layer of complexity to the process. However, having a CSRT with extensive clinical experience and technical knowledge in treating pediatric patients within the radiation therapy setting has been an invaluable asset. They provide teaching and mentorship to students and radiation therapists. Amidst ongoing technological advancements, they ensure that pediatric patients are prioritized for access to the latest treatments and innovations. They are constantly exploring ways to improve processes and identify new research opportunities. All the while, they remain focused on ensuring that the unique needs of pediatric patients are fully met.

Conclusions/Impact

In the process of reviewing the model of care that currently exists, we aim to continue improving pediatric patient experience while remaining at the forefront of innovation. Past initiatives of the pediatric program have included eliminating permanent tattoos for pediatric patients and sharing our experience minimizing general anesthesia use. The recent implementation of a pediatric CSRT will enable us to further advance this work and identify new ways to care for our most vulnerable patients. While shaping this role to meet department and program needs continues to be explored, it will no doubt have a positive impact on pediatric care, both at our institution and beyond.