Radiation therapy is the treatment of cancer and other diseases with high energy X-rays. Radiation therapists are involved in all aspects of a patient’s journey through their radiation therapy including:
- guiding and supporting patients and their carers through the radiation therapy process
- looking after patient positioning and stabilisation
- using simulators and/or CT scanners to delineate areas for treatment and areas to be avoided
- planning and dosimetry of treatment
- administration of radiation treatment
Speciality areas include brachytherapy, stereotactic radiotherapy, image guided radiotherapy and intensity modulated radiotherapy. In addition to these technical roles, there are opportunities to take on additional responsibilities in education, research or management roles.
Radiation therapists require scientific skills and knowledge as well as strong interpersonal skills, compassion and the ability to work as part of a team.
Find out how some Australian radiation therapists have developed their careers in a range of settings.
Professional development requirements for individual radiation therapists will depend on their role and career goals.
A range of grants and fellowships are available to radiation therapists to support professional development activities.
If you have recently qualified, you may find it helpful to start with activities that will provide you with experience in different technologies as well as general information about cancer, its diagnosis and management. Your professional development year will have given you some exposure to radiation therapy practice. Gaining experience across a broad range of areas and in different settings will provide you with a better understanding of the needs of patients with cancer and may help guide your decisions about future career directions.
"Choose the continuing professional development opportunities that will help you to get to where you want to be. It’s like when you’re in high school and you choose the subjects you study to help you get to University. That approach shouldn’t stop there." Rhonda, Project Director, Cancer Redevelopment, WA
"It’s easier if you can see someone else doing the job before going down a particular path." Georgina, Clinical Tutor and Research Radiation Therapist, NSW
"Radiation therapy has come along in leaps and bounds and [the clinical educator role] has been excellent for junior staff and for staff in general. To have a mentor to take the time to help you plan or learn different techniques has made a world of difference." Rodney, Senior Radiation Therapist and Clinical Educator, NSW
"I actively took up opportunities to be able to do education – first within the cancer centres, helping students, mentoring students, unpaid. That helped me to move that way so that when opportunities became available to teach formally I had some experience. You have to start by looking for opportunities that will help you to get where you want to go." Rhonda, Project Director, Cancer Redevelopment, WA
"The biggest tip I could give is learn the basics. It’s such a rapidly developing field but the basics are still the same. It doesn’t matter if you’re doing the simplest of plans or an IMRT plan. The whole theory is still to get the highest dose to the tumour with the least dose to the healthy tissue. As long as you learn the basics, those principles will stand you in good stead, no matter what new development comes along." Rodney, Senior Radiation Therapist and Clinical Educator, NSW
"There’s still a sense that you want people to come into the profession who are dedicated to the clinical contact and develop their clinical skills and you gradually build that up before they go into the research area." Georgina, Clinical Tutor and Research Radiation Therapist, NSW
The Australian Institute of Radiography runs seminars and conferences for Radiation Therapists Their website and professional magazine has listings of educational events available in each state.
To access the Cancer Learning Multidisciplinary Toolkit, click here.
"At larger centres you tend to want people to specialise in certain methods but in smaller centres if you’re going to introduce a technique you want everyone to learn how to do it. At my centre we do IMRT and everyone does it – so graduates who have left university are expected to come to the department and learn that skill. Mostly you learn these skills from another staff member – but there’s never much time for the stages of learning! Or you can go to conferences. There are some international conferences and training events that are really well structured but generally you have to learn it on the job." Georgina, Clinical Tutor and Research Radiation Therapist, NSW
For more information about national and international groups, click here.
If you are considering working in a more specialised role, whether it be specialising in a particular technique, or moving into an education or research role, you will benefit from training in the particular aspects of care or approaches you will be involved in. This may involve undertaking a course or gaining practical experience in your area of interest. You may decide to do a postgraduate qualification such as a clinical diploma or graduate certificate in your particular area of interest.
"If you want to be in a career 35 years down the track that you started in then you have to be actively involved because that’s where the job satisfaction comes from." Rhonda, Project Director, Cancer Redevelopment, WA
"Being part of a network is a great way of finding out what’s good and what’s worth your time." Georgina, Clinical Tutor and Research Radiation Therapist, NSW
"Attending COSA gives you a broader view of the whole field than just the radiotherapy field." Sue, Radiation Therapy Centre Manager, VIC
"Ask questions – ask people why things work for them and how they do things. Share information and others will share information with you – it’s what makes the profession worthwhile and that’s where power that supports the managers comes from." Rhonda, Project Director, Cancer Redevelopment, WA
Individuals working in clinical research are likely to be invited to attend start-up meetings or investigator meetings at which information about the trial and the protocol will be provided. Short courses on clinical trials management and good clinical practice can be very valuable to provide an overview of the trials process.
Talk to colleagues or professional bodies for more information.
An important aspect of training for all oncology health professionals is self-care. To access a list of self-care resources, click here.
If you are working at or considering moving into an advanced role in radiation therapy or cancer care, such as a management role or a specialist role, your professional development needs will become more specific.
The Australian Institute of Radiography Research Seminar brings together Radiation Therapists involved in research around Australian and New Zealand to share ideas and participate in networking activities.
For conference listings, click here.
For a list of relevant postgraduate courses, click here.
For more information, click here.
"I try to do a workshop that takes a couple of days at least once a year and a more structured learning experience about once every 5 years. For example, I did the Advanced Management Program, which was a full semester through the Australian Institute of Management." Rhonda, Project Director, Cancer Redevelopment, WA
"I did a 1-day management course when I became senior because your role changes. You need to be able to manage people. It’s not necessarily about being the best IMRT planner. You need to be able to manage people with different personalities and different skill levels." Rodney, Senior Radiation Therapist and Clinical Educator, NSW
Find out about what radiation therapists do in cancer care, how they have built their careers in cancer care and what professional development activities they have found useful:
| Role | Clinical Tutor and Research Radiation Therapist Coordinates clinical education of students, graduates and staff Coordinates research amongst radiation therapists; may undertake research projects or help other staff design and undertake projects Still has patient contact (requirement for maintaining accreditation): 1 day per fortnight – works with student/graduate to maintain clinical skills "In the past, radiation therapists have rostered in the delivery of treatment. Although they’ve had roles in collecting data they mostly haven’t had roles directly connected to research. It’s been changing over the past 5 years or so because of the availability of postgraduate studies – so now you can develop research skills. There are also more research positions being created. They provide non-clinical time for research. There are at least 10–20 radiation therapists around the country doing PhDs. So it’s gradually happening." |
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"There are benefits to working in a small department because you get exposure to a range of experiences and experienced colleagues who can mentor you." |
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"It’s hard if your department doesn’t have professional development funding and you need to gain specialised knowledge from somewhere else, because you have to pay for workshop fees and travel. Because people are reliant on what they can learn on the job, we all have to know about how we learn and share that knowledge" |
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"It can be difficult to access journal articles if you’re in a rural area. The AIR has started to develop a library to fill that gap for rural-based practitioners." |
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AIR – Australian Institute of Radiography
http://www.air.asn.au/conferences.php
COSA – Clinical Oncological Society of Australia
http://www.cosa.org.au//ASMEvents/OtherEvents.htm
TROG – Trans-Tasman Radiation Oncology Group
http://www.trog.com.au/Default.aspx?tabid=120
Cancer Council Australia (and state/territory groups)
http://www.cancer.org.au/Home.htm
National Breast and Ovarian Cancer Centre
http://www.nbocc.org.au/our-organisation/news-and-events/news-events/
RANZCR – Royal Australian and New Zealand College of Radiologists
http://www.ranzcr.edu.au/newsandevents/calendar/index.cfm
International Society of Radiographers and Radiological Technologists
http://www.isrrt.org/isrrt/Calendar_EN.asp?SnID=264228511
ASTRO – American Society for Therapeutic Radiology and Oncology
http://www.astro.org/Meetings/UpcomingMeetings/index.asp
ESTRO – European Society for Therapeutic Radiology and Oncology
http://www.estro.org/Pages/default.aspx
AIR – Australian Institute of Radiography - http://www.air.asn.au
Australian body representing medical radiation scientists, including radiographers and radiation therapists. Provides continuing professional development and networking opportunities for members.
Website has links to international, national and state based groups.
COSA Radiation Oncology Group - http://www.cosa.org.au//Groups/COSAGroups/RadiationOncology.htm
COSA is Australia’s peak national body representing health professionals whose main work is cancer control.
TROG – Trans-Tasman Radiation Oncology Group - http://www.trog.com.au
Australia and New Zealand's specialist clinical research group for cancers that can be treated with radiotherapy. Website includes information about clinical trials and TROG activities and events.
RANZCR – Royal Australian and New Zealand College of Radiologists - http://www.ranzcr.edu.au/
Professional organisation for the promotion of the science and practice of the medical specialties of Radiology and Medical Imaging (Diagnostic and Interventional) and Radiation Oncology in Australia and New Zealand.
ASMR – Australian Society for Medical Research - http://www.asmr.org.au/
Professional society representing Australian health and medical research.
International Society of Radiographers and Radiological Technologists
http://www.isrrt.org/isrrt/Default_EN.asp
International organisation with over 64 member organistaions.
ASTRO – American Society for Therapeutic Radiology and Oncology
http://www.astro.org/
American Society representing radiation oncologists, radiation oncology nurses, medical physicists, radiation therapists, dosimetrists and biologists. Website includes continuing education resources and links to relevant publications and resources.
ESTRO – European Society for Therapeutic Radiology and Oncology
http://www.estro.org/Pages/default.aspx
European organisation for health professionals working in the field of radiotherapy and oncology. Website includes guidelines, publications and information about research projects.
AAMD – American Association of Medical Dosimetrists http://www.medicaldosimetry.org/
List of Australian Courses in Diagnostic Radiography and Radiation Therapy and the current accreditation status - http://www.air.asn.au/accreditation.php
This section lists relevant postgraduate qualifications. A range of other postgraduate qualifications, including PhDs, are also available that may be relevant for you. Talk to colleagues or professional bodies for more information
Graduate Certificate
Graduate certificate courses are typically 1-year courses and represent the baseline entry level programs for a Masters qualification. A number of institutions offer distance learning options.
Topics may include:
- Public Health
- Health Science (eg Education/Clinical Data Management, Medical Radiation)
- Applied Science (Radiation Therapy)
- Adult Education
Typical entrance requirements (will vary by institution):
- bachelors degree or graduate qualification from an approved institution in a relevant health, behavioural, social or biological sciences or equivalent
- bachelors degree or graduate qualification in an unrelated area and have completed at least one year full-time work experience in a relevant field at a level deemed appropriate by the Program Convenor.
Graduate diploma
Graduate diploma qualifications are typically shorter than Masters program and often have more flexible entry criteria. Some institutions offer part-time and distance learning options.
Topics may include:
- Public Health
- Health Science (eg Education, Clinical Data Management, Medical Radiation)
- Applied Science (Radiation Therapy)
- Training and Development
- Adult Education and Training
Typical entrance requirements (will vary by institution):
- Bachelor's degree in a health related field or
- approved post-secondary study plus relevant work experience or
- Graduate Certificate in Applied Science in the relevant field of study
Masters
A Masters qualification is typically 2 years in duration although many institutions offer part-time and distance education options.
- Public Health
- Health Science
- Applied Science (Radiation Therapy)
- Education (Adult Education)
- Technology (Information Technology)
- Diagnostic Radiography
- Radiation Therapy
Entrance requirements vary by institution and course.
There are a number of short courses available on-line, in the work setting, and delivered by private companies. When considering the course to undertake you may want to consider the following aspects.
Your objectives for wanting to do the course, for example:
- to improve your clinical skills
- to expand knowledge (consider the specific areas of knowledge – does it relate to disease type, treatment type, the theory behind the treatment?)
- to find out the latest treatments or meet other clinicians in the same area (consider external conferences or workshops)
- to complete requirements for continuing professional development (CPD).
Criteria for assessing short courses
- Look at the names of the presenters, their qualifications, and publications – are they respected and known for the subject they are presenting?
- If there are a number of topics, are there a number of different presenters (it is unlikely that one person can be expert on all topics)?
- Consider the expertise of the organiser of the short course – are they clinicians, hospitals, companies such as drug or book companies?
- Consider the cost of the course – what does it include?
- Is there an assessment as part of the course? For any course to be recognised for prior learning there generally needs to be assessment of learning.
- If you need to complete the course for CPD does the course information indicate the number of points that are allocated for completion of the course? Is a certificate provided?
- Identify if there is a process for follow-up with lecturers if required following completion of the course.
- Does the course articulate to other courses?
Certificate IV Competency-based assessment and work-based training
Vocational training course offered through a variety of institutions
Peter MacCallum Cancer Centre
- short course program (see PDF) http://www.petermac.org/ShortCourseProgramNursingEducation
- graduate education program http://www.petermac.org/GraduateNurseProgram
Enhancing Clinical Training Skills for Radiation Therapists (ECTSRT)
This weekend training program is designed to assist Radiation Therapists to develop or enhance their clinical training skills for teaching and mentoring students and colleagues. It covers models such as the clinical learning environment, communication, teaching strategies, time managements and providing effective feedback. The course is run by the Australian Institute of Radiography (AIR) with funding from the Australian Government. Courses are available around Australia. Contact AIR for more information.
Information about clinical trials and good clinical practice is available through a range of not-for-profit and commercial groups and organisations. Talk to colleagues about what they have found helpful. Some possible links are provided below.
NHMRC Clinical Trials Centre
http://www.ctc.usyd.edu.au/education/education.htm
TROG
http://www.trog.com.au/Default.aspx?tabid=72
ARCS Australia
http://www.arcs.com.au/
Quintiles
http://www.clinicalresearch.com/Professionals/Pages/healthpro.aspx
The Cancer Council WA
Professional Development Program
http://www.cancerwa.asn.au/professionals/
The Cancer Council Queensland
Allied Health Professionals Oncology Group Forums
http://www.cancerqld.org.au/page/Need_support/Education_Programs/AHPOG
The Cancer Council Victoria
Short courses in Victoria on:
- BreastHealth
- Communication
- Sexuality and cancer
- Living with cancer facilitator education
http://www.cancervic.org.au/about-cancer/for-health-professionals/training_courses_and_education
You may find it helpful to undertake training in a range of general skills. Courses on computing or information technology may be available through local area health services or your institution. Courses on statistics may be offered through TAFE or university settings.
Sources of communication skills training include:
National Breast and Ovarian Cancer Centre Communication Skills Training Initiative
http://www.nbocc.org.au/health-professionals/clinical-best-practice/communication-skills
Cancer Council Victoria Cancer Clinicians Communication Program
http://www.cancervic.org.au/vcccp Pam McLean Cancer Communications Centre
http://www.mcleancentre.org/
Cancer Learning - http://www.cancerlearning.gov.au/
Interactive learning modules on:
- Multidisciplinary care
- Psychosocial care
Links to cancer education resources across a broad range of areas.
EdCaN learning resources
Case studies: http://www.cancerlearning.gov.au/edcan_resources/#/xml/module_3/casestudies/
Supporting modules:
- The cancer journey and domains of specialist cancer nursing practice
- Population health concepts in cancer control
- The biology of cancer
- Cancer treatments:
- - Fundamentals of cancer surgery
- - Fundamentals of radiotherapy for cancer
- - Fundamentals of systemic cancer therapies
- - Fundamentals of cancer biological and molecular targeted therapies
- - Fundamentals of haematopoietic stem cell transplant
- Supportive care
- Culture-centred approach in cancer control for Indigenous Australians - coming soon
Clinician’s Health Channel
http://www.health.vic.gov.au/clinicians
For health professionals in Victoria – provided by the Department of Human Services
CareSearch
http://www.caresearch.com.au/Caresearch/Default.aspx
Cancer Learning listing of Clinical Practice Guidelines
http://www.cancerlearning.org.au/CL/find/evidtreat_rsrc.php
MacMillan Cancer Support
http://www.macmillan.org.uk/Home.aspx
British Columbia Cancer Agency
http://www.bccancer.bc.ca/default.htm
NHS Cancer Program
http://www.cancer.nhs.uk
National Cancer Institute Introduction to Clinical Trials
http://www.cancer.gov/clinicaltrials/learning
Radiologyinfo
http://www.radiologyinfo.org/en/sitemap/category.cfm?category=onco&bhcp=1
US-based site providing information about different radiology and radiotherapy techniques written for patients. Developed in collaboration with ASTRO.
The Cancer Council NSW - http://www.cancercouncil.com.au/editorial.asp?pageid=671
Resources on:
- Cancer awareness (for Aboriginal and Torres Strait Islander Health Workers)
- Talking about sexuality, body image and cancer
- Managing cancer pain
The Radiographer
http://www.air.asn.au/theradio.php
Official journal of the Australian Institute of Radiography
Spectrum
http://www.air.asn.au/pubspect.php
Monthly newsletter from the Australian Institute of Radiography
International Journal of Radiation Oncology, Biology, Physics http://www.elsevier.com/wps/find/journaldescription.cws_home/525471/description
Official journal of the American Society for Therapeutic Radiology and Oncology (ASTRO)
Journal of Medical Imaging and Radiation Oncology http://www.ranzcr.edu.au/journal/index.cfm
Official journal of the Royal Australian and New Zealand College of Radiologists
Radiotherapy and Oncology http://www.elsevier.com/wps/find/journaldescription.cws_home/506042/description#description
Official journal of the European Society for Therapeutic Radiology and Oncology (ESTRO)
Radiation Oncology
http://www.ro-journal.com/ Medical Dosimetry http://www.medicaldosimetry.org/publications/journal.cfm
Official journal of the American Association of Medical Dosimetrists
Individual health services and institutions may provide an annual allowance to support professional development activities. Talk to your manager or colleagues for more information. In addition, individual grants, fellowships or scholarships may be available to support specific activities from other organisations.
Australian Institute of Radiography – travel and research scholarships
http://www.air.asn.au/careerschol.php
Cancer Institute NSW – education scholarships
http://www.cancerinstitute.org.au/cancer_inst/profes/scholarships.html
The Cancer Council Queensland
http://www.cancerqld.org.au/page/Need_support/Education_Programs/AHPOG
Cancer Institute NSW eviQ Cancer Treatments Online website
https://www.eviq.org.au/
Australian New Zealand Clinical Trials Registry
http://www.anzctr.org.au/
Radiation Therapy Oncology Group
http://www.rtog.org/
US-based site listing radiation therapy trials
Many thanks to the individuals and organisations who contributed to the development of this pathway, including:
- the individuals who participated in case study interviews
- Jenny Bull, Education Charge, William Buckland Radiation Therapy Centre
- Lori Mcleod, Australian Institute of Radiography (AIR).

