| Question 1: Standard documents that are used to standardize a QA program are which of the following: |
| Reference: | Actual reports mentioned above |
| Choice A: | TG 142 |
| Choice B: | MPPG reports |
| Choice C: | State Regulations |
| Choice D: | All of the above |
| Question 2: The two most common places to find information for proper staffing models are the Radiation Oncology Practice Accreditation Program Requirements by the ACR and Safety is No Accident a framework for quality Radiation Oncology and Care sponsored by ASTRO |
| Reference: | Actual reports mentioned above |
| Choice A: | True |
| Choice B: | False |
| Question 3: According to the ASTRO 2019 publication of “Safety is No Accident,” which is incorrect |
| Reference: | ASTRO 2019 publication of “Safety is No Accident,” |
| Choice A: | Standardization is the widely recognized as the only means to reduce errors |
| Choice B: | Standardization might be particularly useful in group practices where clinical staff may utilize diverse approaches to processes to reach the same end goal. |
| Choice C: | Adopting consistent practices agreed upon by staff establishes consistent expectation and processes |
| Choice D: | Standard treatment practices and QA mechanisms, as well as associated policies and procedures, should be vetted through a review committee and required for every technique or disease site, with regular updates, as needed |
| Choice E: | Standard treatment practice should be posted with easy access for anyone referring to them |
| Question 4: According to AAPM 2018 Task Group 263 report, which is incorrect |
| Reference: | AAPM 2018 Task Group 263 report |
| Choice A: | The reports defines standard nomenclature for targets and OARs commonly used in treatment planning |
| Choice B: | Standardized nomenclatures add value to radiation oncology by providing a basis for improved communication and the ability to develop automated solutions for data extraction and quality assurance to improve clinical work flows, safety, and research. |
| Choice C: | Widespread adoption of standardized nomenclature will likely increase treatment planning confusion in practices, especially those with multiple facilities and clinical staff |
| Question 5: In clinical settings, which factors listed below can contribute to workflow automation? |
| Reference: | “Full automation of spinal stereotactic radiosurgery and stereotactic body radiation therapy treatment planning using Varian Eclipse scripting” Jose R. Teruel et.al, J Appl Clin Med Phys 2020; 21:10:122–131 |
| Choice A: | Creating and distributing manuals to physics staff |
| Choice B: | Implementing scripting and API |
| Choice C: | Hire more Physicists and Dosimetrists |
| Choice D: | Use effective spreadsheets and store them in shared drive |
| Question 6: What is the most common failure mode in external beam treatment planning? |
| Reference: | Report No. 283 - The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management (2016) |
| Choice A: | Hand-off between team members |
| Choice B: | Ambiguous physician instructions |
| Choice C: | Rushed Treatment Planning Timeline |
| Choice D: | Contouring of Targets and Region Of interests |
| Choice E: | All of the above are correct answers |
