| Question 1: What is the most common type of incident that SGRT can potentially prevent: |
| Reference: | Hania Al-Hallaq, Vania Batista, Malin Kügele, Eric Ford, Natalie Viscariello, Juergen Meyer, “The role of surface-guided radiation therapy for improving patient safety”, Radiotherapy and Oncology 163 (2021) 229–236 |
| Choice A: | Treatment of the wrong patient |
| Choice B: | A collision between the gantry and treatment couch |
| Choice C: | Incorrect motion management |
| Choice D: | Wrong isocenter |
| Question 2: Which of the incident categories were found to have the most SGRT preventable cases with the highest severity score: |
| Reference: | Hania Al-Hallaq, Vania Batista, Malin Kügele, Eric Ford, Natalie Viscariello, Juergen Meyer, “The role of surface-guided radiation therapy for improving patient safety”, Radiotherapy and Oncology 163 (2021) 229–236 |
| Choice A: | Treatment of the wrong patient |
| Choice B: | A collision between the gantry and treatment couch |
| Choice C: | Incorrect motion management |
| Choice D: | Wrong isocenter |
| Question 3: Building safety cultures and implementing new procedures in the clinic require the implementation of the following key elements: |
| Reference: | Luis E. Fong de los Santos, Chair, Suzanne Evans, Eric C. Ford, James E. Gaiser, Sandra E. Hayden, Kristina E. Huffman, Jennifer L. Johnson, James G. Mechalakos, Robin L. Stern, Stephanie Terezakis, Bruce R. Thomadsen, Peter J. Pronovost, Lynne A. Fairobent. “Medical Physics Practice Guideline 4.a: Development, implementation, use and maintenance of safety checklists”, JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, VOLUME 16, NUMBER 3, 2015 |
| Choice A: | Summarizing, simplifying, and standardizing the process |
| Choice B: | Creating internal social networks with shared sense of mission and mutual reinforcement mechanisms |
| Choice C: | Gathering, measuring, and providing feedback on clearly defined outcomes |
| Choice D: | Developing checklists as part of quality management |
| Choice E: | All of the above |
| Question 4: Which of the following is correct about automation for initial chart check? |
| Reference: | Ford, E., Conroy, L., Dong, L., de Los Santos, L.F., Greener, A., Gwe-Ya Kim, G., Johnson, J., Johnson, P., Mechalakos, J.G., Napolitano, B., Parker, S., Schofield, D., Smith, K., Yorke, E. and Wells, M. (2020), Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275. Med. Phys., 47: e236-e272 |
| Choice A: | Automation of components of the initial plan check help improve standardization and efficiency. |
| Choice B: | Automation processes ensure that the included components of the check would be uniformly completed for each plan. |
| Choice C: | Automated processes efficiently and effectively check specific components of the chart. |
| Choice D: | Physicists have more time to devote to other aspects of the chart check that do not lend themselves to automation such as overall plan quality, review of prior treatment, laterality confirmation, or issues related to image guidance. |
| Choice E: | All of the above. |
| Question 5: For emergency treatments after hours, it is recommended that an on-call physicist review the treatment plan _____________. If an on-call physicist is not available, then a __________may conduct the review with the qualified medical physicist checking the plan be on the next business day or prior to the next fraction delivered on a business day. |
| Reference: | Xia P, Sintay BJ, Colussi VC, et al. Medical Physics Practice Guideline (MPPG) 11.a: Plan and chart review in external beam radiotherapy and brachytherapy. J Appl Clin Med Phys. 2021;22(9):4–19. https://doi. org/10.1002/acm2.13366 |
| Choice A: | in person, radiation therapist |
| Choice B: | remotely, radiation oncologist |
| Choice C: | in person or remotely, radiation oncologist |
| Choice D: | remotely, anyone on staff |
| Question 6: Within the RO-ILS system, it was noted that in 2021, more events were reported at treatment delivery and less events reported in treatment planning than seen in other years. When determining whether this trend is a true finding, which of the following is most important to remember? |
| Reference: | ‘Global Trigger Tool’ Shows That Adverse Events In Hospitals May Be Ten Times Greater Than Previously Measured. David C. Classen, Roger Resar, Frances Griffin, Frank Federico, Terri Frankel, Nancy Kimmel, John C. Whittington, Allan Frankel, Andrew Seger, and Brent C. James
Health Affairs 2011 30:4, 581-589 |
| Choice A: | RO-ILS, an incident learning system sponsored by ASTRO and AAPM, has no cost to users. |
| Choice B: | It is held that only 10% of incidents which occurred are actually reported to incident learning systems, which could mean this trend is an artifact of reporting patterns |
| Choice C: | Reporting in incident learning systems should be non-punitive |
| Choice D: | The global pandemic and the work from home revolution has made treatment planning universally a much safer process |
