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Establishing a New Clinical Role for Medical Physicists: A Prospective Phase II Trial

T. Atwood, Derek W. Brown, J. Murphy, K. Moore, A. Mundt, T. Pawlicki

International Journal of Radiation Oncology, Biology, Physics, 2018

29 citations

Abstract

PURPOSE

To investigate a new clinical role for medical physicists in direct patient care with a prospective phase 2 clinical trial.

MATERIALS AND METHODS

Medical physicists participated in the Physics Direct Patient Care (PDPC) protocol, establishing independent professional relationships with radiation oncology patients. After attending a dedicated patient communication training program, medical physicists routinely met with patients for 2 physicist-patient consults to explain the treatment planning and delivery process, review the patient's treatment plan, and answer all technical questions. The first physicist-patient consult took place immediately before the computed tomography simulation, and the second took place immediately before the first treatment. Questionnaires were administered to each patient on the PDPC protocol at 3 time points to assess both anxiety and satisfaction. The first questionnaire was given shortly after the first physicist-patient consult, the second questionnaire was given shortly after the second physicist-patient consult, and the third questionnaire was given after the last treatment appointment, with no associated physicist-patient consult.

RESULTS

The mean patient anxiety score was considered to be low at all questionnaire time points. There was a statistically significant decrease (P < .0001) in anxiety from the simulation time point to the first treatment time point. The mean patient technical satisfaction score was considered to be high at…

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