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Table 1 Preparation activities for individual high-fidelity cases

From: Evaluation of high-fidelity simulation training in radiation oncology using an outcomes logic model

Case

Hours

Case building requirements

Pediatric

32

- Retrieval of case information (CT, MRI, EPIs taken on treatment,)

- Anonymization of case information

- Creation of patient in simulation radiation record (diagnosis, prescriptions, notes, images, consent)

- Collecting materials (calipers, simulation doll, nasal prongs, calculator, pens, acetate, bolus, calculation data book, blank manual calculation sheets)

- Set up of simulation treatment room, including loading of anonymized CT/MRI

Electrons

32

- Retrieval of case information (clinical notes, pathology report)

- Anonymization of case information, mosaiQTM notes, EPR notes

- Creation of patient into simulation radiation record (diagnosis, prescriptions, notes, images, consent)

- Creation of standardized patient script

- Hiring of standardized patient

- Collecting materials (neck rests, prone medullaboard, prone pillow, electron applicators and inserts, rulers, bolus, tape, Saran wrapTM, multiple neck rests, acetate, markers, pens, calculators, data-books, PDD tables)

- Set up of simulation treatment room

CBCT

15

-Retrieval of case information (Diagnostic CT, clinical photo from nasopharnygoscopy)

-Retrieval of planning CT with artifact, GTV, CTV, PTV contours in Pinnacle

-Retrieval of CBCT with day 1 match XVI and day 13 match XVI

-Anonymization of all patient information collected

-Creation of patient into simulation radiation record (diagnosis, prescriptions, notes, images, consent)

-Loading of XVI images into multiple computer stations

Lung SBRT

15

-Retrieval of case information (diagnostic PET, diagnostic CT, EMR report, Simulation 4D CT images from maximum inhale, maximum exhale, average, and MIP phases)

- Anonymization of all patient information collected

-Creation of patient into simulation radiation record (diagnosis, prescriptions, notes, images, consent)

-Loading of treatment planning information into simulation system

Brachytherapy

60

- Recording treatment during clinical hours for audio input

- Creation of Powerpoint slides to replicate clinical interface of treatment unit

- Collecting materials to transport (pig, stirrups, transfer tubes, dose rate meters, decommissioned remote after loader with cables and dummy source, zoe phantom, catheter channels, tongs, forceps, timer)

- Transferring of decommissioned remote after loader

- Creation of replica control console

- Set up of simulation treatment room

  1. Legend: CT – computed tomography; MRI – magnetic resonance imaging; EPI – electronic portal image; GTV- gross tumor volume; CTV – clinical target volume; PTV – planning target volume; PDD – percent depth dose; EPR – electronic patient record; CBCT – cone beam CT; PET – positron emission tomography. SBRT - stereotactic Boday Radiotherapy. MIP - maximum intensity projection.