Characterizing the Clinical Role of Radiation Oncology Advanced Practice Providers Using Entrustable Professional Activities - Summary - MDSpire

Characterizing the Clinical Role of Radiation Oncology Advanced Practice Providers Using Entrustable Professional Activities

  • By

  • Brett S. Wagner

  • Levi Martinka

  • Drew Gordon

  • Sarah Anderson

  • Katherine Bukolt

  • Kate Martin

  • Daniel W. Golden

  • March 4, 2026

  • 16 min

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Objective:

To elucidate the current role of radiation oncology advanced practice providers (APPs) in the US and clarify specific tasks that may benefit from a radiation oncology-specific curriculum.

Key Findings:
  • APPs perform similarly to residents and attendings on over 95% of quality assurance metrics, indicating their competence.
  • 46% of APPs' time is spent on indirect patient care activities, highlighting the need for role clarity.
  • There is variability in the role of radiation oncology APPs across clinics, suggesting a need for standardization.
Interpretation:

The study highlights the potential for APPs to enhance clinic efficiency and patient care quality, while also identifying the need for a standardized curriculum to support their clinical responsibilities and improve integration into clinical teams.

Limitations:
  • The study did not involve APPs in the initial construction of the ROECSG EPAs, which may limit the relevance of the EPAs to their actual responsibilities.
  • The survey may not capture all APP-specific responsibilities not covered by the EPAs, potentially underrepresenting their roles.
Conclusion:

Defining the APP role in radiation oncology can improve clinic operations and patient care, addressing the evolving demands of cancer treatment.

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