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ISRRT_COVID-19_book

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Radiation therapy educators’ perspective: Adapting to the changing<br />

clinical practice environment during a pandemic<br />

Krista Dawdy and Renate Bradley<br />

Introduction<br />

The pandemic has changed the way that education has been delivered for health care<br />

practitioner (HCP) learners as they work towards meeting the competency standard of their<br />

Program. The changes have been dynamic and continue to occur, most visibly in the clinical<br />

environment where hands-on interactions are required with learners, educators and patients.<br />

As the learners moved from the academic world into the authentic practice environment,<br />

they have had to continually modify their approach to meeting the challenging demands of<br />

their Programs and the restrictions of current healthcare practices due to the pandemic. The<br />

challenges were multiple and grounded in the physical as well as teaching and learning<br />

abilities. The challenges included perspectives on the adaptations to clinical supervision and<br />

the facilitation of learning within the restrictions while bearing in mind the learning that was<br />

meant to occur. This chapter will reflect on our experiences, lessons learnt, strategies used to<br />

support learning and on the outcomes.<br />

The Michener Institute of Education at the UHN and the University of Toronto Medical<br />

Radiation Sciences (MRS) is a jointly administered three (3) year degree Program, inclusive of<br />

didactic and clinical preparation. One of the disciplines under the MRS umbrella is Radiation<br />

Therapy, where the learners complete their Program in the real-life practice environment<br />

interacting with cancer patients, educators, and other professionals. The clinical aspect<br />

includes an eight (8) week introduction to radiation therapy in the first year, a four (4) week<br />

transition to clinic in second year, and the third year comprises of a thirty (30) week final<br />

practicum where students are able to demonstrate the published Program outcomes in order<br />

to graduate and be eligible to write the Canadian national certification examination. The<br />

Program outcomes are a list of broad expectations of the MRS graduates that are publicly<br />

available. Traditionally, during their clinical practicum the learners spend a 7.5-hour day, 5<br />

days per week under direct supervision in the radiation therapy department at clinical sites<br />

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