Physics Direct Patient Care Initiative

Overview

We believe medical physicists should utilize their unique knowledge and skill sets to broaden their impact on patient care. First and foremost, medical physicists must move beyond the common perception that they only work behind the scenes to ensure the successful design and delivery of treatment. Instead, clinical medical physicists should expand the scope of the profession by establishing independent professional relationships with patients to advance care. The Physics Direct Patient Care Initiative is instrumental to our mission of developing a new clinical role for medical physicists. Learn more about the motivation for this initiative here: Care for Patients, Not for Charts: A Future for Clinical Medical Physics.

A NEW CLINICAL ROLE

At UC San Diego, the Physics Direct Patient Care Initiative is fundamentally challenging what it means to be a clinical medical physicist. Learn how we believe this initiative is redefining the role of the clinical medical physicist.

Watch Video

The Physics Direct Patient Care Initiative at UC San Diego Health from UCSD Rad Onc Learning Center on Vimeo.

Research

Our team is evaluating the impact of physics direct patient care on patient experience and operational efficiency through a series of clinical trials and research projects. We’re also assessing the efficacy of training programs that are designed to teach medical physicists the skills necessary to communicate with patients effectively in the clinical environment. Learn more about research projects led by Dr. Todd Atwood and Dr. Derek Brown from the highlighted publications below.

Phase II Clinical Trial

Medical physicists met with patients before their CT simulation and first treatment appointments to explain the treatment design and delivery processes and ensure that all technical information was addressed. The results indicated that physicist-patient consults were associated with low patient anxiety and high patient satisfaction.
Establishing a New Clinical Role for Medical Physicists: A Prospective Phase II Trial

Analysis of Patient Questions

Over the course of 152 physicist-patient consults, all unique patient questions were compiled into a comprehensive list and organized into 4 categories. The results showed that patients were primarily concerned about how radiation works, treatment design and delivery processes, and what is being done to keep them safe.
A Review of Patient Questions from Physicist-Patient Consults

Training Program Evaluation

Participants were asked to rank their level of confidence in categories relevant to patient communication and answer common patient questions throughout the training program. The results indicated that the training program increased the medical physicist's level of confidence and improved responses to common patient questions.
Evaluation of a Patient Communication Skills Training Program for Medical Physicists

Phase III Clinical Trial

Patients were randomized to the physics direct patient care arm or the standard of care arm of the trial. The results showed significant improvements in anxiety, technical satisfaction, and overall satisfaction for patients receiving physicist-patient consults compared with patients receiving the standard radiation oncology workflow.
Examining the Effect of Direct Patient Care for Medical Physicists: A Randomized Prospective Phase III Trial

VJ Oncology: The Evolving Role of the Medical Physicist
Physics World: Meeting a Medical Physicist Can Reduce Anxiety for Radiotherapy Patients
Aunt Minnie: Physicists Add Value in Patient-facing Role
ASTRO Press: Medical Physicist Consults with Patients Can Help Reduce Anxiety and Increase Satisfaction with Radiation Care
Radformation: Should Medical Physicists Play a Role in Direct Patient Care?

Residency Training

Our residency program is designed to produce medical physicists that have the skills necessary to become leaders in our evolving field. This means providing residents with formal training on how to effectively communicate with patients and incorporating them into research that is examining the benefits of establishing independent professional relationships with patients. We achieve this through didactic learning and hands-on experience, which includes simulated patient interactions and supervised interactions with real patients. We want our residents to have the confidence and knowledge to look at our profession broadly and to actively pursue innovative roles in direct patient care that add value to the field of radiation oncology. Learn more about the content and structure of our training program here: A Program to Train Medical Physicists for Direct Patient Care Responsibilities.

"We want our residents to have the confidence to look at our profession broadly and to actively pursue innovative roles in direct patient care that add value to radiation oncology."

Patient Communication Workshops

We are also dedicated to training career medical physicists and other trainees in the field on how to effectively communicate with patients. We currently host a Patient Communication for Medical Physicists (PCMP) Workshop at UC San Diego twice a year, including lectures and instruction from Dr. Derek Brown, Dr. Todd Atwood, Dr. Titania Juang, and Dr. Laura Padilla. This two-day workshop is designed to be an exciting and engaging learning experience, including didactic training, analysis of patient interactions, role playing exercises, and simulated patient interactions. Lean more about our training programs for both therapy and diagnostic medical physicists, and the connection to the AAPM's Medical Physics 3.0 initiative, here: Patient Communication for Medical Physicists. This workshop is endorsed by the AAPM.

Workshop Details

Activity Location: UC San Diego (Virtual)
Next Workshop: April 27-28, 2023
Example Program Outline:Agenda
Format and Education: Lectures, Discussion, Hands-on Exercises, and Simulated Patient Interactions
Objectives:
1. To learn practical clinical communication strategies
2. To learn how to use communication strategies to develop professional relationships with patients
3. To practice using clinical communication strategies in realistic clinical scenarios
Target Audience: Therapy and Imaging Medical Physicists
CAMPEP Credits: 7.5 MPCEC Hours
Cost: $400
Registration Information: Registration

PCMP WORKSHOP

Learn and use prescriptive communication strategies to develop positive, productive professional relationships with patients. Join us at UC San Diego for our next Patient Communication for Medical Physicists Workshop.

Watch Video

Patient Communication for Medical Physicists Workshop from UCSD Rad Onc Learning Center on Vimeo.

Team

The Physics Direct Patient Care Initiative team includes medical physicists and radiation oncologists from the Department of Radiation Medicine and Applied Sciences. The team is committed to facilitating the development of more impactful innovations and new clinical responsibilities for clinical medical physicists. Learn more about our team below.