Senior Registrar – Oncology (Radiotherapy)

Radiotherapy Planning and Treatment Delivery

• Conduct thorough patient assessments, including history taking, physical examination, and interpretation of diagnostic imaging, pathology, and staging information to determine radiotherapy suitability.
  
• Prescribe, plan, and oversee the delivery of complex radiotherapy regimens, including curative, adjuvant, and palliative intent treatments, under consultant supervision.
  
• Perform target volume and organ-at-risk contouring using advanced radiotherapy planning systems, ensuring precision and adherence to international contouring guidelines.
  
• Verify and approve radiotherapy treatment plans in close collaboration with medical physicists and dosimetrists, ensuring dosimetry accuracy and optimal therapeutic ratio.
  
• Conduct on-treatment reviews, assess and manage acute radiation toxicities, and modify treatment plans as clinically indicated.
  
• Prioritize and communicate urgent radiotherapy findings or treatment modifications promptly to the consultant and multidisciplinary team.
  

Multidisciplinary and Interdisciplinary Collaboration

• Actively participate in multidisciplinary team (MDT) meetings, tumour boards, and case conferences, presenting complex cases and contributing to evidence-based, patient-centered care pathways.
  
• Liaise closely with surgical oncologists, medical oncologists, pathologists, radiologists, and palliative care specialists to ensure integrated and holistic cancer management.
  
• Provide expert imaging and radiotherapy advice to referring clinicians and allied health professionals for complex or inconclusive cases.
  

Interventional and Procedural Oncology

• Assist with and under the Consultant’s supervision, perform radiotherapy-specific interventional procedures, including image-guided brachytherapy applicator insertions, stereotactic localization, and fiducial marker placement.
  
• Prepare and position patients appropriately for radiotherapy and interventional procedures, ensuring comfort, safety, and reproducibility.
  
• Obtain informed consent, explain procedures clearly, and counsel patients regarding anticipated side effects and post-treatment care.
  
• Monitor patients during and immediately after procedures, identifying and managing acute complications in collaboration with the wider clinical team.
  

Patient Care and Communication

• Explain radiotherapy procedures, preparation requirements, and potential side effects to patients and their families in a clear, empathetic, and culturally sensitive manner.
  
• Provide ongoing psychological support and symptom management throughout the radiotherapy journey.
  
• Ensure compassionate, professional, and respectful interactions at all times, upholding AMCE’s values of excellence, compassion, and innovation.
  

Quality Assurance, Audit, and Safety

• Support the implementation and monitoring of rigorous quality assurance (QA) protocols for all radiotherapy equipment, planning systems, and treatment delivery processes.
  
• Participate actively in departmental clinical audits, peer review sessions, and incident reporting systems to continuously improve patient safety and treatment quality.
  
• Ensure strict compliance with national radiation safety regulations, international standards and hospital clinical governance policies.
  
• Track and contribute to improvements in treatment planning turnaround times, reporting standards, and patient through-put efficiency.
  

Research and Innovation

• Engage in clinical research and audit projects, supporting the department’s innovation agenda and contributing to the evidence base in radiation oncology.
  
• Present research findings at local, regional, and international conferences and seek publication in peer-reviewed journals.
  
• Assist in the evaluation and adoption of new radiotherapy techniques, technologies, and clinical protocols to enhance treatment efficacy and patient experience.
  

Emergency and On-Call Responsibilities

• Participate in the departmental on-call Rota, providing expert advice and urgent clinical review for patients presenting with acute radiation-related emergencies, spinal cord compression, superior vena cava obstruction, or uncontrolled symptoms.
  
• Liaise with emergency department, intensive care, and palliative care teams to ensure rapid assessment and appropriate management of oncology emergencies.
  
• Provide timely verbal and written reports for urgent cases requiring immediate clinical decision-making.
  

Administrative and Professional Duties

• Maintain accurate, comprehensive, and timely electronic medical records in accordance with legal, regulatory, and professional standards.
  
• Contribute to the orientation, induction, and ongoing professional development of new medical staff and trainees within the radiotherapy service.
  
• Participate in departmental meetings, strategic planning discussions, and service development initiatives as required.
  
• Demonstrate commitment to ethical practice, clinical governance, and continuous professional development.
  
• Provide rapid reporting and liaise with ER/ICU teams in urgent cases.