Objectives	To understand the role of radiation oncology in the multidisciplinary management of patients with cancer
Awareness	Recognition of the importance of providing patient-centric care Recognition of the importance of the multidisciplinary approach to treat patients with cancer Awareness of the difference between palliative and curative (definitive) radiotherapy indications Appreciation of the difference between external beam radiotherapy (‘teletherapy’) and internal radiotherapy (‘brachytherapy’) Appreciation of the relevance of the temporal relationship with other treatment modalities (neoadjuvant, concomitant, adjuvant) Awareness of the existence of different radiation planning, delivery and position/dose-verification techniques Awareness of a therapeutic window between tumour control and normal tissue toxicity Awareness of the published research evidence and guidelines for radiation oncology Appreciation of the importance of safety culture, a robust quality and safety infrastructure, and process improvement Recognition of the importance of value-based healthcare delivery
Knowledge	Understanding of the indications for treatments and the risks and benefits of different radiation treatment options Familiarity with the basic principles of radiation biology, including the effects of time, dose, fractionation and type of radiation Understanding of the indications for curative radiation therapy and its side effects Understanding of the benefits and toxicity of palliative radiation treatment Understanding of the acute, late and very late reactions/complications of radiation treatment Knowledge of differences in radiation tolerance of organs/tissues at risk Familiarity with the risks of re-irradiation based on normal tissue tolerance limits Understanding of the interaction between radiation and systemic drugs Familiarity with the type and severity of the toxicity from the use of concomitant systemic drugs and radiation Understanding of the interaction of radiation therapy on surgery in the preoperative and postoperative settings Understanding of the basic principles of different radiation planning and delivery techniques such as intensity-modulated radiation therapy (IMRT), stereotactic, particle and adaptive radiotherapy Understanding of the basic principles of brachytherapy and radionuclide therapy Understanding of the basic principles of different radiation position/dose-verification techniques such as electronic portal imaging devices (EPID), image guided radiation therapy (IGRT) and in vivo dosimetry Familiarity with the role of surgery, interventional radiology, radiation oncology, systemic antitumour therapy, symptom control and supportive/palliative care measures in patients with relapsed disease Knowledge of relevant published research evidence, of the results of major randomised trials that have influenced present practice, of ongoing trials of radiation oncology and systemic therapy, and of national/international guidelines Understanding of the fundamental concepts of value-based healthcare
Skills	Ability to deliver effective interdisciplinary consultations and contribute effectively to the discussions of multidisciplinary teams Ability to elicit the patient's wishes with regard to the aims of treatment and to give the treatment alone or in collaboration with other specialists Ability to inform patients on different radiation treatment options and discuss the risk/benefit ratio and to explain these in lay terminology to patients and families Ability to communicate about considerations in prescribing external beam radiation and/or brachytherapy Ability to communicate about basic considerations in prescribing various systemic agents and their potential interactions with radiation therapy Ability to modulate the concomitant treatment of systemic drugs and radiation according to the patient's situation in collaboration with the multidisciplinary team Ability to communicate about different radiation planning, delivery and position/dose-verification techniques Ability to discuss relevant clinical trials and evidence-based guidelines Ability to discuss options of entering a clinical trial involving radiotherapy Ability to foster a robust safety culture, including the reporting of events and involvement in process improvement