The Christie International Proton School
Protons at The Christie
The Christie International Proton School’s vision is to be the partner of choice for providing specialist proton education to the clinical and academic communities
• The Christie is a recognised world leader in the implementation and delivery of advanced radiotherapy • In 2018 The Christie will become the first UK NHS comprehensive centre to provide high energy proton beam therapy (PBT). • The Christie team have been central to developing the UK service, developing clinical protocols and pathways for NHS England. • The multidiciplinary Christie team includes clinical (radiation) oncologists, radiation therapists and non clinical specialists in oncology, dosimetry, radiotherapy physics, and engineering, as well as experts in commissioning, project management, capital and building development and equipment commissioning. • This expert knowledge and experience is now available to others through The Christie International Proton School
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The Christie Proton School Portfolio Level
Course
Length
Page
1
Introduction to developing a proton service
1 day
4
1
Introduction to proton beam therapy for general clinical staff of all disciplines
1 day
4
2
Fundamentals of proton beam therapy for clinical staff who will be involved in a proton therapy service
1 week
5
2
Fundamentals of developing a proton centre for project managers and capital programme managers involved in establishing a proton beam therapy service, from business case to delivery
2 days
6
3
Introductory observations for: • Clinicians • Physicists • Radiographers
1-2 weeks
7
4
Extended observations, clincal and research fellowships
2 weeks plus
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The University of Manchester MSc in Cancer Biology and Radiation Physics
Full time study
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3
Level 1 courses
Level 2 course
Introduction to developing a proton service
Introduction to proton beam therapy
Fundamentals of proton beam therapy
1 DAY WORKSHOP
1 DAY WORKSHOP
1 WEEK PROGRAMME
Target audience
Target audience
Clinical staff and managers leading development of proton services
Clinical and non clinical professionals new to proton beam therapy including doctors, nurses, radiation therapists, managers, commissioners
Objective and course components To provide an introduction to commissioning a proton service
• Teams and individuals starting to plan or commission a proton beam therapy service • Clinicians medical physicists and radiation therapists with a particular interest in proton beam therapy
Objective & course components To provide a more detailed outline of the delivery of proton beam therapy including • The physics of proton beam therapy • Proton technology • Radiobiology • Clinical applications (clinical evidence, case selection) • Dosimetry and treatment planning (imaging, outlining, assessment)
Objective & course components
• Limitations of proton beam therapy
To provide an introduction to
• Profession specific workshop elements including:
• What proton beam therapy is and how it differs from other forms of radiotherapy
• The basics of proton beam therapy
• Development of the NHS England service, indications, pathways, protocols and outcomes
• Pathways, protocols and indications and use of proton beam therapy
• Developing a proton centre, equipment and commissioning • Clinical workflow • Developing research in proton beam therapy
Other details • Delivered at The Christie • It will include a tour of the newly commissioned proton facility
• Development of the NHS England service
• Proton equipment • Treatment planning and clinical workflow • Clinical and patient reported outcomes • Research in proton beam therapy
Other details • Delivered at The Christie • This 1 day course will include a tour of the new proton facility NHS and Non-NHS rates available •
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Target audience
– Site specific clinical information – Immobilisation – Pre-treatment imaging – Case based proton/photon comparison of planning – Research
Course structure • The course will be tailored to the needs and make up of groups • Elements include:
– Plenary lectures – Break out streams for each professional group – A tour of The Proton Beam Therapy Centre at The Christie – Computer based practical simulated planning opportunities – A debate on lessons learned – NHS and Non-NHS rates available
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Level 2 course
Fundamentals of developing a proton centre & service
Level 3 course Target audience Programme and capital project managers
Objective & course components Introduce project and capital project managers to: – Proton beam therapy as a modality of treatment
2 DAY WORKSHOP
Introductory observation courses
– Feasibility testing and developing the business case – Capital design and build – Workforce modelling and planning – Developing equipment specifications – Vendor selection, procurement and legal issues – Equipment design, installation and commissioning – Radiation protection – Lessons learnt from development of a national centre
Course structure • The programme will include a tour and inspection of a newly built and commissioned proton beam therapy centre at The Christie • Interactive question and answer sessions with project and capital managers, clinicians, physicists, engineers, radiation therapists and radiation protection experts
1 - 2 WEEKS
Target audience • For those who have undertaken an appropriate course • Clinicians, physicists radiation therapists and teams involved in or about to be involved in proton beam therapy delivery
Objective & course components • Patient flow theory and observation • Selection of patients for proton beam therapy, an international view • Uncertainties in treatment planning including tissue interfaces, metalwork, cavities & robust optimisation. • Site specific MDT attendance • Patient therapy delivery including immobilisation, scanning, clinic, patient support • Staffing requirements and the extended proton team • Understanding lessons learned from developing a national service
Course structure • All individuals and or teams will be sent a questionnaire pre visit to identify their specific learning objectives to enable us to tailor courses The courses is based around classroom and observation sessions with • computer based practical simulation where appropriate Opportunity to consider the patients perspective as a recipient of proton • beam therapy • Site specific interests will be accommodated • If required a research component can be added
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7
Level 4 course
Observation courses
When will these courses be available Target audience • Aimed at clinicians, physicists and radiation therapists either as a group or separately • Teams involved in or about to be involved in proton beam therapy NB: For those with appropriate previous experience.
2 WEEKS PLUS
Objective & course components • Opportunity to spend time shadowing delivery of proton beam therapy gaining an in depth understand of all elements of the services • In-depth site specific treatment planning experience: – Demonstration of planning and considerations – Simulated planning of cases (simple to more complex) – Case discussions – Opportunity to interact with leading clinicians, physicists and radiographers in the field – Proton Dosimetry, an opportunity to deliver treatment plan in simulated environment on phantoms • Educating and training the workforce • Managing contingency
The portfolio of opportunities at The Christie International Proton School will grow alongside its delivery of services. The Proton School current timetable is: 2018
2019
2020
2021
2022
2023
Level 1: Introduction to developing a proton service Level 1: Introduction to proton beam therapy Level 2: Fundamentals of proton beam therapy Level 2: Fundamentals of developing a proton centre and service Level 3: Introductory observation courses
Course structure • All extended observations are tailored to individuals and the team. • The courses is based around shadowing and observation with simulation where appropriate • Site specific interests will be accommodated
Level 4: Observation courses Msc in Cancer Biology and Radiation Physics
• If required a research component can be added For specific dates or to arrange an observership please contact The Christie International Proton school on christieprotonschool@christie.nhs.uk or visit our webpage for additional details www.christie.nhs.uk/school-of-oncology
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Meet the team at The Christie International School of Oncology Clinical team Dr Ed Smith
Hazel Pennington
Consultant Clinical Oncologist Clinical and Education Director for Proton Beam Therapy
Operational Lead Radiographer for Proton Therapy
Helen Young Tom Edwards Vicky Hughes Principal Radiographers for Proton Therapy
Physics team Prof Ranald Mackay
Mr Imran Patel
Dr Julia Handley
Consultant Clinical Scientist Director of Medical Physics and Engineering Technical lead for the Proton Project
Consultant Clinical Scientist Clinical Lead for Proton Physics
Consultant Clinical Scientist Head of Radiotherapy Physics Education lead for Radiotherapy Physics
Other opportunities offer by the Christie International Proton School
Research team Professor Karen Kirkby
Professor Neil Burnet
The Richard Rose Chair in Proton Therapy Physics University of Manchester
Chair in Academic Proton Clinical Oncology University of Manchester
Extended observations and placements An opportunity for clinical staff of all types to apply for an extended placement (1-6 months) to work alongside the Proton team and gain a thorough understanding of all aspect of service development and delivery. There are also opportunities for research placements.
Capital and Project team Mr Jason Dawson
Mrs Jenny Scott
Mr Jonathan Martin
Director of Capital and Estates
Deputy Director of Business Development
Proton Beam Therapy Programme Office Manager
Education
NB: these are only available to those who have undertaken Tier 3 training
Clinical & research fellowships
PhD Opportunities
The Christie runs a well developed clinical and research fellowship programme for clinical and scientific staff funded by their institution or country. The programme offers an opportunity to develop skills in service delivery, research and education. All fellow have access to a high quality education and pastoral support programme where they will work alongside fellows developing skills in all aspects of cancer care delivery and research.
Opportunities for proton beam therapy focused PhDs arise regularly with Professor Karen Kirkby, at The University of Manchester. These can be accessed through findaphd.com Applications for PhD level study are also welcomed from those who are externally funded.
MSc/PGDip/PGCert Cancer Biology and Radiotherapy Physics
Dr Catherine Heaven Associate Director of Education
For those who do not have a background in Radiotherapy we recommend the University of Manchester MSc, PG Dip or PG Cert in Cancer Biology and Radiation Physics. This course, run in conjunction with The Christie will develop the skills you need to become a multidisciplinary scientist within the field of radiotherapy. http://www.manchester.ac.uk/study/masters/courses/list/11833/msc-pgdip-pgcert-cancer-biology-and-radiotherapy-physics
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Contact information Visit christie.nhs.uk/school-of-oncology Email education.events@christie.nhs.uk Call 0161 918 7409 Connect @TheChristieSoO