Establishing a New Clinical Role for Medical Physicists: A Prospective Phase II Trial.

PURPOSE To investigate a new clinical role for medical physicists in direct patient care with a prospective phase 2 clinical trial. MATERIALS AND METHODS Medical physicists participated in the Physics Direct Patient Care (PDPC) protocol, establishing independent professional relationships with radiation oncology patients. After attending a dedicated patient communication training program, medical physicists routinely met with patients for 2 physicist-patient consults to explain the treatment planning and delivery process, review the patient's treatment plan, and answer all technical questions. The first physicist-patient consult took place immediately before the computed tomography simulation, and the second took place immediately before the first treatment. Questionnaires were administered to each patient on the PDPC protocol at 3 time points to assess both anxiety and satisfaction. The first questionnaire was given shortly after the first physicist-patient consult, the second questionnaire was given shortly after the second physicist-patient consult, and the third questionnaire was given after the last treatment appointment, with no associated physicist-patient consult. RESULTS The mean patient anxiety score was considered to be low at all questionnaire time points. There was a statistically significant decrease (P < .0001) in anxiety from the simulation time point to the first treatment time point. The mean patient technical satisfaction score was considered to be high at all measurement time points. There was a statistically significant increase (P = .0012) in technical satisfaction from the simulation time point to the first treatment time point. There was a statistically significant decrease (P < .023) in technical satisfaction from the first treatment time point to the last treatment time point. CONCLUSIONS Establishing a new clinical role for medical physicists and investigating its effects on patient anxiety and satisfaction have created the foundation for future studies. Based on the results of this trial, the PDPC protocol will be expanded to a larger group of medical physicists, radiation oncologists, and patient disease sites and investigated with a randomized phase 3 clinical trial.

[1]  Reshma Jagsi,et al.  Promoting the Appropriate Use of Advanced Radiation Technologies in Oncology: Summary of a National Cancer Policy Forum Workshop. , 2017, International journal of radiation oncology, biology, physics.

[2]  C. Newgard,et al.  Using Press Ganey Provider Feedback to Improve Patient Satisfaction: A Pilot Randomized Controlled Trial , 2017, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[3]  Valerie Laberta,et al.  Benefits of Automation in Radiation Oncology , 2017 .

[4]  S. Ghazarian,et al.  Development and validation of the tool to assess inpatient satisfaction with care from hospitalists. , 2014, Journal of hospital medicine.

[5]  J. Sloan,et al.  Patient-reported distress and survival among patients receiving definitive radiation therapy , 2017, Advances in radiation oncology.

[6]  J. Rowland,et al.  Information needs and sources of information among cancer patients: a systematic review of research (1980-2003). , 2005, Patient education and counseling.

[7]  Todd Pawlicki,et al.  Care for Patients, Not for Charts: A Future for Clinical Medical Physics. , 2018, International journal of radiation oncology, biology, physics.

[8]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

[9]  K. Brock,et al.  On the Fuzziness of Machine Learning, Neural Networks, and Artificial Intelligence in Radiation Oncology. , 2018, International journal of radiation oncology, biology, physics.

[10]  M. Goldstein,et al.  Impact of communication training on physician expression of empathy in patient encounters. , 2009, Patient education and counseling.

[11]  E. Klein,et al.  The Ever-Evolving Role of the Academic Clinical Physicist. , 2017, International journal of radiation oncology, biology, physics.

[12]  L. Harrison,et al.  The Impact of Music Therapy on Anxiety in Cancer Patients Undergoing Simulation for Radiation Therapy , 2017, International journal of radiation oncology, biology, physics.

[13]  B. Bailey,et al.  The Relationship between Temperament and Anxiety , 2010, Journal of Health Psychology.

[14]  R. Kimple,et al.  Online patient information from radiation oncology departments is too complex for the general population. , 2017, Practical radiation oncology.

[15]  T. Marteau,et al.  The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). , 1992, The British journal of clinical psychology.

[16]  M. K. White,et al.  Physician and patient communication training in primary care: effects on participation and satisfaction. , 2008, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[17]  Elizabeth A. Krupinski,et al.  Artificial intelligence will soon change the landscape of medical physics research and practice. , 2018, Medical physics.

[18]  K. Engedal,et al.  High prevalence of anxiety symptoms in hospitalized geriatric patients , 2001, International journal of geriatric psychiatry.

[19]  Advancing Our Practice Through the Advanced Practice Radiation Therapist Model: Catching Up With Canada. , 2017, International journal of radiation oncology, biology, physics.