{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T03:02:15Z","timestamp":1789700535100,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aapm.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Applied Clin Med Phys"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Large multi\u2010hospital radiation oncology networks often rely on site\u2010exclusive physicist coverage models that can lead to imbalanced workload distribution, inconsistent task execution, communication fragmentation, and vulnerability to delayed or missed quality checks. Increasing clinical complexity and distributed staffing models necessitate operational strategies that improve efficiency, standardization, and safety across geographically separated sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe the implementation of a shared\u2010duty physicist\u2010of\u2010the\u2010day (POD) model supported by a real\u2010time operational dashboard and to evaluate its impact on workload distribution, task efficiency, and safety metrics across a multi\u2010hospital radiation oncology network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A structural transition from a site\u2010exclusive to a shared\u2010duty POD model was implemented in our institution\u2014a four\u2010site academic radiation oncology system. A custom application, RadOncStatusBoard, was developed using structured query language (SQL)\u2010based integration with the Mosaiq Record &amp; Verify system to aggregate real\u2010time patient appointments, treatment progress, quality checklist (QCL) items, and weekly chart check (WCC) eligibility. Microsoft Teams channels were used for daily communication and task coordination. Operational data from two matched 21\u2010month intervals\u2014before and after POD restructuring\u2014were extracted using SQL. Evaluated metrics included task volumes, claim times, completion times, WCC performance, billing accuracy, and dosimetry\u2010related Radiation Oncology Incident Learning System (RO\u2010ILS) event reporting. Right\u2010skewed distributions were summarized using medians and interquartile ranges (IQR). Surveys of physicists and dosimetrists were performed to assess end\u2010user perceptions of workflow and safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Workload balance improved across all task categories, with substantial decreases in main\u2010to\u2010satellite task ratios (e.g., the ratio for chart close decreased from 1.91 to 1.27). Task claim and completion times decreased markedly at both main and satellite locations (e.g., chart\u2010close claim time decreased from 36.8 to 6.2\u00a0min at the main campus). WCC completion improved from 97.7% to 99.9%, and WCC charge capture increased from 96.1% to 99.4%. The proportion of dosimetry\u2010related RO\u2010ILS events decreased numerically from 31.0% to 26.7% (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.339). Survey responses from physicists and dosimetrists indicated improved workflow clarity, communication, workload balance, and perceived patient safety.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementation of a shared\u2010duty POD model improved workload balance, enhanced operational efficiency, and strengthened routine safety processes across a multi\u2010site radiation oncology program. Integration of a real\u2010time operational dashboard, standardized communication pathways, and structured task\u2010claiming workflows enabled measurable gains in responsiveness, compliance, and perceived safety culture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acm2.70792","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:00:51Z","timestamp":1788958851000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Routine physics work efficacy and efficiency improvement through a shared\u2010duty physicist\u2010of\u2010the\u2010day model in a multi\u2010hospital radiation oncology network"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6465-1289","authenticated-orcid":false,"given":"Guang\u2010Pei","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6009-0245","authenticated-orcid":false,"given":"Douglas E.","family":"Prah","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric S.","family":"Paulson","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2010.03.022"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2012.04.036"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.4947547"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.3190392"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.4764914"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.12896"},{"key":"e_1_2_12_8_1","unstructured":"PriceM Staffing models for multi\u2010site institutions.Presented at: AAPM Spring Clinical Meeting;2018."},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.13460"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/mp.14030"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssci.2018.06.002"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2017.12.013"},{"key":"e_1_2_12_13_1","unstructured":"American Society for Radiation Oncology (ASTRO).ASTRO'S APEx\u2014accreditation program for excellence.2024. Accessed 12\/1\/2025https:\/\/www.astro.org\/practice\u2010support\/accreditation\/about\u2010apex\/apex\u2010standards"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.12896"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.13225"},{"key":"e_1_2_12_16_1","unstructured":"American Society for Radiation Oncology (ASTRO).Physics coding guidance. Accessed 12\/1\/2025https:\/\/www.astro.org\/practice\u2010support\/reimbursement\/coding\/coding\u2010guidance\/coding\u2010faqs\u2010and\u2010tips\/physics"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1200\/GO\u201024\u201000597"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejmp.2015.07.111"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.7861\/fhj.10\u20103\u2010s89"},{"key":"e_1_2_12_20_1","unstructured":"American Society for Radiation Oncology (ASTRO).RO\u2010ILS: Radiation Oncology Incident Learning System. Accessed 12\/1\/2025https:\/\/www.astro.org\/practice\u2010support\/quality\u2010and\u2010safety\/ro\u2010ils2025"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/acm2.14344"}],"container-title":["Journal of Applied Clinical Medical Physics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acm2.70792","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acm2.70792","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acm2.70792","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:07:18Z","timestamp":1789697238000},"score":1,"resource":{"primary":{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/10.1002\/acm2.70792"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":20,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/acm2.70792"],"URL":"https:\/\/doi.org\/10.1002\/acm2.70792","archive":["Portico"],"relation":{},"ISSN":["1526-9914","1526-9914"],"issn-type":[{"value":"1526-9914","type":"print"},{"value":"1526-9914","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-05-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70792"}}