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This commentary outlines a project to improve efficiency and workforce utilisation by introducing a competency framework and training module allowing entitled radiation therapists to perform single\u2010channel cylinder applicator insertions and treatment delivery under <jats:styled-content style=\"fixed-case\">RO<\/jats:styled-content> supervision for fraction one and without supervision for subsequent fractions. The rationale, relevant regulations, implementation process and barriers are explored.<\/jats:p>","DOI":"10.1002\/jmrs.329","type":"journal-article","created":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T07:07:00Z","timestamp":1551769620000},"page":"133-138","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of radiation therapist cylinder insertion for vaginal vault brachytherapy"],"prefix":"10.1002","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8876-6961","authenticated-orcid":false,"given":"Dean B.","family":"Paterson","sequence":"first","affiliation":[{"name":"Radiation Treatment Department, Blood and Cancer Centre Wellington Regional Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelley M.","family":"Pearson","sequence":"additional","affiliation":[{"name":"Radiation Treatment Department, Blood and Cancer Centre Wellington Regional Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol A.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Radiation Treatment Department, Blood and Cancer Centre Wellington Regional Hospital Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,4]]},"reference":[{"unstructured":"New Zealand Ministry of Health.Cancer: New registrations and deaths 2013[Internet].New Zealand Ministry of Health Wellington New Zealand 2016[cited 2018 October 31]. 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