Radiation Oncologist

Job Purpose The Senior Registrar

• Oncology (Radiotherapy) will be responsible for the comprehensive assessment, planning, and delivery of precision radiation oncology services under the clinical supervision of the Consultant Radiotherapist (Oncology). The role holder will ensure accurate and timely radiotherapy treatment, contribute to multidisciplinary decision-making, and drive continuous improvement in patient safety, treatment outcomes, and departmental innovation. Key Accountabilities/Responsibilities Radiotherapy Planning and Treatment Delivery Conduct thorough patient assessments, including history taking, physical examination, and interpretation of diagnostic imaging, pathology, and staging information to determine radiotherapy suitability. Prescribe, plan, and oversee the delivery of complex radiotherapy regimens, including curative, adjuvant, and palliative intent treatments, under consultant supervision. Perform target volume and organ-at-risk contouring using advanced radiotherapy planning systems, ensuring precision and adherence to international contouring guidelines. Verify and approve radiotherapy treatment plans in close collaboration with medical physicists and dosimetrists, ensuring dosimetry accuracy and optimal therapeutic ratio. Conduct on-treatment reviews, assess and manage acute radiation toxicities, and modify treatment plans as clinically indicated. Prioritize and communicate urgent radiotherapy findings or treatment modifications promptly to the consultant and multidisciplinary team. Multidisciplinary and Interdisciplinary Collaboration Actively participate in multidisciplinary team (MDT) meetings, tumour boards, and case conferences, presenting complex cases and contributing to evidence-based, patient-centered care pathways. Liaise closely with surgical oncologists, medical oncologists, pathologists, radiologists, and palliative care specialists to ensure integrated and holistic cancer management. Provide expert imaging and radiotherapy advice to referring clinicians and allied health professionals for complex or inconclusive cases. Interventional and Procedural Oncology Assist with and under the Consultant’s supervision, perform radiotherapy-specific interventional procedures, including image-guided brachytherapy applicator insertions, stereotactic localization, and fiducial marker placement. Prepare and position patients appropriately for radiotherapy and interventional procedures, ensuring comfort, safety, and reproducibility. Obtain informed consent, explain procedures clearly, and counsel patients regarding anticipated side effects and post-treatment care. Monitor patients during and immediately after procedures, identifying and managing acute complications in collaboration with the wider clinical team. Patient Care and Communication Explain radiotherapy procedures, preparation requirements, and potential side effects to patients and their families in a clear, empathetic, and culturally sensitive manner. Provide