• A Oar, M L Yap, D Rodin, A McNiven, J Papadakos, and M Giuliani.
• Ingham Institute, Liverpool Cancer Therapy Centre, Liverpool, NSW, Australia. Electronic address: andrew.oar@roc.team.
• Clin Oncol (R Coll Radiol). 2018 Dec 1; 30 (12): 810-816.

AimsTo identify core competencies for postgraduate radiation oncology trainees in global health and cancer that may inform revisions across radiation oncology residency specialty training curricula.Materials And MethodsA review of the literature was conducted to identify all potential global health competency items. An international two-phase Delphi process was conducted with experts in oncology. In phase 1, all experts scored, on a nine-point Likert scale, the degree to which they agreed an item should be included in the competency profile. Items with a mean score ≥7 were included, those scoring 4-6 were reviewed in phase 2, and items scored ≤3 were excluded. In phase 2, items were discussed and subsequently ranked for inclusion or exclusion in the competency profile. Items with >75% voting for inclusion were included in the final competency profile.ResultsIn total, 142 potential global health competency items were identified. Sixty-one items were removed as redundant or irrelevant, leaving 81 items for the Delphi process. Eighteen specialists were invited to participate, with 10 (56%) agreeing to participate in phase 1 of the Delphi process. Participants represented 10 centres in seven countries. Of the 81 items ranked in phase 1, 72 items (89%) had a mean score ≥7 and were automatically included in the final competency profile. The remaining nine items received a score of 4-6 and were discussed in phase 2 of the Delphi process, of which three received <75% agreement for inclusion and were excluded. The result was a final list of 78 enabling competency items.ConclusionsThe radiation oncology global health competency profile represents an international consensus on the items that can inform radiation oncology training requirements.Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

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