Credentialling

Know who is credentialled to do what.

Your team is credentialled today.

New technology, new staff, new workflows, and changes in protocol mean it will drift without a system to monitor it.

Get in touch Take the Adaptive Readiness Check

How our methodology works

The risk

Competency is perishable.

AyniHealth, backed by: Pavord et al. AAPM Subcommittee on Competency Evaluation. J Appl Clin Med Phys. 2016;17(4):5804. PMC5690041.

Competencies involve the ongoing verification of the performance of a procedure. Board certification alone is not an end point or a certification of competency.¹

IMRT planning34%

Reset by the new planning system upgrade

SGRT go-live18%

New technique, credentialling not yet started for most of the team

Linac QA58%

Two staff overdue for annual review

SABR protocol83%

On track, one clinician returning from extended leave

Which means credentialling is never done. It is a cycle. Every new technique restarts it. Every new starter joins it. Every audit tests it.

Most teams run that cycle in spreadsheets and inboxes. It holds until the audit is announced. Then the scramble starts.

Baseline

Train

Verify

Re-verify

Never done

Every new techniqueEvery new starterEvery audit

The standard

The professional imperative.

AyniHealth was built by clinicians who have run these programmes. We know what the cycle costs a department, because we have carried it.

This is not an administrative preference. It is a professional standard endorsed by every major body in radiation oncology.

AAPM

Board certification alone is not an end point or a certification of competency. Whenever new technologies are implemented, the entire staff would be subject to the credentialling process.

Pavord et al. J Appl Clin Med Phys 2016¹

ASTRO

Establishing and maintaining an adaptive program requires a team-based approach, appropriately trained and credentialled specialists, significant resources, specialised technology, and implementation time.

ASTRO ART Safety White Paper 2024³

ESTRO

Online MR-guided radiotherapy adds the MR environment to daily practice, which might be a new experience for many centres. New issues and challenges need to be thoroughly explored before starting clinical treatments.

Corradini et al. Radiother Oncol 2021⁵

The plan

The Adaptive Credentialling Protocol.

A protocol your team can run today. Three steps. Built on the published evidence. The same structure your team already knows: Align. Implement. Sustain.

The adaptive protocol is one application of the AyniHealth Competency Mapping Protocol, the same method behind every credentialling pack we publish.

Align

Credential the task, not the title.

Break online adaptive into workflow units, from patient setup to contour review to plan approval to delivery. Map every unit to roles: oncologist, physicist, therapist, nursing. Write the directive that sets the boundary each role works inside. Baseline each person against their units.

Implement

Train and verify to the task.

Move each person up the same six-tier ladder: theory, observation, supervised, independent with check, credentialled, assessor. Sign off each tier with evidence. Follow the published RTT adaptive pathway.

Sustain

Re-verify on a schedule.

Competency is perishable, so the protocol never ends. Capture evidence as the team works, not before audit. Every change to the workflow is classified, and the classification decides how far a credential steps back. Export when the auditor asks.^3,5,7,8

Theory

Knows the task and the rules before touching it.

Observation

Watched the task performed end to end and practised on simulation.

Supervised

Performed it with a signed-off supervisor beside them.

Independent with check

Performed it unaided, with every output checked afterwards until parity is reached.

Credentialled

Practises independently within the directive. Audit only.

Assessor

Signs off the tiers below and keeps the benchmarks current.

Each tier is signed off with evidence, following the published RTT adaptive pathway. The full ladder, workflow classes and roles are on the methodology page.

The protocol is simple. Keeping it running is the hard part.

Schedules slip. Spreadsheets go stale. Evidence scatters across systems. Without a system, every audit starts from zero.

That is what AyniHealth does. The protocol, live and auditable.

See the methodology

Clinical credentialling should not live in a spreadsheet or across multiple systems. AyniHealth gives your team a single, auditable record of staff credentialling, competency, and readiness updated as training and assessments are completed.

When accreditation comes around, you are ready. When a procedure is updated or introduced, whether online adaptive, offline adaptive, or any new technique, you know exactly who can perform it and who needs extra time to get there. When a new staff member joins, their onboarding starts from a clear picture of where they are and what they need.

Auditable credentialling records for every clinician, every procedure, every system
Task-specific competency tracking for online and offline adaptive RT
Role-based competency maps across all clinical roles
Automated alerts when credentials are due for renewal
Instant visibility for department heads, educators, and compliance teams
Scheduling grounded in verified capability, not assumptions or seniority
New technology introduction triggers automatic credentialling workflows
Post-absence revalidation pathways built in
CPD and maintenance of certification tracking aligned to role requirements
Built for radiation oncology. Works for any clinical setting.

When accreditation comes, the evidence is already there.

Get in touch Take the Adaptive Readiness Check

References

Sources: Pavord et al., AAPM Subcommittee on Competency Evaluation, J Appl Clin Med Phys, 2016 · ASTRO Adaptive Radiation Therapy Safety White Paper, IJROBP, 2024 · Corradini et al., ESTRO-ACROP MR-Linac Recommendations, Radiother Oncol, 2021 · Shepherd et al., RTT oART Credentialling Pathway, Tech Innov Patient Support Radiat Oncol, 2021

1.Pavord L, Bellezza S, Christodouleas JP, et al. A report from the AAPM Subcommittee on Guidelines for Competency Evaluation for Clinical Medical Physicists in Radiation Oncology. Journal of Applied Clinical Medical Physics. 2016;17(4):5804. doi:10.1120/jacmp.v17i4.5804
2.Huq MS, Fraass BA, Dunscombe PB, et al. The report of Task Group 100 of the AAPM: Application of risk analysis methods to radiation therapy quality management. Medical Physics. 2016;43(7):4209. doi:10.1118/1.4947547
3.Quality and Safety Considerations for Adaptive Radiation Therapy: An ASTRO White Paper. International Journal of Radiation Oncology, Biology, Physics. 2024. doi:10.1016/j.ijrobp.2024.03474
4.Corradini S, Alongi F, Andratschke N, et al. ESTRO-ACROP recommendations on the clinical implementation of hybrid MR-linac systems in radiation oncology. Radiotherapy and Oncology. 2021;159:146-154. doi:10.1016/j.radonc.2021.03.025
5.An ESTRO-ACROP guideline on quality assurance and medical physics commissioning of online MRI guided radiotherapy systems based on a consensus expert opinion. Radiotherapy and Oncology. 2023;181:109504. doi:10.1016/j.radonc.2023.109504
6.Shepherd M, Graham S, Ward A, et al. Pathway for radiation therapists online advanced adapter training and credentialing. Technical Innovations and Patient Support in Radiation Oncology. 2021;20:54-60. doi:10.1016/j.tipsro.2021.11.001
7.Shepherd M, Joyce E, Williams B, et al. Training for tomorrow: Establishing a worldwide curriculum in online adaptive radiation therapy. Technical Innovations and Patient Support in Radiation Oncology. 2025;33:100304. doi:10.1016/j.tipsro.2025.100304
8.Hogan L, Jameson M, Crawford D, et al. Old dogs, new tricks: MR-Linac training and credentialing of radiation oncologists, radiation therapists and medical physicists. Journal of Medical Radiation Sciences. 2023;70:99-106.
9.ACPSEM Magnetic Resonance Imaging Linac Working Group. ACPSEM position paper on ROMP scope of practice and staffing levels for magnetic resonance linear accelerators. Physics and Engineering Sciences in Medicine. 2023;46:521-527.