The Radiation Oncology training program at Oregon Health & Science University (OHSU) is located predominantly in the Department of Radiation Medicine, occupying the fourth floor of Kohler Pavilion. This department serves the entire medical school campus including Doernbecher Pediatric Hospital, the VA Portland Health Care System and the Center for Health and Healing. The department utilizes over 17,000 square feet of space and is staffed by 14 full-time radiation oncologists, 13 full-time physicists, five medical dosimetrists and a full complement of supporting personnel. Two Elekta Versa HD linear accelerators, a Varian TrueBeam linear accelerator, and a Tomotherapy HD unit are used to provide external beam electron and photon radiotherapy. Image guidance consists of onboard-imagers at all LINACs with both kV-kV, cone beam CT and MVCT capabilities. Calypso radio frequency beacon localization, BrainLab ExacTrac fluoroscopy and optical guidance imaging is utilized as part of a full service image guidance program. We have a Philips Brilliance BigBore CT scanner with respiratory gating capabilities for 4D CT based simulation. We also have available a 4D PET CT scanner with in our department that can be utilized for biologic functional treatment planning. External beam treatment systems consists of Eclipse, Pinnacle, Monaco and BrainLab Iplan system. These systems are used for CT-based 3D treatment planning, inverse modulated radiation therapy (IMRT), volumetric-modulated arc radiotherapy (VMAT), dynamic conformal arc therapy, stereotactic body radiotherapy, Linac-based radiosurgery, total body irradiation and total skin electron-beam therapy.
The department uses high-dose rate (HDR) Iridium-192 for the majority of its brachytherapy needs. Radioactive Iodine-125 seeds and Iridium-192 are ordered for individual cases as needed. We have an active I-125 eye plaque brachytherapy program for choroidal melanomas with the Casey Eye Institute. We have a interstitial brachytherapy program which includes therapy for prostate cancer, soft tissue sarcoma and even for lung cancers.
The principle objective of our training program is to provide a strong, progressive clinical experience in radiation oncology along with the very necessary basic science and research support. The training is provided by a combination of supervised clinical experiences, seminars, lectures and research assignments designed to expand the trainee’s clinical skills and to provide a broad scientific basis for growth. The trainee’s rotation to various segments of the program follow a pattern of progressively increasing responsibility throughout the four year post internship training. We also offer core curriculum instruction in radiation biology and physics.
Clinical rotations will lead to experience with pediatric, thoracic, gastrointestinal, genitourinary, lymphoma, head and neck, soft tissue, breast, and CNS malignancies.