Developing leadership and patient management skills in imaging technicians/technologists and RTTs: education for active roles in the oncological care pathway

Abstract

Oncology patients navigate complex care paths involving many professionals. Imaging technicians/technologists and RTTs are present at nearly every phase, from diagnostic imaging to simulation, treatment planning and delivery, yet their role is often viewed as purely technical. This raises critical questions: Are we training our students adequately during clinical practice? Are we preparing them for their real responsibilities in the oncology team? Are we guiding them beyond “the doctor said” toward: “we are here to do this, together”? This study explores the impact of targeted education on leadership and patient-centered competencies among imaging and radiotherapy students. A total of 204 students in Medical Imaging and Radiotherapy completed a focused training intervention over a three-month period, from April to June 2025. The program mapped the oncology care pathway and emphasized the decision-making role of non-physician professionals. Pre- and post-training evaluations included Likert-scale surveys and reflective assessments measuring factors that influence professional agency in clinical settings, like empathy, patient-centered awareness, professional identity, active role perception, readiness for clinical responsibility, confidence in interdisciplinary communication and understanding of shared leadership. Post-training, 86 % of students reported enhanced awareness of their clinical value. 74% had not previously viewed themselves as key actors in patient care. Findings emphasize the need for education beyond technical skills. Mentorship, role modeling, and supportive environments are essential to cultivate leadership and clinical agency. This study has shown that imaging technicians and RTTs are more than technical staff. Training must prepare them to lead with empathy, communicate purposefully, and support the patient journey. Educational priorities must evolve to empower them as decision-makers.

Keyword: shared leadership, mentorship, RTT, imaging technicians, patient-centered competencies

DOI: 10.7176/JHMN/119-11

Publication date: November 30th 2025