Practical Radiation Oncology Program 2025
This program is designed to address the needs of a community practice physician and includes disease site reviews, interactive case-based discussions, a strategic dialogue with the ASTRO CEO and a radiation oncology practice overview.
Target Audience
The activity is designed to meet the interests of medical oncologists, radiation oncologists, surgeons, nurses, radiation dosimetrists, physicists, pathologists, residents, neurosurgeons, diagnostic radiologists, radiation therapists, practice managers and allied healthcare professionals.
Learning Objectives
Upon completion of this activity, participants should be able to do the following:
- Discuss radiation and reconstructive surgery treatment options for patients with recurrent breast cancer.
- Discuss indications for hypofractionated radiation in post-mastectomy patients.
- Determine which patients would benefit from re-irradiation of their primary or secondary brain tumor.
- Assess the various radiation techniques, technology and fractionation to optimally benefit patients while mitigating risk of toxicity.
- Analyze strategies to manage toxicities that may develop from re-irradiation.
- Discuss the role of stereotactic body radiation therapy (SBRT) in managing non-spinal bone metastases, identifying key indications and expected outcomes.
- Discuss the role of prophylactic radiation therapy to prevent skeletal-related events.
- Evaluate supporting data that justifies the use of RT in various clinical situations and develop effective communication strategies for peer-to-peer interactions regarding treatment approval, as well as alternative treatment strategies.
- Understand the basics regarding circulating tumor DNA (ctDNA) and liquid biopsy technologies and applications.
- Understand the utility of ctDNA for noninvasive genotyping, early cancer detection, and minimal residual disease detection and monitoring.
- Actively engage with ASTRO leadership
- Participate in ASTRO educational activities
- Implement meaningful workflow changes in their practice to ensure appropriate billing capture.
- Enhance staff and electronic resource utilization to improve patient care and fulfill compliance needs.
- Identify ways to advocate for broader economic changes in favor of supporting community radiation oncology practices.
- Differentiate patients that are appropriate for radiation therapy and which of these patients may benefit for ultra low dosing.
- Understand the toxicity reduction efforts with the various tools at our disposal including dose considerations and techniques.
- Explain the steps in evaluation of a patient with an unknown primary p16 positive head and neck squamous cell carcinoma and management of patients where primary site is not identified.
- Discuss the role of TTMV-HPV DNA as a surveillance tool for patients with p16 positive head and neck squamous cell carcinoma.
- Describe management options for patients with oligometastatic p16 positive head and neck squamous cell carcinoma.
- To understand practical considerations for safely treating and escalating radiation dose to tumors in the upper abdomen.
- To increase awareness of trials of radiation therapy in liver and pancreatic cancer.
- Share practical tips for patient selection, treatment and response evaluation for radiation therapy.
- Approach a patient with oligometastatic cervical and endometrial cancer with a strategy that expands upon palliation.
- Consider the approach to reirradiation for patients with GYN malignancies.
- Explain pros and cons of different local therapies for early stage cSCCa.
- Determine appropriate work up, treatment volumes and doses of radiation therapy for adjuvant treatment of cSCCa.
- Identify the role and benefit of therapy in advanced stage disease of cSCCa.
The program is comprised of ten sessions:
- Challenges in Breast Cancer Management: Recurrent Disease, Reconstruction and Hypofractionation
- Radiation Treatment of Recurrent Breast Cancer - Jose Bazan, MD, MS
- Reconstructive Surgery and Recurrent Breast Cancer - David Chang, MD
- Hypofractionation in Post-mastectomy Patients - Rinaa Punglia, MD, FASTRO, MPH
- Beyond the First Dose: Re-irradiation for Brain Tumors - Maximizing Outcomes and Managing Risk
- Re-irradiation of Primary Brain Tumors - Tips and Techniques - Daniel Trifiletti, MD
- Re-irradiation of Brain Metastases: When and How - Joshua Palmer, MD
- Mitigation and Management of Toxicity in the Re-irradiation of Brain Tumors - Christina Cramer, MD
- Bones of Contention: Navigating Innovations in Real-World Management of Non-Spine Bone Metastases
- Targeting Precision: Harnessing SBRT for Non-Spinal Bone Metastases - Winston Vuong, MD
- Prophylactic Palliation: Radiation Asymptomatic Bone Metastases as the Evidence Still Emerges - Jonathan Yang, MD, PhD
- Navigating the Maze: SBRT Advocacy, Retreatment Strategies and Alternative Approaches - Zachary Kohutek, MD, PhD
- Liquid Biopsies in Cancer
- ctDNA for Blood-based Noninvasive Genotyping - Scott Bratman, MD, PhD
- Liquid Biopsy Early Detection of Cancer - Aadel Chaudhuri, MD, PhD
- Liquid Biopsies for Detection of Minimal Residual Disease - Maximilian Diehn, MD, PhD
- Driving Engagement and Delivering Value: A Strategic Dialogue with ASTRO CEO
- Vivek Kavadi, MD, MBA, FASTRO
- Micro- and Macroeconomics of Radiation Oncology Practice
- Billing 101 - Christopher Jahraus, MD, FASTRO
- Clinicial Workflow: How the Structure of your Practice Can Cost You - Beant Gill, MD
- Alternative Payment Models and Economic Changes on the Horizon - Catheryn Yashar, MD, FASTRO
- Indolent Lymphomas: Radiation Oncology Considerations
- Nuts and Bolts of Indolent Lymphomas (clinicopathology, staging, prognosis) - Yolanda Tseng, MD
- Toxicity Reduction Efforts with Radiation Therapy - Chelsea Pinnix, MD, PhD
- Who and When - Indications for RT - Ari Wijetunga, MD, PhD, MS
- The Journey of the Unknown Primary in the HPV Era: Evaluation, Treatment, Surveillance and Management of Oligometastatic Disease
- Workup and Treatment of Unknown Primary p16 Positive Head and Neck Cancer Squamous Cell Carcinoma - Jessica Lee, MD
- Surveillance of p16 Positive Head and Neck Squamous Cell Carcinoma: Examination, Imaging, and Biomarkers - Edina Wang, MD
- Management of Oligometastatic Head and Neck Cancers in the Era of HPV - Musaddig Awan, MD
- Precision Radiotherapy for Liver and Pancreatic Malignancies: Indications, Techniques and Response Evaluation
- Ablative Radiation Therapy for Locally Advanced Pancreas Cancer: Clinical Indications and Practical Considerations - Michael Chuong, MD
- Integrating Radiotherapy into Multidisciplinary Care for Hepatocellular Carcinoma - Nina Sanford, MD
- Post Radiotherapy Imaging and Response Evaluation in Hepatobiliary Cancer/Metastases - Smith Apisarnthanarax, MD
- Practical Management Strategies for Advanced Stage Gynecologic Cancer Patients
- Radiotherapy Across the Spectrum of Metastatic GYN Malignancies - Kevin Albuquerque, MD
- Salvaging the Primary: Definitive Reirradiation or Palliation? - Dominique Rash, MD
- Management of Sexual Side Effects of Radiotherapy and Progressive Disease for the Advanced Stage Patient - Sage Bolte, PhD
- Reviving the Value of Radiation Therapy in Cutaneous Squamous Cell Carcinoma (cSCCa): From Early to Late Stage Disease and Everything in Between
- The Role of Definitive Radiation for Early Stage cSCCa - Shauna Campbell, DO
- The Role of Adjuvant Radiation in cSCCa - Lisa McGee, MD
- Practical Updates in Systemic Therapy for Locally Advanced Cutaneous SCC: Peri-Operative Immunotherapy, Chemoradiation, and Immunotherapy-Radiation Combinations - Jeremy Harris, MD, MPhil
This activity is available from December 1, 2025, through 11:59 p.m. Eastern time on December 31, 2026.
This activity was originally recorded at the 2025 ASTRO Annual Meeting.
Faculty:
Name | Employment Relationships | Consulting or Advisory Board/Speaker/Faculty/Research/Honoraria | Ownerships/Investments/Intellectual Property | Leadership/Positions of Authority |
Carryn Anderson | Heartland Anesthesia: Chief Operating Officer: Employee University of Iowa Hospitals & Clinics: Radiation Oncologist: Employee | Galera Therapeutics, Inc: Consultant, Research: Recipient: My Institution: Salary Support: No: site principal investigator: Drug development to mitigate oral mucositis: Compensation/Payment, Uncompensated: Member of consulting focus group for development of healthcare provider and patient education materials related to potential commercial launch of avasopasem manganese for oral mucositis in head and neck cancer patients receiving cisplatin & RT.: Present | None | University of Iowa Hospitals & Clinics: Residency Program Director: Maintain ACGME accreditation for Radiation Oncology program: Compensation? No: Relationship ended 03/30/2023 |
William Breen | Mayo Clinic: Radiation Oncologist: Employee | GE Healthcare: Advisory Board: Single: Access to company proprietary information or provide your expertise; or any public-facing use of your name/image: No: Compensation/Payment, Other-Paid to institution: Discussion of development of novel PET/CT radiotracers, all funds paid to department.: January 2023 Miltenyi: Advisory Board: Single: Access to company proprietary information or provide your expertise; or any public-facing use of your name/image: No: Compensation/Payment, Other-Paid to institution: CAR-T development for CNS lymphoma: 5/29/24 | None | None |
Julianna Bronk | University of Texas MD Anderson Cancer Center: Assistant Professor: Employee | None | None | None |
Stuart Burri | Southeast Radiation Oncology Group: President and Partner: Partner | Novocure: Other-Data Safety monitoring committee: Travel expenses, Compensation/Payment: Member of data safety monitoring board for the METIS trial: 2023 | Charlotte Physics Holding: Ownership equity: Partial owner of holding company that owns an interest in a physics staffing company FUSE Oncology Holding: Ownership equity: Own a partial stake of a holding company that owns a portion of FUSE Oncology Oncology Practice Solutions: Ownership equity: Own a portion and am a managing partner of Oncology Practice Solutions Radiation Oncology Centers of the Carolinas: Ownership equity: Partial owner Southeast Radiation Oncology Group: Partnership: President and partner | Atrium Health - Levine Cancer Institute: A large non-profit health system: Chairman of Radiation Oncology: Chairman of Radiation Oncology: Compensation? No |
Shauna Campbell | Cleveland Clinic Foundation: Radiation Oncologist: Employee | None | None | None |
Youssef Charara | Howard University: Adjunct professor: Employee: May 2024 Virginia Cancer Specialists: Chief Medical Physicist: Employee | Novartis/aaa: Consultant: Compensation/Payment, Other-TBD: consultant on RLT experience: Present | None | None |
Junzo Chino | Duke University Health System: Associate Professor: Employee | GOG Foundation: Other-Received Stipend for writing (GOG foundation book): Honoraria: Honoraria for writing: 4/10/23 Guidepoint: Consultant: Compensation/Payment: Investment Consulting - Platinum Therapy: 10/9/23 KM Pharmaceutical Consulting LLC: Other-Data and Safety Monitoring Board for ongoing trial: Honoraria: Data and Safety Monitoring Board for ongoing trial for Cervical Cancer: To present Merck: Advisory Board: Single: Access to company proprietary information or provide your expertise; or any public-facing use of your name/image: No: Grant/research funding: Pembrolizumab in Cervical Cancer: 1/22/24 Stryker: Consultant: Honoraria: Airo CT Consulting: 4/30/23 | None | American Brachytherapy Society: Medical Society: Board Member: Board Member: Compensation? No |
Mudit Chowdhary | Northside Hospital: Radiation Oncologist: Employee | None | None | None |
Christine Chung | Alta Bates Comprehensive Cancer Center; H. Lee Moffitt Cancer Center | None | None | None |
Sean Collins | Department of Radiation Medicine, MedStar Georgetown University Hospital | Accuray: Consultant: Honoraria: clinical consultation: Present | None | None |
Curtiland Deville | Johns Hopkins University: Associate Professor: Employee | None | None | ASTRO: Vice Chair, Council on Health Equity, Diversity & Inclusion: Board of Directors: Compensation? No ASTRO Red Journal: Deputy Editor: Deputy Editor: Compensation? No |
Virginia Diavolitsis | Ohio State University: Physician: Partner Riverside Radiation Oncology: Physician: Partner | None | None | None |
Beant Gill | Associates in Radiation Medicine: Physician: Partner Luminis Health: Physician: Employee | The George Washington University: Other-Faculty: Uncompensated: Clinical role for mentorship and teaching students: Present | Associates in Radiation Medicine: Ownership equity: Partner: Partnership: Partner: Ownership equity: Partner: Partnership: Partner | American College of Radiology: Organization for radiology and radiation oncology: CAC Representative: Representative for local coverage determination review of radiation oncology services: Compensation? No Chesapeake Potomac Regional Cancer Center: Community practice for radiation oncology services: Medical Director: Medical director for clinical operations: Compensation? No |
Susan Gueble | Yale School of Medicine: Assistant Professor: Employee Yale-New Haven Hospital: Radiation Oncology Resident: Employee: Relationship ended 06/30/2023 | National Institutes of Health: Research: Recipient: Me: Salary Support: Yes: national/overall principal investigator: Basic/translational oncology research: Grant/research funding, Salary support: Principal Investigator on NIH Grant 1DP5OD036128 "Therapeutic Potential of a Novel MGMT-Dependent DNA Interstrand Crosslinking Agent in the Treatment of DNA Repair Deficient Cancer": 7/31/2028 Spector Family Fund for Clinical Research and Investigation: Research: Recipient: Me: Salary Support: No: Principal Investigator on Internal Award: Basic/translational oncology research: Grant/research funding: Principal Investigator on Spector Family Fund for Clinical Research and Investigation and Yale Physician Scientist Development Internal Award "Overcoming Temozolomide Resistance with a Novel MGMT-Dependent DNA Interstrand Crosslinking Agent in Non-Glioma Cancers": 6/30/2025 Yale SPORE in Skin Cancer: Research: Recipient: Me: Salary Support: No: Principal Investigator on Internal Award: Basic/translational oncology research: Grant/research funding: Principal Investigator on Career Enhancement Program Internal Award from Yale SPORE in Skin Cancer "Defining the Interactions of a Novel DNA Modifying Agent with Melanoma-Specific Genetic Features and Molecular Targeted Agents": 8/31/2024 | Modifi Biosciences: Copyright/Patent/License/Royalty: Receive royalty distribution of licensing for "Mechanism of action of KL-50 a lead compound for the treatment of drug-resistant glioblastoma" | Yale Cancer Center: Neuroendocrine Tumor Program Steering Committee: Member: Member of the Yale Cancer Center Neuroendocrine Tumor Program Steering Committee: Compensation? No |
Jonathan Haas | NYU Langone Hospital-Long Island: Chairman: Employee | Accuray: Education/Meeting Faculty, Speaker's Bureau: Honoraria: speaker: Present | None | None |
Jona Hattangadi-Gluth | UC San Diego/Moores Cancer Center: Professor: Employee | None | None | None |
Christopher Jahraus | Generations Radiotherapy & Oncology PC: Owner & Physician: Partner | Elekta: Consultant, Advisory Board, Speaker's Bureau: Ongoing: Access to company proprietary information or provide your expertise; or any public-facing use of your name/image: Yes: Honoraria, Travel expenses, Compensation/Payment: I have spoken about their product SmartClinic in numerous venues and served on multiple customer advisory committees.: To Present RADformation: Consultant: Other-Provision of software.: I have worked with RADformation to assist them in developing their products in the Elekta OIS environment.: To Present | Drug Patent: Ownership equity: I am co-maker of a patent for use of rifaximin in radiotherapy patients. Patents have been granted in Canada, the European Union (including Spain specifically), Israel, Japan, Korea, and Russia. I have received no money whatsoever for this intellectual property nor for my rights to it.: Relationship ended 05/08/2024 Generations Radiotherapy & Oncology PC: Ownership equity: I am 100% owner of my practice.: Relationship ended 05/08/2024 | American College of Radiation Oncology: I am a very active member of ACRO (and ASTRO). Within ACRO, I serve multiple roles, including those shown below.: Vice Chair, Gov't Relations & Economics Committee; Vice Chair, PAC; Deputy Editor of Journal Channel (CURiE); Chair, ACROPath; RUC-Advisor: I am a member of this organization and actively participate on a voluntary basis, frequently cooperating with ASTRO leadership in my roles at ACRO.: Compensation? No: Relationship ended 05/08/2024 |
Taylor Jenkins | VCU: Assistant Professor: Employee | None | None | None |
Joshua Jones | Children's Hospital of Philadelphia: Pediatrician: Employee: Relationship ended 06/30/2023 Pediatric Urgent Car of Rochester: Pediatrician: Employee Rochester Regional Health: Radiation Oncologist: Employee University of Pennsylvania Health System: Associate Professor of Radiation Oncology: Employee: Relationship ended 05/12/2023 | None | None | None |
Elizabeth Kidd | Stanford University: Associate Professor: Employee | Viewray: Research: Recipient: My Institution: Salary Support: No: site principal investigator: Use of viewray for fractionated radiation: Grant/research funding: Use of viewray for cervix cancer fractionated radiation: Aug. 2023 | None | ABS Quality & Safety Standard Committee: Co-Leader: Oversee the ABS Quality and Safety Standards Committee.: Compensation? No |
Nagendra (Bobby) Koneru | Leonard C. Ferguson Cancer Center: Radiation Oncologist: Employee | IORBC: Advisory Board: Ongoing: Access to company proprietary information or provide your expertise; or any public-facing use of your name/image: Yes: Uncompensated: Board Member: Present | None | None |
Janice Lyons | University Hospitals Seidman Cancer Center: Radiation Oncologist: Employee | Primum: Other-I serve as a breast cancer expert answering questions posed by the community physicians: Honoraria: I receive compensation for each question answered.: Present | None | ABR: ABR exam development: Member: Help develop the ABR oral exam and administer the ABR oral exam: Compensation? No ASTRO: ASTRO PBI guideline: Chair: Chairing the PBI guideline committee: Compensation? No NCCN: NCCN breast cancer guideline committee: Member: Help update the breast cancer guidelines, review the radiation compendium: Compensation? No |
Brandon Mancini | BAMF Health: Medical Director: Employee West Michigan Cancer Center: Radiation Oncologist: Employee: Relationship ended 03/13/2022 | GE HealthCare: Advisory Board, Speaker's Bureau: Ongoing: Access to company proprietary information or provide your expertise; or any public-facing use of your name/image: Yes: Honoraria, Travel expenses: Speaker's Bureau with industry presentation at the 2023 SNMMI Annual Meeting on the advancement of radiopharmaceutical treatment/care. Asked to serve on a Theranostics Advisory Board.: To Present GoodRx Health: Consultant: Compensation/Payment: Ad hoc editing/revision of prostate cancer-related educational articles: To Present MCG Health: Consultant: Compensation/Payment: Consultant to evaluate and edit/revise medical guidelines.: To Present | BAMF Health, Inc.: Ownership equity: Medical Director | BAMF Health: Medical Director: Serve as Medical Director in addition to primary role as a physician providing patient care.: Compensation? No |
Emily Martin | University of California, Los Angeles: Assistant Clinical Professor: Employee | None | None | None |
Shane Mesko | Scripps Cancer Center: Radiation Oncologist: Employee | Oscar Health: Consultant: Compensation/Payment: Independent Consultant for coverage guidelines: To Present | None | None |
Jeff Michalski | Washington University School of Medicine: Professor: Employee | Michalski and Associates: Consultant: Travel expenses, Compensation/Payment: Consultatn: To present NCI: Research: Recipient: My Institution: Salary Support: No: co-investigator: Radium-223; Improving Response and Toxicities: Grant/research funding: Coinvestigator: To present | None | NCI: GU Steering Committee: Co-Chair: Oversee portfolio of NCI NCTN clinical trials in genitourinary cancers.: Compensation? No RTOG Foundation: nonprofit organization dedicated to improving outcomes for cancer patients through the conduct of practice changing clinical trials.: Treasurer: Treasurer and board of directors: Compensation? No |
Darrion Mitchell | The Ohio State University: Assistant Professor: Employee | None | None | None |
Matthew Ning | UT MD Anderson Cancer Center: Assistant Professor: Employee | None | None | None |
Simul Parikh | Lake Huron Medical Center: Radiation Oncologist: Employee | None | None | None |
Christopher Hays Pope | CARTI | None | None | None |
Malolan Rajagopalan | Mount Carmel Health System; Radiology, Inc. | None | None | None |
Avani Rao | Radiation Oncology Associates of the National Capital Region: Associate: Employee | None | None | None |
Arshin Sheybani | UnityPoint Health: Physician: Employee | None | None | ASTRO: Nominating Committee: community practice physician: member of ASTRO nominating committee for leadership appointments: Compensation? No ASTROnews: magazine publication for ASTRO: editorial board member: select topics for publication: Compensation? No IWORC-NCORP: review NCORP grant: board member: voting member to designate inclusion of cancer centers and providers into our NCORP: Compensation? No Rectal Anal Task Force: a subcommittee of the NCI GI steering committee: community oncologist representative: a member of the committee with 3 year term. we have monthly meetings to discuss development of clinical trials for rectal and anal cancers: Compensation? No |
Lisa Singer | University of California, San Francisco: Assistant Professor: Employee | UCSF PIPE: Research: Recipient: Me: Salary Support: Yes: site principal investigator: Simulation-Based Education: Grant/research funding: Simulation-Based Education: 6/30/2023 | None | American Board of MR Safety: Board of Directors: Board of Directors: Board of Directors: Compensation? No |
Raj Singh | The Ohio State University Wexner Medical Center: Assistant Professor/Physician: Employee Virginia Commonwealth University Health System: Resident Physician: Employee: Relationship ended 06/30/2023 | None | None | None |
Kimberly Smith | Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai | Elekta: Advisory Board: Ongoing: Access to company proprietary information or provide your expertise; or any public-facing use of your name/image: No: Travel expenses, Compensation/Payment: Serve as member on advisory board providing operational feedback to assist company in the production of software to assist in workflow efficiencies.: Present | None | None |
Becki Swanson | AdventHealth: Executive Director Cancer Institute: Employee | None | None | None |
Nicholas van As | The Royal Marsden NHS Foundation Trust | Accuray: Education/Meeting Faculty, Speaker's Bureau: Grant/research funding: Chief investigator: 2025 | None | None |
Laura Warren | Brigham and Women's Physician Organization: Physician: Employee | None | None | None |
Michael Zelefsky | Memorial Sloan Kettering Cancer Center: Attending Physician: Employee: Relationship ended 04/01/2024 NYU Langone Medical Center: Attending Physician: Employee | Boston Scientific: Consultant: Compensation/Payment: Consultant: Present | None | Brachytherapy Journal: Journal: Editor in Chief: Editor/Manuscripts: Compensation? Yes |
Planners:
The person(s) above served as the developer(s) of this activity. Additionally, the ASTRO Education Commitee had control over the content of this activity.
All relevant financial relationships have been mitigated.
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council of Continuing Medical Education to provide continuing education to physicians.
Available Credit
- 12.50 AMA PRA Category 1 Credit™
The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education for physicians. ASTRO designates this for a maximum of 12.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 12.50 Certificate of AttendanceThis activity was designated for 12.50 AMA PRA Category 1 Credit™.
Price
Course Fees:
ASTRO members must log in to the ASTRO website to view and receive the discounted member rate.
Nonmember: $849
Member: $699
Postdoctoral Fellow Member: $349
Member-in-Training: $349
Student/Grad Student/PGY-1 Member: $349
If you are an ASTRO member from a low or lower-middle income country, as identified by the World Bank, you can receive a 50% discount off your corresponding registration for this activity. Please email [email protected] to inquire about the discount.
Policies:
No refunds, extensions, or substitutions will be made for those registrants. Including those who for any reason, have not completed the course by the end of the qualification date. The qualification date for each course is listed in the course catalog on the ASTRO website under availability.
Participants using ASTRO's online courses to satisfy the requirement of a Maintenance of Certification (MOC) program should verify the number, type and availability dates of any course before making a purchase. No refunds, extensions, or substitutions will be made for participants who have purchased courses that do not align with their MOC requirement
The course and its materials will only be available on the ASTRO website until December 31, 2026 regardless of purchase date. At the expiration of the qualification, participants will no longer have access to the course or its materials. ASTRO reserves the right to remove a course before the end of its qualification period.
Required Hardware/software
One of the two latest versions of Google Chrome, Mozilla Firefox, Internet Explorer or Safari.