Senior Registrar, Oncology (Radiotherapy) at The African Medical Centre of Excellence (AMCE)

Job Purpose

• The Senior Registrar – Oncology (Radiotherapy) will be responsible for the comprehensive assessment, planning, and delivery of precision radiation oncology services under the clinical supervision of the Consultant Radiotherapist (Oncology). The role holder will ensure accurate and timely radiotherapy treatment, contribute to multidisciplinary decision-making, and drive continuous improvement in patient safety, treatment outcomes, and departmental innovation.

Key Accountabilities/Responsibilities

Radiotherapy Planning and Treatment Delivery

• Conduct thorough patient assessments, including history taking, physical examination, and interpretation of diagnostic imaging, pathology, and staging information to determine radiotherapy suitability.
• Prescribe, plan, and oversee the delivery of complex radiotherapy regimens, including curative, adjuvant, and palliative intent treatments, under consultant supervision.
• Perform target volume and organ-at-risk contouring using advanced radiotherapy planning systems, ensuring precision and adherence to international contouring guidelines.
• Verify and approve radiotherapy treatment plans in close collaboration with medical physicists and dosimetrists, ensuring dosimetric accuracy and optimal therapeutic ratio.
• Conduct on-treatment reviews, assess and manage acute radiation toxicities, and modify treatment plans as clinically indicated.
• Prioritise and communicate urgent radiotherapy findings or treatment modifications promptly to the consultant and multidisciplinary team.

Multidisciplinary and Interdisciplinary Collaboration

• Actively participate in multidisciplinary team (MDT) meetings, tumour boards, and case conferences, presenting complex cases and contributing to evidence-based, patient-centered care pathways.
• Liaise closely with surgical oncologists, medical oncologists, pathologists, radiologists, and palliative care specialists to ensure integrated and holistic cancer management.
• Provide expert imaging and radiotherapy advice to referring clinicians and allied health professionals for complex or inconclusive cases.

Interventional and Procedural Oncology

• Assist with and under the Consultant’s supervision, perform radiotherapy-specific interventional procedures, including image-guided brachytherapy applicator insertions, stereotactic localisation, and fiducial marker placement.
• Prepare and position patients appropriately for radiotherapy and interventional procedures, ensuring comfort, safety, and reproducibility.
• Obtain informed consent, explain procedures clearly, and counsel patients regarding anticipated side effects and post-treatment care.
• Monitor patients during and immediately after procedures, identifying and managing acute complications in collaboration with the wider clinical team.

Patient Care and Communication

• Explain radiotherapy procedures, preparation requirements, and potential side effects to patients and their families in a clear, empathetic, and culturally sensitive manner.
• Provide ongoing psychological support and symptom management throughout the radiotherapy journey.
• Ensure compassionate, professional, and respectful interactions at all times, upholding AMCE’s values of excellence, compassion, and innovation.

Quality Assurance, Audit, and Safety

• Support the implementation and monitoring of rigorous quality assurance (QA) protocols for all radiotherapy equipment, planning systems, and treatment delivery processes.
• Participate actively in departmental clinical audits, peer review sessions, and incident reporting systems to continuously improve patient safety and treatment quality.
• Ensure strict compliance with national radiation safety regulations, international standards and hospital clinical governance policies.
• Track and contribute to improvements in treatment planning turnaround times, reporting standards, and patient through-put efficiency.

Research and Innovation

• Engage in clinical research and audit projects, supporting the department’s innovation agenda and contributing to the evidence base in radiation oncology.
• Present research findings at local, regional, and international conferences and seek publication in peer-reviewed journals.
• Assist in the evaluation and adoption of new radiotherapy techniques, technologies, and clinical protocols to enhance treatment efficacy and patient experience.

Emergency and On-Call Responsibilities

• Participate in the departmental on-call rota, providing expert advice and urgent clinical review for patients presenting with acute radiation-related emergencies, spinal cord compression, superior vena cava obstruction, or uncontrolled symptoms.
• Liaise with emergency department, intensive care, and palliative care teams to ensure rapid assessment and appropriate management of oncology emergencies.
• Provide timely verbal and written reports for urgent cases requiring immediate clinical decision-making.

Administrative and Professional Duties

• Maintain accurate, comprehensive, and timely electronic medical records in accordance with legal, regulatory, and professional standards.
• Contribute to the orientation, induction, and ongoing professional development of new medical staff and trainees within the radiotherapy service.
• Participate in departmental meetings, strategic planning discussions, and service development initiatives as required.
• Demonstrate commitment to ethical practice, clinical governance, and continuous professional development.
• Provide rapid reporting and liaise with ER/ICU teams in urgent cases.

Qualifications

• Medical degree (MBBS, MD, or equivalent) from a recognised institution.
• Enrolment in, or completion of, an accredited residency in Oncology with significant experience in Radiotherapy.
• Completion of basic specialty training in Clinical Oncology or Radiation Oncology.
• Certification in radiation safety, basic life support (BLS), and advanced communication skills is an advantage.
• Valid medical license and registration in Oncology (local or eligible to obtain).

Experience

• Minimum of 3–5 years of post-MBBS clinical experience, with at least 2 years in Radiation Oncology or Clinical Oncology.
• Passed Part 1 or Part 2 of recognized Fellowship/Board exams (WACS, NPMCN, or equivalent).
• Demonstrated competency in the planning and delivery of external beam radiotherapy, including 3D-CRT, IMRT, VMAT, and image-guided radiotherapy (IGRT).
• Proven experience in target volume contouring and the use of modern radiotherapy planning systems.
• Experience with stereotactic radiotherapy (SBRT/SRS), brachytherapy, and paediatric radiotherapy is highly desirable.
• Proficiency with electronic medical records, oncology information systems, and record-and-verify systems (e.g., ARIA, Mosaiq).
• Strong clinical knowledge across major disease sites, including head and neck, thoracic, breast, gastrointestinal, genitourinary, gynaecological, and central nervous system malignancies.
• Demonstrated experience in multidisciplinary team (MDT) settings and complex clinical decision-making.
• Commitment to ethical practice, patient safety, and continuous professional development.