ESMO Open 2016;1:e000097. doi:10. 1136/esmoopen-Understanding of the major importance of multidisciplinary decisions at initial presentation of the patient's disease, to achieve a better outcome • Understanding of the role of surgery in the metastatic and palliative setting • Understanding of the importance of prospective trials and why planning of surgical trials is different from planning of medical oncology and radiotherapy trials • Understanding of the importance of prospective data and tissue collection Skills • Ability to contribute actively in presenting patient cases during multidisciplinary team meetings and to promote this systematic multidisciplinary strategy • Ability to discuss critically the treatment options/recommendations • Ability to contribute to discussions with colleagues and patients on general management strategies in the neoadjuvant and the adjuvant setting, as well as at advanced stage Objectives • To understand the role of radiation oncology in the multidisciplinary management of patients with cancer Awareness • Recognition of the importance of providing patient-centric care • Recognition of the importance of the multidisciplinary approach to treat patients with cancer • Awareness of the difference between palliative and curative (definitive) radiotherapy indications • Appreciation of the difference between external beam radiotherapy ('teletherapy') and internal radiotherapy ('brachytherapy') • Appreciation of the relevance of the temporal relationship with other treatment modalities (neoadjuvant, concomitant, adjuvant) • Awareness of the existence of different radiation planning, delivery and position/dose-verification techniques • Awareness of a therapeutic window between tumour control and normal tissue toxicity • Awareness of the published research evidence and guidelines for radiation oncology • Appreciation of the importance of safety culture, a robust quality and safety infrastructure, and process improvement • Recognition of the importance of value-based healthcare delivery Knowledge • Understanding of the indications for treatments and the risks and benefits of different radiation treatment options • Familiarity with the basic principles of radiation biology, including the effects of time, dose, fractionation and type of radiation • Understanding of the indications for curative radiation therapy and its side effects • Understanding of the benefits and toxicity of palliative radiation treatment • Understanding of the acute, late and very late reactions/complications of radiation treatment • Knowledge of differences in radiation tolerance of organs/tissues at risk • Familiarity with the risks of re-irradiation based on normal tissue tolerance limits • Understanding of the interaction between radiation and systemic drugs • Familiarity with the type and severity of the toxicity from the use of concomitant systemic drugs and radiation • Understanding of the interaction of radiation therapy on surgery in the preoperative and postoperative settings • Understanding of the basic principles of different radiation planning and delivery techniques such as intensitymodulated radiation therapy (IMRT), stereotactic, particle and adaptive radiotherapy • Understanding of the basic principles of brachytherapy and radionuclide therapy • Understanding of the basic principles of different radiation position/dose-verification techniques such as electronic portal imaging devices (EPID), image guided radiation therapy (IGRT) and in vivo dosimetry • Familiarity with the role of surgery, interventional radiology, radiation oncology, systemic antitumour therapy, symptom control and supportive/palliative care measures in patients with relapsed disease Continued 4.