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Date: 10/25/2026

Radiation Therapists

Provide radiation therapy to patients as prescribed by a radiation oncologist according to established practices and standards. Duties may include reviewing prescription and diagnosis; acting as liaison with physician and supportive care personnel; preparing equipment, such as immobilization, treatment, and protection devices; and maintaining records, reports, and files. May assist in dosimetry procedures and tumor localization.

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    Work Activities

    Work Activities

    • Conduct most treatment sessions independently, in accordance with the long-term treatment plan and under the general direction of the patient's physician.
    • Enter data into computer and set controls to operate or adjust equipment or regulate dosage.
    • Maintain records, reports, or files as required, including such information as radiation dosages, equipment settings, or patients' reactions.
    • Review prescription, diagnosis, patient chart, and identification.
    • Store, sterilize, or prepare the special applicators containing the radioactive substance implanted by the physician.
    • Train or supervise student or subordinate radiotherapy technologists.
    • Implement appropriate follow-up care plans.
    • Administer prescribed doses of radiation to specific body parts, using radiation therapy equipment according to established practices and standards.
    • Check radiation therapy equipment to ensure proper operation.
    • Conduct most treatment sessions independently, in accordance with the long-term treatment plan and under the general direction of the patient's physician.
    • Prepare or construct equipment, such as immobilization, treatment, or protection devices.
    • Act as liaison with physicist and supportive care personnel.
    • Photograph treated area of patient and process film.
    • Position patients for treatment with accuracy, according to prescription.
    • Enter data into computer and set controls to operate or adjust equipment or regulate dosage.
    • Observe and reassure patients during treatment and report unusual reactions to physician or turn equipment off if unexpected adverse reactions occur.
    • Implement appropriate follow-up care plans.
    • Store, sterilize, or prepare the special applicators containing the radioactive substance implanted by the physician.
    • Assist in the preparation of sealed radioactive materials, such as cobalt, radium, cesium, or isotopes, for use in radiation treatments.
    • Administer prescribed doses of radiation to specific body parts, using radiation therapy equipment according to established practices and standards.
    • Educate, prepare, and reassure patients and their families by answering questions, providing physical assistance, and reinforcing physicians' advice regarding treatment reactions or post-treatment care.
    • Follow principles of radiation protection for patient, self, and others.
    • Observe and reassure patients during treatment and report unusual reactions to physician or turn equipment off if unexpected adverse reactions occur.
    • Educate, prepare, and reassure patients and their families by answering questions, providing physical assistance, and reinforcing physicians' advice regarding treatment reactions or post-treatment care.
    • Help physicians, radiation oncologists, or clinical physicists to prepare physical or technical aspects of radiation treatment plans, using information about patient condition and anatomy.
    • Photograph treated area of patient and process film.
    • Schedule patients for treatment times.
    • Provide assistance to other healthcare personnel during dosimetry procedures and tumor localization.
    • Train or supervise student or subordinate radiotherapy technologists.
    • Check for side effects, such as skin irritation, nausea, or hair loss to assess patients' reaction to treatment.
    • Calculate actual treatment dosages delivered during each session.

    Skills

    • Negotiation

      Bringing people together to solve differences.

    • Operations Analysis

      Figuring out what a product or service needs to be able to do.

    • Technology Design

      Making equipment and technology useful for customers.

    • Operation and Control

      Using equipment or systems.

    • Reading Comprehension

      Reading work-related information.

    • Active Learning

      Figuring out how to use new ideas or things.

    • Troubleshooting

      Figuring out what is causing equipment, machines, wiring, or computer programs to not work.

    • Monitoring

      Keeping track of how well people and/or groups are doing in order to make improvements.

    • Coordination

      Changing what is done based on other people's actions.

    • Persuasion

      Talking people into changing their minds or their behavior.

    • Systems Analysis

      Figuring out how a system should work and how changes in the future will affect it.

    • Equipment Maintenance

      Planning and doing the basic maintenance on equipment.

    • Management of Material Resources

      Managing equipment and materials.

    • Service Orientation

      Looking for ways to help people.

    • Equipment Selection

      Deciding what kind of tools and equipment are needed to do a job.

    • Quality Control Analysis

      Testing how well a product or service works.

    • Judgment and Decision Making

      Thinking about the pros and cons of different options and picking the best one.

    • Repairing

      Repairing machines or systems using the right tools.

    • Critical Thinking

      Thinking about the pros and cons of different ways to solve a problem.

    • Speaking

      Talking to others.

    • Time Management

      Managing your time and the time of other people.

    • Systems Evaluation

      Measuring how well a system is working and how to improve it.

    • Science

      Using scientific rules and strategies to solve problems.

    • Active Listening

      Listening to others, not interrupting, and asking good questions.

    • Writing

      Writing things for co-workers or customers.

    • Learning Strategies

      Using the best training or teaching strategies for learning new things.

    • Social Perceptiveness

      Understanding people's reactions.

    • Complex Problem Solving

      Noticing a problem and figuring out the best way to solve it.

    • Installation

      Installing equipment, machines, wiring, or computer programs.

    • Programming

      Writing computer programs.

    • Operations Monitoring

      Watching gauges, dials, or display screens to make sure a machine is working.

    • Instructing

      Teaching people how to do something.

    • Management of Personnel Resources

      Selecting and managing the best workers for a job.

    • Management of Financial Resources

      Making spending decisions and keeping track of what is spent.

    • Mathematics

      Using math to solve problems.

    WorkKeys®

    Applied Math
    4
    Workplace Documents
    4
    Graphic Literacy
    4

    Abilities

    • Deductive Reasoning

      Using rules to solve problems.

    • Category Flexibility

      Grouping things in different ways.

    • Arm-Hand Steadiness

      Keeping your arm or hand steady.

    • Finger Dexterity

      Putting together small parts with your fingers.

    • Control Precision

      Quickly changing the controls of a machine, car, truck or boat.

    • Multilimb Coordination

      Using your arms and/or legs together while sitting, standing, or lying down.

    • Extent Flexibility

      Bending, stretching, twisting, or reaching with your body, arms, and/or legs.

    • Oral Expression

      Communicating by speaking.

    • Visualization

      Imagining how something will look after it is moved around or changed.

    • Selective Attention

      Paying attention to something without being distracted.

    • Speed of Limb Movement

      Quickly moving your arms and legs.

    • Trunk Strength

      Using your lower back and stomach.

    • Peripheral Vision

      Seeing something to your side when your are looking ahead.

    • Number Facility

      Adding, subtracting, multiplying, or dividing.

    • Rate Control

      Changing when and how fast you move based on how something else is moving.

    • Flexibility of Closure

      Seeing hidden patterns.

    • Perceptual Speed

      Quickly comparing groups of letters, numbers, pictures, or other things.

    • Spatial Orientation

      Knowing where things are around you.

    • Inductive Reasoning

      Making general rules or coming up with answers from lots of detailed information.

    • Memorization

      Remembering words, numbers, pictures, or steps.

    • Manual Dexterity

      Holding or moving items with your hands.

    • Stamina

      Exercising for a long time without getting out of breath.

    • Night Vision

      Seeing at night or under low light.

    • Dynamic Flexibility

      Quickly and repeatedly bending, stretching, twisting, or reaching out with your body, arms, and/or legs.

    • Information Ordering

      Ordering or arranging things.

    • Sound Localization

      Noticing the direction that a sound came from.

    • Speech Clarity

      Speaking clearly.

    • Oral Comprehension

      Listening and understanding what people say.

    • Fluency of Ideas

      Coming up with lots of ideas.

    • Time Sharing

      Doing two or more things at the same time.

    • Response Orientation

      Quickly deciding if you should move your hand, foot, or other body part.

    • Visual Color Discrimination

      Noticing the difference between colors, including shades and brightness.

    • Speed of Closure

      Quickly knowing what you are looking at.

    • Far Vision

      Seeing details that are far away.

    • Explosive Strength

      Jumping, sprinting, or throwing something.

    • Gross Body Equilibrium

      Keeping your balance or staying upright.

    • Glare Sensitivity

      Seeing something even if there is a glare or very bright light.

    • Auditory Attention

      Paying attention to one sound while there are other distracting sounds.

    • Speech Recognition

      Recognizing spoken words.

    • Written Expression

      Communicating by writing.

    • Originality

      Creating new and original ideas.

    • Written Comprehension

      Reading and understanding what is written.

    • Problem Sensitivity

      Noticing when problems happen.

    • Reaction Time

      Quickly moving your hand, finger, or foot based on a sound, light, picture or other command.

    • Wrist-Finger Speed

      Making fast, simple, repeated movements of your fingers, hands, and wrists.

    • Dynamic Strength

      Exercising for a long time without your muscles getting tired.

    • Near Vision

      Seeing details up close.

    • Hearing Sensitivity

      Telling the difference between sounds.

    • Static Strength

      Lifting, pushing, pulling, or carrying.

    • Gross Body Coordination

      Moving your arms, legs, and mid-section together while your whole body is moving.

    • Depth Perception

      Deciding which thing is closer or farther away from you, or deciding how far away it is from you.

    • Mathematical Reasoning

      Choosing the right type of math to solve a problem.

    Knowledge

    • Philosophy and Theology

      Knowledge of different philosophical systems and religions. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.

    • English Language

      Knowledge of the structure and content of the English language including the meaning and spelling of words, and rules of composition and grammar.

    • Food Production

      Knowledge of techniques and equipment for planting, growing, and harvesting food products (both plant and animal) for consumption, including storage/handling techniques.

    • Sales and Marketing

      Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.

    • Administrative

      Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.

    • Education and Training

      Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

    • Design

      Knowledge of design techniques, tools, and principles involved in production of precision technical plans, blueprints, drawings, and models.

    • Building and Construction

      Knowledge of materials, methods, and the tools involved in the construction or repair of houses, buildings, or other structures such as highways and roads.

    • Mathematics

      Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

    • Physics

      Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub-atomic structures and processes.

    • Telecommunications

      Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.

    • Communications and Media

      Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.

    • Therapy and Counseling

      Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.

    • Geography

      Knowledge of principles and methods for describing the features of land, sea, and air masses, including their physical characteristics, locations, interrelationships, and distribution of plant, animal, and human life.

    • Engineering and Technology

      Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.

    • Mechanical

      Knowledge of machines and tools, including their designs, uses, repair, and maintenance.

    • Foreign Language

      Knowledge of the structure and content of a foreign (non-English) language including the meaning and spelling of words, rules of composition and grammar, and pronunciation.

    • Law and Government

      Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

    • History and Archeology

      Knowledge of historical events and their causes, indicators, and effects on civilizations and cultures.

    • Customer and Personal Service

      Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

    • Public Safety and Security

      Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.

    • Fine Arts

      Knowledge of the theory and techniques required to compose, produce, and perform works of music, dance, visual arts, drama, and sculpture.

    • Production and Processing

      Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.

    • Medicine and Dentistry

      Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.

    • Chemistry

      Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.

    • Biology

      Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.

    • Psychology

      Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.

    • Sociology and Anthropology

      Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.

    • Economics and Accounting

      Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.

    • Transportation

      Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and benefits.

    • Administration and Management

      Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

    • Personnel and Human Resources

      Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.

    • Computers and Electronics

      Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

    Career Video

    Additional videos and more information available on CareerOneStop

    Pay

    • Ohio Annual Salary 98650/yr
    • Typical Salary
    • Ohio Hourly Wage 47.43/hr
    • Typical Hourly Wage

    Ohio Employment Trends

    • Currently Employed 850
    • Yearly Projected Openings 30

    Typical Education

    Personality

    Realistic: People interested in this work like activities that include practical, hands-on problems and solutions.They do well at jobs that need:
    • Sincerity
    • Empathy
    • Stress Tolerance
    • Self-Control
    • Cooperation
    • Cautiousness

    Tools

    • Automatic lathe or chucking machine
    • Brachytherapy units
    • Computed tomography CT or CAT radiotherapy simulators
    • Desktop computer
    • Digital cameras
    • Distance meters
    • Drilling machines
    • Electrometers
    • Eye shields
    • Heat guns
    • Hospital intercom systems
    • Lasers
    • Medical cinefluoroscopy units
    • Medical computed tomography CT or CAT scanners or tubes
    • Medical imaging wet darkroom or daylight processors
    • Medical linear accelerator intensity modulated radiation therapy IMRT collimators
    • Medical linear accelerator intensity modulated radiation therapy IMRT three dimensional units
    • Medical linear accelerator intensity modulated radiation therapy IMRT two dimensional units
    • Medical magnetic resonance imaging MRI scanners
    • Medical positron emission tomography PET units
    • Medical radiation dosimeters
    • Medical radiation films or badges
    • Medical radiological positioning aids for general radiological use
    • Medical radiological shielding aprons or masks or drapes
    • Medical radiological shielding freestanding or portable screens or curtains
    • Medical ultrasound or doppler or pulse echocardiograph or echocardiograph units for general diagnostic use
    • Medical x ray intensifying screens
    • Medical x ray units for general diagnostic use
    • Mobile medical services automated external defibrillators AED or hard paddles
    • Nitrile medical exam or non surgical procedure gloves
    • Notebook computer
    • Phantom dosimeters
    • Power drills
    • Power saws
    • Radiation detectors
    • Radiotherapy teletherapy cobalt 60 units
    • Respiratory monitoring kits
    • Sawing machines
    • Skinfold calipers
    • Still cameras
    • Vacuum molding machines
    • Water baths
    • Wood chisels
    • X ray and fluoroscopy RF radiotherapy planning simulators

    Technology

    • Development environment software
    • Graphics or photo imaging software
    • Internet browser software
    • Medical software
    • Office suite software
    • Spreadsheet software
    • Word processing software
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