The role of radiotherapy (RT) in cancer care is well described, with a clear correlation between access to radiotherapy and overall survival. Cancer mortality rates in Africa are substantially higher than those of the rest of the world, which may be partly attributed to lack of RT access and insufficient human resources. The Access to Care (A2C) Cape Town RT training programme was created in 2014 with the aim of supplementing practical RT training in the region, focusing on clinics moving from 2 to 3D conformal radiotherapy (3DCRT). The programme makes use of hybrid teaching methods, including pre-course e-learning followed by 17 on-site days of free-thinking design exercises, didactic learning, hands-on treatment planning computer sessions (39% of total teaching time), virtual simulation training and departmental demonstration sessions. Email support is offered to all teams for 3 months after each course to develop clinical protocols. Thirteen teams (radiation oncologist, medical physicist and radiation therapy technologist) from Africa attended the course between 2015 and 2019, with additional participants from seven South African and four international centres. E-learning done on the LäraNära training platform was only successful once formal progress tracking was introduced in 2019 (34% vs. 76% test completion rate). Delays between course attendance and initial clinical use of equipment proved to be detrimental to knowledge retention, with some centres having to send a second team for training. The course will be modified for remote teaching in 2021, to make provision for the global changes in travel due to Covid-19.

放射治疗 (RT) 在癌症治疗中的作用得到了很好的描述，放射治疗的可及性与总生存率之间存在明显的相关性。非洲的癌症死亡率大大高于世界其他地区，这可能部分归因于缺乏 RT 访问和人力资源不足。获得护理 (A2C) 开普敦 RT 培训计划创建于 2014 年，旨在补充该地区的实用 RT 培训，重点关注从 2 维适形放疗到 3D 适形放疗 (3DCRT) 的诊所。该计划采用混合教学方法，包括课前电子学习，随后是 17 天的现场自由思考设计练习、教学学习、动手治疗计划计算机课程（占总教学时间的 39%）、虚拟模拟训练和部门示范课。在每门课程结束后的 3 个月内，我们会向所有团队提供电子邮件支持，以制定临床方案。2015 年至 2019 年期间，来自非洲的 13 个团队（放射肿瘤学家、医学物理学家和放射治疗技术专家）参加了该课程，其他参与者来自七个南非中心和四个国际中心。只有在 2019 年引入正式进度跟踪后，在 LäraNära 培训平台上进行的电子学习才取得成功（34% 对 76% 的测试完成率）。事实证明，参加课程和初次临床使用设备之间的延迟不利于知识的保留，一些中心不得不派出第二支队伍进行培训。该课程将在 2021 年修改为远程教学，以应对因 Covid-19 引起的全球旅行变化。