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Dialogue – a key component of happy planning
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As work flows become busier and more tightly programmed, it is
less easy to discuss cases
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Often difficult to set Objectives and Constraints perfectly
•
Plan review meeting
provides review after completion of the plan
It does
not
facilitate discussion during its preparation
•
Case example
Pituitary adenoma (ie benign)
Absolute dose constraint - lens dose <6 Gy
Plan would deliver 7.5 Gy
“Oh, I thought we used 8 Gy, so I thought you didn’t mean it”
Outcome ...