Brachytherapy for the Future.

The fi rst Australasian survey on brachytherapy training experience is published in JMIRO. 1 It was written by a largely Australian group of authors who sent a question-naire to all College trainees and Fellows who had quali- fi ed since 2015. The response rate was 24% (40/161 trainees, 30/126 recent fellows) and of the 70 respon-dents, 50 (71%), 38 (54%) and 43 (61%) reported to have received formal brachytherapy teaching from radiation oncologists, radiation therapists and physicists, respectively. Two-thirds of trainees and all fellows had performed at least one gynaecology brachytherapy pro-cedure. Prostate brachytherapy exposure was more lim-ited – by the end of the training, 27% and 13% of fellows did not have exposure to LDR and HDR prostate brachytherapy. The authors listed the barriers to training as including lack of caseload, perceived decreasing role of brachytherapy, low level of competency requirements and lack of formal teaching which may give the impres-sion that brachytherapy is not highly valued by the RANZCR. This gives a useful insight into the state of brachytherapy training and raises concerns about the future of brachytherapy in Australia and New Zealand. However, the survey is self-reported and has a low response rate. One can speculate that the responders maybe those with a greater interest in and more exposure