There is no universally accepted definition of quality improvement (QI). However, the American Board of Radiology (ABR) defines "QI"as "a systematic approach to the study of healthcare and/or a commitment to efforts to continuously improve performance and outcomes in healthcare". According to Kruskal et al., [1] QI in radiation oncology includes "(a) quality assurance programs for continuous improvements in quality, (b) processes to improve staff and patient safety, and (c) procedures to improve the clinical,technical,and therapy performance of all staff ". [1] Fundamentally, QI techniques are, well founded methods to drive change and improve efficiency. The goal of QI is therefore to create practical processes and structures that will introduce positive change into a work environment in a reproducible and sustainable way that is non-disruptive and at an acceptable cost. There are many forces that can drive the creation of QI programs in radiation oncology. The first is the desire to provide high-quality patient care, which is defined by the Institute of Medicine as "safe, effective, patient-centered, timely, efficient, and equitable care". [2] The second is the mandate of accrediting bodies such as the Joint Commission and the American College of Radiology (ACR), whose accrediting standards further support this goal. The third is the economic incentives to provide high-quality care at an affordable cost. [3] Clinical medical physicists (MPs) are often viewed as the custodians of quality in radiation therapy department. Radiation therapy is a long-complicated process and therefore has numerous avenues for potential QI endeavors. [4,5] These QI initiatives demand time and resources to be successful. More often, when time is not reserved, these initiatives become administrative burdens on the staff adding to their already established workflow. To make QI relevant, feasible and sustainable, it is necessary to embed it into MP workflow. This act transforms QI from a burden, which places anThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.