“…The course improved the participants’ overall confidence in treatment delivery from 3.1 to 3.8, which is lower compared with 2.8 (baseline) to 6.9 (after self-guided training) in this study. Lewis et al 25 reported on a needs assessment and feasibility study of cloud-based technology to enable remote peer review and training in 3 Sub-Saharan African countries (Ghana, Tanzania, and Botswana). They reviewed the existing radiation therapy treatment facilities, including treatment machines, treatment planning systems, simulators, treatment capability (ie, 2D, 3D conformal, IMRT, and brachytherapy), and informatics infrastructure.…”