Implementation of a Novel Remote Physician SBRT Coverage Process during the Coronavirus Pandemic

Alex T Price; Lauren E Henke; Borna Maraghechi; Taeho Kim; Matthew B Spraker; Geoffrey D Hugo; Clifford G Robinson; Nels C Knutson

Using an enterprise installation of Microsoft Teams (Microsoft, Redmond, WA), a video call was placed from the secondary computer and the secondary computer's screen was shared (displaying the grabbed treatment console screen) with the covering physician in real time. The covering physician can answer the Teams call using either a desktop computer, laptop, tablet, or mobile device. The physician and the treatment machine team (therapists and physicists) must have audio communication to properly communicate; this was fully enabled as long as the device they answer from has audio and microphone capability. To ensure the covering physician has adequate visualization of the treatment images and setup review, the physician can control the secondary computer's mouse via the Microsoft Teams application. If at any time, an SBRT team member feels uncomfortable with the remote physician process, the physician comes to the machine for an in-person review. The process is illustrated in Figure 1 .