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Radiation Therapists

Provide radiation therapy to patients as prescribed by a radiation oncologist according to established practices and standards. Duties may include reviewing prescription and diagnosis; acting as liaison with physician and supportive care personnel; preparing equipment, such as immobilization, treatment, and protection devices; and maintaining records, reports, and files. May assist in dosimetry procedures and tumor localization.

Median Annual Pay
$98,300
Range: $72,280 - $136,910
Training Time
2 to 4 years
AI Resilience
🟢AI-Resilient
Education
Associate's degree

🎬Career Video

📋Key Responsibilities

  • Position patients for treatment with accuracy, according to prescription.
  • Administer prescribed doses of radiation to specific body parts, using radiation therapy equipment according to established practices and standards.
  • Follow principles of radiation protection for patient, self, and others.
  • Review prescription, diagnosis, patient chart, and identification.
  • Conduct most treatment sessions independently, in accordance with the long-term treatment plan and under the general direction of the patient's physician.
  • Enter data into computer and set controls to operate or adjust equipment or regulate dosage.
  • Check radiation therapy equipment to ensure proper operation.
  • Observe and reassure patients during treatment and report unusual reactions to physician or turn equipment off if unexpected adverse reactions occur.

💡Inside This Career

The radiation therapist administers cancer treatment—delivering precisely targeted radiation to tumors while protecting healthy tissue and supporting patients through one of medicine's most challenging experiences. A typical day centers on treatment delivery. Perhaps 70% of time goes to patient treatment: positioning patients, operating linear accelerators, delivering radiation doses. Another 15% involves treatment preparation—setting up equipment, reviewing treatment plans, quality assurance. The remaining time addresses patient support, documentation, and coordination with the oncology team.

People who thrive as radiation therapists combine technical precision with compassionate patient care and the emotional resilience that cancer treatment demands. Successful therapists develop expertise in radiation delivery systems while building the interpersonal skills that supporting patients through difficult treatment requires. They must maintain precision while connecting with patients who may be frightened and ill. Those who struggle often cannot handle the emotional weight of working with cancer patients or find the technical precision requirements stressful. Others fail because they cannot balance efficiency demands with patient emotional needs.

Radiation therapy delivers one of cancer treatment's primary modalities, with therapists providing the direct patient care that translates oncologists' prescriptions into treatment. The field combines technical precision with compassionate care. Radiation therapists appear in discussions of cancer treatment, medical technology, and the healthcare professionals serving oncology patients.

Practitioners cite the meaningful contribution to cancer treatment and the profound patient relationships as primary rewards. The work directly fights cancer. The patient gratitude is often profound. The technical precision is satisfying. The compensation is good for the education required. The team environment is supportive. The work schedule is typically regular. Common frustrations include the emotional toll of working with seriously ill patients and exposure concerns. Many find that patient deaths are difficult despite best efforts. The cumulative radiation exposure requires careful monitoring. The technical equipment can malfunction during treatment. The daily contact with suffering can be overwhelming. The physical demands of patient positioning are significant. The field is relatively small with limited advancement.

This career requires an associate's or bachelor's degree in radiation therapy plus national certification and state licensure. Strong technical precision, compassion, and emotional resilience are essential. The role suits those who want to contribute to cancer care and can handle emotional demands. It is poorly suited to those uncomfortable with illness and death, unable to maintain precision under pressure, or seeking varied work environments. Compensation is good, reflecting the specialized nature of the work.

📈Career Progression

1
Entry (10th %ile)
0-2 years experience
$72,280
$65,052 - $79,508
2
Early Career (25th %ile)
2-6 years experience
$82,300
$74,070 - $90,530
3
Mid-Career (Median)
5-15 years experience
$98,300
$88,470 - $108,130
4
Experienced (75th %ile)
10-20 years experience
$112,040
$100,836 - $123,244
5
Expert (90th %ile)
15-30 years experience
$136,910
$123,219 - $150,601

📚Education & Training

Requirements

  • Entry Education: Associate's degree
  • Experience: One to two years
  • On-the-job Training: One to two years
  • !License or certification required

Time & Cost

Education Duration
2-3 years (typically 2)
Estimated Education Cost
$9,177 - $26,703
Public (in-state):$26,703
Community college:$9,177
Source: college board (2024)

🤖AI Resilience Assessment

AI Resilience Assessment

Strong Human Advantage: High EPOCH scores with low/medium AI exposure means human skills remain essential

🟢AI-Resilient
Task Exposure
Medium

How much of this job involves tasks AI can currently perform

Automation Risk
Medium

Likelihood that AI replaces workers vs. assists them

Job Growth
Stable
+2% over 10 years

(BLS 2024-2034)

Human Advantage
Strong

How much this role relies on distinctly human capabilities

Sources: AIOE Dataset (Felten et al. 2021), BLS Projections 2024-2034, EPOCH FrameworkUpdated: 2026-01-02

💻Technology Skills

Treatment planning systems (Eclipse, Pinnacle)EHR systems (Epic)Linear accelerator control systemsDose calculation softwareOncology information systemsPACS imaging

Key Abilities

Oral Comprehension
Oral Expression
Problem Sensitivity
Written Comprehension
Written Expression
Information Ordering
Deductive Reasoning
Arm-Hand Steadiness
Near Vision
Speech Clarity

🏷️Also Known As

Computed Tomography Simulation Therapist (CT Simulation Therapist)DosimetristRadiation Oncology Registered Nurse (Radiation Oncology RN)Radiation Therapist (RT)Radiation Therapy TechnicianRadiation Therapy Technologist (RTT)Radiologic TherapistRadiology TherapistRegistered Radiation TherapistStaff Radiation Therapist

🔗Related Careers

Other careers in healthcare-clinical

🔗Data Sources

Last updated: 2025-12-27O*NET Code: 29-1124.00

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