PURPOSE: To update the 2011 ESTRO-EFOMP core curriculum (CC) for education and training of medical physics experts (MPE)s working in radiotherapy (RT), in line with recent EU guidelines, and to provide a framework for European countries to develop their own curriculum. MATERIAL AND METHODS: Since September 2019, 27 European MPEs representing ESTRO, EFOMP and National Societies, with expertise covering all subfields of RT physics, have revised the CC for recent advances in RT. The ESTRO and EFOMP Education Councils, all European National Societies and international stakeholders have been involved in the revision process. RESULTS: A 4-year training period has been proposed, with a total of 240 ECTS (European Credit Transfer and Accumulation System). Training entrance levels have been defined ensuring the necessary physics and mathematics background. The concept of competency-based education has been reinforced by introducing the CanMEDS role framework. The updated CC includes (ablative) stereotactic-, MR-guided- and adaptive RT, particle therapy, advanced automation, complex quantitative data analysis (big data/artificial intelligence), use of biological images, and personalized treatments. Due to the continuously increasing RT complexity, more emphasis has been given to quality management. Clear requirements for a research project ensure a proper preparation of MPE residents for their central role in science and innovation in RT. CONCLUSION: This updated, 3rd edition of the CC provides an MPE training framework for safe and effective practice of modern RT, while acknowledging the significant efforts needed in some countries to reach this level. The CC can contribute to further harmonization of MPE training in Europe.

Danish Center for Particle Therapy and Department of Oncology Aarhus University Hospital Denmark

Département de Physique Médicale Institut de Cancérologie de l'Ouest Saint Herblain France

Department of Electroradiology Poznan University of Medical Sciences Poland

Department of Medical Physics and Bioengineering University College London UK

Department of Medical Physics and Instrumentation Institute Verbeeten Tilburg The Netherlands

Department of Medical Physics Greater Poland Cancer Centre Poznan Poland

Department of Medical Physics Hospital do Meixoeiro Vigo Spain

Department of Medical Physics Hygeia Hospital Athens Greece

Department of Medical Physics Oncology Aarhus University Hospital Aarhus University Denmark

Department of Physics Norwegian University of Science and Technology Trondheim Norway

Department of Physics University Novi Sad Serbia

Department of Radiation Oncology Universitätsklinikum Erlangen Friedrich Alexander Universität Erlangen Nürnberg Erlangen Germany

Department of Radiotherapy Erasmus University Medical Center Rotterdam The Netherlands

Department of Radiotherapy Physics University College London Hospital London UK

Division of Medical Radiation Physics and Department of Radiation Oncology Inselspital Bern University Hospital and University of Bern Switzerland

Institut Jules Bordet Brussels and Medical Radiophysics Laboratory Université Libre de Bruxelles Belgium

Institute of Radiation Physics Lausanne University Hospital and Lausanne University Switzerland

Iridium Network Faculty of Medicine and Health Sciences Antwerp University Belgium

Medical Physics Center Iasi Romania

Medical Physics Department Bank of Cyprus Oncology Centre Nicosia Cyprus

Medical Physics Department National Physical Laboratory Teddington UK

Medisch Ethische Toetsings Commissie Brabant Tilburg The Netherlands

National Radiation Protection Institute Department of Radiation Protection in Radiotherapy Prague Czech Republic

North Estonia Medical Centre Tallinn Estonia

Oncology Institute Vojvodina Radiotherapy Department Sremska Kamenica Serbia

Proton therapy Department Azienda Provinciale per i Servizi Sanitari Trento Italy

Radiotherapy Physics University Hospital Galway Ireland

Radiotherapy Service Centro Hospitalar Universitário de Lisboa Norte Portugal

Servei de Radiofisica i Radioprotecció Hospital de la Santa Creu 1 Sant Pau Barcelona Spain

Team New Approaches in Radiotherapy UMR 3347 U1021Research Center Orsay Bat 110 Institut Curie France

Unit of Radiation Research IEO European Institute of Oncology IRCCS Milano Italy

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