The Texas State Radiation Therapy Program was the first in Texas to offer a bachelor of science in radiation therapy graduating its first class in 2000. The program is accredited by the Joint Review Committee of Education in Radiologic Technology. Clinical affiliations exist throughout the state offering students a vast and widespread experience in diverse settings to form a strong foundation in contemporary treatment delivery. The program harnesses the benefits of a treatment simulation lab via the sophistication of a virtual reality radiation therapy education system. The progressive curriculum and delivery methods complement current industry technology and practices including 22 treatment planning workstations and electronic medical record and treatment delivery verification software systems. Students acquire computerized hands-on experience planning a treatment, coding, billing, and recording treatments using the same complex network systems used with patients. Learning is achieved via a mix of clinical experience, face to face lectures, simulation labs, computer lab practice, as well as on-line education.