We have seen a slow progression in the techniques used routinely for daily, monthly, and annual quality assurance (QA) of linear accelerators. Most of us have been using the same methods for machine QA for decades, even though there has been significant development in new techniques and processes. Integrating new methods into the day-to-day clinical environment has not been fast enough. Machine QA measurements, analysis, trending, and data organization are substantial components of the workload in the life as a Medical Physicist. Despite this, in the last decade, we haven't seen many conferences or webinars devoted to implementing newer, efficient methods for machine QA. In 2020, the AAPM Summer School on Advances in Machine QA was canceled due to the COVID-19 pandemic. Clearly, there is a need to continue the conversation on updating practices and how to move forward. We must define the best strategies to integrate vendor-provided tools and establish a partnership with vendors to innovate and move machine QA forward.AAPM is committed to advancing the field and improving work practices for Medical Physicists. Improving machine QA practices is a critical piece in this effort.

1. Describe the current state of machine QA
2. Detail the innovative technology and processes that can transform and simplify Daily, Monthly, and Annual QA procedures.
3. Present a pathway for integrating new automated and vendor-provided tools that can lead to efficiencies in C-arm linac QA programs.