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Medical Physics Education programs:

US and Latin America

Doracy P. Fontenla, Ph.D., FACMP, FAAPMProgram Director for Medical Physics EducationMemorial Sloan Kettering Cancer CenterAssociate Attending Physicist, Dept Medical Physics

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Will attempt:

• Address MP education in the US and Latin America

• Overview of the current medical physics research/training in Latin America.

• PURPOSE : information might be useful for evaluate whether IB would progress as one of the reference training/research center for Latin America.

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Medical Physics Education: The US Model

First decision:Only researchResearch and clinicalOnly clinical

If any clinical activity is aimed at, the program must be defined, implemented and monitored by four organizations:

AAPM, CAMPEP, ABR, SDAMP

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Relative roles of SDAMP, AAPM, CAMPEP, and ABR for the Education of Medical Physicists in the US:

What is a Medical Physicist

How best educate

Physicist Certified to Practice

Program accredit to educate

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Commission on Accreditation of Medical Physics Educational Programs (CAMPEP)

“ CAMPEP Mission: to promote consistent quality education of medical physicists by evaluating and accrediting Graduate, Residency and Continuing Education programs that meet high standards established by CAMPEP in collaboration with its sponsoring organizations.”

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Commission on Accreditation of Medical Physics Educational Programs (CAMPEP)

Sponsored by the following five organizations:

•American Association of Physicists in Medicine (AAPM)

•American College of Radiology (ACR)

•Canadian Organization of Medical Physicists (COMP)

•Radiological Society of North America (RSNA)

• American Society of Radiation Oncology (ASTRO).

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CAMPEP• Scope: • Establishment of criteria and guidelines for

accreditation of graduate and residency educational programs in medical physics.

• Review and approval of applications for accreditation of educational programs in medical physics to insure that these programs are meeting accepted standards for the training of medical physicists.

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CAMPEP• Scope: • Monitoring of accredited educational programs to

ensure ongoing compliance with criteria and guidelines for program accreditation.

• Consideration in accreditation criteria and guidelines of desirable attributes of medical physicists, including research experience, educational skills, clinical expertise, and professional and leadership behavior.

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Accreditation is a voluntary, non-governmental process of peer review. Objective: to ensure a program or institution has met a defined standard.

Thus accreditation serves as public recognition that a program provides a quality service or education.

CAMPEP offers specialized accreditation of medical physics educational programs such as degree-granting programs, clinical residencies, continuing education and short courses.

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Commission on Accreditation of Medical Physics Educational Programs (CAMPEP)

Sponsored by the following five organizations:

•American Association of Physicists in Medicine (AAPM)

•American College of Radiology (ACR)

•Canadian Organization of Medical Physicists (COMP)

•Radiological Society of North America (RSNA)

• American Society of Radiation Oncology (ASTRO).

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Commission on Accreditation of Medical Physics Educational Programs (CAMPEP)

“ CAMPEP Mission: to promote consistent quality education of medical physicists by evaluating and accrediting Graduate, Residency and Continuing Education programs that meet high standards established by CAMPEP in collaboration with its sponsoring organizations.”

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CAMPEP Accredited Programs in Medical Physics

1. Accredited Graduate Programs in Medical Physics

2. Accredited Degree Programs (MS, Ph.D)

3. Accredited Certificate Programs in Medical Physics

4. Accredited Residency Programs in Medical Physics

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CAMPEP Accredited Graduate Programs in Medical Physics

3. Accredited Residency Programs in Medical Physics: accreditation of clinical residency programs in radiation oncology physics or medical imaging physics. The goal is to ensure that a residency program provides rigorous and thorough clinical training in a similar fashion to that provided by medical residency training programs.

Therapy: 59 US(52) Exterior (7)

Imaging: 6 US (5) Exterior (1)CAB,IB_Oct,2012

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CAMPEP Accredited Programs in Medical PhysicS:

1. Accredited Degree Programs (MS, Ph.D.): 38 Universities:

USA (31), Exterior (7)

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CAMPEP Accredited Graduate Programs in Medical Physics

2. Accredited Certificate Programs in Medical Physics : US (5) Exterior (1)

A program of didactic coursework, identified in AAPM Report 197 S (and adopted by CAMPEP), offered by a CAMPEP-accredited graduate or residency program, intended to enable individuals with a PhD or equivalent terminal degree in physics or a related discipline to meet the didactic requirements needed to enter a CAMPEP-accredited residency program.

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Medical Physics Programs in Latin America

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Medical Physicists in LA per Country

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CountryPopulation Thousands

(2010)

Phys. ratio 10,000 hab.

Per capita GDP

U$ (2011)

Health Care Level

(UNSCEAR)Argentina 40,412 32.1 (2004) 9162 IBelize 312 7.0 (2009) 4496 -Bolivia 9,93 4.9 (2008) 1978 IIBrazil 194,946 16.0 (2007) 10716 IIChile 17,114 9.3 (2004) 11888 IIColombia 46,295 15.0 (2008) 6223 IICosta Rica 4,659 18.6 (2009) 7704 IICuba 11,258 66.3 (2008) 5704 IDominican Republic 9,927 13.2 (2008) 5195 IIEcuador 14,465 16.2 (2007) 4073 IEl Salvador 6,193 20.1 (2008) 3426 IIGuatemala 14,389 9.9 (2008) 2882 IIIHonduras 7,601 3.0 (2008) 2026 IIIMexico 113,423 14.0 (2006) 9101 IINicaragua 5,788 16.4 (2003) 1132 IIPanama 3,517 13.4 (2008) 7614 IParaguay 6,455 13.0 (2008) 2771 IIPeru 29,077 9.2 (2009) 5411 IIPuerto Rico 3,749 22.0 (2007) 26461 IIUruguay 3,369 29.0 (2009) 11952 IVenezuela 28,98 13.0 (2007) 13503 I

Source: PAHO, UN, UNSCEAR 2010 GDP: Gross Domestic ProductCAB,IB_Oct,2012

Education available: Graduation

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Country UniversityPeriod (years)

ARGENTINA Universidad de Buenos Aires 5

BRASIL

Universidade Federal do Rio de Janeiro 4

Universidade de São Paulo – São Paulo, Ribeirão Preto, Campinas 5

Centro de Ciências Exatas e Tecnologia da PUC-São Paulo, Rio Grande do Sul 4

Instituto de Biociências de Botucatu – UNESP (Botucatu/SP) 4

Fundação Souza Marques (Rio de Janeiro/RJ) 5

Universidade Federal de Sergipe (Aracaju/SE) 4

Centro Universitário Franciscano UNIFRA (Santa Maria/RS) 5

CHILEUniversidad La Frontera (Temuco) 5

Pontificia Universidad Católica de Chile 5

COLOMBIA Universidad Nacional de Colombia 5

COSTA RICA Universidad Nacional de Costa Rica 5

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Country University Period (years)

CUBA Instituto de Ciencias e Tecnología Nuclear 4

MÉXICO

Universidad Nacional de México 5

Universidad Autónoma del Estado de México (Toluca) 5

PERÚ Universidad Nacional de Ingeniería 5

Other Countries: no data

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Country University Course

ARGENTINA

Instituto de Tecnología Nuclear DAN BENINSON Physics in Radiotherapy

Instituto Balsanero y Fundación Escuela de Medicina Nuclear

M.Sc. Medical Physics

BRAZIL

Instituto de Radioproteção e Dosimetria – CNEN, Rio de Janeiro

M.Sc., PhD in Radiation Protection and Dosimetry

Instituto de Pesquisas Energéticas e Nucleares - CNEN, São Paulo/SP

M.Sc. , PhD in Nuclear Technology Applications

Universidade Federal do Rio de Janeiro MSc., PhD in Physics

Universidade de São Paulo – São Paulo, Ribeirão Preto, Campinas

MSc., PhD in Medical Physics and Biology

Centro de Ciências Exatas e Tecnologia da PUC Rio Grande do Sul

M.Sc., PhD Nuclear Biosciences

Biociências Nucleares /UERJ - Rio de Janeiro/RJ M.Sc., PhD Nuclear Biosciences

Universidade Federal de Sergipe, Aracaju/SE M.Sc., PhD Nuclear Biosciences

Centro de Desenvolvimento da Tecnologia Nuclear – CNEN, Belo Horizonte

M.Sc., PhD Nuclear Sciences

Education available: Post Graduation

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Country University Course

CHILE

Pontificia Universidad Católica de Chile M.Sc. in Medical Physics

Universidad de Tarapacá (Arica)

M.Sc. in Radiological Science M.Sc. In Radiological Protection and Security

COLOMBIA

Universidad de Colombia M.Sc. ,PhD in Medical Physics

COSTA RICA

Universidad Nacional de Costa Rica M.Sc. in Medical Physics

CUBAINSTITUTO SUPERIOR DE CIENCIAS MÉDICAS

Graduated in Physics of Radiotherapy - SpecialistGraduated in Physics of Nuclear Medicine -Specialist

PERIOD: 9 months - 2 years for MSc Degree 4 years for PhD Degree

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Certification

A Certified Medical Physicist must be evaluated by a national or an international professional certification body.However, most of LA countries didn’t establish a certification process yet.Where there is a certification process, different requirements are established to certify or license MP. Brazil already has certification process but still need to update and improve it to achieve international recommendations.The practical training is a concern because there are not enough accredited hospitals to do residency.

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Practice Residency in Brazil

INSTITUTIONPERIOD (hours)

Annual Ingress

Instituto Nacional do Cancer INCa 3380 6

3900 3

UNICAMP Hospital de Clínicas 3940 2

USP Hospital de Clínicas 3840 2

Hospital Sírio Libanês 4000 1

UNIFESP Escola Paulista de Medicina 1920 2

Centro de MN do Hospital das Clínicas 1920 1

Hospital do Câncer Barretos 3800 1

Hospital das Clínicas de Ribeirão Preto 3800 3

Liga Paranaense de Tumores Hospital Erasto Gaertner 6240 1

TOTAL of vacancies avaialable : 22 per yearCAB,IB_Oct,2012

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Partners

IAEA : Standard Syllabus and Regional Projects

PAHO : Strategic Plan 2008 - 2017 OBJECTIVE 13: Ensure the existence of health personnel available, competent, productive and responsive to the needs, in order to improve health outcomes…..

IOMP : Standards and Certification Process

CAB,IB_Oct,2012