medical physics residency program handbook 2019-2020...the purpose of the university of texas...
TRANSCRIPT
Medical Physics Residency Program Handbook
2019-2020
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Introduction to the Residency Handbook
Dear Resident,
Welcome to the University of Texas Southwestern (UTSW) Clinical Medical Physics Residency
Training Program in the Department of Radiation Oncology! The mission of the UTSW
Radiation Oncology Department is three-fold: to deliver world-class care on a daily basis to our
patients using the most advanced technologies available; to conduct groundbreaking basic,
translational and clinical research; and to provide quality education to the next generation of
medical practitioners and scientists.
The goal of this Residency Program is to improve the treatment of cancer, particularly in the
field of Radiation Oncology, by educating thoughtful and informed men and women in the
profession. This is a CAMPEP-accredited, 3-year program that emphasizes clinical excellence
and academic career development in Radiation Oncology Physics. The Residency Program
integrates 2 years of full-time clinical training and one year of research in medical physics. This
Residency Program differs from a traditional degree program because it primarily provides on-
the-job training rather than progressing in order through a textbook, thus, a successful resident
is flexible and learns to complete tasks and solve problems as they arise. The Residency
Program offers opportunities for didactic instruction but emphasizes participation in all clinical
services under the supervision of the program faculty. This Residency Program is demanding
of all residents’ time and an attitude of collaboration and respect for other members of our team
is essential. Residents interact with staff physicists, physicians, nurses, radiation therapists and
LINAC engineers on a daily basis to receive instruction for safe, effective patient care. The
successful resident will be able to demonstrate competency in all areas of clinical Radiation
Oncology Physics and will be qualified to take the certification examination of the American
Board of Radiology in Therapeutic Radiologic Physics once prerequisites of the Board are
fulfilled.
This Handbook has been assembled to serve as an outline of the expectations of the program, to
provide you with an overview of our policies and procedures and general information to assist
you in your training and development. If you have questions that are not answered here or you
believe additional information would be helpful, please let us know.
Paul Medin, PhD, FAAPM
Professor, Director Medical Physics Residency Program
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Table of Contents Mission Statements .................................................................................................................................. 4
Residency Program Overview .................................................................................................................. 5
Program Goals ...................................................................................................................................... 6
Program Technologies .......................................................................................................................... 7
Residency Program Faculty ...................................................................................................................... 8
Medical Physics Residency Committee…………………………………………………………………………………………. 11
Residency Program Evaluation Committee ........................................................................................ 11
Residents ................................................................................................................................................ 12
General Information ............................................................................................................................... 15
Accreditation ...................................................................................................................................... 15
ABR Exam ............................................................................................................................................ 15
Administrative Policies ........................................................................................................................... 15
Professional Conduct .......................................................................................................................... 16
Professional Meeeting Policy ............................................................................................................. 18
Social Media ....................................................................................................................................... 19
Salary and Benefits ............................................................................................................................. 19
New Resident Orientation .................................................................................................................. 20
Licensing ............................................................................................................................................. 21
Equipment .......................................................................................................................................... 21
Training ............................................................................................................................................... 21
Residency Program Events .................................................................................................................... 22
Program Overview ................................................................................................................................. 23
Core Curriculum (Competency-Based Objectives) ............................................................................. 23
Resident Requirements for Successful Program Completion ............................................................ 23
Oral Exam Policy ................................................................................................................................. 25
Oral Examination Topics ..................................................................................................................... 26
Evaluation of Resident Progress ......................................................................................................... 27
Clinical Rotation and Objectives ......................................................................................................... 29
Residency Mentor Assignment .......................................................................................................... 31
Procedures .............................................................................................................................................. 34
Emergency Weekend Treatment ........................................................................................................... 35
Appendix A: Employee Benefits Summary ............................................................................................. 36
Appendix B: Useful Forms & Information .............................................................................................. 38
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Mission Statements
The University of Texas Southwestern Medical Center To improve health care in our community, Texas, our nation, and the world through innovation
and education
To educate the next generation of leaders in patient care, biomedical science, and disease prevention
To conduct high-impact, internationally recognized research
To deliver patient care that brings UT Southwestern Medical Center’s scientific advances to the bedside – focusing on quality, safety, and service
The Department of Radiation Oncology To deliver world-class care on a daily basis to our patients using the most advanced technologies
available
To conduct groundbreaking basic, translational and clinical research; and to provide quality education
To the next generation of medical practitioners and scientists.
The Department of Radiation Oncology, Medical Physics Residency Program
To educate and train residents to be skilled practitioners of clinical radiation oncology
To deliver high-quality compassionate patient care
To expose residents to academic radiation oncology in clinical and/or basic-science research using radiation in the treatment of disease.
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Residency Program Overview UT Southwestern
UT Southwestern, one of the premier medical centers in the nation, integrates pioneering scientific research with exceptional multidisciplinary clinical care and education on a unique medical school campus dedicated entirely to biomedical care and research. The institution’s faculty has many distinguished members, including six who have been awarded Nobel Prizes since 1985, 22 members of the National Academy of Sciences—one of the highest honors attainable by an American scientist—and 18 members of the National Academy of Medicine.
Numbering more than 3,000, the UT Southwestern faculty are responsible for groundbreaking medical advances and are committed to translating basic science-driven research quickly into new clinical treatments. UT Southwestern physicians provide medical care for over 5,000 newly diagnosed cancer patients each year.
Radiation Oncology Department
The Department of Radiation Oncology at UT Southwestern Medical Center is an integral part of the National Cancer Institute-designated Harold C. Simmons Comprehensive Cancer Center. With 20 radiation oncologists, the department treats an average of 200 patients each day at its two main clinics and dedicated radiosurgery suite—all on the university campus.
Our new three-story facility houses seven treatment bunkers containing some of the world’s most advanced radiotherapy tools, as well as novel technology, such as real-time electronic displays, aimed at enhancing a personalized patient experience. The department’s faculty includes recognized leaders in stereotactic radiosurgery and combined chemoradiation with unique expertise in lung, head and neck, genitourinary, liver, pediatric, central nervous system, and other major cancers. In addition, the
department’s divisions of Molecular Radiation Biology and Medical Physics and Engineering provide highly interactive opportunities to introduce unique new technologies and cutting-edge translational research focused on improving cancer care.
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Overall Program Goal
The purpose of the University of Texas Southwestern Clinical Medical Physics Residency Training Program is to influence the field of clinical Radiation Oncology Physics by educating thoughtful and informed men and women in the profession. By completion of training, Medical Physics residents will be competent to:
understand the role of patient safety in the clinical practice of medical physics Manage the acute and chronic effects of radiation therapy, and know when to refer appropriately to other physicians
obtain the technical knowledge, skills and competency required for the safe application of the technologies used in the practice of medical physics;
appreciate the clinical purpose and applications of sophisticated technologies;
understand the protocols and practices essential to the employment of technologies to detect, diagnose and treat various illnesses and injuries;
be able to use analytical and research methods to solve problems arising in the clinical environment;
be able to deploy new strategies within the clinical environment;
be able to critically evaluate research and scholarship in medical physics;
possess communication and interpersonal skills that are necessary to function in a collaborative, multidisciplinary environment;
exhibit the professional attributes and the ethical conduct and actions that are required of medical physicists; and
value career-long continuing education to keep professional knowledge and skills current
In addition, the successful resident will be able to demonstrate competency in all areas of clinical Radiation Oncology Physics and will be qualified to take the certification examination of the American Board of Radiology in Therapeutic Radiologic Physics once prerequisites of the Board are fulfilled.
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Program Technologies & Equipment
Our clinical facilities offer a broad range of radiation oncology procedures including: IMRT, SRS, SBRT, TBI, TSE, HDR, and LDR brachytherapy.
Megavoltage Range Linear
Accelerators
o Two Varian TrueBeams™
o Two Varian VitalBeams™
o Varian Trilogy®
o Two Varian 2100Cs
o Two Elekta Versa HDs™
o Elekta Agility™
o Accuray CyberKnife® M6™
Elekta Gamma Knife® Icon™
Xstrahl superficial unit
(orthovoltage/superficial X-rays)
Two Varian VariSource™ iX HDR
brachytherapy afterloaders
Three Vision RT systems
Two ABC systems
Varian Eclipse™
Accuray Precision™
Elekta GammaPlan®
Varian VariSeed™
Varian Vitesse™
Brainlab Elements™
Two Philips 16-slice Brilliance
large-bore 4-D CT simulators
Brainlab Airo® compact CT-
simulator on wheels
GE mobile C-arm
Philips mobile X-ray system
SonoSite ultrasound system
BK ultrasound system
Plaque brachytherapy for intraocular
tumors
Intraoperative radiation therapy
Endoluminal brachytherapy for
esophagus, lung, and rectum
Interstitial brachytherapy for prostate,
cervical cancer, brain, and liver
Endocavitary treatment for gynecologic
Malignancies
Therapeutic Systems
Brachytherapy Techniques
Treatment Planning Systems
Motion Management Systems
Imaging Systems
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Residency Program Faculty
As required by CAMPEP, the Medical Physics Residency program must have a single Program Director that oversees the program in entirety.
Medical Physics and Engineering Division Steve Jiang, Ph.D. Professor and Vice Chair; Director, Division of Medical Physics and Engineering Trained: Medical College of Ohio-Toledo Dr. Jiang’s research interests are graphics processing unit- and cloud-based automated treatment planning, online re-planning for adaptive radiotherapy, and artificial intelligence in medicine. Paul Medin, Ph.D. Professor and Medical Physics Residency Program Director, Division of Medical Physics and Engineering Trained: UCLA Dr. Medin’s research interests Stereotactic delivery technology and research; tissue tolerance in high-dose, single-fraction delivery. Yang Kyun Park, Ph.D. Assistant Professor and Associate Medical Physics Residency Program Director, Division of Medical Physics and Engineering Trained: Seoul National University Dr. Park’s research interests are CBCT, motion management, open source software. Arnold Pompos, Ph.D. Associate Professor and Chief Clinical Physicist, Division of Medical Physics and Engineering Trained: Indiana University; Purdue University Dr. Pompos’ research interests are Heavy particle interactions; microdosimetry; Monte Carlo simulations. Strahinja Stojadinovic, Ph.D. Associate Professor and Associate Medical Physics Residency Program Director, Division of Medical Physics and Engineering Trained: Kent State University Dr. Stojadinovic’s research interests are Preclinical delivery technologies; stereotactic radiotherapy; IMRT QA; brachytherapy. Yiping Shao, Ph.D. Professor, Division of Medical Physics and Engineering Trained: Kent State University Dr. Shao’s research interests are Nuclear imaging technology and application for molecular imaging and radiotherapy
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Tom Banks, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: Stanford University Dr. Banks’ research interests are applying new technologies to improve clinical operations. Chuxiong Ding, Ph.D. Associate Professor Division of Medical Physics and Engineering Trained: Tsinghua University Dr. Ding’s research interests are Image-guided radiotherapy; stereotactic radiation therapy. Xuejun Gu, Ph.D. Associate Professor Division of Medical Physics and Engineering Trained: Clemson University/Columbia University Dr. Gu’s research interests are Online adaptive radiotherapy; image registration; small animal imaging. Xun Jia, Ph.D. Associate Professor Division of Medical Physics and Engineering Trained: UCLA Dr. Jia’s research interests are 3-D/4-D computed tomography reconstruction; Monte Carlo dose calculations. Weiguo Lu, Ph.D. Associate Professor Division of Medical Physics and Engineering Trained: University of Wisconsin, Madison Dr. Lu’s research interests are Next-generation treatment planning, high performance (GPU) computing, adaptive radiotherapy. Robert Reynolds, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: Georgia Institute of Technology
Jing Wang, Ph.D. Associate Professor Division of Medical Physics and Engineering Trained: SUNY at Stony Brook Dr. Wang’s research interests are Cone-beam computed tomography; image-guided radiation therapy; image analysis; tomographic image reconstruction.
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Brian Hrycushko, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: UT San Antonio Dr. Hrycushko’s research interests are Normal tissue tolerance; stereotactic radiotherapy; radionuclide therapy; brachytherapy. Mu-Han Lin, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: National Tsing Hua University Dr. Lin’s research interests are Clinical implementation of novel treatment technologies; stereotactic radiotherapy; Monte Carlo simulation. Amir Owrangi, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: University of Western Ontario Dr. Owrangi’s research interests are MRI-guided radiation therapy; brachytherapy; adaptive radiation therapy. Yulong Yan, Ph.D. Associate Professor and Computational Physics Director, Division of Medical Physics and Engineering Trained: Nanjing University/International College Dr. Yan’s research interests are Novel treatment planning technologies; clinic-oriented applications; DICOM; SRS. Ming Yang, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: Rice University/University of Texas Health Science Dr. Yang’s research interests are Proton dose calculation and optimization; dual energy computed tomography. You Zhang, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: Duke University Dr. Zhang’s research interests are 3D/4D image reconstruction; deformable image registration; biomechanical modeling; treatment planning. Bo Zhao, Ph.D. Assistant Professor Division of Medical Physics and Engineering Trained: SUNY at Stony Brook Dr. Zhao’s research interests are Image-guided radiation therapy; stereotactic body radiation therapy. NOTE: All Faculty have the responsibility of supervising and teaching residents throughout their residency training.
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Medical Physics Residency Committee
The committee consists of: Steve Jiang Paul Medin Michael Folkert Mu-Han Lin Yang Kyun Park Arnold Pompos Strahinja Stojadinovic Kajal Desai Pam Lee David Parsons
Residency Program Evaluation Committee The Program Evaluation Committee (PEC) will be made up of at minimum, two faculty members and at least one resident. This committee will oversee educational activities for the program in which they will carry out the creation, implementation and evaluation for said activities. The PEC will provide recommendations for curriculum improvements, identify areas of non-compliance with ACGME, and annually review faculty, residents, and other forms of program evaluations. The PEC will evaluate both resident and faculty performance, while also assessing the overall program quality. This will be done in a formal, written manner and plan of actions will be developed to improve in areas that are not up to standards. The committee consists of: Robert Reynolds Bo Zhao Ming Yang Yang Park Strahinja Stojadinovic David Parsons
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Residents The following are residents as of July 2019:
3rd Year Residents
Chief Resident
David Parsons, Ph.D. Undergraduate Education: Acadia University (Physics)
Graduate School: Dalhousie University (Medical Physics)
Ph.D.: Dalhousie University (Medical Physics)
Zohaib Iqbal, Ph.D. Undergraduate Education: The College of New Jersey (Physics)
Graduate School: UCLA (Biomedical Physics)
Ph.D.: UCLA (Biomedical Physics)
Nima Hassan Rezaeian, Ph.D. Undergraduate Education: University of Tehran (Condensed Matter Physics)
Graduate School: University of Tehran (Nuclear Physics)
Ph.D.: University of North Texas (Atomic Physics)
Fellowship: UT Southwestern Medical Center
Jun Tan, Ph.D. Undergraduate Education: Nanjing University of Science and Technology
(Computer Science)
Graduate School: Nanjing University (Master's Degree - Computer Science);
Oakland University (Doctoral Degree - Computer Science)
Ph.D.: Systems Engineering (Computer Science and Engineering)
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2nd Year Residents
Mindy Joo, Ph.D. Undergraduate Education: Purdue University (Radiological Health Science)
Graduate School: The University of Texas at Houston (Medical Physics)
Ph.D.: Purdue University (Medical Physics)
Rafe McBeth, Ph.D. Undergraduate Education: Colorado State University (Physics)
Graduate School: Colorado State University (Radiation Physics)
Ph.D.: Colorado State University (Radiation Physics)
Deepak Shrestha, Ph.D. Undergraduate Education: Tribhuvan University (Physics)
Graduate School: Kansas State University (Solid-State Physics)
Ph.D.: Experimental High-Energy Physics (Experimental Neutrino Physics)
Zhenyu Xiong, Ph.D. Undergraduate Education: Hefei University of Technology (Applied Physics)
Graduate School: University at Buffalo, the State University of New York (Medical
Physics)
Ph.D.: University at Buffalo, the State University of New York
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1st Year Residents
Samaneh Kazemifar, Ph.D. Undergraduate Education: Shiraz Azad University, Shiraz, Iran (Computer
Engineering)
Graduate Education: Shiraz Azad University, Shiraz, Iran (Computer Engineering –
Artificial Intelligence)
Ph.D.: University of Western Ontario, London, Ontario (Medical Biophysics)
Heui Lee, Ph.D. Undergraduate Education: Hanyang University, Seoul, Seoul (Electronics and
Computer Engineering)
Graduate Education: Seoul National University, Seoul, Seoul (Electrical Engineering
and Computer Science)
Ph.D.: Purdue University, West Lafayette, IN (Biomedical Engineering)
Xinran Zhong, Ph.D. Undergraduate Education: Tsinghua University (Biomedical Engineering)
Graduate Education: University of California, Los Angeles (Biomedical Physics)
Ph.D.: University of California, Los Angeles (Biomedical Physics)
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General Information
Accreditation
The UT Southwestern Residency in Medical Physics is accredited by the Commission on Accreditation of Medical Physics Education Programs (CAMPEP).
Resident Responsibility Regarding Registration for the Radiation Oncology Board
The Board Examination for radiation oncology is given each year by the American Board of Radiology. Registering for the Board Examination is the responsibility of the resident. It is important to be aware that the dates of the written and oral examination change frequently.
MedHub
Please use the help tab found on MedHub for any assistance you may need. https://utsw.medhub.com/u/a/help.mh
Administrative Policies Residents will follow the policies and procedures as specified by the Department of Radiation Oncology, the University of Texas Southwestern Medical Center and affiliated institutions.
Licensed, Registered, and Certified Personnel Policy
As required by UT Southwestern, directors will notify employees to renew their credentials, however, it is the responsibility of that employee to maintain current credentials and provide proof that it has been renewed to their directors prior to designated expiration date. If an employee fails to present proof/ and or maintain certification or licensure, the employee may not perform duties for which the certification or licensure is required for. The employee
must attempt to complete the entire renewal process immediately. The employee may be subject to disciplinary actions such as suspension and/or termination.
A more detailed version of this policy can be located at UT Southwestern Policy Library: https://utsouthwestern.policytech.com/dotNet/documents/?docid=438
Impaired physician and substance abuse policy
Possession or use of illegal substances on the UT Southwestern premises is prohibited. Standards of conduct are outlined in the UT Southwestern Handbook of Operating Procedures, located online on the UT Southwestern website at https://www.utsouthwestern.edu/education/graduate-medical-education/policies/
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Pagers
All residents in the Department of Radiation Oncology are issued CUREATR pagers at the beginning of their residency. Residents are responsible for ensuring their pager is functional, has a charged battery, and remains on during duty hours. If there is a problem with the pager, contact Kelly Lizak. If there is a change in the pager number for whatever reason, it is imperative that the hospital paging operator and the department be informed immediately. It is an option to only use the CUREATR APP and store your new pager in the Executive Office.
Professional Conduct
All residents must comply with the UT Southwestern Graduate Medical Education Professional Conduct Policy found at https://www.utsouthwestern.edu/education/graduate-medical-education/policies/
Medical Physics Residency Expectations of professionalism for faculty mentors and residents that participate in the Medical Physics Residency Program
Introduction
Welcome to the University of Texas Southwestern (UTSW) Clinical Medical Physics Residency
Training Program in the Department of Radiation Oncology! The mission of the UTSW Radiation
Oncology Department is three-fold: to deliver world-class care on a daily basis to our patients
using the most advanced technologies available; to conduct groundbreaking basic, translational
and clinical research; and to provide quality education to the next generation of medical
practitioners and scientists.
The goal of this Residency Program is to improve the treatment of cancer, particularly in the field
of Radiation Oncology, by educating thoughtful and informed medical physicists. This is a
CAMPEP-accredited, 3-year program that emphasizes clinical excellence and academic career
development in Radiation Oncology Physics. The Residency Program integrates 2 years of full-
time clinical training and one year of research in medical physics.
Professional Expectations of Residents
This Residency Program differs from a traditional degree program because it primarily provides
on-the-job training rather than progressing chapter-by-chapter through a textbook, thus, a
successful resident is flexible and learns to complete tasks and solve problems as they arise.
Successful completion of the Residency Program is more than the checking off of boxes on
assessments, it requires a positive attitude and a willingness to make patient care the highest
priority.
Expectation 1: Clinical service. Residents are trainees but they are also salaried employees of the
Radiation Oncology Department and are expected to contribute to the mission of the Department
primarily through clinical service. The Residency Program views all clinical service as invaluable
training experience.
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Expectation 2: An attitude of collaboration and respect for faculty members. The healthcare
environment is often mentally, physically and emotionally demanding on residents and faculty
but an attitude of collaboration and respect are essential to our ability to provide the best patient
care. Residents are expected to assist faculty members with clinical service as needed. Faculty
members bear the primary responsibility for high-quality patient care but this often requires
assistance from residents.
Expectation 3: Respond to communications. Residents are expected to respond to email, phone
calls, and pages in a reasonable time.
Expectation 4: An attitude of collaboration and respect for the other residents. The healthcare
environment is often mentally, physically and emotionally demanding on residents but an attitude
of collaboration and respect among residents is essential to our ability to provide the best patient
care. Residents are expected to be collegial and help their colleagues as necessary to provide the
highest quality patient care. Residents are often required to serve as educators for their fellow
residents, commonly senior residents instructing junior residents.
Unprofessional Behavior by a Resident
If a resident’s conduct is reported to fall short of the expectations described above, the following
actions will take place:
First occurrence—a member of the program leadership will discuss the report with the accuser
and the accused. Program leadership will review the expectations of the program with the accuser
and the accused. Program leadership will document the event.
Second occurrence—a member of the program leadership will discuss the report with the accuser
and the accused. Program leadership will review the expectations of the program and will provide
a warning to the accused regarding failure to comply with the expectations of the program.
Program leadership will document the event.
Third occurrence—a member of the program leadership will discuss the report with the accuser
and the accused. Program leadership will review the expectations of the program and will provide
a warning to the accused regarding failure to comply with the expectations of the program and
will refer the issue to the Residency Committee. The Residency Committee will determine a
solution to the issue that may include termination. Program leadership will document the event.
Professional Expectations of Faculty
Consistent with the mission of the department, faculty in the medical physics residency program
are expected to provide quality education to the next generation of medical practitioners and
scientists. Quality education is best conducted in an atmosphere of mutual respect. Faculty
members are in a supervisory role over residents and are expected to lead by example and to
conduct themselves as professionals that are concerned for the resident’s education. Specific
expectations of faculty are:
Expectation 1: Educate and instruct the residents. Residents came to UTSW to learn the duties of
a medical physicist. Faculty members are expected to be experts in the field who are willing to
communicate what they know to our residents. Example--To give reading assignments alone
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without follow-up discussion or practical demonstration is not an acceptable method of
instruction.
Expectation 2: Comply with the requirements of the program. Residents training has to be
evaluated and documented. The program requires that many forms be completed by the faculty
in order for a resident to progress and graduate. Faculty members are expected to be present for
their scheduled oral exams and complete all assigned forms in a reasonable time.
Expectation 3: Respond to the residents. Residents learn professionalism from their mentors.
Faculty are expected to respond to email, phone calls, and pages from residents in a reasonable
time.
Expectation 4: Respect the residents. The healthcare environment is often mentally, physically
and emotionally demanding on faculty and residents but an attitude of collaboration and respect
between faculty and residents is essential to our ability to provide the best patient care.
Unprofessional Behavior by a Faculty Member
If a faculty member’s conduct is reported to fall short of the expectations described above, the
following actions will take place:
First occurrence—a member of the program leadership will discuss the report with the accuser
and the accused. Program leadership will review the expectations of the program with the accuser
and the accused. Program leadership will document the event.
Second occurrence—a member of the program leadership will discuss the report with the accuser
and the accused. Program leadership will review the expectations of the program and will provide
a warning to the accused regarding failure to comply with the expectations of the program.
Program leadership will document the event.
Third occurrence—a member of the program leadership will discuss the report with the accuser
and the accused. Program leadership will review the expectations of the program and will provide
a warning to the accused regarding failure to comply with the expectations of the program and
will refer the issue to the Residency Committee. The Residency Committee will determine a
solution to the issue that may include removal of the faculty member from the program. Program
leadership will document the event.
Professional Meeting Policy
Residents making an oral presentation of an original paper at AAPM or other professional society meetings will, at the discretion of the faculty, receive additional funding to attend. Requests for additional funding must be submitted in writing to the program director at least 2 months before the meeting.
Attendance at any meeting that requires time away from the normal residency program assignment must be approved in writing by the Program Director prior to making any commitment to attend the meeting.
Residents must have a signed Absence Request Form and fully approved pre-authorization
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Travel Request (TRQ) two weeks prior to the meeting as required by the University of Texas Southwestern Medical Center guidelines.
Social Media Policy The following is an overview of the social media guidelines at UT Southwestern:
1) All material posted should be done so in a respectful, professional manner 2) Resident should expect no privacy when using institutional or hospital computers
and therefore should only be used for work/education related purposes 3) The computer user is responsible for the content on their own blog posts, including
legal liability 4) The content within electronic conversations must be honest, respectful, and
professional. Language that is illegal, threatening, infringing of intellectual property rights, invasive of privacy, profane, libelous, harassing, abusive, hateful or otherwise injurious to any person is prohibited
5) Doctor-patient, faculty-student, and supervisor-subordinate relationships merit close scrutiny on social media. Therefore, use good ethical judgment when posting and follow all University policies and all applicable laws/regulations.
6) Physicians and others who interact with patients should follow the American Medical Association guidelines on internet interactions with patients (http://www.ama-assn.org/ama/pub/meeting/professionalism-social-media.shtml)
The penalties for social media violations may range from reprimand, suspension, to termination, and may depend upon the severity of the violation and what can be known about the intentions of the violator.
A more detailed version of this policy can be located at UT Southwestern Graduate Medical Education Policies: https://www.utsouthwestern.edu/education/graduate-medical-education/policies/
Salary and Benefits The Department of Radiation Oncology’s financial commitment is limited to three years from a resident’s start date and is contingent on satisfactory progress. The current (2018/2019) stipend for medical physics residents entering the three-year program is $50,004. Salary for years 2 and 3 are calculated from the Dallas County Parkland Medical Center salary scale for medical residents with an applied offset. For example, the 2018/2019-year medical physics resident salaries are $58,122 for PGY2 and $60,570 for PGY3.
In addition, residents are provided with a discretionary account each year that is intended to pay for professional expenses such as travel costs, Texas state licensure, and society dues. It is intended that each resident will attend at least one national professional meeting (e.g. AAPM, ASTRO, ACMP, RSNA,) during their three-year training program. Meeting travel must be approved by the director of the Medical Physics Division. Residents may purchase additional books relevant to the practice of medical physics using their discretionary accounts. Please contact your program administrator with any questions regarding purchases from your discretionary account beforehand.
Physics residents receive benefits commensurate with medical residents that include: • Comprehensive group health coverage is available at no cost to the resident. Dependent health coverage, supplemental life insurance, dental, and vision plan insurance are available for both the resident and his/her dependents at a reduced rate • Low-rate automatic eligibility disability coverage is available • Malpractice and a basic life insurance policy are provided • Fifteen working days paid vacation per academic year plus 10-12 paid holidays per year (Depends
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on if holidays fall on weekdays or weekend days) • Time for professional development • Sick leave – residents accrue 12 days per year during training • The university provides 2 lab coats at the beginning of the residency (laundering is also provided)
Paid Time Off Utilization Policy
Sick Leave: PTO that is used for sickness, injury confinement due to pregnancy, and/or
sickness of immediate family. Sickness includes the commonly understood meaning of
illness, however, it also includes absences due to required medical, dental, optical, or
mental health examination.
o Procedure: Time taken off must be cleared by the program director. Unused sick
leave will not be paid if there upon termination.
Vacation Leave: PTO scheduled in advance according to program protocol
o Procedure: Fifteen days of vacation time is allotted in each year of training.
Vacation may be requested using the designated form and submitted to the
program director. Unused vacation will not be paid upon termination.
For more details on other types of paid leave and more depth descriptions of sick and vacation
leave, visit https://www.utsouthwestern.edu/education/graduate-medical-education/policies/
New Resident Orientation Orientation consists of:
• Residency self-study orientation
• Radiation Oncology departmental orientation • UTSW employee orientation
All orientations are scheduled as soon as possible following the arrival of a resident. The entering
resident’s first academic responsibility is to read the residency self-study to become familiar with the
program expectations and the requirements for completion. This requirement is listed on the first page
of the CRSO and the resident’s first mentor must sign that it has been completed.
Radiation oncology orientation is directed by the departmental administrator and includes all key topics:
• Mission statement • Safety • Employee health • Tours and introductions • Organizational structure • Clinic policies and procedures
Safety Safety training is part of the departmental orientation process. Entering residents are informed of the potential health hazards in the department including:
• Ionizing radiation
• Heavy metals (lead and Cerrobend)
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• Sulfur hexafluoride
• High voltage
• Biohazards • Sharps
The locations of these hazards within the department are shown to residents during the departmental
tour and residents are instructed to avoid them until more thorough training is complete. A working
knowledge of health hazards is achieved in the resident’s first month as they are required to participate
in radiation safety training and in the following mini-rotations as described in the CRSO: 1. Introduction to Rad. Onc. Clinic—Radiation Protection 2. Introduction to Rad. Onc. Clinic—Nursing 3. Introduction to Rad. Onc. Clinic—Simulation 4. Introduction to Rad. Onc. Clinic—LINAC
Licensing Residents apply for a temporary license to practice medical physics in the state of Texas. This temporary
license allows them to perform any medical physics duties a fully licensed medical physicist can do, but
under the supervision of a licensed physicist. Residents must possess a valid license from the Texas
Medical Board to receive clinical training and provide clinical care.
Helpful links are below: http://www.tmb.state.tx.us/page/licensing (Follow link to “Medical Physicist” for information)
Equipment Residents attain access to clinical equipment as they demonstrate the maturity and competence
necessary for its safe operation. Residents begin by using equipment under direct supervision and
gradually advance to become independent users. Residents are not permitted to access radiation-
producing equipment independently until approved by the clinical director of medical physics. Residents
are not permitted to access or handle radioactive materials or operate the high-dose rate afterloader or
Gamma Knife without supervision by a staff physicist.
Training Medical physics residents spend one year engaged in medical physics research and two years immersed
in the clinical environment. For the research year, a resident is mentored by one of the research-
oriented faculty members. For the two-year clinical component of the program, instruction is given
within radiation oncology by a team comprised of: 27 physics and engineering faculty, 18 molecular
radiation biology faculty and 22 physicians.
The residency program is divided into eight quarterly rotations each with specific objectives and
assessments. A mentor from the medical physics faculty is assigned to each resident for each rotation.
Mentorship rotates throughout the faculty so any faculty member can expect to mentor approximately
one resident for one quarter per year.
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Residency Program Events
Social Events The Chief Resident will be responsible for facilitating monthly resident activities. An activity budget has been established for the residents to take part in team building activities, wellness events and celebratory dinners, etc. outside of training or normal business hours.
Annual MP Resident of the Year Award Purpose of Award This award recognizes a Medical Physics Resident who demonstrates authentic leadership, strives to provide exemplary service to the department, its mission and ultimately, the patients that we serve and that has an undeniable commitment to the residency program. In addition, the recipient must contribute to scholarly activity and be enthusiastic and preemptive in educating oneself in the latest technological advances in the field of radiation oncology medical physics. Application Process Program Administrator will prepare nomination packets consisting of: • Resident’s curriculum vitae (to include academic productivity) • Review of publications, presentations, awards, involvement in professional societies, etc. • Nominations from faculty mentors, dosimetrists, therapists, and physicians Selection Criteria The summary for each resident will be reviewed by selection committee (residency leadership and division head) Individuals on the selection committee will each give a score 1-10 for academic productivity and a score 1-10 for the strength of nominations. The total score for each resident will determine the finalist. (Weighting of scores to be discussed). The executive committee will finalize the selection of the nominees. This award is presented at the end of the academic year at the resident graduation along with the other department awards and residency training certificates of completion.
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Program Overview
Core Curriculum
Residency Program Competency-Based Objectives
PHYSICIST TASK
EXPECTED TIME TO
INDEPENDENCE
Operate a LINAC End of Month 3
Operate the CT Simulator End of Month 3
Perform IMRT Quality Assurance End of Month 3
Perform Monthly LINAC QA End of Month 6
Irregular Field Treatment Planning *End of Month 6
3D Planning *End of Month 9
IMRT Treatment Planning *End of Month 9
Perform Clinical MU Calculations *End of Month 9
Perform Annual LINAC Quality Assurance *End of Month 12
Perform Regular HDR Quality Assurance *End of Month 12
Chart Checks, Planning and MU 2nd check *End of Month 21
HDR Treatment Planning *End of Month 21
Radiosurgery Treatment Planning *End of Month 21
*Time varies depending on individual resident rotation assignments
Table 2.1 Timeline for Independent Functioning
Requirements for Successful Program Completion
To complete the residency program, the resident must:
ONE Successfully complete all eight clinical rotations and clinical special procedures as defined in the “Clinical Rotation Schedule and Objectives (CRSO)” (see CRSO document). The rotation schedule has been defined to include all clinical areas of the program. For each rotation, the resident is assigned a mentor from the physics faculty and is responsible to perform clinical tasks under his/her supervision. These tasks are part of the routine clinical service that the physics section provides. A rotation is considered complete when all rotation assessments have been completed through MedHub by the mentor and resident. Special procedures will occur throughout a resident’s time in the program and may be performed during any rotation. TWO Complete two full calendar years of clinical training and one full calendar year of research training within the residency program. A certificate of training will not be awarded to residents who do not complete the full three years within the program. The only exception to this requirement applies to internal faculty-level personnel who have been engaged in research within the department for at least one year. In this situation, the research requirement of the residency program may be waived; however, the two-year clinical training requirement shall not be waived.
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THREE Residents are expected to write seven quarterly reports as assigned by the director. Written reports are intended to compel a resident to formally organize and present information on a given subject. These reports should serve as a quick refresher on the respective subject matter when needed for a clinical procedure or in preparation for an examination such as the ABR Board Examination. The report should be concise. Typically, three to five pages of single spaced text are adequate. Report topics and expectations are defined below. Written reports are due at least 24 hours prior to the final oral (comprehensive) for the associated rotation. When a written report is not submitted at least 24 hours prior to the final oral, the oral exam will be delayed and rescheduled for a date within two weeks of the rotation end date. If the report is not submitted within two weeks of the rotation end date, the situation will be reviewed by the Residency Committee that will make a recommendation for resolution up to and including termination. Only one delayed report will be considered acceptable during the course of the residency. If more than one report is submitted after the due date during the course of the residency, the situation will be reviewed by the Residency Committee that will make a recommendation for resolution up to and including termination. Mentors indicate successful completion of a report by initialing the bottom of the first page. A copy of the completed report must be available to the residency director and the resident through MedHub.
Report 1, Rotation 2. Radiation detectors: (1) air ionization chambers, triax, cable, electrometer, (2) film including Radiochromic and EDR2, (3) TLD, (4) OSLD, (5) diode, (6) MOSFET. Write a report on the common clinical radiation detectors listed above. The report should demonstrate that the resident is familiar with detector design and function. The report should describe the strengths and weaknesses of each detector concentrating on: A) energy/modality dependence, B) dose rate dependence, C) doserange, D) associated equipment/software, E) accuracy and precision, F) linearity, and G) cost. The report should identify all documents used for its preparation.
Report 2, Rotation 3 Calibration of LINAC photon and electron beams and calibration of Orthovoltage X-ray units. Write a report on the calibration of LINAC photon and electron beams and calibration of orthovoltage units. The report should: A) describe the history of calibration protocols especially compare/contrast TG-21 to TG-51, B) explain how beam energy is determined and specified for each protocol, C) demonstrate familiarity with TG-61, D) demonstrate an understanding of the calibration equations and the factors that affect each variable in the equations. The report should identify all documents used for its preparation.
Report 3, Rotation 4. Operation, acceptance testing and commissioning of LINACs: Xrays and electrons. Write a report on the operation, acceptance and commissioning of a LINAC. The report should: A) describe the functions of the major components of a LINAC (see Form R.3.B), B) describe the acceptance process, C) explain the commissioning process, and D) make note of the necessary measurements. The report should identify all documents used for its preparation.
Report 4, Rotation 5. Acceptance testing and commissioning of treatment planning systems, explanation of algorithm. Write a report on acceptance and commissioning of treatment planning systems. The report should: A) outline the parameters of interest in treatment planning systems, B) outline what measurements/calculations need to be compared, and C) explain the dose calculation algorithm used by the ADAC planning system at a minimum. The report may exclude IMRT considerations as they are covered in Report 6. The report should identify all documents used for its preparation.
Report 5, Rotation 6. Room shielding design for simulator, CT, megavoltage LINACs, HDR, isotope storage. Radiation protection surveys of a LINAC vault. Write a report on radiation shielding design for simulators, CT, LINACS, HDR and isotope storage. The report should include: A) current allowable dose limits, B) a description of shielding calculation methods for primary, scatter, leakage and neutrons, C) a table of common shielding materials with their density, half value layer and tenth value layer thicknesses and efficacy for neutron shielding, D) a description of how a radiation protection survey is performed, and E) a shielding report for a multi-energy LINAC at UTSW. The report should identify all documents used for its preparation.
Report 6, Rotation 7. IMRT commissioning, planning, quality assurance, plan verification. Write a report on IMRT commissioning, planning, quality assurance and plan verification. The report should
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include: A) an introduction that defines IMRT and its purpose in treatment planning, B) a short description of common IMRT delivery techniques, C) a description of the IMRT parameters used for planning with one of the treatment planning systems at UTSW, D) an outline of the steps taken to commission an IMRT system, E) a description of ongoing quality assurance procedures and F) a description of individual patient QA procedures. The report should identify all documents used for its preparation.
Report 7, Rotation 8. Acceptance testing and commissioning of HDR brachytherapy apparatus and sources. Write a report on the acceptance and commissioning of an HDR system. The report should include: A) a list of parameters evaluated with methods of evaluation, B) decay calculations, C) a discussion of safety concerns and solutions, D) a description of the source, encapsulation and delivery system, E) approximate dose rates from a 10 Curie source at distances of 1cm, 10cm and 100cm, and F) a discussion on the source calibration methods. The report should identify all documents used for its preparation.
FOUR Residents are required to complete 24 oral examinations throughout the residency program. The oral examination is intended to be a semi-formal discussion between the faculty and a resident through which an assessment can be made of the resident’s familiarity with the subject matter. All faculty and staff are invited to participate in the oral examinations. A minimum of two faculty members must be present to hold an oral examination. The topics selected come directly from the CRSO for the resident’s current rotation. Faculty may question the resident on any aspect of the subject matter and will submit an evaluation of the resident’s performance. All faculty present will score the oral and the average will be the final score. The score should reflect the resident’s mastery of the subject and their ability to present clear answers. The score will be based on a scale of 1 through 5 where 1 is worst and 5 is best. A final score of 3 or greater will be acceptable. A final score less than 3 will require the resident to prepare and deliver a presentation on the subject of the oral. The presentation will be given to the mentor, the director and/or associate director, and interested faculty and staff. The presentation will be given within the week following the oral. Areas of weakness and strength must be identified in the comment section of the oral form. If the resident’s presentation is considered unsatisfactory, the situation will be reviewed by the residency committee. The resident will be notified in writing of their probationary status and will be given a plan for remediation. The resident will have one month to complete the remediation plan. Failure to complete the remediation plan will be grounds for termination. Oral examination sessions are typically held on the last Wednesday/Thursday of every month. The list of oral topics is presented in Table IV.B3.
Oral Exam Policy
1. Examiners (Faculty physicists): a. After the oral exam, the examiners discuss / score the exam after the examinee leaves
the room. b. The mentor faculty (or chair of the exam) collects the score and specific comments on
the examinee’s performance. Record the average score, list of the examiners and specific comments in MedHub.
c. Tell the examinee about: i. Whether he/she passed or failed the exam, but not the score.
1. Pass/fail criteria: a. 5.0 is the maximum score b. Score >=3.0: pass c. Score < 3.0: fail
ii. Specific comments to improve the resident’s performance iii. (If failed) the detailed reason why he/she failed.
2. Examinees (physics resident): a. You will hear from the mentor (or the exam chair) whether you pass or fail the exam,
but not score.
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b. You can check “Pass/fail” status in the MedHub with specific comments, but not score. c. If you failed and you don’t agree with the result, it is possible to discuss with your
mentor or residency leadership. The exam score could be disclosed to the resident in this process.
Oral Examination Topics Number Subject
1 Simulation and patient setup, CT-simulator QA (TG-66) 2 In-vivo or patient specific dosimetry, clinical dosimeters (IMRT/SBRT QA) 3 Rotation 1 Comprehensive 4 Normal tissue tolerance and dose response models 5 Monitor Unit Calculations 6 Rotation 2 Comprehensive 7 LINAC design and function 8 AAPM Task Groups-40/142 QA 9 Rotation 3 Comprehensive, emph. AAPM Task Group-51 Calibration
10 Radioactive isotopes: TG43 + addendums 11 Radioactive isotopes: regulations and brachytherapy QA 12 Rotation 4 Comprehensive, emph. Treatment planning for brachytherapy 13 AAPM Task Groups-25/70, Electrons 14 Total Body Irradiation (TBI) and Total Skin Electrons (TSE) 15 Rotation 5 Comprehensive 16 MV photon/electron Shielding Design and Accepted Dose Limits 17 kV photon and isotopes Shielding Design 18 Rotation 6 Comprehensive, emph. Stereotactic Radiosurgery/GammaKnife 19 Cyberknife Planning and QA 20 kV,MV other position verification technologies 21 Rotation 7 Comprehensive, emph. Stereotactic Body Radiotherapy 22 Pregnant patients/Pacemakers/Hip Replacements 23 Imaging Modalities - MRI / PET 24 All Residency Comprehensive
FIVE Residents are required to participate in/attend all educational conferences, lectures and meetings that take place regularly within the Department of Radiation Oncology unless exempted by their mentor or prevented by clinical responsibility. Medical physics residents are also required to attend four specialty oncology conferences (tumor boards) per quarter. Attendance at all conferences, lectures and meetings must be documented by the resident and entered through MedHub. In addition, residents must complete four ethics modules offered through online learning through the AAPM website. The ethics modules to be completed are:
• Historical Evolution and Principles of Professionalism
• Personal Behavior, Peer Review, and Contract Negotiations with the Employers (est. 1.5 hours)
• Conflict of Interest (est. 1.5 hours) • Ethics in Graduate and Resident Education, (est. 1.5 hours).
Note that the courses offered online by the AAPM are subject to change. Please discuss with the residency director if the courses above are no longer offered and substitute courses will be identified.
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Two modules should be completed per year. Failure to attend required conferences is considered a breach of the terms of employment and enrollment in the residency program. SIX Residents are required to teach a minimum of three lectures per year. Examples of acceptable lecture formats are: clinical in-service session, lectures to MD residents, laboratory instruction for RT students, journal club, and presentations at professional meetings. It is the responsibility of the resident’s mentor to be present for educational presentations and to complete the presentation evaluation form. A presentation is considered complete once the evaluation form has been signed by the mentor and resident. A copy of the evaluation must be submitted to the residency director. Subject matter for in-service presentations is determined by the resident and residency program director. Examples of presentation topics are: a) LINAC quality assurance lab, b) LINAC Emergency Procedures—Elekta, c) LINAC Emergency Procedures—Varian, d) HDR Emergency Procedures, e) Image-guidance calibration and operation, f) Calypso calibration and operation, and g) IMRT QA procedures. The intended audience for educational presentations is radiation therapists, radiation therapy students, clinical physicists, medical residents, and physicians. SEVEN In practice, the residency program only admits applicants who have completed a degree in a in AAPM Report 197s. Residents must complete all six courses before they can graduate from CAMPEP-accredited graduate program and who have completed at least four of the six courses recommended the residency program. Failure to maintain satisfactory progress in any of the seven basic requirements is considered a serious breach of the terms of employment and enrollment in the residency program and will jeopardize both.
The curriculum will be evaluated by residents and the Residency Committee annually. Residents are required to fill out a curriculum evaluation form and submit it through MedHub as described in the CRSO. Curriculum evaluations are anonymous in MedHub. Residents are also required to submit a mentor evaluation form through MedHub following each quarterly rotation. Mentor evaluations are anonymous in MedHub. Faculty and residents may submit evaluations and suggestions to the residency director at any time.
Evaluation of Resident Progress Resident progress is evaluated by:
• Monthly oral examinations • Quarterly clinical rotation assessments • Semester graded didactic courses (if applicable)
The residency director meets with each resident monthly and mentors meet with each resident every two weeks to discuss overall progress and concerns. Although residents are trainees in the program, they also have employee status at the UT Southwestern Medical Center; therefore, they must comply with the policies and procedures of the university. Unsatisfactory academic progress will be reviewed by the Residency Committee and recommendations for action forwarded to the resident as well as a notice of probationary status. Review of the resident’s performance will be completed one month after probationary notification. If the recommendations are not met, the Residency Committee will decide the future status of the resident. The university’s financial commitment expires three years after a resident’s start date (or two years for residents that enter under the exception stated in section IV.B.2) and is contingent on satisfactory progress. Exceptions to the funding time limit may be made by the Residency Committee for situations such as pregnancy or health-related events that may require
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extension of the training period. Non-curricular performance issues will be evaluated and responded to within the purview of the university’s policies and procedures. Notice of termination will be given if the resident cannot fulfill the required criteria as set by the Residency Committee or if they are in violation of UTSW rules and regulations. Review disciplinary policies for UTSW.
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Introduction to the Clinical Rotation Schedule and Objectives
The UTSW Medical Physics Residency Program converted to an apprenticeship-style format in July 2016 that reorganized the order and description of clinical rotations from the previous format. A mentor is assigned to each resident every quarter and the resident is expected to shadow their mentor whenever the mentor is engaged in clinical activities.
The program still consists of eight quarterly rotations. Each mentor is responsible to ensure that their resident is trained in specific aspects of medical physics that are assigned by the director. Completion of training is acknowledged by the mentor through submission of assigned assessments in MedHub.
Mentors are assigned training subjects based on their expertise and clinical duties. By the end of the three-year residency program, each resident will receive training and be assessed in all aspects of medical physics as defined in this document; however, the order in which topics are learned will vary between residents.
As of July 1, 2016, there are 39 unique assessments that need to be completed before graduation but this number is subject to change as the program evolves. In addition, there is one general mentor assessment that will be assigned to all mentors for every rotation. Assessments are numbered but the number does not imply the order in which they are to be completed. All assessments are appended to this document in numeric order following the special procedure assessments (Table CRSO1). Seven special procedures are defined within the residency program as described below.
Clinical Rotation and Objectives Table CRSO1. Assessments
Number Title
01 Mentor General Checklist
02 Rotation 1, Objectives Master rev1
03 Introduction to Radiation Oncology-LINAC
04 Introduction to Radiation Oncology-Conventional Simulation
05 Introduction to Radiation Oncology-CT Simulation
06 Introduction to Radiation Oncology-Radiation Protection
07 Monitor Unit Calculation
08 Dosimetry
09 Treatment planning terms 1
10 Treatment planning terms 2
11 Physics Component of Dosimetry Rotation
12 3D Treatment Planning
13 IMRT treatment planning rev1
14 Normal Tissue Tolerance, rev1
15 LINAC QA
16 LINAC design and function
17 Shielding: LINACs
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18 Shielding: isotopes and kV xray sources
19 TG-51 Calibration, rev1
20 TG-21 Calibration
21 Air chambers and electrometers, rev1
22 Electrons
23 In vivo/patient specific dosimetry and clinical dosimeters, rev3
24 On-board Imaging and Portal Imaging
25 CT Simulators
26 Superficial xray therapy
27 Gamma Knife radiosurgery
28 Cyberknife radiosurgery
29 TBI (Total body irradiation)
30 TSET (Total skin electron therapy) rev1
31 SBRT (Stereotactic body radiation therapy)
32 Episcleral eye plaque (COMS) applicator Rev1
33 TG-43
34 HDR
35 LDR (Low dose rate) brachytherapy
36 Hip prosthesis
37 Pacemakers rev1
38 Pregnant patients
39 General Medical Physics
40 MRI
41 PET and SPECT imaging
42 Treatment Planning Commissioning (build your own LINAC)
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Table C.2. Assessment/oral assignments for clinical rotations
Rot # Topic # Title
1
Oral Simulation and patient setup, CT-simulator QA (TG-66)
Oral In-vivo or patient specific dosimetry (IMRT/SBRT QA)
Oral Rotation 1 Comprehensive
Asse
ssm
en
ts
Mentor General Checklist
Rotation 1, Objectives Master rev1
Introduction to Radiation Oncology-LINAC
Introduction to Radiation Oncology-Conventional Simulation
Introduction to Radiation Oncology-CT Simulation
Introduction to Radiation Oncology-Radiation protection
CT Simulators
In vivo/patient specific dosimetry and clinical dosimeters, rev3
2
Oral Normal tissue tolerance and dose response models
Oral Monitor Unit Calculations
Oral Rotation 2 Comprehensive
Asse
ssm
en
ts
Mentor General Checklist
Monitor Unit Calculation
Dosimetry
Treatment planning terms 1
Treatment planning terms 2
Physics Component of Dosimetry Rotation
3D Treatment Planning
IMRT treatment planning
Normal Tissue Tolerance, rev1
Treatment Planning Commissioning (build your own LINAC)
3
Oral LINAC design and function
Oral AAPM Task Groups-40/142 QA
Oral Rotation 3 Comprehensive, emph. AAPM Task Group-51 Calibration
Asse
ss
men
ts
Mentor General Checklist
LINAC QA
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LINAC design and function
Air chambers and electrometers, rev1
TG-51 Calibration, rev1
TG-21 Calibration
4
Oral Radioactive isotopes: TG43 + addendums
Oral Radioactive isotopes: regulations and brachytherapy QA
Oral Rotation 4 Comprehensive, emph. Treatment planning for brachytherapy
Asse
ssm
en
ts
Mentor General Checklist
HDR
TG-43
LDR (Low dose rate) brachytherapy
Episcleral eye plaque (COMS) applicator, rev1
5
Oral AAPM Task Groups-25/70, Electrons
Oral Total Body Irradiation (TBI) and Total Skin Electrons (TSE)
Oral Rotation 5 Comprehensive
Asse
ssm
en
ts Mentor General Checklist
Electrons
TBI (Total body irradiation)
TSET (Total skin electron therapy), rev1
6
Oral MV photon/electron Shielding Design and Accepted Dose Limits
Oral kV photon and isotopes Shielding Design
Oral Rotation 6 Comprehensive, emph. Stereotactic Radiosurgery / GammaKnife
Asse
ssm
en
ts
Mentor General Checklist
Superficial x-ray therapy
Shielding: LINACs
Shielding: isotopes and kV x-ray sources
Gamma Knife radiosurgery
7 Oral Cyberknife Planning and QA
Oral kV,MV other position verification technologies
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Oral Rotation 7 Comprehensive, emph. Stereotactic Body Radiotherapy
Asse
ssm
en
ts Mentor General Checklist
Cyberknife radiosurgery
On-board Imaging and Portal Imaging
SBRT (Stereotactic body radiation therapy)
8
Oral Pregnant patients/Pacemakers/Hip Replacements
Oral Imaging Modality - MRI / PET
Oral All Residency Comprehensive
Asse
ssm
en
ts
Mentor General Checklist
Hip prosthesis
Pacemakers, rev1
Pregnant patients
MRI
General Medical Physics
PET and SPECT imaging
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Procedures
Thirteen procedures (Table C.3) are defined within the Residency Program. Residents are expected to participate in as many procedures as possible, minimum requirements are presented in Table C.3. The frequency of procedures is unpredictable so residents should participate in any procedure when an opportunity exists. Procedures will occur throughout a resident’s time in the Program and may be performed during any rotation. Participation in procedures is documented by the resident in MedHub by initiating a “procedure” event. Once initiated, MedHub will notify the faculty member identified by the resident and the appropriate “procedure” form will be assigned to the mentor. The faculty member will acknowledge the resident’s participation in the procedure by completing the procedure form and submitting it through MedHub.
Table C.3. Procedures Defined for Residents
Procedure Minimum Required Procedures
01. LDR Transperineal US-guided prostate brachytherapy 4
02. Unsealed P-32 brachytherapy 1
03. LDR stereotactic brain brachytherapy 1
04. P-32 plaque brachytherapy 0
05. Total skin electron therapy (TSET) 2
06. Total body irradiation (TBI) 4
07. Episcleral Eye Plaque brachytherapy 2
08. I-131 Thyroid Ablation 1
09. Magnetic Resonance Imaging (MRI) 4
10. Oral Presentation 6
11. High Dose Rate Brachytherapy 8
12. Gamma Knife Radiosurgery 4
13. CyberKnife Radiotherapy 4
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Physics Resident Involvement for Emergency Weekend Treatment
As of Jan.1, 2019, a physics resident will always work with an on-call physicist when there is an emergency patient treatment during weekends. The on-call physics resident will:
1. Prepare a primary MU calculation using RadCalc (EzPhoton) 2. Prepare a secondary MU calculation using BDM software 3. Prepare MOSAIQ Rx and treatment calendar
The On-call physicist’s role will be:
1. Provide consult to physician 2. Tell the physics resident about the calculation parameters. 3. Supervise the physics resident 4. Initial chart check
To on call physicists: All the clinical residents were properly trained by myself. However, please carefully check their product before approving it. The current policy of on-call residents are as follows:
- Mon – Friday: covered by each day’s on-call resident. - Saturday-Sunday (if not specifically assigned): will be covered by the Friday’s on-call resident - Any holiday other than SAT/SUN (if not specifically assigned): on-call resident of a day before
The on-call resident schedule can be found in: https://roapps.swmed.org/mdschedules/oncall/imrtqa
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37
ellaneous Forms
38
39
40
41
42
Important Travel Reimbursement Information
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