Ariz. Admin. Code § R9-7-719 - Training for Uptake, Dilution, and Excretion Studies

A. Except as provided in R9-7-710, the licensee shall require an authorized user of unsealed radioactive material for the uses authorized under Group 100 in Exhibit A of this Article to be a physician who:

1. Is certified by a medical specialty board whose certification process has been recognized by the NRC or an Agreement State, as specified in the NRC's Medical Uses Licensee Toolkit available through https://www.nrc.gov, and who meets the requirements in subsection (A)(3). To have its certification process recognized, a specialty board shall require all candidates for certification to:

a. Complete 60 hours of training and experience in basic radionuclide handling techniques and radiation safety applicable to the medical use of unsealed radioactive material for uptake, dilution, and excretion studies as described in subsection (A)(3); and

b. Pass an examination, administered by diplomates of the specialty board, that assesses knowledge and competence in radiation safety, radionuclide handling, and quality control;

2. Is an authorized user under R9-7-721, R9-7-723, the NRC, or equivalent Agreement State requirements; or

3. Has:

a. Completed 60 hours of training and experience, including a minimum of eight hours of classroom and laboratory training, in basic radionuclide handling techniques applicable to the medical use of unsealed radioactive material for uptake, dilution, and excretion studies. The training and experience must include:

a.i. Classroom and laboratory training in the following areas:

i. (1) Radiation physics and instrumentation;

ii. (2) Radiation protection;

iii. (3) Mathematics pertaining to the use and measurement of radioactivity;

iv. (4) Chemistry of radioactive material for medical use; and

v. (5) Radiation biology; and

b. ii. Work experience, under the supervision of an authorized user who meets the requirements in this Article, NRC, or equivalent Agreement State requirements, involving:

i.(1) Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;

ii. (2) Performing quality control procedures on instruments used to determine the activity of dosages and performing checks for proper operation of survey meters;

iii. (3) Calculating, measuring, and safely preparing patient or human research subject dosages;

iv. (4) Using administrative controls to prevent a medical event involving the use of unsealed radioactive material;

v. (5) Using procedures to contain spilled radioactive material safely and using proper decontamination procedures; and

vi. (6) Administering dosages of radioactive drugs to patients or human research subjects; and

c. b. Obtained written attestation that the individual has satisfactorily completed the requirements in subsection (A)(1) or subsection (A)(3)(a) and has achieved a level of competency sufficient to function independently as an authorized user for the medical uses authorized under Exhibit A of this Article. The attestation must be obtained from either:

i. A preceptor authorized user who meets the requirements in this Section, R9-7-721, or R9-7-723, the NRC, or equivalent Agreement State requirements; or

ii. A residency program director who affirms in writing that the attestation represents the consensus of the residency program faculty where at least one faculty member is an authorized user who meets the requirements in this Section, R9-7-721, or R9-7-723, the NRC, or equivalent Agreement State requirements, and concurs with the attestation provided by the residency program director. The residency training program must be approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education or the Royal College of Physicians and Surgeons of Canada or the Council on Postdoctoral Training of the American Osteopathic Association and must include training and experience specified in subsection (A)(3)(a).

B. The training and experience in subsections (A)(1)(a) or (3)(a) shall have been obtained within the seven years preceding the date of application or the individual shall have had related continuing education and experience since the required training and experience was completed.

C. Individuals who, under R9-7-710(B), need not comply with training requirements described in this Section may serve as preceptors for, and supervisors of, applicants seeking authorization on Department licenses for the same uses for which these individuals are authorized.

Notes

Ariz. Admin. Code § R9-7-719

New Section R9-7-719 recodified from R12-1-719at 24 A.A.R. 813, effective March 22, 2018 (Supp. 18-1). Amended by final expedited rulemaking at 24 A.A.R. 2151, effective July 12, 2018 (Supp. 18-3). Amended by final expedited rulemaking at 25 A.A.R. 3561, effective 12/3/2019.