Ariz. Admin. Code § R9-7-744 - Training for Use of Remote Afterloader Units, Teletherapy Units, and Gamma Stereotactic Radiosurgery Units
A. Except as provided in
R9-7-710,
a licensee shall require an authorized user of a sealed source for a use
authorized under Group 600 in Exhibit A, Medical Use Groups of this Article to
be a physician who:
1. Is certified by a
medical specialty board whose certification process has been recognized by the
Department, the NRC or another Agreement State and who meets the requirements
in subsection (A)(2)(e). The names of board certifications that have been
recognized by the Department, the NRC or another Agreement State are specified
in the NRC's Medical Uses Licensee Toolkit available through
https://www.nrc.gov. To have its
certification process recognized, a specialty board shall require all
candidates to:
a. Successfully complete a
minimum of three years of residency training in a radiation therapy program
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
b. Pass an
examination, administered by diplomates of the specialty board, which tests
knowledge and competence in radiation safety, radionuclide handling, treatment
planning, quality assurance, and clinical use of stereotactic radiosurgery,
remote after-loaders and external beam therapy; or
2. Has completed a structured educational
program in basic radionuclide techniques applicable to the use of a sealed
source in a therapeutic medical unit that includes:
a. 200 hours of classroom and laboratory
training in the following areas:
i. Radiation
physics and instrumentation;
ii.
Radiation protection;
iii.
Mathematics pertaining to the use and measurement of radioactivity;
iv. Chemistry of radioactive material for
medical use; and
v. Radiation
biology;
b. 500 hours of
work experience, under the supervision of an authorized user who meets the
requirements in this Section, or equivalent Agreement State or NRC requirements
at a medical institution, involving:
i.
Reviewing full calibration measurements and periodic spot-checks;
ii. Preparing treatment plans and calculating
treatment doses and times;
iii.
Using administrative controls to prevent a medical event involving the use of
radioactive material;
iv.
Implementing emergency procedures to be followed in the event of the abnormal
operation of the medical unit or console;
v. Checking and using survey meters;
and
vi. Selecting the proper dose
and how it is to be administered;
c. Completing three years of supervised
clinical experience in radiation therapy, under an authorized user who meets
the requirements in this Section, or equivalent Agreement State or NRC
requirements, as part of a formal training program approved by the Residency
Review Committee for Radiation Oncology 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. This experience may be obtained concurrently with the supervised
work experience required by subsection (A)(2)(b); and
d. Obtaining written attestation that the
individual has satisfactorily completed the requirements in subsections
(A)(2)(a) through (c) and (B), and is able to independently fulfill the
radiation safety-related duties as an authorized user of each type of
therapeutic medical unit for which the individual is requesting authorized user
status. The written attestation must be obtained from either:
i. A preceptor authorized user who meets the
requirements in this Section, NRC requirements, or equivalent Agreement State
requirements for the type(s) of therapeutic medical unit for which the
individual is requesting authorized user status; 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, NRC requirements, or equivalent
Agreement State requirements, for the type(s) of therapeutic medical unit for
which the individual is requesting authorized user status, 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)(2)(a) through (c).
B. A licensee shall require an authorized
user of a sealed source for a use authorized under Group 600 in Exhibit A,
Medical Use Groups of this Article to receive training in device operation,
safety procedures, and clinical use for the type(s) of use for which
authorization is sought. This training requirement may be satisfied by
satisfactory completion of a training program provided by the vendor for new
users or by receiving training supervised by an authorized user or authorized
medical physicist, as appropriate, who is authorized for the type(s) of use for
which the individual is seeking authorization.
C. The training and experience 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.
Notes
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