Ohio Admin. Code 3701:1-58-71 - Training for use of remote afterloader units, teletherapy units, and gamma stereotactic radiosurgery units
Except as provided in rule 3701:1-58-21 of the Administrative Code, the licensee shall require an authorized user of a sealed source for a use authorized under rule 3701:1-58-55 of the Administrative Code to be a physician who:
(A) Is certified by a medical specialty board
whose certification process has been recognized by the director, the United
States nuclear regulatory commission, or an agreement state and who meets the
requirements in paragraph (C) of this rule. The names of board certifications
which have been recognized by the director, the United States nuclear
regulatory commission, or an agreement state will be posted on the United
States nuclear regulatory commission's "Medical Uses Licensee Toolkit" web page
at www.nrc.gov. To have its certification
process recognized, a specialty board shall require all candidates for
certification to:
(1) 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 "Committee on Post-Graduate
Council on Postdoctoral Training of the American
Osteopathic Association"; and
(2)
Pass an examination, administered by diplomats 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 afterloaders and external beam therapy; or
(B) Has achieved the following
requirements:
(1) 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) Two hundred 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; and
(iv) Radiation biology; and
(b) Five hundred hours of work
experience, under the supervision of an authorized user who meets the
requirements in this rule or rule
3701:1-58-21
of the Administrative Code, or equivalent United States nuclear regulatory
commission or agreement state requirements, at a medical facility that is
authorized to use radioactive materials in rule
3701:1-58-55
of the Administrative Code, 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;
(2) Has completed three years of
supervised clinical experience in radiation therapy, under an authorized user
who meets the requirements in this rule or rule
3701:1-58-21
of the Administrative Code, or equivalent United States nuclear regulatory
commission or agreement state 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 "Committee
Council on
Postdoctoral Training of the American Osteopathic Association." This experience
may be obtained concurrently with the supervised work experience required by
paragraph (B)(1)(b) of this rule; and
(3) Has obtained written attestation that the
individual has satisfactorily completed the requirements in paragraphs (B)(1),
(B)(2), and (C) of this rule, 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 attestation must be obtained from either:
(a) A preceptor authorized user who meets the
requirements in this rule, rule
3701:1-58-21
of the Administrative Code, or equivalent United States nuclear regulatory
commission or agreement state requirements for the type(s) of therapeutic
medical unit for which the individual is requesting authorized user status;
or
(b) 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 rule, rule
3701:1-58-21
of the Administrative Code, or equivalent United States nuclear regulatory
commission or 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," 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 paragraphs (B)(1) and (B)(2) of this
rule.
(C) Has
received 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.
Notes
Promulgated Under: 119.03
Statutory Authority: 3748.04
Rule Amplifies: 3748.04
Prior Effective Dates: 08/15/2005, 12/22/2008, 01/01/2012, 08/15/2021
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