COMPLIANCE WITH NRC TRAINING AND EXPERIENCE REQUIREMENTS
More information can be found at the following link:
http://www.nrc.gov/reading-rm/doc-collections/cfr/part035/part035-0290.html
| ______________________ | ______________________ | ______________________ | ||||
| Resident Name | Program | Program # |
| Yes | No | |||
| By the time of the ABR oral examination, this applicant will have successfully completed 700 hours of training and experiences as outlined in 10 CFR 35.290 | _____ | _____ | ||
| This applicant has taken part in 3 or more cases of I-131 therapy(33MCi or less). | _____ | _____ | ||
| The resident's logbook of these therapy experiences (date, dose, preceptor) is attached. | _____ | _____ | ||
| All the training and experience cited above was obtained under the supervision of an authorized user who meets the requirements under § 35.290 and relevant sections of § 35.390 or equivalent Agreement State Requirements | _____ | _____ |
| ______________________ | ______________________ | ______________________ | ||||
| Residency Program Director (Print Name) |
Program Director (Signature) |
Date |