Initial Certification for Medical Physics

Structured Mentorship in Diagnostic Medical Physics

General Orientation: During the orientation period, the resident will learn basic radiation and biohazard safety and will be exposed to diagnostic imaging. The resident also will meet regularly with core members of the resident committee.
Clinical Physics Rotations: During the clinical physics service rotations, the resident will be fully trained in all clinical activities of diagnostic medical physics, including clinical applications, protocol development, machine QA, surveys, patient dosimetry, and shielding designs. Training requires independent interaction with the attending physicians to the maximum extent possible.
Clinical facilities must include access to the following equipment and capabilities at a minimum:
  1. CT scanners
  2. Interventional radiology laboratories, including neurointerventional and cardiac catheterization suites
  3. MRI, including breast MRI
  4. Ultrasound and mammography equipment, including stereotactic biopsy
  5. Physics dosimetry equipment, other appropriate test equipment, and appropriate phantoms
If any of the required facilities are not available on-site, the program must provide supervised clinical training on such equipment at another institution. The SM should be divided into a number of structured rotations. The following is a sample rotation schedule:
Rotation Details
Activity

Number Required

Minimum Length

PET/CT

2

3 months

Interventional Radiology

2

3 months

Mammography

2

1 month

MRI

2

2 month

Radiation Protection

2

2 months

Other

14 months

Radiography, Fluoroscopy, IR
  •  1 SAM
  •  1 SDEP as per the ABR website
  •  1 Annual testing of a Radiography system
  •  1 Annual testing of a Fluoroscopy system
  •  1 Annual testing of an Interventional system
  •  1 Shielding design for a Radiography, Fluoroscopy, and IR system
  •  1 Shielding evaluation for a Radiography, Fluoroscopy, or IR system
  •  20 hours of reading room time with an appropriate physician supervisor
  •  3 hours of CAMPEP-approved continuing education
Mammography
  •  1 SAM
  •  1 SDEP as per the ABR website
  •  1 Annual testing of a Mammography system
  •  1 Shielding design for a Mammography system
  •  20 hours of reading room time with an appropriate physician supervisor
  •  3 hours of CAMPEP-approved continuing education
CT
  •  1 SAM
  •  1 SDEP as per the ABR website
  •  1 Annual testing of a CT system
  •  1 Shielding design for a CT system
  •  20 hours of reading room time with an appropriate physician supervisor
  •  3 hours of CAMPEP-approved continuing education
Ultrasound
  •  1 SAM
  •  1 SDEP as per the ABR website
  •  1 Annual testing of an Ultrasound system
  •  20 hours of reading room time with an appropriate physician supervisor
  •  3 hours of CAMPEP-approved continuing education
MRI
  •  1 SAM
  •  1 SDEP as per the ABR website
  •  1 Annual testing of an MRI scanner
  •  1 Safety evaluation of an MRI facility
  •  20 hours of reading room time with an appropriate physician supervisor
  •  3 hours of CAMPEP-approved continuing education
Other: The candidate and the medical advisor should structure additional rotations to meet the needs of the candidate. Up to 6 months may be spent in research.
Additional requirements: The candidate must complete three PQI projects, and reports must be included in the portfolio.
References
  1. AAPM Report 90: Education and Training of Medical Physics Committee Subcommittee on Residency Training and Promotion, 2006.
  2. IAEA Training Course Series 47: Clinical Training of Medical Physicists Specializing in Diagnostic Radiology, 2010.
  3. AAPM Report 197S: Education and Training of Medical Physicists Committee, 2011.

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