Current through September 17, 2024
Other than as provided in 180 NAC 7-026, the licensee must
require an authorized user of a sealed source for a use authorized under 180
NAC 7-067 to be a physician who:
(A)
Is certified by a medical specialty board whose certification process has been
recognized by the Department, an Agreement State or the NRC and who meets the
requirements of 180 NAC 7-084(C). The names of board certifications that have
been recognized the Department, an Agreement State or the NRC are posted on the
NRC's Medical Uses Licensee Toolkit website. To be recognized, a specialty
board must require all candidates for certification to:
(i) 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 Royal College of Physicians and Surgeons of Canada or the Council
on Postdoctoral Training of the American Osteopathic Association; and
(ii) 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 afterloaders, and
external beam therapy; or
(B) The physician has:
(i) Completed a structured educational
program in basic radionuclide techniques applicable to the use of a sealed
source in a therapeutic medical unit that includes:
(1) 200 hours of classroom and laboratory
training in the following areas:
(a)
Radiation physics and instrumentation;
(b) Radiation protection;
(c) Mathematics pertaining to the use and
measurement of radioactivity; and
(d) Radiation biology;
and
(2) 500 hours of work
experience, under the supervision of an authorized user who meets the
requirements in 180 NAC 7-026, 7-084 or equivalent NRC or Agreement State
requirements at a medical facility that is authorized to use radioactive
materials in 180 NAC 7-067, involving:
(a)
Reviewing full calibration measurements and periodic spot-checks;
(b) Preparing treatment plans and calculating
treatment doses and times;
(c)
Using administrative controls to prevent a misadministration involving the use
of radioactive material;
(d)
Implementing emergency procedures to be followed in the event of the abnormal
operation of the medical unit or console;
(e) Checking and using survey meters;
and
(f) electing the proper dose
and how it is to be administered;
(ii) Completed three years of supervised
clinical experience in radiation therapy, under an authorized user who meets
the requirements in 180 NAC 7-026, 7-084, 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 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 180 NAC 7-084(B)(i)(2); and
(iii) Obtained written attestation that the
individual has satisfactorily completed the requirements in 180 NAC 7-084
(B)(i) and (ii) and 7-087.03; 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:
(1) A preceptor authorized user who meets the
requirements in 180 NAC 7-026, 7-084, or equivalent NRC or Agreement State
requirements, for the type or types of therapeutic medical unit for which the
individual is requesting authorized user status; or
(2) 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 180 NAC 7-026, 7-084, or equivalent NRC or Agreement
State requirements, for the type or types 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
180 NAC 7-084(B)(i) and (ii); and
(C) Has received training in device
operation, safety procedures, and clinical use of the type or types 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 or types of
use for which the individual is seeking authorization.
