South Carolina Code of Regulations
Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Subchapter 61-63 - Radioactive Materials (Title A)
Part IV - USE OF RADIONUCLIDES IN THE HEALTH PROFESSIONS
Subpart F - MANUAL BRACHYTHERAPY
Section 61-63.IV.F.RHA 4.54 - Training for Use of Manual Brachytherapy Sources
Universal Citation: SC Code Regs 61-63.IV.F.RHA 4.54
Current through Register Vol. 48, No. 9, September 27, 2024
Except as provided in RHA 4.23, the licensee shall require an authorized user of a manual brachytherapy source for the uses authorized under RHA 4.46 to be a physician who-
4.54.1 Is certified by a medical specialty board whose certification process has been recognized by the Nuclear Regulatory Commission or an Agreement State. The names of board certifications that have been recognized by the Nuclear Regulatory Commission or an Agreement State are posted on the NRC's Medical Uses Licensee Toolkit Web page. To have its certification process recognized, a specialty board shall require all candidates for certification to:
4.54.1.1
Successfully complete a minimum of 3 years of residency training in a radiation
oncology 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
4.54.1.2 Pass an examination, administered by
diplomats of the specialty board, that tests knowledge and competence in
radiation safety, radionuclide handling, treatment planning, quality assurance,
and clinical use of manual brachytherapy; or
4.54.2 Has completed a structured educational program in basic radionuclide handling techniques applicable to the use of manual brachytherapy sources that includes-
4.54.2.1 200 hours of classroom and
laboratory training in the following areas:
4.54.2.1.1 Radiation physics and
instrumentation;
4.54.2.1.2
Radiation protection;
4.54.2.1.3
Mathematics pertaining to the use and measurement of radioactivity;
and
4.54.2.1.4 Radiation biology;
and 4.54.2.2500 hours of work experience, under the supervision of an
authorized user who meets the requirements in
RHA 4.23, 4.54, or
equivalent NRC or Agreement State requirements at a medical facility authorized
to use radioactive material under
RHA 4.46,
involving-
4.54.2.2 500
hours of work experience, under the supervision of an authorized user who meets
the requirements in
RHA 4.23, 4.54, or
equivalent NRC or Agreement State requirements at a medical facility authorized
to use radioactive material under
RHA 4.46, involving-
4.54.2.2.1 Ordering, receiving, and unpacking
radioactive materials safely and performing the related radiation
surveys;
4.54.2.2.2 Checking survey
meters for proper operation;
4.54.2.2.3 Preparing, implanting, and
removing brachytherapy sources;
4.54.2.2.4 Maintaining running inventories of
material on hand;
4.54.2.2.5 Using
administrative controls to prevent a medical event involving the use of
radioactive material;
4.54.2.2.6
Using emergency procedures to control radioactive material;
and
4.54.2.3 Have
completed 3 years of supervised clinical experience in radiation oncology,
under an authorized user who meets the requirements in
RHA 4.23, 4.54 or equivalent
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
RHA 4.54.2.2;
and
4.54.2.4 Has obtained written
attestation that the individual has satisfactorily completed the requirements
in paragraphs 4.54.2.1 and 4.54.2.2 of this section and is able to
independently fulfill the radiation safety-related duties as an authorized user
of manual brachytherapy sources for the medical uses authorized under
RHA 4.46. The attestation
must be obtained from either:
4.54.2.4.1 A
preceptor authorized user who meets the requirements in
RHA 4.23, RHA 4.54, or
equivalent Nuclear Regulatory Commission or Agreement State requirements;
or
4.54.2.4.2 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
RHA 4.23, RHA 4.54, or
equivalent Agreement State requirements, 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 paragraphs
4.54.2.1 and 4.54.2.2 of this section.
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