Radiation Physics Residency Program Curriculum

General Objectives

  • Resident is expected to become competent in all areas related to the safe and efficacious use of ionizing radiation as it relates to simulation, planning and treatment of human disease. This is accomplished in part through routine evaluated clinical rotations.
  • Resident is expected to complete structured rotations that include written summaries/reports at the completion of the rotation. Mentor meetings will occur throughout each rotation in one-to-one and group settings.
  • Resident will present, review and defend his/her knowledge of a given rotation in oral-based sessions with the residency program faculty.
  • Scott & White Radiation Physics Residency grades will be based on the results of ongoing evaluations and rotation-end oral evaluations.
  • Resident is expected to obtain an appropriate mastery of the physical principles (e.g. interactions of radiation in matter, radionuclidic decay therapy) associated with the use of radiation in treatment of human malignancy.
  • Resident is responsible for obtaining a level of training in anatomy, computer technology and diagnostic imaging appropriate for a position as a therapeutic radiological physicist. This is primarily accomplished during the clinical dosimetric treatment planning rotation and didactic courses on these topics.
  • Resident will demonstrate knowledge sufficient to insure he/she can manage the radiation safety aspects of a radiation oncology practice.
  • Resident is expected to attend department conferences and radiation physics section meetings.
  • Resident will understand the potential uses of – and hazards associated with – ionizing radiation and high voltage electronics as used in the practice of radiation oncology.
  • Radiobiological principles of the use of radiation will be understood by the resident, through both didactic and practical training.

Rotation Outline and Structure

  • Initial observation, discussion and reading. A bibliography will be provided for the resident to read consisting of book chapters, salient papers and related instruction. At the same time, the resident will observe and receive explicit instruction on why, how, what with attention to making sure the resident understands the fundamental aspects of the current rotation. There will be a meeting with at least one of the Physics faculty members during the rotation to review/document assessed resident progress.
  • Engaged in the rotation, but closely supervised, the resident will work hand in hand with the mentor, performing the tasks under direct supervision. This develops the confidence in the resident's ability to carry out the process. An evaluation will be written by the mentor, documenting progress. There will be a meeting with at least one of the Physics faculty members during the rotation to review/document assessed resident progress.
  • Towards the end of the rotation the resident will perform the duties as a medical physicist would be expected, using the mentor as a consultant for questions. The mentor will evaluate the resident on the level of competence developed at this stage of the residency. For many rotations, a deliverable in the form of a written report or document, formatted data, presentation or computer printouts will be specified.

Report Structure and Oral Evaluation

Each resident will maintain a resident log, where activities for each day or week will be logged. These will be discussed and reviewed with the primary mentor during scheduled comprehension meetings. Mentor comments will be logged in the file.

In addition, a written document outlining the material covered in a given rotation will be prepared and submitted by the resident during the rotation. It is expected that the resident does understand the material outlined, without necessarily documenting every detail in the report.

The resident will deliver a short 30-minute talk on the topic of the rotation. The presentation will be followed by a 1.5 – 2 hour oral exam by at least three of the physics faculty members to complete the rotation.

Sample Rotation Schedule

First Year Physics Resident Rotation for Resident #1

Month Rotation Topics Assigned Readings Reports
Jul Orientation Simulation TG-40, TG-142, TG-51, TG-66, TG-25, TG-70, TG-53, ICRU 62  
Aug Ext. Beam MU, Dose calculations  Extremities, Thorax
Sep Ext. Beam Calibration, Dosimetry, QA CNS, Lymphomas/Magna Fields
Oct IMRT Non-CT Imaging Modalities IJROBP 51(4), 2001, 880-914. Med Phys 25(10), 1998, 1919-1927, Dept. Procedures   GI, GU
Nov Brachy HDR TG-56, TG-59, TG-43, ICRU-38, 58, Brachytherapy Procedures including patient release, NRC Regulations (10CFR 19, 20, 35), NUREG 1556   Brachy – Prostate
Dec Brachy LDR  Brachy – GYN
Jan Brachy Radiopharmaceuticals and Rad afety  Brachy – Interstitial, Radiation Safety
Feb Special Proc./IGRT/SRS/SBRT SRS TG-17, TG-54, TG-104, TG-76, TG-101, TG-135
 IGRT/SRS Commissioning & QA, Anatomy of a Linac
Mar Special Proc./IGRT/SRS/SBRT SBRT Dose Calculation Algorithms, Linac Shielding
Apr IMRT IMRT Planning IJROBP 51(4), 2001, 880-914. Med Phys 25(10), 1998, 1919-1927, Dept. Procedures   Head and Neck, Breast
May IMRT IMRT QA and Dosimetry  GYN, e- Arc/TSET/TBI
Jun Quality Assurance Chart checks Dept. procedures, TG-40, TG-142  

First Year Physics Resident Rotation for Resident #2

Month Rotation Topics Assigned Readings Reports
Jul Orientation Simulation TG – 66, TG - 142  
Aug Brachy HDR TG-56, TG-59, TG-43, ICRU-38, 58, Brachytherapy Procedures including patient release, NRC Regulations (10CFR 19, 20, 35), NUREG 1556 Brachy – Prostate
Sep Brachy LDR Brachy – GYN
Oct Brachy Radiopharmaceuticals and Rad Safety Brachy – Interstitial, Radiation Safety
Nov Ext. Beam MU, Dose Calculations TG-40, TG-142, TG-51, TG-66, TG-25, TG-70, TG-53 ICRU 62 Extremities, Thorax
Dec Ext. Beam Calibration, Dosimetry, QA CNS, Lymphomas/Magna Fields
Jan IMRT Non-CT Imaging Modalities IJROBP 51(4), 2001, 880-914. Med Phys 25(10), 1998, 1919-1927, Dept. Procedures GI, GU
Feb IMRT IMRT Planning Head and Neck, Breast
Mar IMRT IMRT, QA and Dosimetry GYN, e- Arc/TSET/TBI
Apr Special Proc./IGRT/SRS/SBRT SRS TG-17, TG-54, TG-104, TG-76, TG-101, TG-135 IGRT/SRS Commissioning and QA, Anatomy of a Linac
May Special Proc./IGRT/SRS/SBRT SBRT Dose Calculation Algorithms, Linac Shielding
Jun Quality Assurance Chart Checks Dept. Procedures, TG-40, TG-142  

Second Year Physics Resident Rotation Schedule

Month  Resident #1
 Resident #2
Jul
External Beam Concentration
Brachytherapy Concentration
Aug
External Beam Concentration
 Brachytherapy Concentration
Sep
External Beam Concentration
External Beam Concentration
Oct
IMRT Concentration
External Beam Concentration
Nov
IMRT Concentration
External Beam Concentration
Dec
IMRT Concentration
Imaging/Localization
Jan
Research
 SRS/SBRT
Feb
Brachytherapy Concentration
Research
Mar
Brachytherapy Concentration
 IMRT Concentration
Apr
Imaging/Localization
 IMRT Concentration
May
 SRS/SBRT  IMRT Concentration
Jun
Clinical Development
 Clinical Development

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