Ohio Administrative Code|Rule 3701:1-58-51 | Training for use of manual brachytherapy sources.

                                                

Except as provided in rule 3701:1-58-21 of the
Administrative Code, the licensee shall require an authorized user of a manual
brachytherapy source for the uses authorized under rule 3701:1-58-43 of the
Administrative Code to be a physician who:

(A) Is certified by a medical specialty
board whose certification process has been recognized by the director, the
United States nuclear regulatory commission, or an agreement state. The names
of board certifications which have been recognized by the director, the United
States nuclear regulatory commission, or an agreement state will be posted on
the United States nuclear regulatory commission's "Medical Uses
Licensee Toolkit" web page at www.nrc.gov. To have its certification
process recognized, a specialty board shall require all candidates for
certification to:

(1) Successfully complete
a minimum of three 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 "Committee on Post-Graduate Training
of the American Osteopathic Association"; and

(2) Pass an examination,
administered by diplomates 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

(B) Has achieved the following
requirements:

(1) Has completed a
structured educational program in basic radionuclide handling techniques
applicable to the use of manual brachytherapy sources that
includes:

(a) Two hundred hours of classroom and laboratory training in the
following areas:

(i) Radiation physics and
instrumentation;

(ii) Radiation
protection;

(iii) Mathematics
pertaining to the use and measurement of radioactivity; and

(iv) Radiation biology;
and

(b) Five hundred hours of work experience, under the supervision
of an authorized user who meets the requirements in this rule or rule
3701:1-58-21 of the Administrative Code, or equivalent United States nuclear
regulatory commission or agreement state requirements at a medical facility
authorized to use radioactive materials under rule 3701:1-58-43 of the
Administrative Code, involving:

(i) Ordering, receiving,
and unpacking radioactive materials safely and performing the related radiation
surveys;

(ii) Checking survey
meters for proper operation;

(iii) Preparing,
implanting, and removing brachytherapy sources;

(iv) Maintaining running
inventories of material on hand;

(v) Using administrative
controls to prevent a medical event involving the use of radioactive material;
and

(vi) Using emergency
procedures to control radioactive material;

(2) Has completed three
years of supervised clinical experience in radiation oncology, under an
authorized user who meets the requirements in this rule or rule 3701:1-58-21 of
the Administrative Code, or equivalent United States nuclear regulatory
commission or agreement state 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
"Committee on Postdoctoral Training of the American Osteopathic
Association." This experience may be obtained concurrently with the
supervised work experience required by paragraph (B)(1)(b) of this rule;
and

(3) Has obtained written
attestation that the individual has satisfactorily completed the requirements
in paragraphs (B)(1) and (B)(2) of this rule 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 rule 3701:1-58-43
of the Administrative Code. The attestation must be obtained from
either:

(a) A preceptor authorized user who meets the requirements
in this rule or rule 3701:1-58-21 of the Administrative Code, or equivalent
United States nuclear regulatory commission or agreement state requirements;
or

(b) 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 his rule or rule 3701:1-58-21 of the Administrative Code, or
equivalent United States nuclear regulatory commission or 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," 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 (B)(1) and (B)(2) of this rule.



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