333-123-0015 Training and Qualification Requirements for Individuals in the External Beam Radiation Therapy Area (1) Radiation Therapy Physician. The registrant for any therapeutic radiation machine subject to OAR 333-123-0030 must require that the Radiation Therapy Physician be: (a) Licensed by an appropriate Oregon medical licensing board; and (b) Certified in: (A) Radiology, Therapeutic Radiology or Radiation Oncology by the American Board of Radiology; or (B) Radiation Oncology by the American Osteopathic Board of Radiology; or (C) Radiology, with specialization in Radiotherapy, as a British Fellow of the Faculty of Radiology or Fellow of the Royal College of Radiology; or (D) Therapeutic Radiology by the Canadian Royal College of Physicians and Surgeons; or (c) Actively pursuing board certification in therapeutic radiology, and completed 200 hours of instruction in basic radiation techniques applicable to the use of an external beam radiation therapy unit, 500 hours of supervised work experience, and a minimum of three years full-time supervised clinical experience. (A) To satisfy the requirement for instruction, the classroom and laboratory training must include: (i) Radiation physics and instrumentation; and (ii) Radiation protection; and (iii) Mathematics pertaining to the use and measurement of ionization radiation; and (iv) Radiation biology. (B) To satisfy the requirement for supervised work experience, training must be under the supervision of a Radiation Therapy Physician qualified pursuant to subsections (1)(a) or (b) of this rule and must include: (i) Review of the full calibration measurements and periodic quality assurance checks; and (ii) Evaluation of prepared treatment plans and calculation of treatment times and patient treatment settings; and (iii) Using administrative controls to prevent medical treatment events; and (iv) Implementing emergency procedures to be followed in the event of the abnormal operation of an external beam radiation therapy unit or console; and (v) Checking and using radiation survey meters. (C) To satisfy the requirement for a period of supervised clinical experience, training must include one year in a formal training program approved by the Residency Review Committee for Radiology of the Accreditation Council for Graduate Medical Education or the Committee on Postdoctoral Training of the American Osteopathic Association and an additional two years of clinical experience in therapeutic radiology under the supervision of a Qualified Radiation Therapy Physician. The supervised clinical experience must include: (i) Examining individuals and reviewing their case histories to determine their suitability for external beam radiation therapy treatment, and any limitations/contraindications; and (ii) Selecting proper dose and how it is to be administered; and (iii) Calculating the external beam radiation therapy doses and collaborating with the Qualified Radiation Therapy Physician in the review of patients' progress and consideration of the need to modify originally prescribed doses and treatment plans as warranted by patients' reaction to radiation; and (iv) Post-administration follow-up and review of case histories. (d) To demonstrate compliance with subsections (1)(a) through (c) of this rule, the individual must obtain written documentation that he or she has satisfactorily completed these requirements and have achieved a level of competency sufficient to function independently as a qualified radiation therapy physician. The documentation must be from the entities or individual(s) specified in this rule. (e) Notwithstanding the requirements of subsections (1)(a) and (b) of this rule, the registrant for any therapeutic radiation machine subject to OAR 333-123-0025 may also submit the training of the prospective Radiation Therapy Physician for Oregon Health Authority (Authority) review on a case-by-case basis. (f) A physician must not act as a Radiation Therapy Physician for any therapeutic radiation machine until said physician's training has been reviewed and approved by the appropriate state licensing body. (g) A registrant may permit any physician to act as a visiting Radiation Therapy Physician under the term of the registrant's Certificate of Registration for up to 60 days per calendar year under the following conditions: (A) The visiting Radiation Therapy Physician has the prior written permission of the registrant's management and, if the use occurs on behalf of an institution, the institution's Radiation Safety Committee (where applicable); and (B) The visiting Radiation Therapy Physician meets the requirements established in section (1) of this rule; and (C) The registrant maintains copies of all records specified in subsection (1)(i) of this rule for five years from the date of the last visit. (2) Medical Physicist Qualifications. The registrant for any therapeutic radiation machine subject to OAR 333-123-0025 must require that the Medical Physicist(s), who are providing consultative services to them be licensed with the Authority, under the provisions of OAR 333-101-0020, as a provider of radiation services in the area of calibration and compliance surveys of external beam radiation therapy units (The licensing requirement is only applicable to those physicists who provide medical physics consultation to facilities other than those of the registrant of which they are an employee). (a) All Medical Physicists practicing in therapeutic radiological physics must be certified in Therapeutic Radiological Physics or Radiation Oncology by the: (A) American Board of Radiology; or (B) American Board of Medical Physics; or (C) Canadian College of Physicists in Medicine. (b) To demonstrate compliance, the individual must obtain written documentation that he or she is Board certified. The documentation must be from the credentialing body. (c) Medical Physicists who, prior to January 1, 2007, have been actively working in the area of therapeutic radiation in the state of Oregon or licensed with the Authority to provide therapeutic radiation medical physics services in Oregon, are exempt from the certification requirement in subsection (2)(b) of this rule. (d) Medical Physicists who, on or after January 1, 2007, wish to work in the area of therapeutic radiation or to be licensed with the Authority to provide therapeutic radiation services, must meet the certification requirements in subsection (2)(b) of this rule. (e) Medical Physicists who do not meet the requirements of subsection (2)(b) of this rule must work under direct supervision as defined in OAR 333-106-0005 of a Qualified Medical Physicist. (3) Therapeutic Radiation Machine Operator’s Qualifications. Individuals who will be operating a therapeutic radiation machine for medical use must be registered with the American Registry of Radiologic Technologists (ARRT) as a radiation therapist with the credential RT(T)(ARRT). Individuals who do not meet this criterion must submit evidence that they have satisfactorily completed a radiation therapy technologist training program that complies with the requirements of the Joint Review Committee on Education in Radiologic Technology. (a) Individuals who have been operating a therapeutic radiation machine prior to January 1, 2007 shall be exempt from the requirement in section (3) of this rule. (b) The names and training records of all personnel currently operating a therapeutic radiation machine must be kept on file at the facility. Training records of former operators must be retained for a period of at least two years beyond the last date they were authorized to operate a therapeutic radiation machine at that facility. Statutory/Other Authority: ORS 453.605 – 453.807 Statutes/Other Implemented: ORS 453.605 – 453.807 History: PH 55-2023, amend filed 12/14/2023, effective 12/20/2023 PH 72-2020, amend filed 10/09/2020, effective 10/09/2020 PH 23-2006, f. & cert. ef. 10-19-06