Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 123 - THERAPEUTIC RADIATION MACHINES › Section 333-123-0015 - Training and Qualification Requirements for Individuals in the External Beam Radiation Therapy Area

Current through Register Vol. 63, No. 7, July 1, 2024
(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.