Massachusetts college of pharmacy & health sciences radiation therapy program school of Medical Imaging & Therapeutics Contact Information


RADIATION THERAPY CLINICAL SIMULATION COMPETENCY REQUIREMENTS



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RADIATION THERAPY CLINICAL




SIMULATION COMPETENCY REQUIREMENTS


*Eligibility Requirements Effective January 2005

RADIATION THERAPY SIMULATION PROCEDURES (Conventional or CT)




Area:

MANDATORY

Date Completed

Verified by: full signature

Breast









Head and Neck









Chest









Abdomen









Pelvis









Skeletal









Brain









Candidates must demonstrate competence in treatment simulation for the anatomic regions listed below.

Either a conventional simulator, CT simulator, or treatment machine may be used.
 Mandatory Simulation Procedures. Students must demonstrate competency in all of the mandatory Simulation Procedures. All of the Simulation Procedures must be demonstrated on patients

Radiation Therapy

Clinical Competency Requirements

Simulation Procedures Conventional Simulation & CT Simulation



Important: Demonstration of competence includes considerations related to radiation safety,

equipment operation, patient and equipment monitoring, patient positioning, treatment volume

localization, imaging procedures and processing, record keeping, and patient management and

education. Specific requirements for conventional and CT simulation are summarized below.


Conventional Simulation CT Simulation
Assure that therapist and patient follow ALARA Assure that therapist & patient follow ALARA
Operate simulator; check lasers, ODI, field size, etc. Operate CT scanner, perform daily QC as

appropriate (lasers, phantom scans, etc.)


Explain procedure to patient, prepare supplies Explain procedure to patient, prepare supplies

Needed for simulation, and monitor equipment needed for simulation, and monitor equipment

during procedure. during procedure.
Position and immobilize patient using available Position and immobilize patient using available

tools and instrumentation as required (e.g. lasers, tools and instrumentation as required (e.g. lasers,

lead markers). fiducial markers).
Determine potential treatment fields from Perform CT scan for region of interest;

simulation films and diagnostic studies. participate in determining treatment fields (on

film or digitally).
Obtain contour and measurements used to make Review and discuss CT scan & treatment plan

treatment plan. with appropriate personnel.


Obtain orthogonal films. Utilize preset protocols or adjust imaging

parameters (e.g., slice level, FOV) to obtain

image.
Process exposed films. Mark isocenter and transmit network images to

workstation.


Record patient position and other required Record patient position and other required

information (e.g. gantry angles, collimator information (e.g., set-up, table position).

settings).
Demonstrate patient care as situation requires Manage patient as situation requires, including

(e.g., skin care, nutrition). monitoring for possible contrast reactions.



STUDENT:___________________________ DATE:___________________________
MACHINE___________________________ CLINICAL SITE:__________________

SIMULATION OBSERVATION ROTATION: CT SIMULATOR


The student will observe simulation procedures & identify parts of the simulator & related set-up information.


CT SIMULATOR √ N/A comments/notes

Spiral CT – x-ray tube rotates, patient moves through scanner










identify parts of the console










virtual simulation workstation: CT scanner, target volume definition/treatment planning dose calculation software










discuss production of high quality DRR “digitally reproduced radiographs”










identify simulator controls










patient data entry










protocol selection; algorithm selection, slice thickness, scan location










Discuss slice interval (spacing)










technique Selection; mA, kVp, rotation speed, table movement










identify gantry, bore size (70 cm, 90 cm)










discuss image reconstruction, reconstruction algorithms










low pass convolution filters; high pass convolution filters










Axial, coronal, sagittal views










Discuss image display; higher the matrix the more improved the spatial resolution










locate crash cart, sharps container










locate emergency off buttons & CODE team numbers










discuss patient positions










discuss & identify contrast media










identify various types of patient immobilizers & when to use them










locate & discuss oxygen system










identify patient field locators, tattoos










discuss various ways to identify a patient










discuss parts of the treatment record (electronic and/or hard copy)










identify & discuss fiducials










indentify sterilization or cleaning materials










discuss billing & coding for procedures























PERFORMANCE:

(Choose all which apply)

IN PARTICIPATING IN THIS OBSERVATION ROTATION THE STUDENT:









comments/notes

Was enthusiastic and inquisitive







Appeared not motivated to learn







Asked appropriate questions







Was not inquisitive







Took notes







Behaved professionally to patients and/or staff members







Did not behave professionally to patients and/or staff members








COMMENTS:
Student’s Signature
Evaluator’s Signature 8/08

STUDENT:___________________________ DATE:__________



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