Florida Regulations 64E-5.652: Training for Use of Manual Brachytherapy Sources
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Except as provided in Fl. Admin. Code R. 64E-5.657, the licensee shall require the authorized user of a brachytherapy source specified in Fl. Admin. Code R. 64E-5.632, to:
(1) Be certified by a medical specialty board whose certification process has been recognized by the NRC or an agreement state, and who meets the requirements in Fl. Admin. Code R. 64E-5.652(2)(c), of this section. (The names of board certifications which have been recognized by the NRC or an agreement state will be posted on the NRC’s Web page at http://www.nrc.gov/materials/ miau/med-use-toolkit/spec-board-cert.html.) To have its certification process recognized, a specialty board shall require all candidates for certification to:
(a) Successfully complete a minimum of 3 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
(b) 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
(2)(a) Have completed a structured educational program in basic radionuclide handling techniques applicable to the use of manual brachytherapy sources that includes:
1. 200 hours of classroom and laboratory training in the following areas:
a. Radiation physics and instrumentation;
b. Radiation protection;
c. Mathematics pertaining to the use and measurement of radioactivity; and
d. Radiation biology; and
2. 500 hours of work experience, under the supervision of an authorized user who meets the requirements in Rule 64E-5.657 or 64E-5.652, F.A.C., NRC or equivalent Agreement State requirements at a medical institution, clinic, or private practice facility, involving the following:
a. Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;
b. Checking survey meters for proper operation;
c. Preparing, implanting, and removing brachytherapy sources;
d. Maintaining running inventories of material on hand;
e. Using administrative controls to prevent a medical event involving the use of radioactive material;
f. Using emergency procedures to control radioactive material; and
(b) Have completed 3 years of supervised clinical experience in radiation oncology, under an authorized user who meets the requirements in Rule 64E-5.657 or 64E-5.652, F.A.C., NRC or equivalent 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 subFl. Admin. Code R. 64E-5.652(2)(a)2., of this section; and
(c) Have obtained written attestation, signed by a preceptor authorized user or a residency program director who represents a consensus of residency program faculties (as long as at least one member of the residency program faculty is an authorized individual in the same category designated by the applicant seeking authorized status) who meets the requirements in Rule 64E-5.657 or 64E-5.652, F.A.C., NRC or equivalent Agreement State requirements, that the individual has satisfactorily completed the requirements in paragraph 64E-5.652(1)(a) or 64E-5.652(2)(a) and 64E-5.652(2)(b), F.A.C., of this section and have demonstrated the ability to function independently as an authorized user to fulfill the radiation safety related duties for medical uses of manual brachytherapy sources authorized under Fl. Admin. Code R. 64E-5.632
Rulemaking Authority 404.051, 404.061, 404.071, 404.081, 404.141 FS. Law Implemented 404.022, 404.051(1), (4), (5), (6), (8), (9), (10), (11), 404.061(2), (3), 404.071(1), 404.081, 404.141 FS. History-New 8-25-91, Formerly 10D-91.772, Amended 2-11-10, 12-26-13.
(a) Successfully complete a minimum of 3 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
(b) 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
(2)(a) Have completed a structured educational program in basic radionuclide handling techniques applicable to the use of manual brachytherapy sources that includes:
1. 200 hours of classroom and laboratory training in the following areas:
a. Radiation physics and instrumentation;
b. Radiation protection;
c. Mathematics pertaining to the use and measurement of radioactivity; and
d. Radiation biology; and
2. 500 hours of work experience, under the supervision of an authorized user who meets the requirements in Rule 64E-5.657 or 64E-5.652, F.A.C., NRC or equivalent Agreement State requirements at a medical institution, clinic, or private practice facility, involving the following:
a. Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;
b. Checking survey meters for proper operation;
c. Preparing, implanting, and removing brachytherapy sources;
d. Maintaining running inventories of material on hand;
e. Using administrative controls to prevent a medical event involving the use of radioactive material;
f. Using emergency procedures to control radioactive material; and
(b) Have completed 3 years of supervised clinical experience in radiation oncology, under an authorized user who meets the requirements in Rule 64E-5.657 or 64E-5.652, F.A.C., NRC or equivalent 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 subFl. Admin. Code R. 64E-5.652(2)(a)2., of this section; and
(c) Have obtained written attestation, signed by a preceptor authorized user or a residency program director who represents a consensus of residency program faculties (as long as at least one member of the residency program faculty is an authorized individual in the same category designated by the applicant seeking authorized status) who meets the requirements in Rule 64E-5.657 or 64E-5.652, F.A.C., NRC or equivalent Agreement State requirements, that the individual has satisfactorily completed the requirements in paragraph 64E-5.652(1)(a) or 64E-5.652(2)(a) and 64E-5.652(2)(b), F.A.C., of this section and have demonstrated the ability to function independently as an authorized user to fulfill the radiation safety related duties for medical uses of manual brachytherapy sources authorized under Fl. Admin. Code R. 64E-5.632
Rulemaking Authority 404.051, 404.061, 404.071, 404.081, 404.141 FS. Law Implemented 404.022, 404.051(1), (4), (5), (6), (8), (9), (10), (11), 404.061(2), (3), 404.071(1), 404.081, 404.141 FS. History-New 8-25-91, Formerly 10D-91.772, Amended 2-11-10, 12-26-13.