2021-2022 UNC Medical Dosimetry Program Handbook (FINAL)
University of North Carolina HospitalsMedical Dosimetry ProgramStudent Handbook2021-2022Reviewed and Revised July 2021 for the Academic Year 2021-20221
ContentsProgram Director Contact Information . 52021-2022 Program Development Committee . 6Introduction . 7Mission . 8Goals & Student Learning Outcomes . 8Program Description . 8Program Purpose . 9Non-Discrimination . 9Advising . 9JRCERT Program Accreditation . 10UNC Hospitals Medical Dosimetry Program Effectiveness Data. 11The Sponsoring Institution . 12Agreement to Adhere to the Program’s Policies and Procedures . 12Policies Governing Student Continuation and Promotion . 12Corrective Action and Grievance Procedure: Student Right to Appeal (Due Process) . 13Workplace Hazards, Harassment, Communicable Diseases, and Substance Abuse . 14Grades. 14Code of Conduct . 15Dismissal from the Program . 15Readmission. 16Use of Illegal Drugs . 16Health Program. 16Holidays . 16Sick Time . 16Inclement Weather Policy . 172
Dress Code . 17Student Clinical Hours . 18Emergency/Safety Orientation . 18Attendance . 19Vacation . 19Health Insurance – Emergency Situation . 19Radiation Monitoring. 19Direct Supervision Policy . 20Classroom Behavior/Code of Conduct . 20UNC Hospitals Medical Dosimetry Program Pregnancy Policy . 20Safety Procedures . 32Incident Reports . 32Patient/Visitor Incident . 32Student Incident . 32Health Status . 32Student Maltreatment . 33Immunizations, Background Check and Drug screening. 33Graduation Requirements/National MDCB Certification Examination . 34Release of Student Records . 35UNC Hospitals Medical Dosimetry Program Curriculum . 36Courses . 36Course Sequence . 41MD 500 Orientation to Radiation Oncology . 42MD 501 Introduction to Medical Dosimetry. 44MD 502 Medical Dosimetry Physics . 483
MD 503 Brachytherapy Dosimetry . 64MD 504 Research Methodology and Design Statistics I . 68MD 505 Research Methodology and Design Statistics II . 74Weekly Writing Assignments - Fall . 78Pre-Comp Assessments . 88Competency Checklist . 91Clinical Competency Form . 93Quality Assurance . 94MD 507 Clinical Education II . 95MD 508 Clinical Education III . 97Brachytherapy Clinical Rotation . 99MD 509 Radiation Safety and Protection . 104MD 510 Anatomy for Radiation Oncology . 109MD 511 Radiation Oncology Pathology . 110MD 512 Special Topics in Radiation Oncology . 111MD 513 The Radiobiology of Radiotherapy . 112MD 514 Clinical Radiation Oncology. 121UNC Department of Radiation Oncology . 126How to Apply . 128Tuition and Fees . 128Transfer Students/Credits . 128Program Physical Requirements . 128Assessment Plan: Analysis and Actions . 1354
Program Director Contact InformationMatthew R. Hawkins, MHA, CMD R.T.(R)(T)Medical Dosimetry Program DirectorUniversity of North Carolina HospitalsAssistant ProfessorDepartment of Radiation OncologyUniversity of North Carolina at Chapel Hill101 Manning DriveChapel Hill, NC 27514-7512Office: (984) 974-8629Fax: (919) 966-7681E-mail: Matthew.Hawkins@unchealth.unc.edu5
2021-2022 Program Development CommitteeMatthew R Hawkins, MHA, CMD, R.T.(R)(T)Program DirectorUNC Department of Radiation OncologyElaine M. Zeman, PhDInstructor, Associate ProfessorUNC Department of Radiation OncologyShiva Das, Ph.D.Head of Medical PhysicsUNC Department of Radiation OncologyPatty Saponaro, MBAAdministrative DirectorUNC Department of Radiation OncologyJackie Williamson, BS, CMDClinical EducatorUNC Department of Radiation OncologyLesley Hoyle, BS, CMDSupervisor, DosimetryUNC Department of Radiation OncologyTwo incoming medical dosimetry students 2021-20226
IntroductionThe following general information regarding policies, procedures, regulations, and schedules hasbeen prepared for the student entering the UNC Hospitals Medical Dosimetry Program. Thestudent should familiarize him/herself with these policies, procedures, etc., ask questions forbetter understanding, and abide by them to the best of his/her ability.Students of all backgrounds are equally welcome to the program irrespective of race, sex, ornational origin. Members of the program faculty are happy to discuss career opportunities andrelated matters in medical dosimetry with all interested students.7
MissionThe UNC Hospitals Medical Dosimetry Educational Program will prepare competent, educated,and professional entry-level medical dosimetrists who will participate in scholarly activity andenhance overall patient care. (JRCERT Standard 1.1),Goals & Student Learning Outcomes (JRCERT Standard 6)Goal 1: Students will be clinically competent.A) Student Learning Outcome: Students will demonstrate acquisition of correctdosimetry treatment planning skills.B) Student Learning Outcome: Students will evidence competency in treatment.Goal 2: Students will demonstrate effective communication skills.A) Student Learning Outcome: Students will effectively communicate with patients,medical dosimetrists, faculty, and staff.B) Student Learning Outcome: Students will write at a proficient level by graduation.Goal 3: Students will develop critical thinking skills.A) Student Learning Outcome: Students apply didactic concepts and information into theclinical setting.B) Student Learning Outcome: Students will conceptualize current patient safetyradiation therapy Lean A3 engineering principles.Goal 4: Students will grow and develop professionally.A) Student Learning Outcome: Students will demonstrate professional behaviors.B) Student Learning Outcome: Students will participate in continuing education.Program DescriptionThe medical dosimetrist is a vital and essential member of the radiation oncology team. TheUNC Hospitals Medical Dosimetry Program is located in the UNC Department of RadiationOncology in Chapel Hill, NC. The UNC Department of Radiation Oncology was formed in 1987from the UNC Division of Radiation Therapy. The UNC Division of Radiation Therapy began in1969 with the purchase of a Cobalt-60 unit.The program course material and practicum covers radiation physics, radiation protection, dosecalculations, tumor localization, external beam treatment planning, brachytherapy, qualityassurance, medical imaging/anatomy, clinical radiation oncology, and radiobiology. Clinicalpracticum includes external beam treatment planning, brachytherapy treatment, preparation, andplanning, chart reviews and dose calculations, record and verify system data entry, treatmentmachine quality assurance, CyberKnife, TomoTherapy, and IMRT planning and treatment.8
Special project assignments, conference attendance and presentation, and journal article reviewsare also part of the curriculum.Program PurposeThe purpose of the UNC Hospitals Medical Dosimetry Program is to fulfill its mission and goalsthrough the completion of stated objectives. The program provides superior quality highereducation with flexibility to accommodate expanding technological growth in radiation oncologyand medical dosimetry created knowledge and clinical practice. The program maintainsrelationships with other educational programs for support and collaboration to improve medicaldosimetry education.The student has the responsibility to make the most of available educational experiences, andonce accepted, is obligated to abide by the policies and procedures of the UNC HospitalsMedical Dosimetry Program.Non-DiscriminationThe program, as with UNC Hospitals urces/careers/why/code/), does not discriminate instudent recruitment or admissions practices on the grounds of race, color, sex, religion, gender,age, disability, marital status, national origin, or any other protected class. If the student has aquestion/concern about discrimination, he/she may contact the UNC Department of RadiationOncology Administrative Director at (984) 974-5200 (JRCERT Standard 1.1, 1.2).AdvisingBeing housed within a Carnegie Level 1 Research Institution allows the UNC Hospitals MedicalDosimetry Program to offer the student excellent supportive academic, behavioral, and clinicaladvisement.The UNC Hospitals Medical Dosimetry Program Director and didactic and clinical instructorsare available for recruitment and pre-admissions advising as necessary. The admissionsprocedure for the program includes an extensive advising session. The enrolled student has anorientation advising session at the beginning of each semester.The program director and didactic and clinical instructors are also available for individualacademic, behavioral, and/or clinical advisement as needed. Each didactic instructor providesmid-semester feedback to the medical dosimetry student. Additionally, the program directormeets both mid-semester and post-semester with each UNC Hospitals medical dosimetry studentto discuss his/her progress through the curriculum.9
Because the medical dosimetry program is housed within the UNC Department of RadiationOncology, the program director/instructors orally communicate with each student almost daily.This type of continuous communication allows for both informal and formal feedback betweenthe student and the program director, thus allowing a continuous type of advising between theprogram director and the student on academic, behavioral, and/or clinical issues.Additionally, each UNC Hospitals medical dosimetry student has access to the UNC-Chapel HillLibraries (5, including a dedicated Health Sciences Library) to access/check out journals/books,and use the learning resources. The UNC Hospitals student also has access to the UNC Librariesvia departmental Internet. Moreover, for a fee of 120/year, the student has access to thestudent recreational center.Finally, academic, behavioral, and clinical advisement is also offered by UNC School ofMedicine faculty. As an external advisement measure, the UNC Hospitals Nuclear MedicineProgram Director is available as a student advisor for any academic, behavioral, or clinical issues(JRCERT Standard 2.2).JRCERT Program AccreditationThe program is recognized by the Joint Review Committee on Education in RadiologicTechnology (JRCERT). A copy of the Standards for an Accredited Educational Program inMedical Dosimetry is available online and from the program director. Any questions about theprogram may be forwarded to either the program director or the JRCERT (JRCERT Standard1.5). The JRCERT contact information is:JRCERT20 N. Wacker DriveSuite 2850Chicago, IL 60606-2901Phone: (312) 704-5300E-mail: mail@jrcert.orgIn addition to being in this student handbook, the UNC Hospitals Medical Dosimetry ProgramEffectiveness Data is also available via the JRCERT’s Web site, jrcert.org (JRCERT Standard6.2).The medical dosimetry program effectiveness data is also on the UNC Hospitals MedicalDosimetry Program Web page (JRCERT Standard 6.2).10
UNC Hospitals Medical Dosimetry Program Effectiveness DataOutcomeAttritionMeasurement BenchmarkToolProgram50%completionratePass RateCredentialingexaminationpass rate75%EmploymentJob At least a 4on a 5 pointscaleEmployersatisfactionEmployersurveyAt least a 4on a 5 pointscaleTimeframeAnnual5-yearaverage passrate (at 1stattemptwithin 12months ofgraduation)5-yearaverage passrate (at 1stattemptwithin 12months rector(reportedannually annually annually annually annually tothe DevCommitteeResults2020: 0%2019: 0%2018: 0%2017: 50%2016: 0%2015: 0%2020: 100%2019: 100%2018: 100%2017: 100%2016: 100%2015: 100%2020: 100%2019: 100%2018: 100%2017: 100%2016: 100%2015: 100%2020: 4.9/52019: 4.9/52018: 4.9/52017: 4.9/52016: 4.6/52015: 4.5/52020: 5/52019: 4.9/52018: 4.9/52017: 4.9/52016: 4.9/52015: 4.9/511
The Sponsoring InstitutionUNC Hospitals sponsors the medical dosimetry program. All program functions, includingadministrative structure (organizational structure and administrative support, as well as didacticand clinical faculty, faculty continuing medical education, and clerical support services arecoordinated and administered by UNC Hospitals and UNC School of Medicine faculty and staff(JRCERT Standards 2.1, 2.2, 2.3, 2.4). Moreover, the education program has a dedicated didacticclassroom, dedicated student work areas, and dedicated student clinical work stations. Theeducation program reviews and maintains student learning resources and student services aswould be expected at a Carnegie Level 1 Research Institution (JRCERT Standard 2). Finally, theUNC Hospitals clinical medical dosimetry setting is recognized by the JRCERT. The educationprogram has no external clinical sites (JRCERT Standard 3.1).The UNC Department of Radiation Oncology has the following student groups/educationprograms: 1) UNC Hospitals radiation therapy students, 2) UNC Hospitals medical dosimetrystudents, 3) UNC Hospitals medical physics residents, and 4) UNC Hospitals radiation oncologymedical residents and the following visiting students: 1) UNC radiologic science students, 2)UNC nursing students, and 3) UNC medical students. The UNC Department of RadiationOncology has a tripartite mission of clinical care, research, and education. This missioncorrelates with the UNC School of Medicine and the greater UNC Hospitals. The University ofNorth Carolina, UNC Hospitals, and its programs are all physically located on the contiguousUNC-Chapel Hill/UNC Hospitals campus.Professional liability insurance coverage is taken care of by a group policy through UNCHospitals.Agreement to Adhere to the Program’s Policies and ProceduresThe student indicates acceptance of these policies and procedures by enrollment in the UNCHospitals Medical Dosimetry Program. The program reserves the right to change these policiesand procedures when in the best interest of the program. Upon implementation, the student willreceive written notification of any changes. It should be noted that during orientation there is areview of the student handbook. Each student signs and dates a form that states that he/sheunderstands all policies and procedures within the UNC Hospitals Medical Dosimetry Programstudent handbook.Policies Governing Student Continuation and PromotionThe student is responsible for observing the policies and procedures of the UNC HospitalsMedical Dosimetry Program as they are announced in this document. The program director willassist the student with the details of his/her program and/or academic problems. This assistancedoes not relieve the student of his/her individual responsibility for meeting the requirements and12
observing the regulations of UNC Hospitals, the UNC Department of Radiation Oncology, andthe UNC Hospitals Medical Dosimetry Program.Corrective Action and Grievance Procedure: Student Right to Appeal (DueProcess)The medical dosimetry program director must address issues in which the student fails to followdosimetry program curriculum guidelines or policies:The issue will be adjudicated in the following manner:A) The program director will determine the necessary course of action and present it tothe student.B) If formal discussion with the program director does not resolve the violation,misinterpretation, or inequitable application of any existing policy, procedure, orregulation, or other action issue to the student’s satisfaction, the student has the rightto submit a written appeal to the UNC Hospitals Medical Dosimetry ProgramDevelopment Committee within 10 working days following the initial date of theissue. The appeal will then be directed to the UNC Department of RadiationOncology Administrative Director. If the issue is not resolved to the student’ssatisfaction, the student has 10 working days to submit a second written appeal to theprogram development committee. The appeal will then be directed to the UNCDepartment of Radiation Oncology Associate Chair. If the issue is still not resolved tothe student’s satisfaction, the student has 10 working days to submit a third writtenappeal to the development committee. The final appeal will then be directed to amediation committee, whose members are outside the UNC Department of RadiationOncology. This committee consists of the following members: the UNC NuclearMedicine Program Director, the UNC Nuclear Medicine Chair, and a UNC NuclearMedicine student. This is the final appeal process for the student (JRCERT Standards1.1, 1.5).The program also assesses current student and alumni evaluations for the general overallstructure and function of the education program via specific questions through its semestercourse evaluations and graduate surveys. The program director, faculty, and staff are alwaysavailable for comments/suggestions about any component of the education program that needsimprovement. If for any reason a student feels he/she is not being heard, he/she should speakdirectly with the program director to make sure the request/suggestion/complaints has beencommunicated properly.If the student wishes to contact the JRCERT regarding a situation, he/she may do so with theaforementioned information.13
Workplace Hazards, Harassment, Communicable Diseases, and Substance AbuseIn the event that the student is concerned with workplace hazards, harassment, communicablediseases, or substance abuse, he/she should contact the program director of faculty immediately.The program director will work with the facility to ensure the safety of the student (JRCERTStandard 5.2).GradesTo be eligible for a certificate in medical dosimetry, the student must satisfactorily pass allcourses in the UNC Hospitals Medical Dosimetry Program curriculum. If the student’s academicand/or clinical performance is considered unsatisfactory, the student will be placed on formalprobation. In order to remove the probationary status, the student must make at least 80% onsubsequent assignments during the next semester and complete any remedial work/examinationsas required by the didactic instructor and approved by the Program Development Committee.Should the probationary status go unremoved, the student will be dismissed from the program.To satisfactorily pass a course means that the student earns a grade of at least a C. Tosatisfactorily pass a course in which the student makes a C-, the student must complete anyremedial work/examinations as required by the didactic instructor and approved by the ProgramDevelopment Committee.Any student making a grade of D in any one course will automatically be dismissed from theprogram.If the student is dissatisfied with any didactic and/or clinical grade during the course of the year,he/she has the right to appeal. Please see the Corrective Action and Grievance Procedure:Student Right to Appeal (Due Process) section in this document.The grading scale for all classes will be as follows (unless otherwise indicated in site-specficsyllabi, linked in the table of contents and contained below):97 and up93 – 9790 – 9387 – 9083 – 8780 – 8377 – 8073 – 7770 – 7367 – 7063 - 67Below 63A AAB BBC CCD DF14
Code of ConductExpulsion or suspension, or lesser sanctions, may result from the commission of any of thefollowing offenses:Academic cheating, including (but not limited to) unauthorized copying, collaboration, oruse of notes/books on examinations, and plagiarism (defined as the intentionalrepresentation of another person’s words, thoughts, or ideas as one’s own).For academic cheating, suspension is the normal sanction for the initial offense, unless theProgram Development Committee determines that unusual mitigating circumstances justify alesser sentence.The furnishing of false information, with the intent to deceive, to members of the UNC Hospitalscommunity who are acting in the exercise of their official duties, forgery, falsification, and/orfraudulent misuse of UNC Hospitals’ documents, records, or identification cards will result inexpulsion from the program.It is noted that a sanction against a student may also result in the student being dismissed fromthe program. For example, if a grade of F is given in a course in which the student has admittedcheating, he/she will be dismissed from the program.Every student has the right to appeal any infraction of the Code of Conduct. Please see theCorrective Action and Grievance Procedure: Student Right to Appeal (Due Process) section inthis document.Dismissal from the ProgramIn addition to academic ineligibility to complete the program, the student may be dismissed forinappropriate professional attitudes and/or actions, as described in the American Association ofMedical Dosimetrists (AAMD) Code of Ethics, and the practice standards established by theprofession. These standards are important professional standards for the student preparing todeliver a high standard of healthcare delivery and service.A student may be judged unacceptable for continuation in the UNC Hospitals MedicalDosimetry Program when he/she has displayed a lack of professionalism with respect to otherstudents, patients, faculty, and/or staff.The UNC Hospitals Medical Dosimetry Program reserves the right to dismiss a student from theprogram when the student does not, in its judgment, demonstrate sufficient promise to justifycontinuation of study in the UNC Hospitals Medical Dosimetry Program.If the student is dismissed from the program, he/she has the right to appeal, as stated in thisdocument.15
ReadmissionA student who withdraws from the program must reapply and go through the admissions processagain. No refunds are made after orientation is complete.Use of Illegal DrugsStudents, faculty, and staff of UNC Hospitals are responsible, as citizens, for knowing about andcomplying with the provisions of North Carol
UNC Hospitals clinical medical dosimetry setting is recognized by the JRCERT. The education program has no external clinical sites (JRCERT Standard 3.1). The UNC Department of Radiation Oncology has the following student groups/education programs: 1) UNC Hospitals radiation therapy students, 2) UNC Hospitals medical dosimetry Hospitals.
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Medical Dosimetry Program. Phone 616-331-5753 . College of Health Professions . Center for Health Sciences . 301 Michigan Street, Suite 410 . Grand Rapids, MI 49503 . GRADUATE PROGRAM IN MEDICAL DOSIMETRY STUDENT HANDBOOK 2022-2023. 8/3/2022 . This handbook will be superseded by all versions bearing subsequent dates.
School of Medicine, Gillings School of Global Public Health, UNC Medical Center, or other relevant UNC-CH affiliations (the search strategy is available at: https://go.unc.edu/UNC- . Marsico Lung Institute UNC Hussman School of Journalism and Media NC Translational and Clinical Sciences
Treatment Planning For Molecular Radiotherapy: Potential And Prospects Internal Dosimetry Task Force Report www.eanm.org Page 3 CONTENTS Acronyms 4 Executive Summary 5 Introduction 6 Background to Radionuclide Therapy 7 Survey on the implementation of therapy and dosimetry procedures in Europe 9 Dosimetry for Therapy procedures 12
Hospitals Radiation Therapy Program is located in the UNC Department of Radiation Oncology in Chapel Hill, NC. The UNC Department of Radiation Oncology was formed in 1987 from the UNC Division of Radiation Therapy. The UNC Division of Radiation Therapy began in 1969 with the purchase of a Cobalt60 unit.
There is no data available regarding online medical dosimetry programs because there are no other online programs that exist. Therefore, this increases the need to research this topic, validate the UW-L medical dosimetry program, and use as a model for the establishment of new online medical dosimetry programs in the future. Research
Therapy and Medical Dosimetry Educational Programs Chapter 1 Introduction The introduction of this study includes the background and significance of the study, purpose of the study, and the research questions and hypotheses. There has not been a study done on this topic in radiation therapy or medical dosimetry. This study will contribute needed
ADVANCED BOOKKEEPING KAPLAN PUBLISHING Introduction When a capital asset or non-current asset is disposed of there are a variety of accounting calculations and entries that need to be made. Firstly, the asset being disposed of must be removed from the accounting records as it is no longer controlled. In most cases the asset will be disposed of for either more or less than its carrying value .
