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Joint Review Committee on Education in Radiologic Technology20 N. Wacker Drive, Suite 2850Chicago, IL 60606-3182312.704.5300 (Fax) 312.704.5304www.jrcert.orgMEDICAL DOSIMETRY CURRICULUM ANALYSISI. General InformationProgram NameJRCERT Program NumberDateDIRECTIONS: Determine the course(s) in which each of the following content areas is covered and enter the course number(s) and/or title(s). Forguidance in what should be covered for each content area, please refer to the Medical Dosimetry Curriculum Guide (2019) published by the AmericanAssociation of Medical Dosimetrists.This curriculum is designed for students who have no practical background or experience in the field of radiation oncology. The suggested curriculum containsintroductory courses to the various technical and medical areas of radiation oncology, and program directors may choose to eliminate these courses forstudents who have had education or experience in these topics. However, program directors are encouraged to replace these introductorycourses with refresher courses.II. Clinical CompetenciesProfessional CurriculumMinimum Required CompetenciesHead and NeckThoracicProgram Course(s)
al Recommended ActivitiesTotal Body Irradiation (TBI)Brachytherapy HDR ProcedureProton Treatment PlanningStereotactic RadiosurgeryAnus or Vulva Conventional 3D TechniqueIII. Healthcare Ethics and Professional ConductProfessional CurriculumProgram Course(s)What is Ethics?Professional and Legal PerspectivesContinuum of CareRelationships and InsuranceMedical Dosimetry Curriculum Analysis Grid (2019)Page 2 of 21
Reducing Liability/Defensive Medical Dosimetry and PhysicsProfessional ConductProfessional DevelopmentAccreditation of FacilitiesEducational AccreditationMalpractice IssuesIV. Patient CareProfessional CurriculumProgram Course(s)CommunicationPsychological ConsiderationsPatient AssessmentHealth SafetyPatient SafetyPatient TransferPatient Education – Role of Medical DosimetristMedical Dosimetry Curriculum Analysis Grid (2019)Page 3 of 21
V. Radiation Protection and SafetyProfessional CurriculumProgram Course(s)Radiation ProtectionRadiation SafetyStorage and TransportationDose LimitsBackground Sources of RadiationStructual Sheilding DesignPersonnel MonitoringRegulationsRadiation Monitoring InstrumentsRadiation SurveysRadiation Safety and Quality Assurance CommitteesMedical Dosimetry Curriculum Analysis Grid (2019)Page 4 of 21
VI. Pathophysiology and Oncology ManagementProfessional CurriculumProgram Course(s)Cancer TreatmentOncology ManagementRadiation Treatment and Content for Neoplasms Originatingin Following Sites: Head and Neck Central Nervous System Breast Lymphoreticular Hematopoietic Respiratory Integumentary Gastrointestinal Genitourinary Reproductive Musculoskeletal Emergencies Special Considerations Metastatic and Palliative Treatment ApproachesVII. Cross-Sectional AnatomyProfessional CurriculumProgram Course(s)Anatomic Directional TermsAnatomic Position and Scan PlanesAnatomy: Brain Head and Neck Thorax Abdomen PelvisMedical Dosimetry Curriculum Analysis Grid (2019)Page 5 of 21
ExtremitiesVIII. Imaging for Radiation OncologyProfessional CurriculumProgram Course(s)Basic Principles of Radiographic ImagingComputed and Digital RadiographyComputed Tomography (CT)Magnetic Resonance Imaging (MRI)UltrasoundNuclear MedicineMedical Image Display and StorageIX. Acquisition of Patient Data and Treatment PreparationProfessional CurriculumProgram Course(s)Simulation and LocalizationTreatment Planning PreparationMedical Dosimetry Curriculum Analysis Grid (2019)Page 6 of 21
X. Computers and Computer NetworkingProfessional CurriculumProgram Course(s)Terminology and Data RepresentationComputer HardwareComputer SoftwareNetworkingXI. Atomic and Nuclear PhysicsProfessional CurriculumProgram Course(s)Structure of MatterAtomic Mass/Energy UnitsOrbital ElectronsNuclear ForcesRadiationNuclear TransformationsRadioactive SeriesRadioactive EquilibriumModes of Radioactive DecayMedical Dosimetry Curriculum Analysis Grid (2019)Page 7 of 21
Nuclear ReactionsNuclide ActivationInteractions of Radiation with MatterXII. Dose Measurement-External BeamProfessional CurriculumProgram Course(s)ExposureAbsorbed DosePhantom MaterialsNational StandardsDose MeasurementInstrumentation – External Beam DoseIn Vivo DosimetryDynamic Dose Measurement DevicesExternal Beam Data CollectionMedical Dosimetry Curriculum Analysis Grid (2019)Page 8 of 21
XIII. Treatment Machines and SimulatorsProfessional CurriculumProgram Course(s)External Beam Delivery Machine Design and Theory ofOperationSimulatorsXIV. Isodose DistributionsProfessional CurriculumProgram Course(s)Documentation of Dose DistributionCentral Axis (CAX) Depth Dose DistributionIsodose CurvesComplex Factors Affecting Isodose CurvesCommon Discrepancies Found in Computer-GeneratedPlansBeam ModificationMatching Adjacent FieldsGeneral Treatment PrinciplesIntegral DoseCalculation of Dose in Shielding RegionsOut-of Field DosesMedical Dosimetry Curriculum Analysis Grid (2019)Page 9 of 21
XV. Clinical Application of Electron BeamsProfessional CurriculumProgram Course(s)Production of Clinically Useful Electron BeamsBeam ParametersClinical Characteristics of Electron BeamsElectron Beam Treatment PlanningDosimetric Considerations with Adjacent FieldsBeam Algorithms for Electron Beam CalculationsShaping of Treatment FieldsElectron Arc TherapyXVI. External Beam Dose CalculationsProfessional CurriculumProgram Course(s)Dosimetric QuantitiesCAX Dose CalculationsSet Up CalculationDose Correction CalculationsMedical Dosimetry Curriculum Analysis Grid (2019)Page 10 of 21
XVII. BrachytherapyProfessional CurriculumProgram Course(s)Introduction/HistoryBrachytherapy Radionuclides/Basic Physical CharacteristicsBrachytherapy - Calculation of Dose DistributionBrachytherapy - Clinical AspectsClassical/Predictive Systems of Implant DosimetryTreatment PlanningClinical Applications/Gynecologic ImplantsClinical Applications/Prostate BrachytherapyClinical Applications: Endobronchial Breast Sarcoma Ocular Melanoma/Plaque TherapyQuality Assurance in BrachytherapyClinical Brachytherapy - Additional AspectsXVIII. Radiation BiologyProfessional CurriculumProgram Course(s)IntroductionMedical Dosimetry Curriculum Analysis Grid (2019)Page 11 of 21
Biophysical EventsRadiation EffectsRadiosensitivity and ResponseBiologic Principles of Radiation TherapyXIX. Conformal Treatment PlanningProfessional CurriculumProgram Course(s)Patient Positioning and ImmobilizationImagingConformal Geometric Terminology and ConceptsCT Treatment PlanningTreatment Planning System FunctionalityTreatment PlanningPlan/Dose EvaluationPlan VerificationChart DocumentationIMRT and VMATAdvanced/Emerging Planning TechniquesMedical Dosimetry Curriculum Analysis Grid (2019)Page 12 of 21
Additional TechnologiesNew TechnologiesPlan RobustnessAdaptive PlanningXX. Image-Guided Radiation Therapy (IGRT)Professional CurriculumProgram Course(s)Historical DevelopmentRationale for DevelopmentFocus of Four AreasManaging Respiratory MotionManaging Inter-fraction Organ MovementMethods to Track Dose from IGRT During TreatmentCoincidence of Imaging Isocenter and Treatment IsocenterAAPM Task Group 75 - 2007AAPM Task Group 104 - 2009AAPM Task Group 179 - 2012Medical Dosimetry Curriculum Analysis Grid (2019)Page 13 of 21
XXI. Respiratory Motion ManagementProfessional CurriculumProgram Course(s)Observing Respiratory MotionRespiratory Motion in CT ImagingManagement of Respiratory MotionGating MethodsPatient Training and QueuesBreath Hold Technique for Target and Critical StructureSeparationXXII. Proton TherapyProfessional CurriculumProgram Course(s)Historical DevelopmentProton Beam Physics – Nature of Proton ParticleTreatment PlanningRobust OptimizationTreatment EquipmentDosimetryTreatment PlanningMedical Dosimetry Curriculum Analysis Grid (2019)Page 14 of 21
Treatment DeliveryTreatment FacilitiesQuality AssuranceReportsXXIII. Stereotactic Radiotherapy (SRT)/Stereotactic Radiosurgery (SRS)Professional CurriculumProgram Course(s)Historical DevelopmentDefinitionsDiseases TreatedRadiobiologyImage AcquisitionPlanning ProcessRadiation Treatment DeliveryPhysics Acceptance Testing and CommissioningQuality AssuranceAAPM Task Group 42 and AAPM Task Group 68Medical Dosimetry Curriculum Analysis Grid (2019)Page 15 of 21
XXIV. Stereotactic Body Radiotherapy (SBRT)/Stereotactic Body Radiosurgery (SBRS)Professional CurriculumProgram Course(s)Historical DevelopmentSBRT DefinitionSBRT RadiobiologyAccurate/Reproducible Patient ImmobilizationAccount for Tumor MotionAnatomic ApplicationsDoseProtocol CompliancesExpert DosimetrySBRT Quality AssuranceAAPM Task Group 101XXV. Craniospinal Irradiation (CSI)Professional CurriculumProgram Course(s)Diseases Treated with CSIPatient Positioning and ImmobilizationMedical Dosimetry Curriculum Analysis Grid (2019)Page 16 of 21
Treatment TechniquesBoostDose PrescriptionXXVI. Total Body Irradiation (TBI)Professional CurriculumProgram Course(s)Historical EvolutionTBI RationaleBMT TypesDiseases Treated with TBIChallenges of TreatmentMethods of Treatment Delivery with Mega-VoltageEquipmentPartial Transmission Normal Tissue ShieldingPlanning ConsiderationsPediatric TBIQuality AssuranceAAPM Report #17Medical Dosimetry Curriculum Analysis Grid (2019)Page 17 of 21
XXVII. Total Skin Electron Irradiation (TSEI)Professional CurriculumProgram Course(s)Historical DevelopmentDiseases TreatedPhysical and Clinical RequirementsSelection of Treatment TechniquesSimulation and ImmobilizationTreatment VerificationPhysics Measurements for CommissioningMonitor Unit CalculationsTSEI Quality AssuranceXXVIII. Intra-Operative Radiation Therapy (IORT)Professional CurriculumProgram Course(s)RationaleHistoryTypesProcedureMedical Dosimetry Curriculum Analysis Grid (2019)Page 18 of 21
Dose PrescriptionEnergyBody SitesQuality AssuranceSafetyPatient CareBest PracticeResearchAAPM TG 72XXIX. Continuous Quality Improvement ProgramProfessional CurriculumProgram Course(s)Continuous Quality Improvement (CQI) ProgramXXX. Quality Assurance of EquipmentProfessional CurriculumProgram Course(s)Radiographic Simulator Quality AssuranceQuality Assurance testing for CT SimulationMedical Dosimetry Curriculum Analysis Grid (2019)Page 19 of 21
QA in the Fabrication of Radiotherapy Treatment AidsLinear AcceleratorMV Imaging Quality AssuranceLinear Accelerator Planar kV X-ray ImagingLinear Accelerator Cone Beam Computed Tomography(CBCT)Linear Accelerator Special Procedures EquipmentLinear Accelerator SRS Quality AssuranceTarget Detection DevicesGamma Knife Quality AssuranceQuality Assurance of Co60 Teletherapy UnitQA of Superficial and Other Low Energy X-ray TreatmentUnitsBrachytherapy Intracavity Sources and ApplicatorsInterstitial Brachytherapy Sources andApplicators/TemplatesQuality Assurance of Brachytherapy Remote After-loadersQA for Trans-Rectal Ultrasound UnitQA Program for Dose Planning ComputersDose Measurement Systems and Test Equipment QualityAssuranceMedical Dosimetry Curriculum Analysis Grid (2019)Page 20 of 21
Educational programs in medical dosimetry are recommended to incorporate college-credit bearing general education courses in efforts to build a solidfoundation for the medical dosimetry curriculum. It is recommended that the following postsecondary general education coursework be delivered prior to theprofessional curriculum.Recommended Post-secondary GeneralEducationCreditHourCourseNumberCourse TitleAnatomy & PhysiologyBiologyMathematicsGeneral PhysicsWritten or Verbal CommunicationTotal Hours for Recommended PostsecondaryGeneral EducationMedical Dosimetry Curriculum Analysis Grid (2019)The JRCERT promotes excellence in education and elevates the quality and safety of patient care through the accreditation ofeducational programs in radiography, radiation therapy, magnetic resonance, and medical dosimetry.Page 21 of 21
Medical Dosimetry Curriculum Analysis Grid (2019) Page 21 of 21 Educational programs in medical dosimetry are recommended to incorporate college-credit bearing general education courses in efforts to build a solid foundation for the medical dosimetry curriculum.
