Confidentiality Form

Multi-field includes two or more fields and may include 3D conformal, IMRT and/or arc therapy (unless specified otherwise). *Abdomen and Pelvis do not include treatments for metastatic disease.

Participatory Procedures

Requirement: Candidates must participate in three (3) procedures. Participation means taking on an active role in the procedure and understanding the critical concepts vital to the success of the procedure. Participation may be performed in a clinical lab exercise if necessary.

Total Body Irradiation (TBI) Craniospinal Brachytherapy

Mandatory Simulation Procedures

(CT or Rx Machine)

Requirement: Candidates must demonstrate competence in treatment simulation for the anatomic regions listed below. Either a CT simulator or treatment machine may be used. The following simulation procedures must be demonstrated on patients.

Requirements specific to CT simulation appear in the appendix:

Brain (2) Head and Neck Thorax Breast (2) Abdomen Pelvis (2) Skeletal

Students should attempt to demonstrate competence in treatment simulation of the areas listed below either on patients or under simulated conditions:

Skin

Endocrine

Important: Demonstration of competence includes consideration related to radiation safety, equipment operation, patient and equipment monitoring, patient positioning and marking, treatment volume locations, imaging procedures, record keeping, patient management and education. Specific requirement for CT simulation is summarized on the reverse side of form.