Department of Radiation Oncology

Program Goals and Expectations for Residents

Program Objectives:

The Radiation Oncology Physics Residency Program is a two year comprehensive post-graduate program designed to provide clinical training and experience in radiation oncology physics and to prepare the resident for ABR certification and the independent practice of radiation oncology physics. The program is designed to meet the guidelines recommended by the Commission on Accreditation of Medical Physics Education Programs, Inc. (CAMPEP) revised July 2014, and to meet the 2014 American Board of Radiology eligibility requirements for certification in Therapeutic Radiologic Physics.

Completion Requirements:

The resident is expected to satisfactorily complete all nine clinical rotations and any special projects within a 24 months period. Satisfactory completion of a rotation consists of accomplishing all rotation objectives with a satisfactory rating from the rotation’s chief mentor and the Program Director and receiving a satisfactory rating on his rotation oral examination. A rating of unsatisfactory by two or more examiners will result in an oral examination repeat. Failure of the second oral examination will be cause for remedial training and projects. Failure of the third oral exam will result in termination from the program. Procedures for addressing academic and other deficiencies and plus removal from the program are discussed separately. Departure from the program in less than 24 months is unsatisfactory and a certificate of training will not be awarded.

Effective July 1, 2013, CAMPEP requires the completion of Ethics and Professionalism training. There will be some mandatory lectures throughout your two year residency plus each resident will be required to complete the modules in http://www.aapm.org/education/onlinemodules.asp

In addition to the above, attendance at the following didactic courses, morning rounds, and tumor boards are required.

Didactic Training – Physics residents will attend the formal medical resident lectures in Radiobiology, Radiation Oncology, and Diagnostic Imaging Physics. They will also take the RAPHEX Radiation Oncology Physics exam. During his second year of residency, the resident will present at least two of the radiation oncology physics lectures. The resident is expected to attend all lectures unless superseded (with approval of the Program Director) by a special clinical case or procedure or an approved absence from the hospital.

Daily morning rounds – Each morning from 8:00-9:00AM, the physics residents will meet with the medical residents and various faculty members for morning rounds. Morning rounds consist of a variety of venues including journal club, special topics, chart rounds, and guest lecturers. Periodically, special procedures may take priority over morning rounds, but not on a frequent basis. Attendance is mandatory unless superseded (with approval of the Program Director) by a special clinical procedure or an approved absence from the hospital.

Tumor Boards, Seminars, Special Topics - Physics residents will attend various multi-disciplinary tumor boards throughout their training. In addition, they will participate in periodic seminars and special topics sessions. Residents will keep a log of these activities. Residents are expected to attend at least 4 sessions each of the Head & Neck, Thoracic, GYN, Pediatric, Neurosurgery, Breast, and GU tumor boards. The Melanoma and Leukemia Tumor Boards are optional.


Clinical Training and Practical Experience:

As previously stated, the physics resident will rotate through nine focused rotations. These rotations are designed to meet the intent of AAPM Report 90. Each rotation has a Chief Mentor who is responsible for coordinating the resident’s activities during that particular rotation in order to ensure that the resident meets all rotation objectives and acquires valuable clinical experience. The resident is expected to shadow his mentor in the clinic during the mentor’s clinical rotations both scheduled and non-scheduled unless otherwise directed by the rotation mentor. There may be occasions when the resident will be asked to participate in a procedure outside the focused rotation in order to gain opportunistic experience in a specific area, but the primary rotation focus will not be compromised. The resident will keep a log of the clinical procedures that he has performed. These procedures will be recorded under the applicable rotation as well as his general ledger. Each rotation has primary rotation objectives, specific tasks, conferences, and reading assignments. Due to differences in resident’s academic backgrounds, abilities, etc., the primary objectives may be supplemented with resident specific rotation objectives. Some reading assignments are for general familiarity while others require a more detailed study. The reading assignments serve to familiarize the resident with various resources as well as to increase his professional knowledge. The resident will work closely with the rotation’s Chief Mentor and will meet at least monthly with the Program Director to discuss his progress in the residency program and address any potential problems or deficiencies.

Professional Knowledge:

During the course of the two year residency program, the resident will be expected to become familiar with all applicable AAPM Task Group Reports and well as major textbooks and references. Many of these will be listed in the description of the rotation, but the resident is expected to search the literature and review current issues of Medical Physics, the physics section of the International Journal of Radiation Oncology Biology and Physics, and Physics in Medicine and Biology. The resident will be expected to take the RAPHEX exam with the medical residents as well as Part 1 of the American Board of Radiology examination if it has not already been completed. The resident will take ABR Part 2 at the end of their residency provided all eligibility requirements have been met.

Professional Conduct:

Physics residents are expected to conduct themselves professionally at all times while in the clinic. This includes maintaining a professional appearance and conducting themselves in a professional manner. The AAPM Code of Ethics will be used as the guideline for professional behavior. The resident is expected to be familiar with this document and adhere to the standards developed and promoted by this professional organization.
(http://www.aapm.org/org/policies/details.asp?id=260&type=PP&current=true)

In addition, the guidelines and intent of the ACGME policy on professionalism and general conduct presented in the ACGME resident handbook will also be followed.

http://academicdepartments.musc.edu/gmehandbook/muscpolicies/index.htm

http://academicdepartments.musc.edu/gmehandbook/policies/res_profess.html

Program Changes:

Resident performance and completion requirements shall be those in effect at the time the resident enters the program. Improvements and minor changes may be approved by the Physics Residency Committee but shall not extend the overall length of the program.


Program Completion:

At the end of the successful completion of all residency program requirements, the resident will be issued a completion certificate attesting to satisfactory completion of the Radiation Oncology Medical Physics Residency Program.