Minnesota Administrative Rules

4731.4458 MANUAL BRACHYTHERAPY TRAINING.

Subpart 1.

Training and education requirements.

Except as provided under part 4731.4414, a licensee must require an authorized user of a manual brachytherapy source for the uses authorized under part 4731.4450 to be a physician who:

A.

is certified by a medical specialty board whose certification has been recognized by the NRC or an agreement state. The names of board certifications that have been recognized by the NRC or an agreement state are posted on the NRC's Medical Use Licensee Toolkit web page; or

B.

has:

(1)

completed a structured educational program in basic radionuclide handling techniques applicable to the use of manual brachytherapy sources that includes:

(a)

200 hours of classroom and laboratory training in:

i.

radiation physics and instrumentation;

ii.

radiation protection;

iii.

mathematics pertaining to the use and measurement of radioactivity; and

iv.

radiation biology; and

(b)

500 hours of work experience, under the supervision of an authorized user who meets the requirements in this part, part 4731.4414, or equivalent requirements of the NRC or an agreement state at a medical institution authorized to use radioactive materials under part 4731.4450, involving:

i.

ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;

ii.

checking survey meters for proper operation;

iii.

preparing, implanting, and removing brachytherapy sources;

iv.

maintaining running inventories of material on hand;

v.

using administrative controls to prevent a medical event involving the use of radioactive material; and

vi.

using emergency procedures to control radioactive material;

(2)

completed three years of supervised clinical experience in radiation oncology, under an authorized user who meets the requirements of this part, part 4731.4414, or equivalent requirements of the NRC or an agreement state, as part of a formal training program approved by the Residency Review Committee for Radiation Oncology of the Accreditation Council for Graduate Medical Education, the Royal College of Physicians and Surgeons of Canada, or the Council on Postdoctoral Training of the American Osteopathic Association. This experience may be obtained concurrently with the supervised work experience required under subitem (1), unit (b); and

(3)

obtained written attestation that the individual has satisfactorily completed the requirements of this item and is able to independently fulfill the radiation safety-related duties as an authorized user of manual brachytherapy sources for the medical uses authorized under part 4731.4450. The attestation must be obtained from either:

(a)

a preceptor authorized user who meets the requirements of this part, part 4731.4414, or equivalent requirements of the NRC or an agreement state; or

(b)

a residency program director who affirms in writing that the attestation represents the consensus of the residency program faculty where at least one faculty member is an authorized user who meets the requirements of this part, part 4731.4414, or equivalent requirements of the NRC or an agreement state, and concurs with the attestation provided by the residency program director. The residency training program must be 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 Council on Postdoctoral Training of the American Osteopathic Association and must include training and experience specified in subitems (1) and (2).

Subp. 2.

Certification requirements.

A specialty board under subpart 1, item A, shall require all candidates for certification to:

A.

successfully complete a minimum of three years of residency training in a radiation oncology program approved by the Residency Review Committee of the Accreditation Council for Graduate Medical Education, the Royal College of Physicians and Surgeons of Canada, or the Council on Postdoctoral 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.

Statutory Authority:

MS s 144.1202; 144.1203

History:

29 SR 755; 32 SR 831; 36 SR 74; 46 SR 791

Published Electronically:

May 26, 2022