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Schedule 2 Adequate Training

Original text. Later amendments are not shown.

Practitioners and operators shall have successfully completed training, including theoretical knowledge and practical experience, in—

(i)

such of the subjects detailed in section A as are relevant to their functions as practitioner or operator; and

(ii)

such of the subjects detailed in section B as are relevant to their specific area of practice.

  1. A.

    Radiation production, radiation protection and statutory obligations relating to ionising radiations

    1. 1.

      Fundamental Physics of Radiation

      1. 1.1

        Properties of radiation

        Attenuation of ionising radiation

        Scattering and absorption

      2. 1.2

        Radiation hazards and dosimetry

        Biological effects of radiation

        Risks/benefits of radiation

        Dose optimisation

        Absorbed dose, dose equivalent, effective dose and their units

      3. 1.3

        Special attention areas

        Pregnancy and potential pregnancy

        Infants and children

        Medical and biomedical research

        Health screening

        High dose techniques

    2. 2.

      Management and Radiation Protection of the Patient

      1. 2.1

        Patient selection

        Justification of the individual exposure

        Patient identification and consent

        Use of existing appropriate radiological information

        Alternative techniques

        Clinical evaluation of outcome

        Medico-legal issues

      2. 2.2

        Radiation protection

        General radiation protection

        Use of radiation protection devices

        • patient

        • personal

        Procedures for untoward incidents involving overexposure to ionising radiation

    3. 3.

      Statutory Requirements and Advisory Aspects

      1. 3.1

        Statutory requirements and non-statutory recommendations

        Regulations

        Local rules and procedures

        Individual responsibilities relating to medical exposures

        Responsibility for radiation safety

        Routine inspection and testing of equipment

        Notification of faults and DH hazard warnings

        Clinical Audit

  2. B.

    Diagnostic Radiology, Radiotherapy and Nuclear Medicine

    1. 4.

      Diagnostic Radiology

      1. 4.1.

        General

        Fundamentals of radiological anatomy

        Fundamentals of radiological techniques

        Production of X-rays

        Equipment selection and use

        Factors affecting radiation dose

        Dosimetry

        Quality assurance and quality control

      2. 4.2.

        Specialised techniques

        Image intensification/fluoroscopy

        Digital fluoroscopy

        Computerised Tomography scanning

        Interventional procedures

        Vascular imaging

      3. 4.3.

        Fundamentals of Image Acquisition etc

        Image quality v. radiation dose

        Conventional film processing

        Additional image formats, acquisition, storage and display

      4. 4.4.

        Contrast Media

        Non-ionic and ionic

        Use and preparation

        Contra-indications to the use of contrast media

        Use of automatic injection devices

    2. 5.

      Radiotherapy

      1. 5.1.

        General

        Production of ionising radiation

        Use of radiotherapy —

        • benign disease

        • malignant disease

        • external beam

        • brachytherapy

      2. 5.2.

        Radiobiological Aspects for Radiotherapy

        Fractionation

        Dose rate

        Radiosensitisation

        Target volumes

      3. 5.3.

        Practical aspects for radiotherapy

        Equipment

        Treatment planning

      4. 5.4.

        Radiation Protection Specific to Radiotherapy

        Side effects — early and late

        Toxicity

        Assessment of efficacy

    3. 6.

      Nuclear Medicine

      1. 6.1.

        General

        Atomic structure and radioactivity

        Radioactive decay

        The tracer principle

        Fundamentals of diagnostic use

        Fundamentals of therapeutic use

        • dose rate

        • fractionation

        • radiobiology aspects

      2. 6.2.

        Principles of Radiation Detection, Instrumentation and Equipment

        Types of systems

        Image acquisition, storage and display

        Quality assurance and quality control

      3. 6.3.

        Radiopharmaceuticals

        Calibration

        Working practices in the radiopharmacy

        Preparation of individual doses

        Documentation

      4. 6.4.

        Radiation Protection Specific to Nuclear Medicine

        Conception, pregnancy and breastfeeding

        Arrangements for radioactive patients

        Disposal procedures for radioactive waste