Paragraph 1 I1
England, Wales and Scotland
Practitioners and operators must have successfully completed training, including theoretical knowledge and practical experience, in—
(a)
such of the subjects detailed in Table 1 as are relevant to their functions as practitioner or operator; and
(b)
such of the subjects detailed in Table 2 as are relevant to their specific area of practice.
F1Table 1
Radiation production, radiation protection and statutory obligations relating to ionising radiations
| Fundamental Physics of Radiation | |
|---|---|
| Properties of Radiation | Excitation and ionisation |
| Attenuation of ionising radiation | |
| Scattering and absorption | |
| Radiation Hazards and Dosimetry | Biological effects of radiation - stochastic and deterministic |
| Risks and benefits of radiation | |
| Absorbed dose, equivalent dose, effective dose, other dose indicators and their units | |
| Management and Radiation Protection of the individual being exposed | |
| Special Attention Areas | Pregnancy and potential pregnancy |
| Asymptomatic individuals | |
| Breastfeeding | |
| Infants and children | |
| Medical and biomedical research | |
| Health screening | |
| Non-medical imaging | |
| Carers and comforters | |
| High dose techniques | |
| Justification and authorisation | Justification of the individual exposure |
| Use of existing appropriate radiological information | |
| Alternative techniques | |
| Radiation Protection | Diagnostic reference levels |
| Dose reference levels | |
| Dose Constraints | |
| Dose Optimisation | |
| Dose reduction devices and techniques | |
| Dose recording and dose audit | |
| General radiation protection | |
| Quality Assurance for written procedures and written protocols | |
| Quality Control for the routine inspection and testing of equipment | |
| Risk communication | |
| Use of radiation protection devices | |
| Statutory Requirements, Non-Statutory Guidance and other documents | |
| Regulations | |
| Non-statutory guidance | |
| Local procedures and protocols | |
| Individual responsibilities relating to exposures | |
| Responsibility for radiation safety | |
| Proactive use of clinical audit | |
| Analysis of events involving accidental or unintended exposures | |
| Study of risk of accidental or unintended exposures |
F2Table 2
Diagnostic radiology, radiotherapy and nuclear medicine
| All Modalities | |
|---|---|
| General | Fundamentals of radiological anatomy |
| Factors affecting radiation dose | |
| Dosimetry | |
| Fundamentals of clinical evaluation | |
| Identification of the individual being exposed | |
| Equipment specification | |
| Contrast Media | Use and preparation |
| Contraindications | |
| Use of contrast injection systems |
| Diagnostic radiology | |
|---|---|
| General | Principles of radiological techniques |
| Production of X-rays | |
| Specialised Techniques | Computed Tomography |
| Interventional procedures | |
| Hybrid imaging | |
| Practical aspects for diagnostic radiology | Patient positioning |
| Equipment selection and use | |
| Protocol selection | |
| Optimisation of image quality and radiation dose | |
| Dose assessment and recording | |
| Image acquisition, artefacts, processing, display and storage |
| Radiotherapy | |
|---|---|
| General | Production of ionising radiation |
| Treatment of malignant disease | |
| Treatment of benign disease | |
| Principles of external beam radiotherapy | |
| Specialised techniques | Brachytherapy |
| Intra-operative radiotherapy | |
| Proton therapy | |
| Magnetic Resonance Linac therapy | |
| Computed Tomography: applications limited to radiotherapy | |
| Advanced techniques | |
| Radiobiological Aspects for Radiotherapy | Fractionation |
| Dose rate | |
| Radiosensitisation | |
| Target volumes | |
| Organs at risk | |
| The Radiobiological effect of gaps in treatment | |
| The Radiobiology of re-treatment | |
| Practical Aspects for Radiotherapy | Patient positioning |
| Equipment selection and use | |
| Principles of localisation techniques | |
| Principles of planning techniques | |
| Principles of dose calculation and verification techniques | |
| Principles of treatment techniques | |
| Principles of on-treatment imaging | |
| Optimisation of image quality and radiation dose | |
| Radiation Protection Specific to Radiotherapy | Side effects—early and late |
| Toxicity | |
| Assessment of efficacy |
| Nuclear Medicine | |
|---|---|
| General | Atomic structure and radioactivity |
| Radioactive decay | |
| Principles of molecular imaging and non-imaging exposures | |
| Principles of molecular radiotherapy | |
| Molecular Radiotherapy | Dose rate |
| Fractionation | |
| Radiobiology aspects | |
| Radiosensitisation | |
| Specialised techniques | Quantitative imaging—advanced applications |
| Hybrid imaging—advanced applications | |
| Selective Internal Radiation Therapy | |
| Radiopharmaceuticals | Calibration |
| Working practices in the radiopharmacy | |
| Preparation of individual doses | |
| Practical aspects for nuclear medicine | Patient positioning |
| Equipment selection and use | |
| Protocol selection | |
| Optimisation of image quality and radiation dose | |
| Dose assessment and recording | |
| Image acquisition, artefacts, processing, display and storage | |
| Radiation Protection Specific to Nuclear Medicine | Conception, pregnancy and breastfeeding |
| Radiation protection arrangements for radioactive individuals | |
Annotations
Textual amendments
- F1
Sch. 3 Table 1 substituted (1.10.2024) by The Ionising Radiation (Medical Exposure) (Amendment) Regulations 2024 (S.I. 2024/896), regs. 1(2), 18(a)
- F2
Sch. 3 Table 2 substituted (1.10.2024) by The Ionising Radiation (Medical Exposure) (Amendment) Regulations 2024 (S.I. 2024/896), regs. 1(2), 18(b)
Commencement
- I1
Sch. 3 para. 1 in force at 6.2.2018, see reg. 1