Comments on Training and Experience Requirements for All Modalities - - PowerPoint PPT Presentation

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Comments on Training and Experience Requirements for All Modalities - - PowerPoint PPT Presentation

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Comments on Training and Experience Requirements for All Modalities Christopher J. Palestro, M.D. ACMUI Nuclear Medicine Physician ACMUI Commission Meeting April 27, 2017 ACMUI Standing Subcommittee on Training & Experience (T&E)

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Comments on Training and Experience Requirements for All Modalities

Christopher J. Palestro, M.D. ACMUI Nuclear Medicine Physician ACMUI Commission Meeting April 27, 2017

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ACMUI Standing Subcommittee

  • n Training & Experience (T&E)
  • Established in 2016
  • Charge

– Periodically review T&E requirements currently in effect for all modalities – Make recommendations for changes as needed

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ACMUI Standing Subcommittee

  • n Training & Experience
  • Review T&E requirements currently in

effect for uses of

– Unsealed byproduct materials (10 CFR 35.100, 35.200, 35.300, & 35.1000) – Sealed byproduct materials (10 CFR 35.400, 35.500, 35.600, & 35.1000)

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Issues to be Addressed by the Subcommittee

  • Periodic review

– T & E requirements – Competency – Patient access

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Periodic Review

  • What is a reasonable time interval

between reviews?

– 15 years: Too long – 1 year: Impractical – 5 years: Reasonable/practical

  • More frequently if needed

New procedure Increase in ME’s or RSE’s Other

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T & E Requirements for….. – Classification

  • Appropriate
  • Inappropriate
  • Obsolete

– Evaluation

  • Medical Events
  • Radiation Safety Events
  • Patient access

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Review Template for T&E Requirements

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T & E Requirements Evaluation: Medical & Radiation Safety Events

  • Number & Trends

– Explanation

  • Procedure
  • Competency

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Competency

  • General Definition:

– Ability to do something, especially measured against a standard

  • Medical Definition

– Principle of professional practice, identifying the ability of a provider to consistently administer safe, reliable care

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Determining Competency

  • Majority of individuals

– Deemed status of various certifying boards (ABNM, ABR, etc.)

  • Potential Alternative Pathways

– Didactics (with examination) and “hands-on” experience with preceptor certification – Practical examination (independent examining committee)

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Patient Access

  • Do current/proposed regulations limit

patient access to procedures?

  • Do current/proposed regulations

provide adequate protection from unintended radiation exposure?

  • Accessible/reasonable pathways for
  • btaining AU status

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Review Template Example

10 CFR 35.190 Training for uptake, dilution, and excretion studies. Evaluation ME’s: None reported over 10 yrs. RSE’s: Not available Patient access: No known issues Classification Appropriate

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Stakeholder Input

  • Informal

– Faster – Potential for bias

  • Formal

– Slower – Broader respondent base

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Acronyms

  • ACMUI – Advisory Committee on the

Medical Uses of Isotopes

  • ABNM – American Board of Nuclear

Medicine

  • ABR – American Board of Radiology
  • AU – Authorized User
  • T&E – Training and Experience

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