Training, education and staffing: getting ready for new technologies - - PowerPoint PPT Presentation

Training, education and staffing: getting ready for new technologies

Ｋｉｙｏｎａｒｉ Ｉｎａｍｕｒａ ＰｈＤ ＡＦＯＭＰ Pｒｅｓｉｄｅｎｔ Ｐｒｏｆｅｓｓｏｒ Emeritus Osaka University

Contents

1. Problems we are now facing

• 2. Priority
• f new technologies to be adopted
• 3. Mission
• f qualified medical physicists
• 4. Education and training of MP

in AFOMP countries

• 5. Struggles

in AFOMP countries and proposed solution 6. Action plan 7. Cooperation between AFOMP and IAEA

• 8. Conclusion

Problems we are now facing:

1. How to break down advanced technologies to clinical routine work 2. How to optimize and standardize method of training

• 3. How to develop structured

program

• 4. How to train trainers

Problems we are now facing

5. How to share instruments/ machines/ systems to be commonly used

• 6. What is most appropriate

staffing 6‐1: Optimized mix

• f proper staffs between

radiation oncologists, medical physicists and radiological technologists . 6‐2: Appropriate number of staff per patient?

How to prioritize new technologies to be adopted?

1. Heavy particles, Proton, Neutron, ・・・,? 2. IMRT, IGRT, Tomotherapy,・・・, ? 3. PET, PET‐CT, Multi‐slice CT,・・・, ?

Vertical climbing up to top ranked technologies, or horizontal spread

• f base lined ones?

Highly advanced technology broken down to comprehensive appropriate technologies

Advanced technologies vs. appropriate technologies

1. How many patients can enjoy the highest technology? 2. By what cost? 3. Medical technology assessment: effectiveness, efficacy, efficiency, economy, cost/performance, validation・・・.

Mission of qualified medical physicists

Commissioning

• f highly advanced modalities applicable

to clinical routine works Defining problems in clinical routine works Solving the problems by highly advanced technologies Performing QA/QC /Security procedure

Education of medical physicists toward top ranked technologies

Education of fundamental physics as basic sciences Education of medical statistics, mathematics and information sciences Research works of figuring out effectiveness to patients

Ｃｌｉｎｉｃａｌ training

• f MP to break down advanced modalities

to clinical routine works

1. Fixation of translational research

• 2. Technology transfer

from manufacturers 3. QA/QC program and security enhancement 4. Train trainers

• 5. Train trainees

Optimization & Standardization

• 1. Flow charts, clinical critical path

and layout

• 2. QA/QC/Security

procedure 3. Protocol for data base

• 4. Application of medical statistics
• 5. Normalization
• f quantitative clinical data
• 6. Documentation and publication

Optimized mix

• f man‐hours

between medical staffs:

• 1. Oncologists, physicists, technologists, nurses

and statistician,・・・.

Selection of patients to be treated:

• 1. What is priority?
• 2. First come, first treated or,
• 3. Ethical selection committee for patients

treated?

Struggles in AFOMP countries and proposed solution

• Very few medical physicists training

system

• Contradiction and friction between radiological

technologist versus medical physicist.

• Proposed action plan: Implementation of

structured training program by RAS6038 “Strengthening Medical Physics”

Education and training of medical physicists in AFOMP countries

• AFOMP was founded in July 2000
• AFOMP ETC and PDC were founded in 2001.
• Difficulties in defining qualified MP
• Diversity in level and quality of MP

Action plans

• AFOMP activity based on stable finance
• Education and clinical training

courses/workshops to be held in both big cities and in provincial cities

• Appropriate

technologies

Cooperation between AFOMP and IAEA

• To review, examine and endorse Tec Doc

(technical documents) published by IAEA

• Targeting top levelled training

tools

• Train trainers

based on structured program.

• Develop tools and portfolios for completion
• f core competencies.
• IAEA/RCA

RAS6038 “Strengthening Medical Physics”,

Late comers can enjoy advanced scheme rather fast

• Earlier

adoption of highly advanced modalities

• Work value

measurement by time study and evaluation

• Value added quality of life should be sought.

Conclusion

• Role of MP: To break down

highly advanced technologies to clinical routine works

• Optimization and standardization of flow charts,

critical path , and layout

• Train trainers

first

• Steady process of medical technology assessment
• Cooperation between AFOMP and IAEA