Section He-P 4035.69 - Training for Use of Manual Brachytherapy Sources(a) Except as provided in He-P 4035.71, the licensee shall require the authorized user of a manual brachytherapy source for the uses authorized under He-P 4035.41 to be a physician who: (1) Is certified by a medical specialty board whose certification process has been recognized by the DHHS/RHS, or an agreement state, or the Nuclear Regulatory Commission. The names of board certifications that have been recognized by DHHS/RHS, an agreement state, or the Nuclear Regulatory Commission are posted on the NRC's Medical Uses Licensee Toolkit web page. To have its certification process recognized, a specialty board shall require all candidates for certification to: a. Successfully complete a minimum of 3 years of residency training in a radiation oncology program 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 Committee on Post-Graduate Training of the American Osteopathic Association; andb. Pass an examination, administering by diplomats of the specialty board, that tests knowledge and competence in radiation safety, radionuclide handling, treatment planning, quality assurance, and clinical use of manual brachytherapy; or(2) Meets the requirements in He-P 4035.69(b); or(b) Has completed a structured educational program in basic radionuclide handling techniques applicable to the use of manual brachytherapy sources that includes: (1) 200 hours of classroom and laboratory training in the following:a. Radiation physics and instrumentation;c. Mathematics pertaining to the use and measurement of radioactivity;d. Radiation biology; and(2) 500 hours of work experience, under the supervision of an authorized user who meets the requirements in He-P 4035.69, He-P 4035.71, or the equivalent agreement state, or the Nuclear Regulatory Commission requirements at a medical facility authorized to use byproduct materials under He-P 4035.41, involving: a. Ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys;b. Checking survey meters for proper operation;c. Preparing, implanting, and removing brachytherapy sources;d. Maintaining running inventories of material on hand;e. Using administrative controls to prevent a medical event involving the use of byproduct material;f. Using emergency procedures to control byproduct material; and(3) Has completed 3 years of supervised clinical experience in radiation oncology, under an authorized user who meets the requirements in He-P 4035.69, He-P 4035.71, or the equivalent requirements of an agreement state, or the Nuclear Regulatory Commission, as part of a formal training program approved by the Residency Review Committee for Radiation Oncology of the Accreditation Council for Graduate Medical Education or the Royal College of Physicians and Surgeons of Canada or the Committee on Postdoctoral Training of the American Osteopathic Association. This experience may be obtained concurrently with the supervised work experience required by He-P 4035.69(b)(2); and(4) Has obtained a written attestation that the individual has satisfactorily completed the requirements in He-P 4035.69(b)(1), (b) (2), and (b)(3) 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 He-P 4035.41. The attestation shall be obtained from either: a. A preceptor authorized user who meets the requirements in He-P 4035.69, He-P 4035.71, or the equivalent requirements of an agreement state, or the Nuclear Regulatory Commission; orb. 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 in He-P 4035.69, He-P 4035.71, or the equivalent requirements of an agreement state, or the Nuclear Regulatory Commission, and concurs with the attestation provided by the residency program director. The residency training program shall 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 shall include training and experience specified in He-P 4035.69(b)(1) through (b) (3).N.H. Admin. Code § He-P 4035.69
(See Revision Note at part heading for He-P 4035) #6942, eff 2-1-99; ss by #8800, INTERIM, eff 2-1-07, EXPIRED: 7-31-07
New. #8959, eff 8-7-07
Amended by Volume XXXV, Number 32 Filed August 13, 2015, Proposed by #10897, Effective 7/22/2015, Expires1/18/2016.Amended by Volume XXXVI Number 01, Filed January 7, 2016, Proposed by #11011, Effective 1/15/2016, Expires 1/15/2026.Amended by Volume XL Number 24, Filed June 11, 2020, Proposed by #13048, Effective 6/2/2020, Expires 6/2/2030.