Clinical Rotations

Each rotation is typically two to three months in length. Each resident is expected to complete the following core Competencies in their clinical rotations.

  • Treatment Equipment (Teletherapy)
    • Calibration
    • Radiation Protection
    • Quality Assurance
  • Imaging
    • Testing: acceptance testing and commissioning
    • Radiation Protection: beam quality, head leakage, and area survey
    • Quality Assurance
  • Treatment Planning
    • Equipment: Acceptance testing and commissioning
    • Imaging: Check of CT and MRI images for accuracy of contour delineation, magnifications
    • Isodose Plans
    • Quality assurance
  • Treatment Delivery
    • Field Shaping: custom blocking, multileaf collimators, half-value thickness blocks, gonadal shields, eye shields, and internal shields with electrons.
    • Bolus: material and thickness.
    • Compensators: design of missing tissue compensators and dosimetry check.
    • In-vivo Dosimetry: use of TLD chips, diodes.
    • Patient Positioning: immobilization devices, body position, leveling, anatomic landmarks registration.
    • On-line Imaging: verification of electronic portal images in comparison with simulation images.
  • Special Techniques
    • Intensity modulated radiation therapy (IMRT) and image guided radiation therapy (IGRT)
    • Brachytherapy and radiation safety
    • Total body irradiation (TBI)
    • Stereotactic radiosurgery (SRS), and stereotactic body radiotherapy (SBRT)
  • Quality Assurance Program
    • Design or review of physical quality assurance program for the department, including the NRC mandated Quality Management Program, AAPM Report (TG-40), JCAHO guidelines, etc.

Additional Training Request for Program Completion

  • Peer Review chart rounds
  • Physics Journal Club
  • Department of Radiation Oncology Grand Rounds Program
  • Optional clinical research