Physics Residency Program: Training Requirements
Requirements for Program Completion
In order to complete the Physics Residency Program, the Physics Resident must:
Typical Two Year Physics Resident Rotation Assignments
The resident is given a certificate upon completion of the program.
Training Essentials - Design and Content
During the first year, the physics attends didactic lectures, special training sessions, conferences, and participates directly in the clinic through a series of treatment planning, special procedures, and brachytherapy rotations. The resident works closely with staff physicists and dosimetrists to observe and participate in conventional and IMRT treatment planning, image acquisition, on-board imaging CBCT, fusion, registration, image guidance, dose calculations, design and fabrication of patient treatment aids, and special bolus; treatment machine calibrations; patient and phantom dose measurements, quality assurance procedures, brachytherapy procedures, and other physical and technical tasks performed in the clinic. During this time, the resident should develop basic radiation oncology physics skills and also should develop an overall understanding of the radiation oncology physicist's and dosimetrist's role in the clinic.
Most topics are covered in the Physics Residents Course attended by our physician and physics residents. This Physics Course is taught each year and lectures are given 2 days a week 7:30 AM - 8:30 AM in our Perez Conference Room designated located in the new CAM building. The course utilizes the textbook by Faiz Khan, Radiation Therapy Physics, 5th Ed, published by Williams and Wilkins. It is supplemented by handouts provided by the lecturer. The lectures are posted on a shareable drive. Homework is assigned and typically 3 to 4 exams and a final exam are given.
The Radiation Biology Course typically follows the Physics Course each year and is customized for physics residents. The course utilizes the textbook by Eric Hall, Radiation Biology for the Radiologist, 4th Edition, published by J.P. Lippincott. It is supplemented by handouts provided by the lecturer. Physics residents must pass a final exam for this course to complete their residency training program.
Instruction in anatomy and physiology is provided by a number of means. This subject area is covered by the resident’s attendance of Patient Management Conference, Radiation Education Course (Treatment Techniques) Morbidity Conference, and Current Case Review Conference. Over the two year period, these conferences provide the resident exposure to a considerable number of patient related case management discussions involving the use of simulation films, port films (KV and MV), CT scans, MR scans, and PET scans in which anatomical and physiological issues are discussed. In addition, our clinic currently provides one of the largest conventional and IMRT planning and virtual simulation services in the country. This form of image based planning provides the resident with a rich experience in radiologic anatomy. In addition, one of the changes we have implemented since our 1997 accreditation is that we now require the physics resident to prepare detailed reports for selected treatment sites that review pertinent anatomy (critical organs, primary tumor sites, and nodal regions), oncological aspects, and related technical parameters related to a particular treatment site. Each report is reviewed by a clinical physicist for thoroughness. The clinical physicist will review with the resident any inadequacies and remedies. First year residents will cover all major treatment sites.
The Academic Update Conference which is conducted every Friday morning 8:00 - 9:00 AM provides the physician and physics resident a series of didactic lectures covering the clinical physics and biological aspects of radiation oncology.
The clinical rotations are the core element of the 1st year of residency training. They have 4 core elements to them; a) the actual assigned rotation, b) the assigned readings, c) assigned comprehensions with assigned faculty, and d) testing.
In the 2nd year, the specific rotations also end with a short exam based on the rotation. Additional readings are typically assigned, especially if the resident does not pass the rotation based exam.
In addition to the clinical physics rotations and didactic lectures, the physics resident is assigned topics for 3 seminar presentations each year. The physics resident, working closely with an assigned staff physicist advisor, is expected to prepare a detailed handout with a well researched bibliography that contains both "classic" papers and state-of-the-art references.
Physics residents participate in all department conferences in which the physics faculty is expected to attend. These include (1) Patient Management Conference, (2) Resident Education Course, (3) Special Physics Seminars, (4) Academic Update Conference, (5) Morbidity Conference, and (6) Current Case Review Conference.
Examples of past clinical rotation assignments, reports, lecture handouts, and examinations are available for review. Resident evaluations of clinical rotations are discussed in regularly scheduled meetings held with the resident.
Program Length and Sample Training Plans
The length of the residency education program is two years and the training calendar starts on July 1 of each year. In special cases, the start date can be delayed. Thus far we have not distinguished between those physicists entering with didactic training in medical physics, as evidenced by graduation from an accredited medical physics graduate education program, and those entering without didactic training in medical physics. This training program has resulted in a 97% success rate for our graduates obtaining board certification. During the second year of residency, there is one month allocated for either clinical research and special rotation, or “catch-up”. Clinical research projects and special rotations must be approved by the Program Director. A resident who is struggling will use the month for ‘catch-up,” i.e. an additional rotation.
Training program review is an ongoing task and the responsibility of the Program Director, Associate Directors, and the Physics Residency Committee. The training essentials and clinical physics rotations are generally reviewed once a year. If changes are needed to meet the needs of the Program, then the Physics Residency Program Director targets the appropriate faculty for that task. Modifications require submission by the faculty to and subsequent approval by the Physics Residency Committee and/or Program Director and Associate Directors.