Pt. 75, App. D 42 CFR Ch. I (10–1–12 Edition)

D. Faculty grants the degree or certificate documenting completion of the program. The dental radiography training must be 2. Educational programs may be estab- conducted by faculty who are qualified in the lished in: curriculum subject matter. (a) Community and junior colleges, senior 1. This may include a D.D.S./D.M.D. de- colleges, and universities; gree; graduation from an accredited dental assisting or dental hygiene education pro- (b) Hospitals and clinics; gram with a certificate or an associate or (c) Laboratories; baccalaureate degree; status as a Certified (d) Medical schools; Dental Assistant certified by the Dental As- (e) Postsecondary vocational/technical sisting National Board; or recognition as schools and institutions; and equivalently qualified by the State entity (f) Other acceptable institutions which (or Federal agency where appropriate) which meet comparable standards. approves the educational program in dental 3. The sponsoring institution and affil- radiography. iate(s) must be accredited by a recognized 2. The faculty-to-student ratio must be agency. When the sponsoring institution and adequate to achieve the stated objectives of affiliate(s) are not so recognized, they may the curriculum. be considered as meeting the requirements of accreditation if the institution meets or ex- E. Facilities ceeds established equivalent standards. 4. Responsibilities of the sponsor and each Adequate radiographic facilities must be affiliate for program administration, in- available to permit achievement of the den- struction, supervision, etc., must be care- tal radiography training objectives. The de- fully described in written affiliation agree- sign, location, and construction of radio- ments. graphic facilities must provide optimum pro- tection from X- for patients and op- B. Curriculum erators. Equipment shall meet State and Federal laws related to radiation. Moni- Instruction must follow a plan which docu- toring devices shall be worn by dental per- ments: sonnel. Lead aprons must be placed to pro- 1. A structured curriculum including clin- tect patients. Safe storage for films must be ical education with clearly written syllabi provided. Darkroom facilities and equipment which describe learning objectives and com- must be available and of a quality that petencies to be achieved. The curriculum assures that films will not be damaged or shall be based on not less than one calendar lost. year of full-time study or its equivalent. 2. The minimum professional curriculum F. Learning Resources that includes the following: A wide range of printed materials, instruc- (a) Methods of patient care; tional aids, and equipment must be available (b) Radiation safety and protection; to support instruction. Current specialized (c) Nuclear physics; reference texts should be provided; and mod- (d) Radiation physics; els, replicas, slides, and films which depict (e) Nuclear instrumentation; current techniques should be available for (f) Statistics; use in instruction. As appropriate self-in- (g) chemistry; structional materials become available, they (h) Radiopharmacology; should be provided for the student’s use. (i) Departmental organization and func- tion; NOTE: Educational programs accredited by (j) Radiation biology; an organization recognized by the United (k) in vivo and in vitro States Department of Education are consid- procedures; ered to have met these standards. (l) Radionuclide ; (m) Computer applications; and APPENDIX D TO PART 75—STANDARDS (n) Clinical practicum. FOR ACCREDITATION OF EDUCATIONAL 3. Assignment of appropriate instructional PROGRAMS FOR NUCLEAR MEDICINE materials. TECHNOLOGISTS 4. Classroom presentations, discussions, and demonstrations. A. Sponsorship 5. Supervised practice, experience, and dis- 1. Accreditation will be granted to the in- cussions. This shall include the following: stitution that assumes primary responsi- (a) Patient care and patient recordkeeping; bility for curriculum planning and selection (b) Participation in the quality assurance of course content; coordinates classroom program; teaching and supervised clinical education; (c) The preparation, calculation, identi- appoints faculty to the program; receives fication, administration, and disposal of and processes applications for admission; and ;

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(d) Radiation safety techniques that will director in the periodic review and upgrading minimize radiation exposure to the patient, of course material. public, fellow workers, and self; (b) Qualifications. The instructors must be (e) The performance of an adequate number qualified, knowledgeable, and effective in and variety of imaging and non-imaging pro- teaching the subjects assigned. cedures; and (c) Instructor-to-student ratio. The instruc- (f) Clinical correlation of nuclear medicine tor-to-student ratio shall be adequate to procedures. achieve the stated objectives of the cur- 6. Evaluation of student’s knowledge, prob- riculum. lem-solving skills, and motor and clinical (d) Professional development. Accredited competencies. programs shall assure continuing education 7. The competencies necessary for gradua- in the health profession or occupation and tion. ongoing instruction for the faculty in cur- riculum design and teaching techniques. C. Resources 3. Financial resoures for continued oper- 1. The program must have qualified pro- ation of the educational program must be as- gram officials. Primary responsibilities shall sured. include program development, organization, 4. Physical Resources. (a) General. Adequate administration, evaluation, and revision. classrooms, laboratories, and other facilities The following program officials must be shall be provided. identified: (b) Equipment and Supplies. Modern nuclear (a) Program Director—(1) Responsibilities. medicine equipment, accurately calibrated, The program director of the educational pro- in working order, and meeting applicable gram shall have overall responsibility for Federal and State standards, if any, must be the organization, administration, periodic available for the full range of diagnostic and review, continued development, and general therapeutic procedures as outlined in the effectiveness of the program. The director curriculum. shall provide supervision and coordination to (c) Reference Materials. Reference materials the instructional staff in the academic and appropriate to the curriculum shall be read- clinical phases of the program. Regular vis- ily accessible to students. its to the affiliates by the program director (d) Records. Records shall be maintained as must be scheduled. dictated by good educational practices. (2) Qualifications. The program director 5. Instructional Resources. Instructional aids must be a physician or nuclear medicine such as clinical materials, reference mate- technologist. The program director must rials, demonstration and other multimedia demonstrate proficiency in instruction, cur- materials must be provided. riculum design, program planning, and coun- seling. D. Students (b) Medical Director—(1) Responsibilities. The medical director of the program shall pro- ADMISSION REQUIREMENTS vide competent medical direction and shall Persons admitted into nuclear medicine participate in the clinical instruction. In technology programs shall have completed multiaffiliate programs each clinical affil- high school or its equivalent. They shall iate must have a medical director. have completed postsecondary courses in the (2) Qualifications. The medical director following areas: must be a physician qualified in the use of (1) Human anatomy and physiology; and a diplomate of the Amer- ican Board(s) of Nuclear Medicine, or Pathol- (2) Physics; ogy, or Radiology, or possess suitable equiv- (3) Mathematics; alent qualifications. (4) Medical terminology; (c) Clinical Supervisor. Each clinical affil- (5) Oral and written communications; iate must appoint a clinical supervisor. (6) General chemistry; and (1) Responsibilities. The clinical supervisor (7) Medical ethics. shall be responsible for the clinical edu- Prerequisites may be completed during nu- cation and evaluation of students assigned to clear medicine training. Educational institu- that clinical affiliate. tions such as junior colleges, universities, (2) Qualifications. The clinical supervisor and technical vocational institutes may pro- must be a technologist credentialed in nu- vide these prerequisite courses as part of an clear medicine technology. integrated program in nuclear medicine 2. Instructional Staff—(a) Responsibilities. technology (i.e., two to four years). The instructional staff shall be responsible E. Operational Policies for instruction in the didactic and/or clinical phases of the program. They shall submit Students may not take the responsibility course outlines for each course assigned by nor the place of qualified staff. However, stu- the program director; evaluate students and dents may be permitted to perform proce- report progress as required by the sponsoring dures after demonstrating proficiency, with institution; and cooperate with the program careful supervision.

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F. Continuing Program Evaluation achieved. The curriculum shall include but not necessarily be limited to the following: 1. Periodic and systematic review of the (a) Orientation to tech- program’s effectiveness must be documented. nology; 2. One element of program evaluation shall (b) Medical ethics and law; be the initial employment of graduates of (c) Methods of patient care; the program. (d) Medical terminology; NOTE: Educational programs accredited by (e) Human structure and function; an organization recognized by the United (f) Oncologic pathology; States Department of Education are consid- (g) Radiation oncology; ered to have met these standards. (h) Radiobiology; (i) Mathematics; APPENDIX E TO PART 75—STANDARDS (j) Radiation physics; (k) Radiation protection; FOR ACCREDITATION OF EDUCATIONAL (l) Radiation oncology technique; PROGRAMS FOR RADIATION THERAPY (m) Radiographic imaging; and TECHNOLOGISTS (n) Clinical . A. Sponsorship The curriculum must include a plan for well- structured competency-based clinical edu- 1. Educational programs may be estab- cation. lished in: (a) Community and junior colleges, senior 2. Assignment of appropriate instructional colleges, and universities; materials. (b) Hospitals, clinics, or autonomous radi- 3. Classroom presentations, discussions, ation oncology centers meeting the criteria and demonstrations. for major cancer management centers or 4. Supervised clinical education and lab- meeting demonstrably equivalent standards; oratory practicum. (c) Medical schools; and 5. Evaluation of students to assess knowl- (d) Postsecondary vocational/technical edge, problem-solving skills, and motor and schools and institutions. clinical competencies. 2. The sponsoring institution and affiliates, 6. Program graduates must demonstrate if any, must be accredited by recognized competencies including, but not limited to, agencies or meet equivalent standards. When the following: more than one clinical education center is (a) Practice oral and written communica- used, each must meet the standards of a tions; (b) Maintain records of treatment adminis- major cancer management center. tered; 3. When didactic preparation and super- (c) Perform basic mathematical functions; vised clinical education are not provided in (d) Demonstrate knowledge of human the same institution, accreditation must be structure, function, and pathology; obtained by the sponsoring institution for (e) Demonstrate knowledge of radiation the total program. This institution will be physics in radiation interactions and radi- the one responsible for admission, cur- ation protection techniques; riculum, and academic credit. The accredited (f) Provide basic patient care and institution shall be responsible for coordi- cardiopulmonary resuscitation; nating the program and assuring that the ac- (g) Deliver a planned course of radiation tivities assigned to the student in the clin- therapy; ical setting are educational. There shall be a (h) Verify physician’s prescribed course of uniform, written, affiliation agreement be- radiation therapy and recognize errors in tween the accredited institution and each computation; clinical education center, clearly defining (i) Demonstrate awareness of patterns of the responsibilities and obligations of each. physical and emotional stress exhibited by B. Curriculum patients; (j) Produces and utilize immobilization and Educational programs of 24 months and 12 beam directional devices; months or their equivalents may be devel- (k) Prepare commonly used oped. A 24-month program shall admit those sources; candidates with a high school diploma (or (l) Demonstrate knowledge of methods of equivalent) as outlined in D.1. The 12-month calibration of equipment, and quality assur- program shall be designed for those students ance; admitted with backgrounds as outlined in (m) Prepare isodose summations; D.2. (n) Detect malfunctioning equipment; Instruction must follow a plan which docu- (o) Apply rules and regulations for radi- ments: ation safety, and detect defects which might 1. A structured curriculum with clearly pose a radiation hazard; written course syllabi which describe com- (p) Understand the function of equipment petencies and learning objectives to be and accessories;

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