Medical Physics Education programs

Report
Medical Physics Education
programs:
US and Latin America
Doracy P. Fontenla, Ph.D., FACMP, FAAPM
Program Director for Medical Physics Education
Memorial Sloan Kettering Cancer Center
Associate Attending Physicist, Dept Medical Physics
CAB,IB_Oct,2012
1
Will attempt:
• Address MP education in the US and Latin
America
• Overview of the current medical physics
research/training in Latin America.
• PURPOSE : information might be useful for
evaluate whether IB would progress as one of
the reference training/research center for
Latin America.
CAB,IB_Oct,2012
2
Medical Physics Education:
The US Model
First decision:
Only research
Research and clinical
Only clinical
If any clinical activity is aimed at, the program
must be defined, implemented and monitored by
four organizations:
AAPM, CAMPEP, ABR, SDAMP
CAB,IB_Oct,2012
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Relative roles of SDAMP, AAPM, CAMPEP,
and ABR for the Education of Medical
Physicists in the US:
What is a Medical
Physicist
Physicist Certified to
Practice
CAB,IB_Oct,2012
How best educate
Program accredit to
educate
4
Commission on Accreditation of Medical
Physics Educational Programs (CAMPEP)
“ CAMPEP Mission: to promote consistent quality
education of medical physicists by evaluating and
accrediting Graduate, Residency and Continuing
Education programs that meet high standards
established by CAMPEP in collaboration with its
sponsoring organizations.”
CAB,IB_Oct,2012
5
Commission on Accreditation of Medical
Physics Educational Programs (CAMPEP)
Sponsored by the following five organizations:
•American Association of Physicists in Medicine (AAPM)
•American College of Radiology (ACR)
•Canadian Organization of Medical Physicists (COMP)
•Radiological Society of North America (RSNA)
• American Society of Radiation Oncology (ASTRO).
CAB,IB_Oct,2012
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CAMPEP
• Scope:
• Establishment of criteria and guidelines for
accreditation of graduate and residency educational
programs in medical physics.
• Review and approval of applications for accreditation
of educational programs in medical physics to insure
that these programs are meeting accepted standards
for the training of medical physicists.
CAB,IB_Oct,2012
7
CAMPEP
• Scope:
• Monitoring of accredited educational programs to
ensure ongoing compliance with criteria and
guidelines for program accreditation.
• Consideration in accreditation criteria and guidelines
of desirable attributes of medical physicists, including
research experience, educational skills, clinical
expertise, and professional and leadership behavior.
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Accreditation is a voluntary, non-governmental process
of peer review.
Objective: to ensure a program or institution has met a
defined standard.
Thus accreditation serves as public recognition that a
program provides a quality service or education.
CAMPEP offers specialized accreditation of medical
physics educational programs such as degree-granting
programs, clinical residencies, continuing education and
short courses.
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Commission on Accreditation of Medical
Physics Educational Programs (CAMPEP)
Sponsored by the following five organizations:
•American Association of Physicists in Medicine (AAPM)
•American College of Radiology (ACR)
•Canadian Organization of Medical Physicists (COMP)
•Radiological Society of North America (RSNA)
• American Society of Radiation Oncology (ASTRO).
CAB,IB_Oct,2012
10
Commission on Accreditation of Medical
Physics Educational Programs (CAMPEP)
“ CAMPEP Mission: to promote consistent quality
education of medical physicists by evaluating and
accrediting Graduate, Residency and Continuing
Education programs that meet high standards
established by CAMPEP in collaboration with its
sponsoring organizations.”
CAB,IB_Oct,2012
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CAMPEP Accredited Programs in Medical
Physics
1. Accredited Graduate Programs in Medical Physics
2. Accredited Degree Programs (MS, Ph.D)
3. Accredited Certificate Programs in Medical Physics
4. Accredited Residency Programs in Medical Physics
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CAMPEP Accredited Graduate Programs in
Medical Physics
3. Accredited Residency Programs in Medical Physics:
accreditation of clinical residency programs in radiation
oncology physics or medical imaging physics.
The goal is to ensure that a residency program provides
rigorous and thorough clinical training in a similar
fashion to that provided by medical residency training
programs.
Therapy: 59
Imaging: 6
CAB,IB_Oct,2012
US(52)
US (5)
Exterior (7)
Exterior (1)
13
CAMPEP Accredited Programs in Medical
PhysicS:
1. Accredited Degree Programs (MS, Ph.D.):
38 Universities:
USA (31), Exterior (7)
CAB,IB_Oct,2012
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CAMPEP Accredited Graduate Programs in
Medical Physics
2. Accredited Certificate Programs in Medical Physics :
US (5)
Exterior (1)
A program of didactic coursework, identified in AAPM
Report 197 S (and adopted by CAMPEP), offered by a
CAMPEP-accredited graduate or residency program,
intended to enable individuals with a PhD or equivalent
terminal degree in physics or a related discipline to meet
the didactic requirements needed to enter a CAMPEPaccredited residency program.
CAB,IB_Oct,2012
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Medical Physics Programs in Latin
America
CAB,IB_Oct,2012
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Medical Physicists in LA per
Country
CAB,IB_Oct,2012
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Country
Argentina
Belize
Bolivia
Brazil
Chile
Colombia
Costa Rica
Cuba
Dominican Republic
Ecuador
El Salvador
Guatemala
Honduras
Mexico
Nicaragua
Panama
Paraguay
Peru
Puerto Rico
Uruguay
Venezuela
Source:
PAHO, UN, UNSCEAR 2010
CAB,IB_Oct,2012
Population
Thousands
(2010)
40,412
312
9,93
194,946
17,114
46,295
4,659
11,258
9,927
14,465
6,193
14,389
7,601
113,423
5,788
3,517
6,455
29,077
3,749
3,369
28,98
Phys. ratio
10,000 hab.
32.1 (2004)
7.0 (2009)
4.9 (2008)
16.0 (2007)
9.3 (2004)
15.0 (2008)
18.6 (2009)
66.3 (2008)
13.2 (2008)
16.2 (2007)
20.1 (2008)
9.9 (2008)
3.0 (2008)
14.0 (2006)
16.4 (2003)
13.4 (2008)
13.0 (2008)
9.2 (2009)
22.0 (2007)
29.0 (2009)
13.0 (2007)
Per capita Health Care
GDP
Level
U$ (2011) (UNSCEAR)
9162
I
4496
1978
II
10716
II
11888
II
6223
II
7704
II
5704
I
5195
II
4073
I
3426
II
2882
III
2026
III
9101
II
1132
II
7614
I
2771
II
5411
II
26461
II
11952
I
13503
I
GDP: Gross Domestic Product
18
Education available: Graduation
Country
ARGENTINA
University
Period
(years)
Universidad de Buenos Aires
5
Universidade Federal do Rio de Janeiro
4
Universidade de São Paulo – São Paulo, Ribeirão
Preto, Campinas
5
Centro de Ciências Exatas e Tecnologia da PUC-São
Paulo, Rio Grande do Sul
4
Instituto de Biociências de Botucatu – UNESP
(Botucatu/SP)
4
Fundação Souza Marques (Rio de Janeiro/RJ)
5
Universidade Federal de Sergipe (Aracaju/SE)
4
Centro Universitário Franciscano UNIFRA (Santa
Maria/RS)
5
Universidad La Frontera (Temuco)
5
Pontificia Universidad Católica de Chile
5
COLOMBIA
Universidad Nacional de Colombia
5
COSTA RICA
Universidad Nacional de Costa Rica
5
BRASIL
CHILE
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Country
CUBA
University
Period (years)
Instituto de Ciencias e Tecnología Nuclear
4
Universidad Nacional de México
5
Universidad Autónoma del Estado de México
(Toluca)
5
Universidad Nacional de Ingeniería
5
MÉXICO
PERÚ
Other Countries: no data
CAB,IB_Oct,2012
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Education available: Post Graduation
Country
University
Course
Instituto de Tecnología Nuclear DAN BENINSON
Physics in Radiotherapy
Instituto Balsanero y Fundación Escuela de
Medicina Nuclear
M.Sc. Medical Physics
Instituto de Radioproteção e Dosimetria – CNEN,
Rio de Janeiro
M.Sc., PhD in Radiation Protection
and Dosimetry
Instituto de Pesquisas Energéticas e Nucleares CNEN, São Paulo/SP
M.Sc. , PhD in Nuclear Technology
Applications
Universidade Federal do Rio de Janeiro
MSc., PhD in Physics
Universidade de São Paulo – São Paulo, Ribeirão
Preto, Campinas
MSc., PhD in Medical Physics and
Biology
Centro de Ciências Exatas e Tecnologia da PUC
Rio Grande do Sul
M.Sc., PhD Nuclear Biosciences
Biociências Nucleares /UERJ - Rio de Janeiro/RJ
M.Sc., PhD Nuclear Biosciences
Universidade Federal de Sergipe, Aracaju/SE
M.Sc., PhD Nuclear Biosciences
Centro de Desenvolvimento da
Nuclear – CNEN, Belo Horizonte
M.Sc., PhD Nuclear Sciences
ARGENTINA
BRAZIL
CAB,IB_Oct,2012
Tecnologia
21
Country
University
Pontificia Universidad Católica
de Chile
CHILE
Universidad de Tarapacá (Arica)
COLOMB
Universidad de Colombia
IA
COSTA
RICA
CUBA
M.Sc. in Medical Physics
M.Sc. in Radiological
Science
M.Sc. In Radiological
Protection and Security
M.Sc. ,PhD in Medical
Physics
Universidad Nacional de Costa
Rica
M.Sc. in Medical Physics
INSTITUTO SUPERIOR DE
CIENCIAS MÉDICAS
Graduated in Physics of
Radiotherapy - Specialist
Graduated in Physics of
Nuclear Medicine Specialist
PERIOD:
CAB,IB_Oct,2012
Course
9 months - 2 years for MSc Degree
4 years for PhD Degree
Certification
A Certified Medical Physicist must be evaluated by a
national or an international professional certification
body.
However, most of LA countries didn’t establish a
certification process yet.
Where there is a certification process, different
requirements are established to certify or license MP.
 Brazil already has certification process but still need to
update and improve it to achieve international
recommendations.
The practical training is a concern because there are not
enough
accredited hospitals to do residency.
CAB,IB_Oct,2012
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Practice Residency in Brazil
PERIOD
(hours)
Annual
Ingress
3380
6
3900
3
UNICAMP Hospital de Clínicas
3940
2
USP Hospital de Clínicas
3840
2
Hospital Sírio Libanês
4000
1
UNIFESP Escola Paulista de Medicina
1920
2
Centro de MN do Hospital das
Clínicas
1920
1
Hospital do Câncer Barretos
3800
1
Hospital das Clínicas de Ribeirão
Preto
3800
3
Liga Paranaense de Tumores Hospital
Erasto Gaertner
6240
1
INSTITUTION
Instituto Nacional do Cancer INCa
CAB,IB_Oct,2012
TOTAL of vacancies avaialable : 22 per year
24
Partners
IAEA : Standard Syllabus and Regional Projects
PAHO : Strategic Plan 2008 - 2017 OBJECTIVE 13:
Ensure the existence of health personnel available,
competent, productive and responsive to the needs,
in order to improve health outcomes…..
IOMP : Standards and Certification Process
CAB,IB_Oct,2012
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