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Handbook 2019-2020

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Handbook 2019-2020

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api-510203643
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Indiana University School of Medicine

I.U. Graduate School

Medical Dosimetry
Graduate Certificate Program
JRCERT accredited

Student Handbook
2019-2020

Department of Radiation Oncology


IU Simon Cancer Center
535 Barnhill Drive
Indianapolis, IN 46202

Table of Contents
Organization Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Mission Statement, Program Goals & Learning Outcomes . . . . . . . . . . . . . . . . . 4
Program Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Application/Admission Requirements . . . . . . . . . . . . . . . . . . . . . . . . . 5
Policies and Procedures for Students . . . . .. . . . . . . . . . . . . . . . . . . . 7
Expectations for Students
Academic Calendar p.7
Attendance p.7
Dress Code p.8
Student Research / Travel Policy p.8
Code of Ethics p.9
Grading Policies p.9
Graduation Requirements p.10
Transportation & Housing p.10
Tuition & Finance p.10
Transfer of Credits p.11
Health & Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Health Insurance & Immunizations p.12
Student Health Locations p.12
Student Injury/Treatment p.12
Communicable Disease p.12
Substance Abuse p.13
Counseling Services p.13
Sexual Harassment p.13
Radiation Safety & Pregnancy p.13
Policy for Related Work p.15
IU Health Policies for Students p.15
Emergency Preparedness, Fire Safety p.15

Policies and Procedures for the Medical Dosimetry Program. . . . . .. . . . . . . . . . . 16

Disabilities/Equal Opportunity p.16


Due Process / Grievance p.16
Academic Misconduct p.16
Confidentiality p.16
Clinical Education Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Curriculum & Course Descriptions . . . . . . . . . . . . . . . . . . . . . . . . 18
Clinical Hours / Schedule . . . . . . . . . . . . . . . . . . . . . . . . 21
Part-time Program Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
IUSM Honor Code . . . . . . . . . . . . . . . . . . . . . . . . 23

Revised: 4/30/2020 2
Medical Dosimetry Graduate Certificate
Organizational Chart
Program Director
Colleen DesRosiers, Ph.D., DABR

Associate Program Director / Clinical Coordinator


Marvene M. Ewing, CMD

Program Advisor
Peter Maxim, Ph.D., DABR

Didactic Instructors: Colleen DesRosiers, Ph.D., ABR


Marvene Ewing, BS, CMD
Clinical Site Preceptor for each Affiliate
IU Health Academic – University Hospital Marvene Ewing, CMD
IU Health Academic – Methodist Hospital Christopher Johnson, CMD
IU Health CICC – Saxony Cheri Malloy, CMD
IU Health West Hospital, Avon IN Michael Barton, CMD
IU Health Arnett Clinic– Lafayette, IN Jonathan Corn, CMD
IU Health Bloomington, IN Leigh Beevers, MS, ABR
Clinical Dosimetry Instructors (CMD or ABR)
IU Health – AHC (University, Methodist, CICC-Saxony)
CMD ABR ABR_
Marvene Ewing Peter Maxim Jay Jones
Greg Bartlett Colleen DesRosiers Huisi Ai
Julie Wilson Colin Huang Karen Hutchins
CJ Johnson Yi Le Xiaoyi Lu
Ben Dawson Sook Kien Ng Yong Hue
Cheri Malloy
IU Health – West
CMD_______________ ABR______ _________
Michael Barton Yun Wang
IU Health – Bloomington
CMD ABR___ _________
Leigh Beevers Jeffrey Mumper
Gwen Osborne Douglas Frye
IU Health Arnett
CMD ABR __________
Jonathan Corn Siahei (Sergei) Spirydovich

http://radonc.medicine.iu.edu/medical-dosimetry-graduate-certificate

Revised: 4/30/2020 3
Our Mission, Goals and Program Description
Mission Statement
The mission of the Medical Dosimetry Graduate Certificate Program through the Indiana
University (IU) Graduate School is to provide a program of excellence in medical dosimetry that is
designed to prepare qualified medical dosimetrists through a wide range of academic and clinical
experiences using state-of-the-art techniques. It is our goal to improve the care of the public that
we serve as well as to provide quality resources to the profession and the community that we
serve.

The Medical Dosimetrist


The medical dosimetrist is a member of the radiation oncology team who has knowledge of
the overall characteristics and clinical relevance of radiation oncology machines and equipment, is
cognizant of procedures commonly used in brachytherapy and has the education and expertise
necessary to generate radiation dose distributions and dose calculations in collaboration with the
medical physicist and radiation oncologist.

Medical Dosimetry Program Goals


1) The student will be a competent entry level medical dosimetrist.
Learning Outcome 1:
The student will be able to design treatment plans for “textbook” disease
cases encountered in radiation therapy.
Learning Outcome 2:
The student will be able to assist with and identify setup issues impacting
treatment planning.
Learning Outcome 3:
The student will be able to contour anatomic structures on various standard
imaging modalities.
Learning Outcome 4:
The student will be able to interpret and apply clinical protocols as they
pertain to treatment planning.

2) The student will demonstrate critical thinking skills.


Learning Outcome 1:
The student will be able to customize treatment plans to address patient
specific conditions which disallow standard treatment.
Learning Outcome 2:
The student will be able to evaluate treatment plans for adequacy and
optimize if necessary.
Learning Outcome 3:
The student will be able to identify errors in simulation which directly impact
treatment planning.

Revised: 4/30/2020 4
3) The student will model professionalism.
Learning Outcome 1:
The student will demonstrate work ethics.
Learning Outcome 2:
The student will demonstrate the value of lifelong learning.

4) The student will demonstrate communication skills.


Learning Outcome 1:
The student will demonstrate oral communication skills.
Learning Outcome 2:
The student will demonstrate written communication skills.

Program Description
The Indiana University Graduate Medical Dosimetry Certificate Program (IUGMDCP) is
located on the IU School of Medicine (IUSM) campus at Indiana University Purdue University at
Indianapolis (IUPUI). The IUGMDCP office and classroom are in the Radiation Oncology
Department of IU Health – University Hospital. The program is also affiliated with the following
Radiation Oncology departments:

1) IU Health – University Hospital (Indianapolis, Indiana)


2) IU Health – Methodist Hospital (Indianapolis, Indiana)
3) IU Health – CICC / Saxony (Fishers, Indiana)
4) IU Health – West Hospital (Avon, Indiana)
5) IU Health – Arnett Clinic (Lafayette, Indiana)
6) IU Health – Bloomington Hospital (Bloomington, Indiana)

The student enrolled in the IUGMDCP will work with MDCB certified medical dosimetrists, ABR
certified medical physicists and ABR certified radiation oncologists in a combined clinical
practicum/didactic setting. The GMDCP consists of didactic courses with hands on labs as well as
clinical practicum hours. The program is accredited by the Joint Review Committee on Education
in Radiologic Technology (JRCERT) and the curriculum follows the standards set forth by that
organization. Upon successful completion of the program, the student will be eligible to sit for the
Medical Dosimetry Certification Board Examination.

The Standards for an Accredited Educational Program in Medical Dosimetry may be


accessed from the JRCERT website found at www.jrcert.org.

Application/Admission Requirements
All School of Medicine Graduate Program applications must be processed through the
Graduate Division Office. Please refer to the Graduate Division Guidelines page for important
requirement information, in addition to our specific program requirements indicated below:
♦ All applicants must be accepted for admission to the IU Graduate School. There is no
separate application for the Graduate School.

Revised: 4/30/2020 5
♦ All applicants must have either:
 completed a JRCERT accredited or equivalent Radiation Therapy program with a
GPA of 3.5 or higher on a 4.0 scale in the program, or,
 graduated from a CAMPEP accredited Medical Physics Graduate Program.
♦ All applicants must hold a Bachelor’s degree from an accredited university. An overall
GPA of 3.0 or higher on a 4.0 scale is required.
♦ Applicants must hold ARRT certification in radiotherapy technology (RT(T)), unless they
are graduates of a CAMPEP accredited Medical Physics Program.

♦ Three (3) professional letters of recommendation are required.

♦ Official copies of all transcripts for all post-secondary institutions attended.

♦ Completion of undergraduate prerequisite courses (or equivalent):


a. College Algebra and Trigonometry and/or Pre-calculus
b. Cross-Sectional Anatomy
c. Radiation and Cancer Biology
d. Basic computer technology.
_________________________________________________________________________________________________________

Application information may be accessed at http://graduate.iupui.edu/admissions/

Revised: 4/30/2020 6
Policies and Procedures for the Student

Academic Calendar

Didactic Calendar: The didactic calendar follows the schedule for the Indiana University
Graduate School and the Indiana University-Purdue University at Indianapolis (IUPUI) for semester
and term grading periods. Some modifications in the schedule may be made by individual
instructors and that will be communicated from the instructor to the student in a timely fashion.
Clinical Calendar: Clinical practicum courses are scheduled throughout the year similarly
to a work schedule, and semester breaks have been modified from the IUPUI schedule. The
clinical schedule observes the holidays of July 4th, Labor Day, Thanksgiving Day, Martin Luther
King Day and Memorial Day. In addition, there is a 2.5 week Winter Break from the clinic between
the fall and spring semesters.
Spring and Fall Breaks: The traditional spring and fall breaks of the undergraduate school
are not observed in this program. However, all students are given 10 personal days to use at their
discretion during the year. These days should accommodate your personal time off, sick days and
job interviews. Extended absences due to illness will be treated on a case by case basis in
consultation with the program director and the curriculum coordinator. All competencies and
course work must be completed successfully, regardless of the scheduled time off.

Attendance Policy

Students are expected to attend all didactic lectures as scheduled. If an emergency occurs
you are responsible to contact the instructor of the course and also responsible for any course
work missed during your absence. If you have scheduled time off, it must be approved by the
instructor of each course you will miss.
The number of clinical practicum hours will vary for each term and semester. Refer to the
curriculum and course schedule located on pages 18-21 of this document.

The student is expected to be in clinic, just as an employee is at his/her job and should
arrive early or on time. We recognize that emergencies such as illness, family emergency or
weather emergency may occur. If such an emergency occurs it will be the responsibility of the
student to contact their clinical supervisor to confirm the absence. All didactic and clinical
assignments are required to be completed and make up hours for these absences may be required
at the discretion of the clinical supervisor. All unscheduled absences should be reported to the
program clinical coordinator.
All scheduled personal time off must be pre-approved by the program clinical coordinator.
Each student will receive a clinical manual with the complete list of clinical policies and
guidelines in addition to the clinical competencies that are to be completed.

Revised: 4/30/2020 7
Dress Code & Professional Appearance

All students should look professional and neat. Business casual is appropriate attire.
Because the dosimetry classroom is located in the clinic area the dress code of the IU Health
clinics must be followed. Clothes should be free of wrinkles, soil, stains, odors, and missing
buttons.

►A student picture ID nametag must be worn at all times unless working in a sterile environment.
It must be worn so that it is easily read and the picture is visible. The student will be responsible
for replacing the nametag immediately if it is lost. A lab coat should always be worn when the
student is involved in direct patient care.

►The student must wear a radiation monitoring device while in any program activity that involves
ionizing radiation. Students not wearing a radiation monitoring device while in an ionizing radiation
rotation will not be allowed to remain in clinic and will be recorded as absent.

►All students are required to be clean and maintain appropriate personal hygiene with regard to
their body, hair, and nails. Hair and nails need to be clean and neat and must not interfere with
student or patient safety. Unpleasant body and mouth odors must be attended to. Beards or
moustaches must be neatly trimmed and groomed.

►Jewelry must not interfere with the student’s or patient’s safety or the ability of the student to
participate in clinical activities. Facial, lip or tongue jewelry must follow the guidelines provided for
IU Health employees.

►The following attire is not permissible for any student while on a clinical rotation: clog-type shoes,
tennis shoes that have colored decorations, blue jeans, athletic wear, bare back, bare midriff, off
the shoulder or low neckline tops of any kind, body hugging clothing, shorts, sunglasses (without
medical reason), head coverings (except as required professionally or for religious reasons),
clothing with pictures/writing that is nonprofessional, distasteful, suggestive or illegal in its
statement or implication.

Dosimetry Student Research & Travel Policy

Any student who wishes to submit their research for possible oral presentation or a poster
session to the AAMD, AAPM or ASTRO national annual meetings must obtain pre-approval from
the program director prior to the submission if they wish to be considered for department funding.
If the project is accepted there may be some limited funding available for travel reimbursement,
depending on existing funds available. Funding for these activities is not guaranteed. Only costs
incurred and submitted to the department at least 1 month prior to graduation will be considered for
reimbursement.

Revised: 4/30/2020 8
Code of Ethics and Appropriate Behavior

1. A student must not use or attempt to use unauthorized assistance, materials,


information, or study aids in any academic exercise.

2. A student must not falsify or invent any information or data in an academic exercise
including, but not limited to, records or reports, laboratory results, and citations to the
sources of information.

3. A student must not adopt or reproduce ideas, words, or statements of another person
without appropriate acknowledgment. A student must give credit to the originality of
others and acknowledge an indebtedness whenever he or she does any of the
following:
a. Quotes another person’s actual words, either oral or written.
b. Paraphrases another person’s words, either oral or written.
c. Uses another person’s idea, opinion, or theory, or
d. Borrows facts, statistics, or other illustrative material, unless the information is
common knowledge.

4. A student must not steal, change, destroy or impede another student’s work. A
student must not give or offer a bribe, promise favors, or make threats with the
intention of trying to influence a grade or score on a clinical competency.

The IUPUI Code of Conduct may be found at:


http://iupui.studentcode.edu

Grading Scale

The Medical Dosimetry Graduate Certificate Program follows the grading scale that has
been adopted by the Indiana University Graduate School for all didactic courses. The following
grading scales will be used for didactic and clinical courses.

Didactic Grading Scale Clinical Competency Grading Scale


Didactic Grading Scale
Letter
LetterGrade
Grade Percentage
Percentage Assessment Criteria will be graded as:
AA 9393––100
100 Excellent 95 – 100%
A-A- 90 – 92.99
90 – 92.99 Above Average 90 – 94.99%
B+ 87 – 89.99
B+ 87 – 89.99 Average 85 – 89.99%
B 82 – 86.99
BB- 8379––86.99
81.99 Not Acceptable 80 – 84.99%
B-C+ 8075––82.99
78.99 Failing < 80%
C+
F 75< –78.99
79.99
F < 78.99 It is expected that all clinical competencies will be passed with a score
of > 85%. Any student scoring <85% will need to repeat the
competency. Scoring < 85% on two competencies may result in the
student being placed on probation. Scoring < 80% on two or more
competencies may result in dismissal from the program.

Revised: 4/30/2020 9
Graduation Requirements
In order to receive the Medical Dosimetry Graduate Certificate the candidate must:
1. be accepted into the program and to the IU Graduate School.
2. complete all required didactic course work with a grade of 80% or higher.
3. successfully complete all clinical practicum assignments with scores of at least 85%.
4. have no outstanding financial commitments to the university.
5. be recommended for the Certificate to the graduate school by the Program Director
and approved by the Associate Dean of the University Graduate School.
6. complete all course work within the 12 month duration of the program
unless an exception is granted by the Program Director and Clinical Coordinator.
7. meet all the requirements of the Indiana University Graduate School, including:
a) graduate school form for certificate completed which may be found at:
http://graduate.iupui.edu.forms/
b) no outstanding fees and payments to the university
c) may not be on academic probation
d) all official transcripts received by the graduate office
e) no disciplinary actions against the student
f) paperwork for international students completed
g) no other outstanding problems as designated by the graduate school.

Transportation and Housing


All students will be required to provide their own transportation to and from the clinical sites.
Required clinical sites are located in Indianapolis, with potential elective sites in Bloomington, IN
and Lafayette, IN. Any necessary housing arrangements are up to the student.

Tuition and Finance


Tuition is set by the Indiana University Graduate School and the Medical Dosimetry
Graduate Certificate Program. The tuition is a “flat fee” rate and does not have residency
requirements. The tuition refund policy of the university is established through the office of the
bursar. More information about tuition and finance may be found at:

http://bursar.iupui.edu

Approximate Expense Estimator: tuition and fees may be subject to change


Flat Fee Tuition ~$12,500.00 may be subject to change per university
University Fees ~ 500.00 R & R Fee

Program Fees ~ 250.00 ProKnow Contouring Education Package


Other Expenses ~ 100.00 Student Membership AAMD (valid 10/2019-12/2020)

Revised: 4/30/2020 10
~ 100.00 E’ Portfolio - Weebly.com 2 year publication

Transfer of Credits
Transfer of credits for required pre-requisite courses is established by the university and
may be accessed at:
http://enroll.iupui.edu/admissions/undergraduate/credit

The Graduate Medical Dosimetry Certificate Program does not currently recognize courses
from other medical dosimetry programs.

Revised: 4/30/2020 11
Health and Safety Policies

Health Insurance & Immunization Policy

All entering students are required to submit completed health forms, including their
immunization history to the Student Health Department. The Education Coordinator of the
program will provide the student with the appropriate forms.

All health related documents are maintained by and compliance is managed by


Student/Employee Health. More information about Student/Employee Health can be found at:

http://studentaffairs.iupui.edu/health-wellness

The University no longer offers student insurance on a voluntary basis for graduate
students. Only those classified as a medical student, graduate assistant, or fellowship recipient
have university-sponsored coverage. These groups are small in comparison to the larger graduate
student population. Health insurance is recommended but not required by the Graduate School.

IUPUI Student Health Locations


Campus Center Student Health (Campus Center) 317-274-2274
Campus Health (Coleman Hall) 317-274-8214

Student Injuries and Treatment

If a student is injured during an educational activity the injury must be reported. If on IU


property an IU incident report must be filed. If at an affiliated hospital that hospital’s reporting
process should be used. Copies of all reports are to be filed in the student’s program folder. If
treatment of the injury is required the student should go to SEHS if on campus or to the emergency
room of the hospital. Students are responsible for the cost of medical treatment.

Policy on Communicable Disease Exposure

Students entering the program must complete the immunizations required by the School of
Medicine for all entering students. Chickenpox, which has not previously been on the list for
required immunizations, is on the rise in many hospitals. A student who has not had chickenpox
and has not been immunized runs the risk of contracting the disease. A student who contracts
chickenpox will be excluded from clinical activity for the incubation period of the disease (12 days).

When exposed to a communicable disease, the student must abide by the hospital policies
regarding continued patient contact during the incubation period for the disease. If a student
misses a significant amount of clinical time during the incubation period, no absence grade
reductions will be made provided the student can meet the minimum clinical competencies

Revised: 4/30/2020 12
required in the course. A student who does not meet minimum competencies will be given
additional clinical rotations to equal the time missed to allow completion of the program. It should
be noted, however, that the student may not be able to earn higher than the minimum number of
competencies in these situations due to the extended absence.

Policy for Substance Abuse


The program upholds the IUPUI campus policy for substance abuse. A complete list of
both the state laws and IUPUI policies can be found at:

http://studentaffairs.iupui.edu/health-wellness

Counseling Services
Counseling services are available to students through the student health services. The
complete list of available services can be found at:

http://studentaffairs.iupui.edu/health-wellness

Policy for Sexual Harassment


The IUPUI campus policy for sexual harassment may be found @:
http://iupui.edu/sexhapol.html

Radiation Safety Statement

Students are responsible for wearing a current radiation monitoring device when working in
ionizing radiation areas. Students not wearing a current monitoring device will not be allowed to
remain in the clinical areas. Wearing the radiation monitoring device is not mandatory when the
student is in the medical dosimetry classroom. Students are responsible for replacement costs of
lost radiation monitoring devices and holders and for any delinquency fees assessed by the
Radiation Safety Office due to failure to exchange the radiation monitoring device in a timely
manner. Medical dosimetry students will exchange their monitoring badge quarterly by returning
them to the assistant program director.

Policy for Excessive Dose of Radiation

Students working in the clinic are expected to observe the radiation safety policies that are
in place for the employees of that facility. Any incident that may occur where published acceptable
dose limits are exceeded will be handled in the same manner as incidents involving the institutions
employees. The incident will be investigated by the radiation safety office and a report filed.
Students may request to see their radiation safety report history at any time, either from the
Radiation Safety Office (317-274-4974) or from the Program Director. The current quarterly report
will be posted on the medical dosimetry classroom bulletin board and you may access your
personal report by going to: http://www.myldr.com.

Revised: 4/30/2020 13
Declaration of Pregnant Worker / Student Requirements

The declaration of pregnancy is voluntary and not required. Studies have shown that the
risks associated with radiation exposure to the embryo/fetus are greater than those to adults. The
NRC has established a regulatory limit of 500 mrem to the embryo/fetus of a “declared pregnant
woman”. Information related to the risk of radiation and pregnancy is provided to the student when
they apply to receive a radiation monitoring device. More information is available from the
Radiation Safety Office (317-274-4797) or from the Program Director. Current radiation exposure
results are posted in the Department of Radiation Oncology at University Hospital in the office of
the Assistant Program Director/Education Coordinator (RT079).

While the risk to the medical dosimetry student would be very low, the program personnel
will work very closely with the pregnant student to ensure safety for the fetus.

Option #1 – Undeclared Pregnancy Policy

The pregnant student may choose not to declare pregnancy. As indicated above, the
declaration of pregnancy by a student is voluntary and not required. In that case, the radiation
exposure limits for occupational radiation workers (5,000 mrem or 50 mSv) would apply to both the
student and her unborn child.

Option #2 – Declare Pregnancy and Continue in the Program without Modification

The pregnant student may submit a declaration of pregnancy in writing and continue
through the program without modification. The likelihood that the limits to the fetus would be
exceeded is low. The Radiation Safety Office will be monitoring the pregnant student’s monthly
exposures closely. If any unusual exposures are noted in a given month or if the cumulative
exposure approaches 50% of the 500 mrem limit, the RSO and/or the Medical Dosimetry Program
Director will meet with the student to discuss possible causes of the elevated exposures and any
additional precautions that would need to be observed.

A written declaration of pregnancy may be withdrawn, in writing, by the student at any time.

Option #3 – Requesting Temporary Leave or Withdrawal

The student also has an option to submit a written request for a temporary leave or
withdrawal from the program. If a temporary leave is granted, all course requirements must be met
for successful completion of the Medical Dosimetry Graduate Certificate Program. All requests will
be considered by the program advisory committee, including both the Program Director and
Education Coordinator. Requests will be considered on a case by case basis and could result in
the student being asked to withdraw from the program if they were unable to complete all course
requirements.

The Policies & Procedures Manual for Radiation Safety may be accessed @:

http://ehs.iupui.edu/radiation/policy

Revised: 4/30/2020 14
Policy on Performance of Related Work

Students employed by any of the clinical education settings may not engage in that
employment during scheduled clinical experience. Likewise, related work performed by the
student as a hospital employee may not be substituted for educational clinical experience.

Policies for Indiana University Health Employees and Students

The hospital policies and procedures for employees and students may be found
on the Pulse Page for Indiana University Health:

http://pulse.iuhealth.org

Policy for Emergency Preparedness: Management and Continuity

The IUPUI campus emergency preparedness handbook contains procedures for specific
emergency conditions, including:

Active Shooter Bomb Threat


Earthquake Evacuation
Fire Medical Emergency
Pandemic Influenza Severe Weather
Shelter Spills, Gas Leaks, Odors
Utility Failure

The handbook may be accessed at: https://protect.iu.edu/emergency-planning/index.html

Fire Safety Policy (fire plan IU Hospital)

The student has been made familiar with the Fire Plan policy G1-114 from the
University Radiation Oncology department manual. The Fire Plan is based on the acronym RACE.

R – Rescue: anyone in immediate danger


A – Activate: know the location of fire extinguishers and pull stations.
pull alarm and call the fire emergency number 944-2311.
C – Contain: contain fire by closing doors to appropriate fire zones, if possible
E – Evacuate: if fire cannot be put out, evacuate into the two fire zone areas
.

1) Front Zone evacuates into University Hospital to cafeteria


2) Back Zone evacuates into the front, if possible, or through
the back stairwell by the Gamma Knife.

Revised: 4/30/2020 15
Policies and Procedures for the Medical Dosimetry Program
Americans with Disabilities Act & Equal Opportunity Policy

We are committed to providing equal educational and employment opportunity for all.
Indiana University, the IU School of Medicine and the IU Graduate School do not discriminate on
the basis of race, color, religion, age, ancestry or national origin, sex, sexual orientation, handicap,
marital status and veteran status. All employment policies and activities are consistent with federal
and state laws.

If you need any special accommodations due to a disability, please contact Adaptive
Educational Services at (317) 274-3241.

Procedure for Due Process / Grievance

IUPUI has developed guidelines and procedures to address situations when a student
believes that his or her rights as defined in the IUPUI Code of Student Rights, Responsibilities and
Conduct (Student Code) have been violated by a member of the university faculty, staff or
administration.

The IUPUI policy in its entirety may be obtained on line at: http://studentcode.iu.edu

Students may also access the grievance policies and procedures of the JRCERT at:

http://www.jrcert.org

Disciplinary Actions

If an instructor has information that one of his/her students committed an act of academic
misconduct, that faculty member will hold an informal conference with the student. The conference
will be prompt and private. If the faculty member concludes that the student is responsible for
misconduct, then the faculty member will impose an appropriate academic sanction (i.e., lower or
failing grade on the assignment) and possibly a lower or failing grade in the course.

Behavioral misconduct will be discussed with the Program Director and if necessary with
the Chief of Physics and the Chairman of the Radiation Therapy Department.

http://studentaffairs.iupui.edu/student-rights/policies.html

Confidentiality

Student records will be maintained confidentially. An instructor will not discuss student
academic records or behavior with another student or the public. Discussions with coworkers will
be limited only to those necessary for the integrity of the program.

Revised: 4/30/2020 16
Clinical Education Policies
Clinical education provides the student with the opportunity to combine the knowledge of
theory and the application of these principles in competent and compassionate patient care. In the
Medical Dosimetry Graduate Certificate Program clinical education is a vital part of the total
curriculum and is divided into two categories.

 Clinical Instruction: Laboratory instruction in simulated clinic settings with faculty


demonstration and supervised performance by students.

 Clinical Practicum: Regularly scheduled assignments in the patient care setting for the
purpose of acquiring the necessary level of confidence, consistency and competency of
clinical performance.

The department has established policies on clinic education to promote organization and
consistency in the clinic education of students within the program. These policies also ensure the
clinic education complies with the programmatic accreditation standards of the JRCERT.

 Clinical Supervision

At no time is a student permitted to perform in the simulation laboratory or a clinic setting


without supervision by faculty or certified practitioners serving as clinical instructors for the
program. Though students must perform independently when the level of proficiency calls for this
experience; on-site or side-by-side supervision is always required. Clinical supervision policies in
each program are in compliance with respective programmatic accreditation standards of the
JRCERT.

If a student is certified in another medical imaging / radiation sciences modality, he or she


may not act as an employee or be substituted as an employee of the facility under any
circumstances during regularly scheduled clinical / practicum time.

 Clinical Procedures Handbook

A Clinical Procedures Handbook is provided annually to each student as well as to each


clinical preceptor. The handbook includes the job description and expectations of the clinical
preceptor and all clinical instructors, clinical practicum policies for students and a Treatment
Planning Checklist for Medical Dosimetry Students.

Revised: 4/30/2020 17
Curriculum and Course Schedule
Twelve Month Curriculum and Schedule

First Term Summer Session II June 24, 2019 – Aug 7, 2019*

RAON D601
Concepts for Preparation and Planning in Medical Dosimetry I 3 credits
Instructor – Marvene Ewing, CMD

D601 consists of a didactic / lab introduction to the skills and technologies needed to pursue
a career in medical dosimetry. It is designed for the student who has already completed a
program in Radiation Therapy Technology or Medical Physics and covers or reviews a range of
topics in the context of Medical Dosimetry applications.

Image Acquisition; Image Registration; Cross Sectional Anatomy & Structure Segmentation;
Introduction to Treatment Planning Techniques; Math Review; Manual Calculation for Dose and
Monitor Units; Overview of Computers, Networking, & Algorithms; Cancer Patient Management;
Professionalism.

RAON D604
Medical Physics for Radiation Oncology I 1 credit
Instructor – Colleen DesRosiers, Ph.D., et.al.

D604 is the first of two sections and will cover topics that provide the basis for the field of
medical physics and the production of radiation.

Structure of Matter; Nuclear Transformations; Production of x-rays; Clinical Radiation Generators;


Interactions of Ionizing Radiation.

RAON D606
Clinical Practicum I General Dosimetry 2 credits
Coordinator – Marvene Ewing, CMD

D606 serves to give the student an introductory overview of dosimetric clinical activities.
The student will practice skills learned in D601 on an educational data base, but will also
complete required clinical competencies. All students are assigned to IU Health – University
Hospital for this rotation.

Electronic Medical Record Charting; Monitor Unit Calculations; Acquisition of Images; Structure
Segmentation; Basic Treatment Planning

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Second Term Fall Semester August 12, 2019 – December 18, 2019

RAON D602
Concepts for Preparation and Planning in Medical Dosimetry II 2 credits
Instructor – Marvene Ewing, CMD

D602 is a combination of didactic lectures and hands-on computer activities giving the
student instruction for site specific conventional treatment planning, 3DCRT, IMRT, SBRT, VMAT
and Brachytherapy.

CT Simulation; Conventional Treatment Planning; 3DCRT; IMRT; Rapid Arc; SBRT; Brachytherapy

RAON D605
Medical Physics for Radiation Oncology II 2 credits
Instructor – Colleen DesRosiers, Ph.D., et.al.

D605 addresses the physics considerations for measurement of absorbed dose, dose
distributions, dosimetric calculations, treatment planning topics as well as quality assurance
from the physicist point of view.

Measurement of Ionizing Radiation; Quality of X-ray Beams; Measurement of Absorbed Dose;


Dose Distribution and Scatter Analysis; Systems of Dosimetric Calculations; Isodose Distributions;
Treatment Planning; Electron Beam Therapy; Brachytherapy; Quality Assurance; 3D / IMRT Planning;
TBI Irradiation; Monte Carlo Introduction; Stereotactic Radiosurgery

RAON D603
Clinical Oncology and Dosimetric Considerations 1 credit
Instructor – Marvene M. Ewing, CMD

D603 is a didactic course covering site specific medical oncology and dosimetric considerations.

Anatomy & Lymphatic Drainage, Pathology, Physiology for Site Specific Cancers

RAON D607
Clinical Practicum II – Intermediate Planning in Medical Dosimetry 4 credits
Coordinator – Marvene Ewing, CMD with Clinical Site Supervisors

D607 provides the student with opportunities to develop both intermediate and complex
treatment planning skills. Rotating at multiple clinic sites offers a broad experience in 2D, 3DCRT,
IMRT and SBRT planning. The student is also introduced to Brachytherapy planning and IMRT
QA and other physics quality assurance procedures. Attendance at clinical conferences and
designated webinars is also required.

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Third Term Spring Semester January 6, 2020 – May 4, 2020

RAON D701
Independent Study / Research in Radiation Oncology 2 credits
Instructor/Coordinator – Colleen DesRosiers Ph.D. and Marvene Ewing, CMD

D701 consists of focused, independent planning for assigned complex cases that may not be
encountered routinely in the clinical setting. Included in the case selection will be patients enrolled
in a clinical trial, planning with a pacemaker, and hippocampal sparing. The resulting plans are
presented to a panel of medical dosimetrists, physicists and other students in a Peer Review
type setting. An introduction to proton planning will also be included and each student will participate
in a research project or case study that is written in the format required by the AAMD Student Writing
Competition. Submitting student research to the AAMD Student Writing Competition is encouraged but
not required.

Treatment Planning Skills; Protocol Interpretation; Oral Presentation Skills, Critical Thinking Skills;
Time Management.

RAON D703
Clinical Practicum III – Advanced Topics in Medical Dosimetry 8 credits
Instructor – Marvene Ewing, CMD with Clinical Site Supervisors

D703 is designed to give the student clinical experience with advanced cases of treatment
planning for radiation oncology at multiple clinical sites. In addition, the student is required to
develop an E’ Portfolio that showcases their educational and clinical experience during the
dosimetry program.

3DCRT with photons and electrons; IMRT; VMAT; SBRT; HDR & LDR Brachytherapy, Physics QA

Fourth Term Summer Session I May 11, 2020 – June 19, 2020
RAON D704
Clinical Practicum IV Assessment Challenges in Medical Dosimetry 4 credits
Coordinator – Marvene Ewing, CMD with Clinical Site Supervisors

D704 is a final clinical experience where the student will perform a wide range of treatment
planning techniques with multiple physicians at multiple clinical sites. Clinical competencies
will be required that reflect the different types of planning they have learned over the year.

3D prone breast; IMRT, VMAT, SBRT; HDR, Clinical Protocol, IMRT QA

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Medical Dosimetry Graduate Certificate Program
Clinical Scheduled Hours
2019-2020

Clinical Practicum I – 2 credits


8:00 – 4:30 8 hr x 12 sessions 96 hours
8:00 – 12:00 4.0 h x 2 sessions 8 hours
104 clinic hours / 2 credits

Clinical Practicum II – 4 credits


8:00 – 4:30 8.0 h x 34 sessions 272 hours
8:00 – 2:00 5.5 h x 16 sessions 88 hours
360 clinic hours / 4 credits

Clinical Practicum III – 8 credits


8:00 – 4:30 8.0 h x 68 sessions 544 hours
544 clinic hours / 8 credits

Clinical Practicum IV – 4 credits


8:00 – 4:30 8.0 h x 27 sessions 216 hours
216 clinic hours / 4 credits

Total Scheduled Clinic Hours 1224 hours (68 hours / credit hour)

Minimum Accepted Clinic Hours** 1170 hours (65 hours / credit hour)

The Medical Dosimetry Graduate Certificate Program does not recognize the traditionally
scheduled breaks during the Fall and Spring semesters. Instead, each student is awarded a total
of 10 personal days which may be used at the student’s discretion.

Assuming that one week of the discretionary time off is used during the fall semester and the other
is used during the spring semester, the total number of clinic hours would potentially be reduced by
50 – 54 hours, resulting in approximately 1170 clinical hours.

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Part-Time Option

The Medical Dosimetry Graduate Certificate Program offers a part time option for
completion of the course requirements. This option allows students to complete the program part
time, rather than full time by enrolling in Clinical Practicum III (RAON D703) and/or Clinical
Practicum IV (RAON D704) on a part time basis, extending the program length by 1-3 terms.

The part time student will attend the same didactic courses alongside full time students.
The part time student will need to successfully complete the same competencies and have the
same minimum clock hours as full time students. The only difference between the part time and
full time student will be the timing of enrollment for courses.

Students who qualify for the Medical Dosimetry program will be considered for the part time
option at their request. The number of available part time slots will be determined by the selection
committee in consultation with the IU Radiation Oncology Department Chair on an annual basis.
Preference for the part time option will be given to qualified IU Health employees accepted into the
program, allowing them to continue working as a therapist with IU Health on a part time basis.

Care will need to be taken to assure that pre-requisite courses are selected in such a
fashion so as to not impose hardship on either student or program to unnecessarily extend the time
required for completion of the program. The part time option has been approved by both the
JRCERT and the Indiana University Graduate School.

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IUSM Honor Code
Embarking on a career in the life sciences and health care professions means accepting the responsibilities and unique
privileges of these professions. These include self-monitoring and self-governance, and the responsibilities for these
professional duties begin the moment that an individual starts medical school or graduate school. I understand that it is a
great honor and privilege to study and work in the health care profession. As a member of the Indiana University School
of Medicine community, I promise to uphold the highest standards of ethical and compassionate behavior while learning,
caring for others, performing research, and/or participating in educational activities. I do so according to the following
tenets that will guide me through my career. I will strive to uphold the spirit and the letter of this code during my years at
Indiana University School of Medicine and throughout my career in the health professions.

Honesty

 I will maintain the highest standards of honesty.


 If engaged in research, I will conduct these activities in an unbiased manner, report the results truthfully, and
give credit for ideas developed and worked on by others.
 If engaged in patient care, I will be considerate and truthful, and will accurately report all historical and physical
findings, test results, and other pertinent information.

Integrity

 I will conduct myself professionally.


 I will take responsibility for what I say and do.
 I will recognize my own limitations and will seek help when appropriate.

Respect

 I will respect the dignity of others, treating them with civility and understanding.
 I will contribute to creating a safe and supportive atmosphere for teaching and learning.
 I will regard privacy and confidentiality as core obligations.
 I will not tolerate discrimination.

The School of Medicine Promise

Indiana University School of Medicine promises to create a professional environment that fosters excellence, abhors
intolerance, and values each individual’s unique contribution to its learning community.

Last Modified: September 19, 2005


Copyright 2005, Indiana University Board of Trustees
Privacy Statement - Medical Disclaimer

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Revised: 4/30/2020 24

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