ACR Accreditation Program Requirements for Medical Physicists Greg Sackett, M.S., CHP. Contents

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1 Integrated Science Support, Inc N. 36 th Street St. Joseph, MO (816) (800) ACR Accreditation Program Requirements for Medical Physicists Greg Sackett, M.S., CHP Contents Master of Science in Health Physics Texas A&M University Certification from American Academy of Health Physics (CHP) Syllabi from Medical Physics Coursework Documentation of Experience (CT, MRI, NM) Continuing Experience in CT Continuing Experience in MR Continuing Experience in NM Continuing Education Distributed January 2015

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5 Greg Sackett From: Sent: To: Cc: Subject: Buer, Penny Wednesday, February 11, :04 PM Greg Sackett Bush, Krista; Buer, Penny RE: ACR Requirements for Physicist Qualifications Greg, After discussion with others at ACR, we consider the coursework to meet the spirit of the requirements. You should retain your syllabi as documentation for meeting these requirements. Penny Priscilla F. Buer, M.S., FACR, FAAPM Senior Director and Medical Physicist, Quality and Safety American College of Radiology 1891 Preston White Drive Reston, VA (o) (f) Do you Image Geny and Wisely? For more information, visit and

6 NUENI4O9. RADIOIOGICAL FALL 199:I SAT"ETY Description Goals: Texftmks NUEN 409. Radiological Safety. (3-0). Credit 3. Interaction of nuclear radiations with matter and biological systems. Theory and practice of radiation dosimetry as applied to radiation- protection. - Application of radiation dosimetry systems for personnel monitoring and accident situationj. External and internal dosimetry as well as long-term risk analysis. Prerequisites: NIJEN 201, 202. This crurse is designed to introduce nuclear engineering and radiological health engineering students to the -basic principles, concepts, and methodology of radiation protection and radiological hazard evaluation. R. E. Faw and J. I(. Shultis Rodiological Assessm.ent: Sources and Exposures PIR Prenti,ce-Hall, 1993 F. W. Walker, J. R. Parringtor, F. Feiner Chart of th.e Nuclides,l4th edition, General Electric Company, 1989 Referrcnes Tnshrrctori J. E. Turner, Atorns, Radiation, and Radiation Protection, Pergamon Press, H. E. Cember, Introduction to Health Physics,2nd Edition, Pergamon, PreBB, Dr. Wesley E. Bolch, 58-O 7aehry, Office Hours: WM 3:00-5:00 pm DATE August September m u! 15 L7 n TOHC Course Intro, Goals, and Objectives Radioactivity Radioactive Decay EIW Review Radiation Interactions with Matter IIW Review FXA]VI 1 Radiation Dosimetry Quantities & Units U.S. Erposures b lonizing Radiation TWT L ti 2.L il

7 DATE September 0tttu 2/L n a u 15 l8 n 2% n D TOPIC Biological Effects Biological Effecte / IIW Review EKAM 2 tr**l Dosimetry I{W Review tt*rrrl Dosimetry IfW Review Internal Dosimetry I I z.lo - 2.L5 It I tt Noaenfrer 7 E(AM L7 19 n ZL xt n December a I tt IfW Review Internal Dosimetry IfW Review H!{AM 4 Radiat. Prot. Guidelines & Regs fwssivinshdfuia! Radiat.,,Prot. Guidelines & Regs Non-Ionizing Radiation IfW Review F.XAM 5 tt ll r I (Lecture Notes)

8 lf"l NI,]ENI615 Theory and Applications of Course Description: Advanced course in the theory, measurement, and calculation of microdosimetric spectra. Emphasis will be placed on the practical applications of microdosimetry in the determination of absorbed dose distributions within tissue, the statistical fluctuations of absorbed dose at the cellular and subcellular level, and the future impact of microdosimetry to radiation protection guidelines. The course would be of interest to those students studying health physics, radiological health engineering, medical physics, and radiation biolory. Format: Three 50-minute lecture periods per week Pre-requisites: NUEN 613 Referenes "Fundamentals of Microdosimetry," Albrecht M. Kellerer The Dosimetry of Ionizing Radiation, Volume I K. R. Kase, B. E. Bjarnard, and F. H. Attix, Eds. Academic Press, New York, "Relationship of Mic'rodosimetric Techniques to Applications in Biological Systems," Dudley T. Goodhead The DosimBtry of lonizing Radiation, Volume II K. R. Kase, B. E. Bjarnard, and F. H. Attix, Eds. Academic Press, New York, Microdosimetry, ICRU Report 36 International Commission on Radiation Units and Measurements Bethesda, Maryland, "An Introduction to Microdosimetry" J. E. Turner, Oak Ridge National Laboratory Radiation Protection Management,Yol.9, No. 3 (May/June 1992). rnstrrrctor: Dr. Wesley E. Bolch, 58-O Zachry, Office Hours: 11:30 am - 1:30 pm MW

9 1. Course Introduction and Historical Review 2. Linear Enerry Transfer 3. Proportional Counter Microdosimetry Quantities and Units External Radiation Exposures Internal Radiation Exposures 4. Radiation Chemistry Fundamentals and DNA Damage 5. Track Profiles and Track Entities 6. Theories and Models for Cell Survival 7. Track Stnrcture Simulations Radiation Transport by Monte Carlo Methods Simulation Methods for Charged-Particles Oak Ridge Electron Transport Code (OREC) Electron-Gamma-Shower (EGS4) 8. Student Lecture Presentations Detemination of Final Couree Grade: Exam 1 Exam 2 Homework Lecture Presentation 25Vo 25Vo 20Vo 30Vo Shrdent Lecturrc hesentations Each student will select a research topic in a particular area of microdosimetry and collect relevant journal articles or other publications on that subject (minimum of 5 journal articles). Toward the end of the course, each student will then give a full 50-minute lecture on that particular subject. The student grade will be based upon his or her presentation style, use of visuals, degree of preparation, depth of discussion, and ability to solicit questions from the other students.,-{i\

10 Integrated Science Support, Inc 2027 N. 36 th Street St. Joseph, MO P: (816) P: (800) F: (816) February 20, 2015 To: Whom It May Concern From: Jon J. Erickson, Ph.D., DABR Subject: Clinical Experience Requirement for Greg Sackett, M.S., CHP This memo is to certify that between the dates of January 2, 2012, and February 20, 2015, Greg Sackett, M.S., CHP, performed medical physicist duties in computed tomography(ct), magnetic resonance imaging (MRI) and clinical nuclear medicine (NM) environments. These duties included annual CT and MRI physics evaluations, quarterly nuclear medicine audits, dose calibrator quality control tests, sealed source inventory and leak tests, record reviews, well counter tests, and gamma camera quality control testing. The records of this experience are available in the corporate offices of Integrated Science Support, Inc., at 2027 N. 36 th Street, Saint Joseph, MO

11 Integrated Science Support, Inc North 36th Street St. Joseph, MO The following is a true representation of the Continuing CT System Evaluation Experience for the indicated Physicist. Jon J. Erickson, Ph.D President 2/19/2015 Date Continuing Experience Summary for Greg Sackett, M.S., CHP Facility State Manufacturer System Model Date Performed IA Toshiba Aquilon 32 11/12/2012 IA Siemens Somatom Emotion 6 11/12/2012 KS GE High Speed 3/20/2012 KS Toshiba Aquilon 64 5/25/2012 KS Toshiba Aquilon 16 10/3/2012 KS Philips Brilliance 16 6/28/2013 KS GE Light Speed 16 7/12/2013 KS Philips Brilliance 64 8/21/2013 KS Philips Brilliance 64 8/21/2013 KS Toshiba Aquilon 16 10/16/2013 KS Philips Brilliance 40 10/29/2013 KS Siemens Biograph mct 5/21/2014 KS Toshiba Aquilon 64 5/22/2014 KS Philips Brilliance 40 10/28/2014 KS Toshiba Aquilon 16 10/29/2014 KS Philips Unknown 10/30/2014 KS GE High Speed QX/I 12/18/2014 Aquilon 32 5/21/2012 Aquilon 32 5/23/2012 Aquilon 16 10/15/2012 Aquilon 64 10/15/2012 Aquilon 16 10/15/2012

12 Facility State Manufacturer System Model Date Performed Optima /2/2012 Aquilon 16 11/8/2012 MO Philips Brilliance 16 11/14/2012 LightSpeed VCT 11/15/2012 MO Philips Brilliance 64 12/17/2012 MO Philips Brilliance 16 12/17/2012 Optima /19/2012 Lightspeed Plus 12/19/2012 Aquilon 32 5/7/2013 Light Speed 6/26/2013 MO Neurologica Ceretom 8/2/2013 Light Speed VCT 64 8/27/2013 Aquilon 64 10/7/2013 Aquilon 16 10/8/2013 Aquilon 16 10/8/2013 MO Philips Brilliance 16 10/11/2013 Optima 10/24/2013 MO Philips Brilliance 64 12/17/2013 MO Philips Brilliance 16 12/17/2013 Light Speed 6/13/2014 Light Speed 16 7/15/2014 MO Philips Brilliance 40 7/15/2014 VCT 64 7/17/2014 Aquilon 64 11/4/2014 Optima /7/2014 MO Siemens Biograph 12/15/2014 WI GE Discovery ST 7/24/2013

13 Integrated Science Support, Inc North 36th Street St. Joseph, MO The following is a true representation of the Continuing MRI System Evaluation Experience for the indicated Physicist. Jon J. Erickson, Ph.D President 2/19/2015 Date Continuing Experience Summary for Greg Sackett, M.S., CHP Facility State Manufacturer System Model Date Performed KS GE Horizon 1.5 LX 5/21/2013 KS Philips HFO 1.0T 5/28/2013 KS Hitachi Echelon 1.5T 4/30/2014 KS GE Horizon 1.5 LX 5/12/2014 KS General Electri Signa 1.5T 1/21/ W Widebore 1/22/2013 Horizon 1.5 LX 3/19/2013 Signa Ovation.35T 3/19/2013 MO Hitachi 5/6/2013 MO Hitachi Airis II 5/17/2013 MO Siemens Achieva 5/23/2013 MO Siemens Magnetom 1.5T 6/5/2013 Signa 0.35T 7/30/2013 MO Siemens Symphony/Tim 12/19/ W Widebore 1/16/2014 Horizon 1.5 LX 3/5/2014 MO Hitachi Airis II 5/19/2014 MO Siemens Magnetom 1.5T 6/11/2014 Signa 1.5T HD 12/4/2014 MO Siemens Symphony/Tim 1/5/ W Widebore 1/14/2015 MO Philips Infineon 1.5T 2/5/2015

14 Integrated Science Support, Inc North 36th Street St. Joseph, MO The following is a true representation of the Continuing Nuclear Medicine Camera Evaluation Experience for the indicated Physicist. Jon J. Erickson, Ph.D President 2/19/2015 Date Continuing Experience Summary for Greg Sackett, M.S., CHP. Facility State Manufacturer System Model Date Performed KS GE Millenium MG 7/27/2012 MO Siemens e-cam 180 6/26/2012 MO Philips Skylight 10/25/2012 MO Siemens Signature E-Cam 7/10/2014 MO Siemens E-Cam 7/11/2014

15 CAMPEP Online 1 of 1 1/22/2015 1:16 PM Logged in as gsackett@issphysics.com, CAMPEPID# Logout CAMPEP Commission on Accreditation of Medical Physics Education Programs, Inc. Certificate of Medical Physics Continuing Education Credits ----Transcript---- Greg Sackett 2027 North 36th Street St. Joseph, MO US Participated in the following CAMPEP accredited educational program(s) and is awarded Medical Physics Continuing Education Credits (MPCECs) as designated Program Tie Date Credits Earned Category/SubCategory EA Tie Credits 2015 AAPM Online Continuing Education 01/08/2015 Diagnostic Radiology:Radiation Protection 2015 AAPM Online Continuing Education 01/08/2015 Radiation Protection:Radiation Protection 1549-N DSA: kvp and mas effects on patients N Exposure Limitation to Ionizing Radiation AAPM Online Continuing Education 01/20/2015 Radiation Protection:Radiation Protection 2015 AAPM Online Continuing Education 01/15/2015 Nuclear Medicine:Radiation Protection 1831-N The Science Behind the Proposed (2005) ICRP Recommendations: Dosimetric Quantities and Units Used in Radiation Protection 1837-N Releasing Nuclear Medicine Patients to the Public: Dose Calculations and Discharge Instructions AAPM Online Continuing Education 01/07/2015 Diagnostic Radiology:Mammography 2093-N Breast Tomosynthesis: The image acquisition process AAPM Online Continuing Education 01/08/2015 Diagnostic Radiology:Mammography 2094-N Breast tomosynthesis: Image reconstruction, processing and analysis and advanced applications AAPM Online Continuing Education 01/07/2015 Diagnostic Radiology:Mammography 2143-N Effect of Calcification on Image Quality AAPM Online Continuing Education 01/07/2015 Diagnostic Radiology:Mammography 2203-N Comparative performance of modern digital mammography systems 1 Total Released Credits: 8

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18 Certificate of Completion Awarded to: Greg Sackett, M.S., CHP For Attendance of the Mid-America Radiation Safety Roundtable on April 14-15, 2014 CE Credits awarded: Radiation Protection 14 hours Diagnostic Imaging 2 hours Authorized by: 4/15/2014 Greg Sackett, M.S., CHP Date Mid-America Radiation Safety Roundtable Overland Park, KS April 14-15, 2014

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