Licence prerequisites for operators of diagnostic X-ray apparatus
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1 Radiation Protection Information Sheet Licence prerequisites for operators of diagnostic X-ray apparatus Updated September 2015 EPA 986/15: This information sheet details the prerequisites required for persons wishing to apply for a licence to operate an ionising radiation apparatus for dental, medical, veterinary or chiropractic purposes. 1 Introduction Under section 31 of the Radiation Protection and Control Act 1982 persons operating ionising radiation apparatus are required to be licensed unless they are of a prescribed class. For diagnostic purposes only persons who operate apparatus according to the instructions of a veterinary surgeon are of a prescribed class, under the conditions specified in Regulation 56(2) of the Radiation Protection and Control (Ionising Radiation) Regulations 2015 (the Regulations). All other applicants must either possess the qualifications as prescribed in regulation 57 of the Regulations or possess the appropriate knowledge of the principles and practices of radiation protection relevant to the intended use of the licence. For each profession and relevant apparatus these requirements are outlined in the prerequisites of Section 3. Note: students may operate an ionisation radiation apparatus in the course of their study without a licence (exemption gazetted 15 June 1986) but must be supervised by a licensed person who is a lecturer, a tutor, a demonstrator or supervisor associated with the course of study being undertaken by the student. 2 The application process To be considered for a licence to operate an ionising radiation apparatus you must submit an application form with the appropriate fee to the Environment Protection Authority (EPA). The application form is available from the EPA website. Please provide relevant documentary evidence as specified in the prerequisites of Section 3. Note: unless otherwise requested by the EPA, uncertified copies of documents are accepted. Once received, the application will be considered by the EPA and if all of the prerequisites have been met, a licence will normally be granted. In some instances a licence may be granted if the EPA is satisfied that the applicant s particular circumstances warrant the granting of a licence as a special case. The Radiation Protection Committee (RPC), which considers special cases, meets approximately every three months. Applicants wishing to be regarded as a special case should provide their reasons as part of their application. If you require further information regarding your eligibility for a licence you should contact the EPA for advice. 3 Licence prerequisites Unless otherwise stated, applicants who have previously held a licence in South Australia within the last five years, but have allowed their licence to lapse, will generally be granted another licence upon application. Environment Protection Authority
2 3.1 Chiropractor Licence Condition: 14 (spine and pelvis only) Graduates from 1 July 2010: successfully completed a Council of Chiropractic Education Australasia (CCEA) accredited program with current registration with the Chiropractic Board of Australia; or if qualified outside of Australia or New Zealand completed: the CCEA exams (Part 2 and 3) in radiology (diagnostic imaging, radiographic practice and positioning); or written and practical examination for a restricted licence by the Radiological Council of Western Australian for chiropractic radiology; or a course approved by the EPA. Graduates prior to 1 July 2010: current registration with the Chiropractic Board of Australia; and a degree of Bachelor of Applied Science in Chiropractic granted by the Phillip Institute of Technology, Victoria; or a Graduate Diploma in Chiropractic, or a Diploma of Doctor of Chiropractic, granted by the Sydney College of Chiropractic, New South Wales after November 1983; or a degree of Master of Chiropractic granted by Macquarie University, New South Wales; or a double degree of Bachelor of Applied Science (Clinical Science) and Bachelor of Chiropractic Science granted by the RMIT University, Victoria; or successfully completed within the last 5 years: a written examination for a restricted licence by the Radiological Council of Western Australia for chiropractic radiology; or the Council of Chiropractic Education Australasia exams (Part 2 and 3) in radiology (diagnostic imaging, radiographic practice and positioning); or a course approved by the EPA. 3.2 Dental Assistant Plain (intra-oral receptor) Licence Condition: 4 relevant professional qualification; and successful completion of an accredited course (section 4.3) within last 5 years. Documentation required: proof of qualification; proof of completion of the accredited course OPG without cephalometry Licence Condition: 004A current SA licence to operate an ionising radiation apparatus (intra-oral condition); and successful completion of an accredited course (section 4.4) within the last 5 years. Documentation required: proof of completion of the accredited course. 2
3 3.3 Dental Hygienist or Dental Therapist Plain (Intra-oral receptor) Licence Condition: 4B current registration with the Dental Board of Australia (AHPRA) as a Dental Hygienist or Dental Therapist Documentation required: proof of board registration (AHPRA Registration Certificate) OPG without cephalometry Licence Condition: 4C current SA licence to operate an ionising radiation apparatus (intra-oral condition); and graduate from the University of Adelaide from 2009 onwards; or successful completion of an accredited course (section 4.4) within the last 5 years. Documentation required: proof of graduation or proof of completion of the accredited course Cone Beam Computed Tomography (CBCT) Licence Condition: 700 current SA licence to operate radiation apparatus (OPG condition); and successful completion of an accredited course (section 4.2) within last 5 years; and inhouse applications training provided by licensed and experienced senior staff and/or equipment supplier. Documentation required: proof of completion of the accredited course; proof of completion of the applications training. 3.4 Dentist (intra-oral receptor) Licence Condition: 3 current registration with the Dental Board of Australia (AHPRA) as a Dentist. Documentation required: proof of board registration (AHPRA Registration Certificate). 3.5 Dentist, Orthodontist, and Oral Surgeon (OPG and CBCT) OPG without cephalometry Licence Condition: 19 current SA licence to operate an ionising radiation apparatus (intra-oral condition); and graduation from the University of Adelaide within the last 5 years; or successful completion of an accredited course (section 4.3) within the last 5 years. Documentation required: proof of graduation or proof of completion of the accredited course OPG with cephalometry Licence Condition: 19 current SA licence to operate an ionising radiation apparatus (intra-oral condition); and successful completion of an accredited course (section 4.5). 3
4 Documentation required: proof of completion of the accredited course Cone beam computed tomography (CBCT) Licence Condition: 700 current SA licence to operate an ionising radiation apparatus (OPG condition); and successfully complete an accredited course (section 4.2). Documentation required: proof of completion of the accredited course. 3.6 Diagnostic Radiographer / Medical Imaging Technologist Licence Condition: 5 (fully qualified & registered); 5R (return to practice); 5G (graduates under supervision) current registration with the Medical Radiation Practice Board of Australia (MRPBA). Documentation required: proof of board registration. 3.7 Diagnostic Radiographer / Medical Imaging Technologist Mammography Only Licence Condition: 5M Successful completion of an accredited course (section 4.12) within the last 5 years; and current membership with the Australian Institute of Radiography (AIR); and current, limited & validated statement of Accreditation in Mammography, issued by the AIR. Documentation required: proof of completion of accredited course, proof of AIR membership, statement of accreditation. 3.8 Forensic Scientist Fluoroscopy (mobile C-arm; unlimited) Licence Condition: 501 relevant professional qualification; and successful completion of an accredited course (section 4.7) within the last 5 years, and inhouse applications training provided by licensed and experienced senior staff member, and written confirmation from the senior staff member indicating completion of the applications training. Documentation required: proof of qualification; proof of completion of the accredited course, written confirmation of completion of applications training Plain radiography Licence Condition: 501A relevant professional qualification; and successful completion of an accredited course (section 4.10). Documentation required: proof of qualification; proof of completion of the accredited course. 4
5 3.9 General Practitioner Plain Radiography (limited) Licence Condition: 12B (Basic chest & extremities); or Licence Condition: 12I (Intermediate cervical spine, pelvis, chest and extremities) current registration with the Medical Board of Australia; and successful completion of an accredited course (section 4.10). Documentation required: proof of board registration; proof of completion of the accredited course. Note: applicants who have previously held a SA licence within the last 3 years, but have allowed their licence to lapse, will be granted another licence upon application Health Scientist Clinical Applications For non-clinical (research) applications refer to section Dual Energy X-ray Absorptiometry (DEXA) Licence Condition: 144 relevant professional qualification; and successful completion of an accredited course (section 4.1) within the last 5 years; and inhouse applications training provided by licensed and experienced senior staff and/or equipment supplier. Documentation required: proof of qualification; proof of completion of the accredited course; proof of completion of the applications training Medical Specialist any relevant speciality Dual Energy X-ray Absorptiometry (DEXA) Licence Condition: 144 current registration with the Medical Board of Australia as a Specialist; and successful completion of an accredited course (section 4.1) within the last 5 years; and inhouse applications training provided by licensed and experienced senior staff and/or equipment supplier. Documentation required: proof of board registration; proof of completion of the accredited course; proof of completion of applications training Medical Specialist Cardiologists & Vascular Surgeons Fluoroscopy (fixed; limited and supervised) Licence Condition: 533 current registration with the Medical Board of Australia as a Specialist; and successful completion of an accredited course (section 4.8) within the last 5 years. Documentation required: proof of board registration; proof of completion of the accredited course. 5
6 3.13 Medical Specialist Cardiology & Vascular Surgery Registrar Fluoroscopy (fixed; limited and supervised) Licence Condition: 533 enrolment in recognised specialty training program (Royal Australian College of Physicians Cardiology, or Royal Australian College of Surgeons Vascular Surgery); or proof of employment at a recognised (Royal Australian College of Physicians Cardiology, or Royal Australian College of Surgeons Vascular Surgery) training institution as a registrar under supervision of a registered and licensed Specialist (Cardiologist or Vascular Surgeon, condition 533); and successful completion of an accredited course (section 4.8) within the last 5 years. Documentation required: proof of enrolment in recognised specialty training program or supervised employment as a registrar; proof of completion of the accredited course Medical Specialist Orthopaedic Surgeon & Plastic Surgeon Fluoroscopy (mini C-arm) Licence Condition: 525 current registration with the Medical Board of Australia as a Specialist; and successful completion of an accredited course (section 4.6) within the last 5 years. Documentation required: proof of board registration; proof of completion of the accredited course Fluoroscopy (fixed; limited and supervised) Licence Condition: 533 current registration with the Medical Board of Australia as a Specialist; and successful completion of an accredited course (section 4.8) within the last 5 years. Documentation required: proof of board registration; proof of completion of the accredited course Medical Specialist Orthopaedic Surgery and Plastic Surgery Registrar Fluoroscopy (mini C-arm) Licence Condition: 525 enrolment in recognised specialty training course (Australian Orthopaedic Association or Royal Australian College of Surgeons Plastic and Reconstructive Surgery); or proof of employment at a recognised (Australian Orthopaedic Association or Royal Australian College of Surgeons Plastic and Reconstructive Surgery) training institution as a registrar under supervision of a registered and licensed Specialist (Orthopaedic or Plastic Surgery, condition 533); and successful completion of an accredited course (section 4.6) within the last 5 years. Documentation required: proof of enrollment in recognised specialty training course or supervised employment as a registrar; proof of completion of the accredited course. 6
7 Fluoroscopy (fixed; limited and supervised) Licence Condition: 533 enrolment in recognised specialty training course (Australian Orthopaedic Association or Royal Australian College of Surgeons Plastic and Reconstructive Surgery); or proof of employment at a recognised (Australian Orthopaedic Association or Royal Australian College of Surgeons Plastic and Reconstructive Surgery) training institution as a registrar under supervision of a registered and licensed Specialist (Orthopaedic or Plastic Surgery, condition 533); and successful completion of an accredited course (section 4.8) within the last 5 years. Documentation required: proof of enrolment in recognised specialty training course or supervised employment as a registrar; proof of completion of the accredited course Medical Specialist Pain Management Unit at Flinders Medical Centre Licence Condition: 509 current registration with the Medical Board of Australia as a Specialist; and successful completion of the inhouse Flinders Medical Centre training; and pass a written and practical examination set by the EPA. IMPORTANT: new licences under this category are not being issued Nuclear Medicine Technologist Dual Energy X-ray Absorptiometry (DEXA) Licence Condition: 144 current registration (or equivalent) with the Medical Radiation Practice Board of Australia as a Nuclear Medicine Technologist; and successful completion of an accredited course (section 4.1) within the last 5 years; or pass a written examination set by the EPA; and inhouse applications training provided by licensed and experienced senior staff and/or equipment supplier. Documentation required: proof of board registration (or equivalent); proof of completion of the accredited course (if applicable); proof of completion of applications training Limited current CT Licence Condition: 523L current registration (or equivalent) with the Medical Radiation Practice Board of Australia as a Nuclear Medicine Technologist; and system specific applications training provided by manufacturer or licensed and experienced senior staff member. Documentation required: proof of board registration (or equivalent); proof of completion of applications training Low energy CT Licence Condition: 523A current registration (or equivalent) with the Medical Radiation Practice Board of Australia as a Nuclear Medicine Technologist; and 7
8 successful completion of accredited course (section 4.9) within last 5 years; and system specific applications training provided by manufacturer or licensed and experienced senior staff member; and clinical attachment at a multi-slice CT department within the last 5 years, and completion of a clinical log-book demonstrating 15 each of head, thorax and abdomen CT, including at least 5 contrast studies in each category. Note: pre- and post-contrast studies on the same patient are to be counted as a single examination; and provision of written confirmation from the Chief of Modality (CT) indicating completion of the log book requirements. Documentation required: proof of board registration; proof of completion of the accredited course; letter from the Chief of Modality (CT) Diagnostic CT Licence Condition: 523D current registration with the Medical Radiation Practice Board of Australia as a Nuclear Medicine Technologist; and successful completion of accredited course (section 4.9) within last 5 years; and system specific applications training provided by manufacturer or licensed and experienced senior staff member. Documentation required: proof of board registration; proof of completion of the accredited course; proof of completion of applications training Radiation Oncologist Licence Condition: 10 current registration with the Medical Board of Australia as a Specialist; and current membership of Royal Australian and New Zealand College of Radiologists (RANZCR). Documentation required: proof of board registration; proof of RANZCR membership Radiation Therapist Licence Condition: 10 (fully qualified); to be determined (return to practice); 522 (graduates) current registration with the Medical Radiation Practice Board of Australia. Documentation required: proof of board registration Radiologist Licence Condition: 9 current registration with the Medical Board (AHPRA) of Australia as a Specialist; and current registration with the Royal Australian and New Zealand College of Radiologists. Documentation required: proof of Board and college registration Radiology Registrar Licence Condition: 9A current registration with the Medical Board (AHPRA) of Australia; and enrolment in the Royal Australian and New Zealand College of Radiologists registrar program, or proof of employment at a recognised (Royal Australian and New Zealand College of Radiologists) training institution as a registrar under supervision of a registered and licensed Specialist (Radiologist, condition 9). 8
9 Documentation required: proof of Board registration, proof of enrolment in registrar program or supervised employment as a registrar Researcher Dual Energy X-ray Absorptiometry (DEXA) humans (non-clinical use only) Licence Condition: 144A relevant 1 professional qualification; and approval from the appropriate Human Research Ethics Committee (HREC) to participate in the research project for the purpose of performing DEXA studies, and successful completion of an accredited course (section 4.1) within the last 5 years; or pass a written examination set by the EPA 2 ; and inhouse applications training provided by licensed and experienced senior staff and/or equipment supplier. Documentation required: proof of relevant 1 qualification; proof of completion of the accredited course; proof of completion of the applications training, proof of HREC approval for research project participation. 1 Relevant professional qualification typically includes tertiary qualifications from human-health related disciplines. Persons unsure if they hold a relevant qualification should contact the EPA Radiation Protection Branch for advice. 2 Only persons approved by the EPA may sit the examination in place of completing an accredited course. Fluoroscopy (mobile C-arm; unlimited) inanimate objects or live animals Licence Condition: 512 relevant professional qualification; and successful completion of a accredited course (section 4.7) within the last 5 years, and inhouse applications training provided by licensed and experienced senior Radiographer, and written confirmation from the senior Radiographer indicating completion of the applications training. Documentation required: proof of qualification; proof of completion of the accredited course, written confirmation of completion of applications training. Plain radiography inanimate objects or live animals Licence Condition: 530A relevant professional qualification; and successful completion of an accredited course (section 4.10). Documentation required: proof of qualification; proof of completion of the accredited course Registered Nurse Dual Energy X-ray Absorptiometry (DEXA) Licence Condition: 144 current registration with the Nursing and Midwifery Board of Australia; and successful completion of an accredited course (section 4.1) within the last 5 years; and inhouse applications training provided by licensed and experienced senior staff and/or equipment supplier. 9
10 Documentation required: proof of board registration; proof of completion of the accredited course; proof of completion of the applications training Plain radiography rural & remote Licence Condition: 21B (Basic chest & extremities only) and Licence Condition: 21I (Intermediate cervical spine, pelvis, chest & extremities only) current registration with the Nursing and Midwifery Board of Australia; and successful completion of SA (section 4.10), WA, VIC, NSW or QLD accredited course (Rural and Remote X-ray Operator) within the last 3 years. Documentation required: proof of board registration; proof of completion of the accredited course. Note: applicants who have previously held a licence within the last three years, but have allowed their licence to lapse, will generally be granted another licence upon application Service personnel Licence Condition: 61 relevant professional qualification; and successful completion of an accredited course (section 4.11); and pass an examination (regulations only) set by the EPA; or pass a full examination (radiation safety plus regulations) set by the EPA. Documentation required: proof of qualification; proof of completion of the accredited course (if applicable) Veterinarian Plain radiography (including plain dental radiography) Licence Condition: 2 current registration with the Veterinary Surgeons Board of SA as a Veterinary Surgeon; or registration deemed valid in accordance with section 38A of the Veterinary Practice Act Documentation required: proof of SA board registration or proof of registration deemed valid under 38A of the Veterinary Practice Act Fluoroscopy (mobile C-arm; direct supervision) inanimate objects or live animals Licence Condition: 2F current registration with the Veterinary Surgeons Board of SA as a Veterinary Surgeon; and successful completion of an accredited course (section 4.8) within the last 5 years, and in-house applications training provided by licensed and experienced senior Radiographer, and written confirmation from the senior Radiographer indicating completion of the applications training. Documentation required: proof of qualification; proof of completion of the accredited course, written confirmation of completion of applications training. 10
11 Radiography (all modalities including fluoroscopy and computed tomography) Licence Condition: 2S current registration with the Veterinary Surgeons Board of SA as a Specialist in Veterinary Diagnostic Imaging. Documentation required: proof of board registration. 4 Accredited course providers The content of the courses provided by the organisations listed below have been accredited by the EPA as an appropriate for applicants seeking to obtain a licence to operate a diagnostic X-ray apparatus. For approved course titles please contact the Radiation Protection Branch for advice. 4.1 Dual Energy X-ray Absorptiometry (DEXA) The Australian and New Zealand Bone Mineral Society 145 Macquarie Street Sydney, NSW 2000 Phone: Fax: anzbms@racp.edu.au InMed Pty Ltd* PO Box 630 Winston Hills NSW 2153 Jeff Gibson Phone: Fax: Mobile: sales@inmed.com.au *Important Note: persons referenced in Sections 3.9, 3.10 and 3.22 who complete this course MUST also pass a written examination set by the EPA. SA Radiation Pty Ltd: (Research Only) Dr. Kent Gregory Phone: kent@saradiation.com.au 4.2 Cone beam computed tomography School of Dentistry Faculty of Health Sciences University of Adelaide 233 North Terrace Adelaide, SA 5005 Contact: Rain Wilkinson Phone: Fax: dentistry.cpd@adelaide.edu.au 4.3 Dental plain (intra-oral receptor) Faculty of Para Dental Studies Gilles Plains Campus TAFE SA 11
12 Blacks Road Gilles Plains, SA 5086 Contact: Sonja Di Matteo Phone: Fax: School of Dentistry Faculty of Health Sciences University of Adelaide 233 North Terrace Adelaide, SA 5005 Contact: Rain Wilkinson Phone: Fax: Dental OPG without cephalometry Faculty of Para Dental Studies Gilles Plains Campus TAFE SA Blacks Road Gilles Plains, SA 5086 Contact: Sonja Di Matteo Phone: Fax: sonja.dimatteo@tafesa.edu.au School of Dentistry Faculty of Health Sciences University of Adelaide 233 North Terrace Adelaide, SA 5005 Contact: Rain Wilkinson Phone: Fax: dentistry.cpd@adelaide.edu.au 4.5 Dental OPG with cephalometry The applicant must have already completed an accredited course for Dental OPG without cephalometry (section 4.4). South Australian Dental Service Adelaide Dental Hospital Frome Road Adelaide, SA 5000 Contact: Melissa Bogan Phone: Fax: mellisa.bogan@health.sa.gov.au 12
13 4.6 Fluoroscopy (mini C-arm) SA Radiation Pty Ltd Contact: Kent Gregory Mobile: Womens and Childrens Hospital 72 King William Road North Adelaide, SA 5006 Contact: Giovanni Bibbo (Radiation Safety Officer) Phone: Fax: Fluoroscopy (mobile C-arm; unlimited) SA Radiation Pty Ltd Contact: Kent Gregory Mobile: Fluoroscopy (fixed; limited, direct supervision) SA Radiation Pty Ltd Contact: Kent Gregory Mobile: Medical Physics Department. Westmead Hospital Wentworthville, NSW Contact: Lee Collins, Phone: Nuclear medicine technologists Low energy CT School of Health Sciences Medical Radiation University of South Australia City East Campus North Terrace Adelaide, South Australia 5000 Contact: Jane Shepherdson Phone: Australian and New Zealand Society of Nuclear Medicine PO Box 7108 Upper Ferntree Gully, Victoria 3156 Contact: Doug Mackey via ANZSNM Secretariat Phone:
14 Fax: Discipline of Medical Radiation Sciences Faculty of Health Sciences The University of Sydney PO Box 170 Lidcombe, NSW 1825 Contact: Ms Tracey Smith Phone: Fax: Diagnostic CT The Victorian Society of Nuclear Medicine Technologists Rural and remote X-ray operator Medical Imaging Services Murray Bridge Soldiers Memorial Hospital Swanport Road (PO Box 346) Murray Bridge, SA 5253 Contact: Robyn Valentine Phone: Fax: Note: this provider offers both the Basic and Intermediate Rural and Remote X-ray course. Sonographic Solutions Pty. Ltd. PO Box 1061 Firle, SA 5070 Contact: James Gotting (Course Coordinator) Mobile: Fax: Note: this provider offers both the Basic and Intermediate Rural and Remote X-ray course. School of Health Sciences Medical Radiation University of South Australia City East Campus North Terrace Adelaide, South Australia 5000 Contact: Helen Cartwright Phone: Fax: Note: this provider offers both the Basic and Intermediate Rural and Remote X-ray course Service personnel Radiation Safety for X-ray Equipment Personnel Course Faculty of Science School of Chemistry 14
15 University of New South Wales Sydney, NSW 2052 Phone: Fax: Diagnostic Radiography / Medical Imaging Technology Mammography Only Graduate Diploma of Mammography Charles Sturt University Phone: Fax: (02) Website: Disclaimer This publication is a guide only and does not necessarily provide adequate information in relation to every situation. This publication seeks to explain your possible obligations in a helpful and accessible way. In doing so, however, some detail may not be captured. It is important, therefore, that you seek information from the EPA itself regarding your possible obligations and, where appropriate, that you seek your own legal advice. Further information General information Environment Protection Authority GPO Box 2607 Adelaide SA 5001 Telephone: (08) Facsimile: (08) Freecall: (country) Website: < <epainfo@epa.sa.gov.au> Radiation Protection Branch Telephone: (08) Facsimile: (08) <radiationprotection@epa.sa.gov.au> 15
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