Accreditation of University Postgraduate Courses. In Medical Physics for the Purposes of the ACPSEM. Training, Education and Assessment Program

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1 Accreditation of University Postgraduate Courses In Medical Physics for the Purposes of the ACPSEM Training, Education and Assessment Program Author : Professional Standards Board Changed by: Stephanie Day Reviewed by: Professional Standards Board Authorized by: Professional Standards Board Issue date: 8 May 2013 Version No: 4.6 File Location : S:\Teap\ACCREDITATION\University Accreditation\Policy\University Accreditation Policy 4.6.docx

2 Contents 1. Terminology Introduction Course Objectives and Coverage Course Accreditation and the University Course Accreditation Panel Guidelines to be Considered by the University Course Accreditation Panel Elements Considered in the Accreditation Process Documentation Required Accreditation Visit Accreditation Visit for Universities Outside Australasia Accreditation Process Fees and Charges Accreditation Outcomes Reaccreditation References Appendix A Suggested Core Syllabus Appendix B Indicative Detailed Content Appendix C - Indicative Figures for Proportion of Course (%) Spent on Different Units Page 2

3 1. TERMINOLOGY The ACPSEM acknowledges terminology may vary between institutions. The following terms are used by the ACPSEM in course accreditation. Course Units Credit Points The degree in which the student may enrol. Other terms may include program and award. e.g. Master of Medical Physics is an example of a course. The individual coursework sections which for the structure of the Course. Other terms include subject, course and topic. e.g. PHYS7089 Anatomy for Physical Scientists is an example of a Unit. The measurement used to describe academic weighting of a unit or course. Other terms include units or points. e.g. PHYS7089 is worth 2 credit points and I require 24 credit points in order to complete my Course. 2. INTRODUCTION A compulsory component of a physicist s education and training to become a qualified medical physicist specialist accredited in a particular specialty area is the acquisition of an appropriate postgraduate degree in medical physics. The profession and universities collaborate to enable universities to provide this invaluable component of postgraduate education. The ACPSEM accredits the postgraduate courses of study to ensure their suitability in preparing physicists with the necessary depth and breadth of knowledge required to commence clinical training. Candidates embarking on a career in medical physics should ensure that they enrol in an accredited course of study, while universities interested in attracting such students should make it a high priority to meet the needs of the medical physics profession. The postgraduate course in medical physics required to enter the ACPSEM Training, Education and Assessment Program (TEAP) would normally be at the Masters level, but may be a PhD or some other postgraduate degree accepted by the ACPSEM. This document outlines the philosophy underlying the required education of medical physicists, suggested criteria to be used in accrediting postgraduate courses and the course accreditation process. Page 3

4 3. COURSE OBJECTIVES AND COVERAGE The purpose of postgraduate level medical physics education is to provide physicists with relevant knowledge and appropriate problem-solving skills as part of the medical physics training program in radiation oncology or diagnostic imaging (nuclear medicine; radiology). The ACPSEM considers that qualified Medical Physicists in the specialities of Radiation Oncology, Diagnostic Imaging, Nuclear Medicine and Radiology should have a general education in Medical Physics in all specialist areas. Course providers must ensure that the course for which accreditation is being sought meets, or has obtained accreditation according to the specifications of the Australian/ New Zealand Qualification Framework level 9 or above. It is important that courses provide a breadth of coverage that is well balanced, with emphasis on developing general research and problem-solving skills. It is expected that the more advanced knowledge and practical skills necessary for certification as a Medical Physicist will be acquired during training subsequent to the educational component. Core units may be taught at more than one university provided that the core units contribute to a single university course and that the process is adequately documented. The university who awards the course will be granted the accreditation. It is acceptable for the core units and the research thesis to be undertaken in separate postgraduate courses. For example, the core units might be undertaken as a postgraduate diploma at one university and the research thesis as a research masters (or PhD) at another university. In this case, the university offering the core units will be accredited by the ACPSEM. For an example of a training program and its relationship to the education component refer to the ACPSEM listed in the References section. Page 4

5 4. COURSE ACCREDITATION AND THE UNIVERSITY COURSE ACCREDITATION PANEL Course Accreditation The accreditation of courses shall be undertaken by a University Course Accreditation Panel (UCAP). University Course Accreditation Panel (UCAP) The Chair of the Professional Standards Board will form a University Course Accreditation Panel which may consist of the following: The Chair (or nominee) from two of the Certification Panels of Nuclear Medicine Physics, Radiological Medical Physics, Diagnostic Imaging Medical Physics and Radiation Oncology Medical Physics The Chair of the Professional Standards Board (or nominee) Two experienced medical physics educators from other Universities. A representative from the local Branch of the ACPSEM with expertise in the medical physics specialty not represented by an accreditation panel chair (or nominee). (Except in the case where the application is from a university outside of Australia or New Zealand the Chair of the Professional Standards Board will appoint a member of the ACPSEM). The Chair of UCAP will be appointed by the Chair of the Professional Standards Board. Page 5

6 5. GUIDELINES TO BE CONSIDERED BY THE UNIVERSITY COURSE ACCREDITATION PANEL Accreditation is the recognition that course graduates are educated to a postgraduate level suitable for the entry into clinical training in medical physics. The ACPSEM accreditation process seeks to ensure the program offers established levels of educational opportunities, is up to-date with contemporary methods of medical physics practice and is suitably challenging to the students. The ACPSEM accreditation of the postgraduate course does not imply that students who graduate from the program are sufficiently trained and experienced to provide medical physics services. In assessing a university course for accreditation, the content and depth of medical physics will be assessed not the educational principles employed in teaching. The ACPSEM acknowledge while it may have expertise in medical physics the universities have expertise in education. It must be recognised that the provision of academic education and in-service clinical training is a partnership between the ACPSEM, participating universities and the clinical institutions. Each has a role to play and it is recognised that the roles may sometimes overlap. Universities generally provide academic and research education and the clinical institutions generally providing the in-service clinical training. The ACPSEM maintains the professional standard by: Setting the required breadth and depth of knowledge in medical physics, Accrediting the universities and clinical institutions who meet this standard; and Acting as the responsible professional body for the assessment of the candidates progressing through the Training, Education and Assessment Program. Page 6

7 6. ELEMENTS CONSIDERED IN THE ACCREDITATION PROCESS In accrediting a university course, the University Course Accreditation Panel will consider the following factors: The standards of student admission to the course (see Course entry requirements ). The duration of the course. The breadth, depth and balance between course components and the intellectual effort of the course. The objectives of the course and the methods adopted to achieve these objectives. The methods for assessment of student progress. The facilities available for practical exercises within the course. The teaching staff conducting the course, their numbers, professional qualifications, experience and educational expertise. The accommodation and facilities available including equipment, libraries, laboratories, workshops etc. Links to appropriate hospitals (including access to clinical lecturers) for practical exercises and research components. Overall performance of its graduates. Suitable measures in place to maintain and develop quality and excellence in teaching and learning. A suggested core syllabus is attached in Appendix A with an indicative unit content in Appendix B. It is not required that the units of study have the names shown in the core syllabus. Included in Appendix C are guidelines to the expected balance of the coverage of syllabus topics that are considered necessary to meet the ACPSEM requirements for clinical training. Note that the core units listed in the syllabus are considered compulsory although there is some scope for flexibility in extending the syllabus to adapt the course to match local interest and expertise. The following guidelines provide an indication of key areas that will be considered by the University Course Accreditation Panel: a) Course entry requirements The ACPSEM does not stipulate an entry requirement for any course which it accredits as that is the prerogative of the university. It is expected, though, that the course meets the academic demand as outlined in e) below. There is however a minimum undergraduate requirement 1 required by the ACPSEM for certification as a qualified medical physics specialist. Students undertaking an accredited course should be made aware that passing the course does not guarantee that the student will be accepted for entry to a clinical training 1 Have obtained an undergraduate degree majoring in physics and mathematics or have an exemption from the ACPSEM for such a requirement. A Bachelor of Science majoring in physics or a Bachelor of Engineering majoring in electronic, electrical, mechanical or biomedical engineering from an Australian or New Zealand university meets this requirement. Acceptable degrees will have a strong mathematics component. This requirement would be met by undertaking any bridging courses that are deemed to satisfy the requirements for Physics undergraduate course accreditation by the Australian Institute of Physics. Page 7

8 program where the minimum undergraduate requirements are not met. Completion of an accredited university course alone also does not make graduates qualified medical physics specialists. It is required that a statement to this effect is included in the course prospectus provided to students. b) Course objectives One objective of the postgraduate course should be to prepare students for a clinical training program in medical physics by provision of relevant background knowledge and development of problem solving skills relevant to the profession. These should clearly distinguish education from training since it is not the objective of the course to replace hospital-based training. c) Course content Course content should adhere substantially to the syllabus recommended by the ACPSEM with a balance of subject coverage that reflects typical work-practice in Australia and New Zealand. Indicative figures for relative time spent on individual subjects is included in Appendix B with reference to the topics in the ACPSEM syllabus as a guide to the expected balance. Relative unit weighting will be calculated by examining of the credit point system of the university. d) Resources It is not the role of the ACPSEM to make judgment on academic merit. However there should be evidence that there are sufficient relevant resources to conduct a medical physics program (both human and facilities). There should be evidence of sufficient tenured staff with relevant expertise relative to the number of enrolled students, strong hospital links with hospital-based lecturers and access to facilities, active relevant research programs and adequate library and laboratory resources. e) Academic demand It is recognized that, for a broad coverage of medical physics, the level of coverage in most subjects will be superficial. However there should be evidence that students are being set tasks that develop more advanced problem solving skills and practical skills relevant to the practice of physics and the specialty of medical physics. This may be in the form of written assignments or presentations, experimental work, literature review and problem solving tasks. It is expected that the course assumes a basic skill and knowledge level of an undergraduate degree based on physics and mathematics. f) Quality assurance There should be evidence of processes in place to maintain and develop the quality and excellence of teaching and learning at postgraduate university level. This should include evidence and frequency of student feedback and course responses to this feedback. Page 8

9 7. DOCUMENTATION REQUIRED Each university requesting accreditation of a postgraduate course will be required to provide clear and concise information describing: The objectives of the course The requirements for completion Detailed syllabi of all units including Prescribed texts Relevant pre- and co- requisites An indication of the hours devoted to each topic covered Assessment methods used and their relative weightings A description of a typical program of study leading to the award of the degree Assessment and recognition method if units are offered through another university. Brief resumes of the staff involved in teaching the course, which includes their highest qualification and professional memberships. If this qualification is not in physics then the highest physics qualification should also be given. Evidence of the quality assurance applied to upgrade course standards (e.g. involvement of advisory groups) Any other material considered relevant by the University. A template for this information is provided by the ACPSEM. NB: It is acknowledged that some, or all of the documentation required by ACPSEM may have been submitted for Accreditation according to the specifications of the Australian Qualifications Framework and that this documentation can be submitted in the same format to the ACPSEM. Page 9

10 8. ACCREDITATION VISIT A subgroup of the University Course Accreditation Panel shall conduct the accreditation visit and will consist of: The Chair of the UCAP Panel (or nominee) One of the specialist medical physics educators from another University The Chair (or nominee) of a Professional Certification Panel The representative from the local ACPSEM Branch (if this can be done at no cost). In order to accredit a postgraduate course the nominated Panel members will visit the university, have the opportunity to inspect the facilities and hold discussions with appropriate academic staff and students. During the visit, the Panel members may: First meet the Course Coordinator or his/her nominee to clarify any queries related to the documentation provided when applying for accreditation status. Meet with appropriate academic staff to discuss: o Description of the course including the units, the course philosophy, teaching and developments in teaching and research o Any changes from the previous accreditation (if applicable) o Course rationale, evaluation, feedback and quality assurance o Any proposed changes to the course during the next five years. Review samples of the following from students with a range of academic ability: o Previous examination papers and typical student responses o Examples of student written work submitted for appraisal. Tour the physical facilities available to students enrolled in the course, including laboratories, computing facilities, lecture theatres, libraries, technical workshops etc. Meet with students, clinical supervisors from the hospitals, representatives of the profession and any other people as required. At the conclusion of the visit the Panel members shall hold a debriefing discussion with the university staff responsible for the course coordination. Page 10

11 9. ACCREDITATION VISIT FOR UNIVERSITIES OUTSIDE AUSTRALASIA In the event that it is impractical to complete an accreditation visit by the UCAP in person, alternative arrangements will be made. These may include: Videoconference interviews with University staff and students Review of previous or other professional body site inspection Recordings of facilities Copies of real assessment posted The methods of assessing a University course alternative to conducting a site visit will be decided upon by the Chair of UCAP. Page 11

12 10. ACCREDITATION PROCESS At least three months prior to visit The head of the academic unit seeking accreditation shall submit a formal application to the Chair of the Professional Standards Board. The Chair shall form a University Course Accreditation Panel. Three months prior to visit: The UCAP Chair shall contact the head of the academic unit to discuss the accreditation process and to organise a visit at a mutually agreeable time. One month prior to visit: The university shall provide the Chair of the UCAP with a full set of documentation relating to the course. Accreditation visit: The UCAP members as required will conduct a visit, normally taking one day. Within one month after visit: A draft report shall be written by the UCAP Chair representing the view of the panel as a whole. Issues of concern shall be forwarded to the University for comment. The Chair of the UCAP and the Chair of the Professional Standards Board shall attempt, as far as possible, to resolve any issues with the University and to reach agreement with the University. When no further progress seems possible or is necessary, the report is forwarded to the ACPSEM Professional Standards Board for endorsement and the ACPSEM Council for consideration and approval. In the event of a negative report or one lacking the agreement, the Chair of the Professional Standards Board shall advise Council and make recommendations on appropriate action. The contents of the application for accreditation, the report and associated documentation shall remain confidential between the University involved, the UCAP and the ACPSEM Professional Standards Board.. Within two months after visit: After the ACPSEM Professional Standards Board approves the final report, the ACPSEM may issue the university a certificate of accreditation if it has been deemed by the University Course Accreditation Panel and the ACPSEM Professional Standards Board that the education requirements have been met. Appeals: An appeal shall be considered by the ACPSEM Council upon receiving a written submission from the University and written comments on that submission from the Chair of the University Course Accreditation Panel. The University shall have the right to have a member of their staff present its case in person, provided that all costs associated with such presentation are met by the University. Page 12

13 11. FEES AND CHARGES The fee for the accreditation shall be set by the ACPSEM each year. A list of fees can be found on the ACPSEM website An application fee is due upon initial application. A university course accreditation fee is charged annually to cover the cost of administrative costs and course promotion. When a university is undergoing accreditation/reaccreditation, an accreditation fee applied. This covers the fee of establishing a UCAP and costs associated with the site visit and evaluation. If awarded Provisional Accreditation (A), a second accreditation fee will be charge to cover the cost of the second site visit. The fees apply to each course accredited, not by university (e.g. Masters and PhD offered by one university would be considered separate accreditation processes, not covered under one university accreditation umbrella). Page 13

14 12. ACCREDITATION OUTCOMES The course accreditation is valid for a period no longer than five years. Universities submitting proposals for a new course can only qualify for provisional accreditation for a maximum of two years. The ACPSEM may grant accreditation as follows: Full accreditation- The course meets or exceeds the standards for accreditation. Accreditation will be issued with no provisos. Provisional Accreditation (A) The ACPSEM has identified significant deficiencies which require correction but do NOT require a further visit. Accreditation will be issued subject to a proviso which must be met in the time frame specified else accreditation may be withdrawn. Once the deficiencies have been rectified and notified to the ACPSEM in writing full accreditation will be issued for the remainder of the period. Provisional Accreditation (B) The ACPSEM has identified significant deficiencies which require correction and a further visit before full accreditation can be granted. Provisional accreditation is granted for a specified period of time after which accreditation is withdrawn if the deficiencies remain uncorrected. Provisional Accreditation (C) A new course which cannot be fully assessed will receive provisional accreditation for a maximum period of two years. Page 14

15 13. REACCREDITATION Prior to the end of an accreditation period, the University will be contacted by the ACPSEM regarding renewal. The reaccreditation process follows the same as the accreditation process regardless of the initial accreditation outcome (Full or Provisional Accreditation). Due to time passed between accreditation and reaccreditation, all steps must be completed in full in the interest of quality assurance. Page 15

16 14. REFERENCES For further information into the overall education and training program used by the ACPSEM to develop certified, qualified medical physics specialists please refer to the relevant documents available on the ACPSEM website ( Page 16

17 APPENDIX A SUGGESTED CORE SYLLABUS 1. Anatomy and Physiology for Medical Physicists Aim The aim of this unit is to provide students with a fairly broad but introductory description of human anatomy and physiology in both health and disease. Objectives On completion of this unit, students should be able to: Identify basic anatomical structures Recognise relative position of organs in cross-section Describe the function of the body s main organ systems Understand the basic structure and function of important cellular and molecular entities Describe the systems that regulate function Discuss major areas of disease in terms of their effect on anatomy and physiology 2. Basic Radiation Physics Aim The aim of this unit is to provide students with a detailed knowledge of the physical principles that form the foundations for use of radiation in medicine for diagnosis and therapy. Objectives On completion of this unit, students should be able to: Discuss the origins of ionising radiation and its interaction with matter Describe the principles involved in the detection and accurate measurement of radiation Describe the operation of basic radiation measurement instruments Calibrate and use basic instruments to measure radiation 3. Basic Imaging Physics Aim The aim of this unit is to provide students with a general basic understanding of medical imaging, suitable as a background for entry into a training program in any area of medical physics, including medical imaging. Objectives: On completion of this unit, students should be able to: Describe basic principles underlying imaging methods Discuss principles of operation of medical imaging equipment Recognise safety aspects of imaging using ionising and non-ionising radiation Perform basic QC for equipment in nuclear medicine and radiology Page 17

18 Recognise potential sources of artefact or inaccuracy Discuss a range of clinical applications Estimate radiation dose for internal and external radiation sources Discuss computer processing used in medical imaging Discuss perception in relation to image display methods 4. Basic Radiotherapy Physics Aim The aim of this unit is to provide students with a general basic understanding of radiotherapy physics, suitable as a background for entry into a training program in any area of medical physics, including radiotherapy. Objectives: On completion of this unit, students should be able to: Describe the basic principles underlying radiotherapy methods Understand the principles of radiotherapy equipment Understand the characteristics of clinical beams and their measurement Understand dosimetry measurements used in radiotherapy Understand basic treatment planning in radiotherapy Recognise safety aspects of imaging using ionising and non-ionising radiation Perform basic QC for equipment in radiotherapy Understand the use of sealed and unsealed sources in radiotherapy Discuss a range of clinical applications 5. Radiation Protection Aim The aim of this unit is to familiarise students with the risks involved in the use of radiation in medicine and the procedures to be followed in order to minimise risk. Objectives: On completion of this unit, students should be able to: Use appropriate units to quantify radiation exposure Describe the principles underlying risk reduction Discuss relevant regulations pertaining to radiation safety Suggest procedures to minimise risk of radiation exposure Perform basic procedures that involve use of radiation Describe approaches for monitoring of staff and work areas Page 18

19 APPENDIX B INDICATIVE DETAILED CONTENT This appendix is aimed at providing an indication of the content required.. It is not intended to be either exclusive or inclusive. 1. Anatomy and Physiology for Medical Physicists Content General structure and organisation of the body Anatomical position and nomenclature Surface anatomy Human development, cellular structure function and growth; tissue differentiation Pregnancy, growth and ageing. Homeostasis, metabolism Locomotor system skeleton, head, trunk, limbs, joints, muscles Cardiovascular system - haematopoesis, blood, respiration, blood flow] Body fluids, renal, urinary, GI, reproductive, endocrine systems Neurological system, pathways, nerve conduction, key biosignals Cancer including tumour pathology, cell proliferation and carcinogenesis Note: Most of these topics will be at a fairly basic level 2. Basic Radiation Physics Content Atomic and Nuclear Structure Radioactivity Electron Interactions with matter Photon interactions with matter Specification of radiation beams Physical effects of radiation Dosimetric principles, quantities and units o Fluence and energy fluence o Absorbed dose o Kerma o Interrelationships fluence and dose (electrons) energy fluence and kerma (photons) kerma and dose (electronic equilibrium) kerma and exposure o W air o Cavity theory Small, medium and large cavities o Stopping power ratios Radiation monitoring instruments o Survey monitors o Personnel monitors Page 19

20 Radiation dosimeters o Desirable properties o Ionisation chambers and electrometers Thimble Parallel plate o TLD o Film and densitometer o Solid state Primary standards o Calorimeters (water and graphite) o Fricke o Ionisation chambers Tissue substitute materials Monte Carlo techniques 3. Basic Imaging Physics Content Radiology o Aims and problems in radiology: the radiological image o Radiological equipment o Measurement in diagnostic beams o Interactions with the patient, geometric factors o Radiological image recording systems and methods o Contrast enhancement o Digital radiography o Mammography o Computerised tomography (CT) and tomographic reconstruction o Patient dose control o Quality assurance o Radiation protection specific to diagnostic facilities Nuclear Medicine o Radioactive decay and choice of radionuclides. o Specific properties of detectors for nuclear medicine o Radionuclide production o Radiopharmaceuticals o Non-imaging tracer studies o In-vitro assays o Imaging systems in nuclear medicine o Single Photon Emission Computed Tomography (SPECT) o Positron Emission Tomography (PET) o Diagnostic applications and interpretation of radionuclide images o Analysis methods in nuclear medicine o Therapeutic uses of unsealed sources o Patient doses and dose control o Quality assurance o Radiation protection specific to nuclear medicine Magnetic Resonance Imaging o General principles of nuclear magnetic resonance o Mechanisms of relaxation (T 1 and T 2 ) Page 20

21 o Pulse sequences o Image generation o Hardware o Contrast media o Artefacts o Clinical applications of different sequences Metabolic Anatomic Flow imaging o Magnetic resonance spectroscopy o Quality assurance o Safety, standards and environmental aspects. Ultrasound o Ultrasound generation o Ultrasound propagation o Ultrasound interaction o Acoustic properties of tissue o Instrumentation o Imaging techniques o Image artefacts and image quality o Doppler techniques o Clinical applications of ultrasound imaging o Therapeutic uses of ultrasound o Tissue characterisation o Biological effects o Exposure measurement and instrumentation o Safety aspects Introduction to image processing o Image quality (noise versus resolution) o Image filtering (smoothing, restoration) o Image segmentation o Image registration o Statistical techniques (optimisation, classification) o Volumetric techniques (rendering, modelling) Image perception o Theory of vision o Information theory o Psychophysics of image perception o Design of display systems 4. Basic Radiotherapy Physics Content Malignant disease and role of radiotherapy Radiotherapy equipment o X-ray units o Cobalt 60 teletherapy units o Linear accelerators o Neutron generators and particle accelerators Beam and dose control Page 21

22 Beam modifiers Radiation interactions with the patient Dosimetry theory and methods in radiotherapy Data acquisition for treatment planning Characteristics of clinical beams Imaging in radiotherapy Target volume localisation; equipment and methods Principles of treatment planning Treatment planning systems and radiation dose algorithms Treatment verification Use of sealed radioactive sources in radiotherapy Therapeutic uses of unsealed sources Quality assurance, treatment accuracy and safety; standards Computer control systems and information systems Radiation protection specific to radiotherapy 5. Radiation Protection Content Quantities and units in radiation protection o Equivalent dose (definition, unit and use) o Effective dose (definition, unit and use) International and national radiation protection organisations (ICRP, IAEA, UNSCEAR, WHO..) Biological effects of radiation and radiation risk Basic principles for dose limitation o Deterministic effect and stochastic effects o Justification o Optimisation o ALARA principle (As Low As Reasonably Achievable) o Dose limits o (See ICRP 60 or national regulations for details) Occupational exposure Public exposure Basic principles for dose reduction o Time o Distance (inverse square law) o Shielding Broad beam transmission Build-up factor Albedo Radiation safety programme o Classification of areas Controlled areas Individual monitoring recommended o Personnel information and training o Surveys After installation of radiation machine During and after brachytherapy procedures Page 22

23 At receipt of radioactive source shipment In laboratories during and after unsealed radioactive source procedures o Room monitoring o Personnel monitoring o Incidents o Emergency kits and procedures for accidents 6. Research and development skills Content A postgraduate research thesis as part of the postgraduate degree on a relevant medical physics topic carried out, where possible, in the medical physics registrar s training institution demonstrating: Research methods including ethical considerations Applied statistics Scientific programming tasks Literature review tasks Presentation methods including practical experience Communication skills development Scientific management skills Page 23

24 APPENDIX C - INDICATIVE FIGURES FOR PROPORTION OF COURSE (%) SPENT ON DIFFERENT UNITS The following figures represent the suggested balance across subjects. Note that 15% has been allocated to other. This proportion could either be added to other subjects to increase the coverage or preferably could be used for inclusion of complementary subjects such as statistics, computer programming, electronics and instrumentation or physiological measurement. Unit Percentage of time Anatomy and Physiology 10% Radiation Physics 10% Radiation Protection 10% Radiotherapy Physics 20% Nuclear Medicine Physics 10% Radiology Physics 6% MRI / Ultrasound Physics 6% Image perception and image processing Physics 3% Professional matters 10% Other 15% Page 24

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