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Modernising Scientific Careers Programme MSc in CLINICAL SCIENCE (Medical Physics) Learning Outcomes and Indicative Content 2010/11 1 MSc Medical Physics 2010-11 v2.doc CONTENTS Page Section A: MSc Curriculum 1.0 Background 1.1 High Level MSc Framework 1.2 Medical Physics Route Map ………………….. ………………….. ………………….. 3 3 4 2.0 Generic Modules 2.1 Healthcare Science 2.2 Research Methods ………………….. ………………….. ………………….. 6 6 8 3.0 Division/Theme Specific Modules ………………….. 3.1 Year 1 Introduction to Specialist Medical Physics ………………….. 11 11 4.0 Specialist Modules for Radiotherapy Physics 4.1 Year 2 Radiotherapy Physics 1 ………………….. 4.2 Year 2 and 3 Research Project ………………….. 4.3 Year 3 Radiotherapy Physics 2 ………………….. 4.4 Overview of workplace-based training ………………….. 15 16 18 19 21 5.0 Specialist Modules for Radiation Safety 5.1 Year 2 Radiation Safety 1 5.2 Year 2 and 3 Research Project 5.3 Year 3 Radiation Safety 2 5.4 Overview of workplace-based training ………………….. ………………….. ………………….. ………………….. 23 24 27 29 32 6.0 Specialist Modules for Imaging with Ionising Radiation 6.1 Year 2 Imaging with Ionising Radiation 1 ………………….. 6.2 Year 2 and 3 Research Project ………………….. 6.3 Year 3 Imaging with Ionising Radiation 2 ………………….. 6.4 Overview of workplace-based training ………………….. 33 34 36 38 41 7.0 Specialist Modules for Imaging with Non-Ionising Radiation 7.1 Year 2 Imaging with Non-Ionising Radiation 1 ………………….. 7.2 Year 2 and 3 Research Project ………………….. 7.3 Year 3 Imaging with Non-Ionising Radiation 2 ………………….. 7.4 Overview of workplace-based training ………………….. 43 44 46 48 51 Section B: Generic Curriculum Professional Practice ………………….. 52 Appendix 1 Members of the Curriculum Development Group and Curriculum Reference Group ………………….. 58 Appendix 2 Amendments to MSc Clinical Sciences (Medical Physics) 2010-11 to create version 2 …………………. 59 2 MSc Medical Physics 2010-11 v2.doc Section A: MSc Curriculum 1.0 Background This document sets out the proposed structure, high level learning outcomes and indicative content for the 3-year, part-time Masters in Clinical Science that forms part of the Scientist Training Programme (STP). The programme combines and integrates the generic professional practice learning, theme specific (Medical Physics) and four specialisms namely Radiotherapy Physics, Imaging with Non-Ionising Radiation, Imaging with Ionising Radiation and Radiation Safety. The diagram below depicts the broad framework around which all degree programmes must be structured. However, each division within the Modernising Scientific Careers Programme (MSC) has interpreted and adapted this framework. 1.1 High Level MSc Framework HIGH LEVEL FRAMEWORK MSc IN CLINICAL SCIENCE (Medical Physics) Year 3 Specialist Practice Healthcare Science Specialist Learning with integrated Professional Practice Research Project Trainees would usually begin a workplace-based research project in Year 2 and complete the project in Year 3 [30] [30] Specialism Year 2 Specialist Practice Research Methods Healthcare Science Specialist Learning with integrated Professional Practice [10] [20] Generic Year 1 Core Modules Research Project Trainees would usually begin a workplacebased research project in Year 2 and complete the project in Year 3. [30] Specialism Healthcare Science Integrating science and Professional Practice Healthcare Science Integrating underpinning knowledge required for each rotational element with Professional Practice [20] [40] Generic Division/Theme Generic Modules: Common to all divisions of Healthcare Science Division/Theme Specific Modules: Common to a division or theme Specialist Modules: Specific to a specialism 3 MSc Medical Physics 2010-11 v2.doc 1.2 Medical Physics Route Map Medical Physics will offer an MSc in four specialisms namely: i. ii. iii. iv. Radiotherapy Physics Radiation Safety Imaging with Ionising Radiation Imaging with Non-Ionising Radiation The route map overleaf shows how the high-level framework has been interpreted for Medical Physics. 4 MSc Medical Physics 2010-11 v2.doc Route Map for Medical Physics Year 1 Year 2 Healthcare Science [20] Introduction to Specialist Medical Physics underpinning knowledge for rotational elements [40] Year 3 Research Methods [10] EITHER Radiotherapy Physics Route map of STP in Medical Physics with specialisms in Radiotherapy Physics, Radiation Safety, Imaging with Ionising Radiation, Imaging with Non-ionising Radiation. In Year 1, trainees begin by following a generic curriculum across the whole of the STP Training Programme (blue) together with some division /theme specific modules (yellow). In Year 2 and 3 trainees specialise (orange). Radiotherapy 1 [20] Radiotherapy 2 [30] Research Project [30] Research Project [30] OR Radiation Safety Radiation Safety 1 [20] Radiation Safety 2 [30] Research Project [30] Research Project [30] OR Imaging with Ionising Radiation Imaging with Ionising Radiation 1 [20] Imaging with Ionising Radiation 2 [30] Research Project [30] Research Project [30] Imaging with non-ionising radiation Imaging with Non Ionising Radiation 1 [20] Imaging with Non Ionising Radiation 2 [30] Research Project [30] Research Project [30] Credits Generic 20 10 0 Division/Theme 40 0 0 50 60 60 60 Specialism Total 60 5 MSc Medical Physics 2010-11 v2.doc 2.0 Generic Modules Within the MSc programme the generic curriculum has three modules namely Healthcare Science, Research Methods and the Research Project. Professional Practice is also generic and should be integrated across the 3year STP programme. For further information please see Section B. 2.1 Healthcare Science Year 1: Generic Module Healthcare Science [20 credits] The overall aim of this introductory module is to provide trainees with knowledge and understanding of the basic science and scientific knowledge that will underpin study in any of the three divisions of healthcare science namely Physical Sciences and Biomedical Engineering, Life Sciences and Physiological Sciences within the Scientist Training Programme. This module will also introduce the frameworks underpinning professional practice across the divisions providing the building blocks for future development of professional practice in the workplace. This module will build on the knowledge, skills and experience gained during undergraduate studies with learning developed and applied further in division and specialism specific modules. 1 Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Outline the chemical, cellular and tissue level of organisation of the body. 2. Describe the function of blood as a tissue, blood cells (types and life times). 3. Know the structure and function of the skin. 4. Know the structure and function of the skeletal system. 5. Describe the organisation, basic structure and function of the central, peripheral and autonomic nervous system. 6. Know the normal structure and function of the respiratory system including ventilation, gaseous exchange and blood gas transport. 7. Know the normal structure and function of the heart, blood vessels and lymphatic system. 8. Know the anatomy and physiology of vision, hearing and equilibrium. 9. Know the normal structure and function of the GI tract including digestion and absorption of food, the liver and liver function tests. 10. Know the normal structure and function of the kidney including anatomy and function of the endocrine system, electrolyte and acid-base balance and hormonal mechanisms and control. 1 This module should build on the knowledge gained during undergraduate studies with learning developed further in division and specialism specific modules 6 MSc Medical Physics 2010-11 v2.doc 11. Know the anatomy and physiology of the male and female reproductive tract. 12. Know the principles of inheritance, DNA and genetics including carrier status, genetic crosses/pedigree/punnet squares/cross diagrams. 13. Know the cellular, tissue and systems responses to disease including cell death, inflammation, neoplasia, hypertrophy, hyperplasia, tissue responses to injury and repair. 14. Explain how factors affecting health may contribute to inequalities in health between populations. 15. Explain the basic concepts underpinning health economics and their applicability to healthcare science. 16. Know the basis of health protection including principles of surveillance. 17. Examine patients' responses to illness and treatment and consider the impact of psychological and social factors, including culture, on health and health-related behaviour. 18. Know the basic principles of physics that underpin healthcare science e.g. ultrasound, radiation. 19. Explain the structures and processes that underpin quality assurance including quality control, assurance, quality improvement and clinical governance. 20. Know and apply basic principles of communication with respect to key features of effective patient interviews and information giving; working with groups of the population who have particular communication needs such as children, those with learning disabilities and management of emotional responses within the scientist-patient interaction 21. Know the basic principles and structures underpinning history taking and clinical examination. 22. Know and understand the importance of the concept of shared leadership and the associated personal qualities and behaviours that promote shared leadership. 23. Understand the structure and management of health and social care services and the management of local healthcare systems in the United Kingdom. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Respect and understand individuals’ beliefs and ways of coping with illness. 2. Demonstrate knowledge of the influence of culture and beliefs on health. 3. Apply a range of study skills including time management, organisational skills, using the library, search engines, self-directed learning, reflective practice and critical analysis during this introductory module. 4. Demonstrate communication skills by listening to others, taking other viewpoints into consideration, giving effective feedback, receiving and responding to feedback and working in a team. 7 MSc Medical Physics 2010-11 v2.doc Indicative Content Review of the organisation, structure and function of the body Review of basic genetic concepts Review of the pathological processes underpinning common diseases: o Cell death o Inflammation o Neoplasia o Hypertrophy o Hyperplasia o Tissue response to injury and repair Factors affecting health and their contribution to inequalities in health between populations Basis of health protection including principles of surveillance Patients' responses to illness and treatment including the impact of psychological, social factors and culture Basic principles of physics underpinning common techniques used in healthcare science e.g. ultrasound, radiation Basic principles of quality assurance including quality control, assurance, quality improvement and clinical governance Health Economics Communications skills Introduction to history taking and clinical examination. Introduction to Leadership within the NHS. Introduction to the structure of the NHS 2.2 Research Methods Year 2: Generic Module Research Methods [10 credits] The overall aim of this module is to ensure that the trainee has the underpinning knowledge of the importance of research, development and innovation across the NHS and in healthcare science in particular and to provide the underpinning knowledge for the research project. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Explain the context within which research and audit are undertaken within the NHS. 2. Examine the contribution of the Healthcare Science workforce to undertaking cutting edge translational research for patient benefit and promoting innovation within the NHS. 3. Differentiate between audit and research and know different types of research approaches including qualitative, quantitative and systematic review. 8 MSc Medical Physics 2010-11 v2.doc 4. Know the processes that underpin clinical trials and their potential value, risks and benefits. 5. Explain how to formulate a research question and design a project. 6. Explain the current ethical and governance frameworks within which human and animal work can be conducted in the UK. 7. Know current ethical approval processes for research and audit, the requirements for continuous monitoring, progress reporting, adverse event monitoring, study closure and archiving. 8. Describe the role of peer review and user involvement in research design. 9. Appraise research and research proposals with respect to costs and benefits 10. Explain the application of common statistical techniques for dealing with data. 11. Explain a range of methods to disseminate research findings and discuss the advantages and disadvantages of each method. 12. Describe how clinical guidelines are produced and the concept of evidence based practice including the role of current statutory and advisory regulatory bodies. 13. Explain the processes for quality assurance in research, audit and service improvement. 14. Describe the potential sources of research funding for Healthcare Science research and basic principles of Intellectual Property regulations. 15. Discuss how the findings of research and audit can be used to improve the practice of healthcare science and improve patient care and service delivery. Learning Outcomes: Practical Skills On successful completion of this module the trainee will: 1. Generate a research question. 2. Critically review the literature to establish current knowledge with respect to the research question and summarise the findings. 3. Identify and discuss an audit project that has resulted in change specific to their specialism. 4. Identify and discuss a research study that has resulted in an improvement in patient care relevant to their specialism. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Demonstrate effective oral communication skills including the ability to present scientific data to non-scientists. 2. Demonstrate effective organisation skills. 3. Identify how innovation will have a positive impact on the practice of healthcare science. 9 MSc Medical Physics 2010-11 v2.doc Indicative Content Good Clinical Practice Research ethics and clinical governance Research method including: o Qualitative o Quantitative o Bio-statistical o Systematic review o Epidemiological research methods Study design Hypothesis generation and testing Literature searching and referencing Critical Appraisal Evidence Based Practice Application and interpretation of statistical techniques Dissemination of research/audit findings Development of Clinical Guidelines Quality Assurance applied to research Cost-benefit of research Sources of Research Funding 10 MSc Medical Physics 2010-11 v2.doc 3.0 Division/Theme Specific Modules This section covers the theme specific module that will be studied by all trainees undertaking the Medical Physics programme. Division: Theme: Year 1: Physical Sciences and Biomedical Engineering Medical Physics Introduction to Specialist Medical Physics The overall aim of this module is to provide trainees with the knowledge that underpins the first four rotations of the Medical Physics STP and the common learning required within the division. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Work safely within the radiation, workshop and clinical environments. 2. Describe the legislation that applies to safe working. 3. Explain the physical principles behind the interaction of radiation with matter. 4. Understand the basis of clinical measurement. 5. Demonstrate an understanding of the role of Medical Physics in innovation and service development. 6. Have the underpinning knowledge to gain useful practical experience within the context of the workplace-based rotations. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer. 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care. 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Report problems and may take part in restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 11 MSc Medical Physics 2010-11 v2.doc Indicative Content Information Communications Technology (ICT) Knowledge of the range of general purpose computer software in common use including spreadsheets, flat-file and structured databases, online reference and collaborative resources An understanding that computing applied clinically involves additional safeguards when 'the computer acts as a clinical device' including an understanding of the role of the Medicine and Healthcare products Regulatory Agency (MHRA), the Food and Drugs Administration (FDA) and the International Electrotechnical Commission (IEC) and their role in CE Marking An introduction to the concept of the software lifecycle and the tools and frameworks used to specify, develop, validate and verify clinical software Understand of the basic principles relating to Information Communications Technology (ICT) security including firewalls, virus protection, encryption, server access and data security An understanding of Information Governance, including NHS security policies Understand the need for data exchange standards and be aware of some of the common standards, eg Digital Imaging and Communications in Medicine (DICOM) and Healthcare Level 7 (HL7) Understand the networking systems in common clinical use and be aware of the relevant local Trust Information Technology policies Understand the basic principles of applicable legislation and of local policies including the Data Protection Act, Computer Misuse Act and Freedom of Information Act. Clinical Measurement The physiology of pressure, flow and electrophysiology The physical principles underpinning measurements of pressure, flow and electrophysiology Transducers for measuring pressure, flow and electrophysiology Calibration, traceability of standards Understanding of sources of error: random, systematic and human Understand sensitivity and specificity of measurement techniques Relationship to clinical pathology, data processing and interpretation Safety Health and safety legislation specific to division Risk assessment techniques Chemical safety; COSHH, hazards, storage, use and disposal Electrical safety; medical equipment, leakage currents, fault conditions, isolation and circuit protection; biological/physiological response to electric shock; treatment of electric shock; equipment testing Mechanical safety; lifting gear; guards and operation of machine and hand tools, eye and ear protection; fumes, dusts, moving and handling 12 MSc Medical Physics 2010-11 v2.doc Biological safety; pathological and normal specimens; blood and other tissues; equipment contamination, cleaning, cross-contamination; handling procedures and protocols Theatre safety; anaesthetic agents, explosion hazard, waste gas extraction, function checks, obstacles, sterility Workshop safety Personal Protective Equipment Innovation and Service Improvement Role of Medical Physics and Clinical Engineering in innovation and service improvement Project management Process mapping Equipment lifecycle Specification, procurement, installation and commissioning Critical review of protocols, techniques and equipment Health Technology Assessment Horizon scanning Introduction to Radiotherapy Physics Malignant disease and role of radiotherapy Basic radiobiology Introduction to radiotherapy equipment (treatment machines and dosimetry equipment) Characteristics of clinical beams Target volume localisation; equipment and methods Principles of treatment planning Treatment verification Introduction to quality assurance, calibration, treatment accuracy and safety; standards Radiation protection specific to radiotherapy - local rules, protection measurements Introduction to Radiation Physics X-rays, electrons (betas), neutrons, alpha and other particles Radioactivity Units and relationships X-ray production Physical effects of radiation Interaction processes with matter Measurement and instrumentation Biological effects of ionising radiation Non-ionising radiations including ultra-violet (UV), radiofrequency (RF) and microwaves, lasers, infrared, magnetic fields and ultrasound Radiation safety; dose limits; national and international organisations and recommendations; legislation; principles of protection, safe practice, monitoring and reporting applied to: o Ionising radiation o UV, microwave, RF and magnetic fields, lasers and ultrasound 13 MSc Medical Physics 2010-11 v2.doc Introduction to Imaging with Ionising Radiation The physics and mathematics of image formation with ionising radiation as it relates to: o The radiological image o CT scanning o Nuclear Medicine o PET Introduction to image reconstruction techniques Introduction to image processing and analysis Image display characteristics Clinical application and a basic understanding of normal and pathological appearances within the image Introduction to image registration Quality assurance Introduction to Imaging with Non-Ionising Radiation The physics and mathematics of image formation with ionising radiation as it relates to: o MRI o Ultrasound o Imaging with lasers Introduction to image reconstruction techniques Introduction to image processing and analysis Image display characteristics Clinical application and a basic understanding of normal and pathological appearances within the image Introduction to image registration Quality assurance 14 MSc Medical Physics 2010-11 v2.doc 4.0 Specialist Modules for Radiotherapy Physics Module Titles Year 3 Year 2 Year 1 Radiotherapy 2 Research Project in Radiotherapy Physics [30] [30] Research Project in Radiotherapy Physics Research Methods Radiotherapy 1 [10] [20] Healthcare Science integrating science and professional practice [20] [30] Introduction to Specialist Medical Physics Underpinning knowledge for rotational elements and integrated professional practice [40] Generic Modules: Common to all divisions of Healthcare Science Division/Theme Specific Modules: Common to a division or theme Specialist Modules: Specific to a specialism 15 MSc Medical Physics 2010-11 v2.doc Section 4.1 Division: Theme: Specialism: Year 3: Physical Sciences and Biomedical Engineering Medical Physics Radiotherapy Physics Radiotherapy 1 [20 Credits] This module provides the trainee with the knowledge that underpins the specialist rotation in Radiotherapy Physics in the second year of the MSc. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Explain the radiobiological basis of radiotherapy. 2. Explain the patient pathway in radiotherapy and the associated risks. 3. Discuss the physics of radiotherapy treatment machines and dosimetry equipment. 4. Understand the requirements for QA on radiotherapy equipment and undertake QA and dose measurements on radiotherapy equipment. 5. Understand the quality framework in Radiotherapy Physics. 6. Undertake treatment planning on a basic range of clinical conditions. 7. Work safely in the Radiotherapy environment. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care. 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 16 MSc Medical Physics 2010-11 v2.doc Indicative Content Fundamentals Radiobiology Radiation interactions with the patient at a wide range of photon and electron energies Dosimetry theory and methods in radiotherapy The relationship between measurements and dose Electron and photon codes of practice Clinical The Radiotherapy Patient Pathway and associated dosimetry risks Dose limits to organs at risk Radiobiological models use in different tumour groups Knowledge of isodose distributions and patient related corrections Equipment The physics, operation and performance limitations of treatment simulators, CT simulators, linear accelerators and superficial and orthovoltage units The physics, operation and performance limitations of dosimetry equipment The physics, operation and limitations of in-vivo dosimetry systems, EPIDs Characteristics of clinical beams Treatment Planning Principles of treatment planning Target volume localisation: definitions and methods Beam modifiers Radiation Protection Ionising Radiations Regulations 1999, Ionising Radiations Medical Exposures Regulations 2000 as applied to Radiotherapy Environmental Permitting Regulations 2010, High Activity Sealed Sources (HASS) regulations 2006 and other relevant legislation as applied to Radiotherapy Ionising Radiation (Medical Exposures) Regulations 2000 as applied to Radiotherapy o Understands the roles of operator and practitioner in radiotherapy planning and dosimetry o Concomitant doses Basic treatment room design and radiation protection Quality Framework The role of quality assurance systems e.g. ISO9000 in Radiotherapy Physics The basis of interdepartmental audit 17 MSc Medical Physics 2010-11 v2.doc Section 4.2 Division: Theme: Specialism: Year 2 and 3: Physical Sciences and Biomedical Engineering Medical Physics Radiotherapy Physics Research Project in Radiotherapy Physics [60 Credits] The overall aim of this module, building on the Research Methods module is for the trainee to undertake a research project that shows originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in a specialism of healthcare science. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Understand the basic scientific principles underpinning research. 2. Critically evaluate, analyse and summarise current research and advanced scholarship in the specialism and draw justified conclusions from the evidence. 3. Understand the use and limitations of reference manager systems. 4. Know the process leading to publication of a research paper. 5. Know the current system of grading research publications. Learning Outcomes: Practical Skills On successful completion of this module the trainee will: 1. Establish the core skills necessary for scientific research. 2. Develop and propose a hypothesis. 3. Undertake a research project to test the hypothesis from conception to completion. 4. Confirm the necessary ethical, audit and/or Research and Development (R&D) approval. 5. Assemble a body of data and analyse the data using appropriate statistical techniques. 6. Prepare a written project report and analyses the findings and identifies strengths and weaknesses of the research/audit project. 7. Communicate knowledge or arguments from the research project both orally and in writing including presentation at a work-place based meeting. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 18 MSc Medical Physics 2010-11 v2.doc 1. 2. 3. 4. 5. 6. 7. Further develop critical analytical skills. Evaluate and apply evidence. Work within an ethical framework. Work independently or as a member of a team. Demonstrate effective time management and organisation. Exercise initiative and personal responsibility. Reflect on performance and seek help and advice when necessary. Indicative Content Literature Searching Critical Analysis Research project that may include: o Systematic Review o Evaluation of new methodologies o Investigation to improve performance of a method o Evaluation of new/modified quality assurance of a method o Audit of method performance across a range of departments o Critical analysis of evidence-base underpinning a specified procedure Communications Skills Report Writing Presentation Skills Section 4.3 Division: Theme: Specialism: Year 3: Physical Sciences and Biomedical Engineering Medical Physics Radiotherapy Physics Radiotherapy Physics 2 [30 Credits] This module provides the trainee with the knowledge that underpins the specialist rotation in Radiotherapy Physics in the third year of the MSc. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Critically compare 3D dose calculation algorithms, their input requirements and the limitations of the methods employed. 2. Understand how to acquire beam data for commissioning a treatment planning system. 3. Understand a range of advanced treatment planning techniques. 4. Understand brachytherapy techniques and treatment planning. 5. Describe a range of radiotherapy treatments using unsealed sources. 6. Critically evaluate the role of imaging in radiotherapy treatment planning and delivery. 7. Understand the radiotherapy IT environment. 19 MSc Medical Physics 2010-11 v2.doc Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer. 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care. 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. Indicative Content Imaging The application, limitations and use of the following modalities in Radiotherapy: o CT including cone beam CT o MRI o PET/CT o SPECT/CT o Simulation o CT Simulation o Verification imaging and imaging for IGRT Reconstruction methods and image registration Clinical Understand the harmful effects of Radiotherapy Understand the accuracy and precision of planning and dosimetry based upon ICRU and RCR recommendations The commissioning process for new treatment techniques Advanced Radiotherapy techniques including: o IMRT o IGRT o Tomotherapy o 4D adaptive radiotherapy o Proton Beam Therapy o Emerging technologies 20 MSc Medical Physics 2010-11 v2.doc Patient immobilisation and shielding Gating techniques Brachytherapy and unsealed source treatments The scientific basis and radiobiology of the use of radioactive implants and unsealed source treatments in Radiotherapy After-loading and dosimetry equipment: application, quality assurance limitations and use Brachytherapy dose calculation algorithms, input requirements and limitations of the methods employed. Unsealed and sealed source treatments including preparation, administration, protection arrangements and decontamination Record keeping for radioactive sources Treatment Planning 3D dose algorithms, their limitations and use Beam data requirements for a treatment planning system Forward and inverse IMRT treatment planning Treatment plans for a range of complex conditions including Total Body Irradiation and Total Skin Electron Treatment Technical The commissioning process for new equipment with reference to: o LINACs, orthovoltage and other treatment machines o Treatment planning systems o Imaging equipment Radiotherapy IT and networking o Virtual simulation o Verification software o Oncology patient management systems o Networking and the network environment o System management, configuration control and software release o Interoperability, DICOM RT, HL7 and messaging standards o Links to hospital administration systems o Legislative framework for IT, data protection Regulatory standards including IEC601 and the Medical Devices Directive as applied to software Section 4.4 Overview of Workplace-based training The purpose of this section is to summarise the workplace-based competences for the Healthcare Scientist Training Programmes in Medical Physics. They are indicative and, as the training manuals develop, will undergo some changes. 21 MSc Medical Physics 2010-11 v2.doc The Healthcare Scientist working in Radiotherapy Physics, for a range of treatments, will be able to: 1. Critically appraise treatment planning processes for radiotherapy. 2. Develop site specific treatment planning protocols for radiotherapy. 3. Define clinically acceptable parameters and devise tests for radiotherapy equipment. 4. Develop a structure for radiation protection in radiotherapy. 5. Develop a dosimetry framework. 6. Develop room designs for radiotherapy equipment. 7. Develop and implement a commissioning plan for radiotherapy software and equipment. 8. Innovate develop and validate new radiotherapy techniques. 9. Develop treatment planning and dose calculation algorithms for radiotherapy. 10. Implement and maintain software solutions to assist with the delivery of specialist services. 11. Implement and maintain data communication solutions to assist with the delivery of specialist services. 12. Perform treatment dose calculations for external beam radiotherapy. 13. Input data to record and verify systems for radiotherapy. 14. Outline anatomical structures. 15. Outline clinical target volume for a range of tumour types. 16. Produce treatment plan for standard individual patient external beam radiotherapy using a planning computer. 17. Produce treatment plan for individual patient radiotherapy requiring innovative solutions. 18. Produce treatment plan for individual brachytherapy patient treatment. 19. Check parameters for individual patient treatment for basic calculations and standard plans. 20. Check parameters for innovative plans and reconcile inconsistencies in standard plan checks. 21. Prepare sealed sources for use in brachytherapy. 22. Administer sealed source brachytherapy to patients using after loading methods. 23. Specify treatment machine accessories and modifications to assist with radiotherapy. 24. Perform dose measurements to support radiation treatment. 25. Determine that radiation delivery and measurement devices are fit for use. 26. Conduct definitive calibration of radiation delivery and measurement devices. 27. Quality control radiotherapy systems. 28. Investigate actual and potential radiation incidents. 29. Audit radiotherapy dosimetry systems and frameworks. 30. Advise on individual patient radiotherapy. 22 MSc Medical Physics 2010-11 v2.doc 5.0 Specialist Modules for Radiation Safety Module Titles Year 3 Year 2 Year 1 Radiation Safety 2 Research Project in Radiation safety [30] Radiation Safety 1 Research Methods [10] [20] Healthcare Science integrating science and professional practice [20] [30] Research Project in Radiation Safety [30] Introduction to Specialist Medical Physics Underpinning knowledge for rotational elements and integrated professional practice [40] Generic Modules: Common to all divisions of Healthcare Science Division/Theme Specific Modules: Common to a division or theme Specialist Modules: Specific to a specialism 23 MSc Medical Physics 2010-11 v2.doc Section 5.1 Division: Theme: Specialism: Year 2: Physical Sciences and Biomedical Engineering Medical Physics Radiation Safety Radiation Safety 1 [20 Credits] Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Critically appraise the legislation and guidance that applies to ionising radiation safety. 2. Discuss the physical processes behind image formation in diagnostic radiology. 3. Explain the normal and pathological appearances of images and identify common imaging artefacts. 4. Discuss the physical principles and operation of radiographic equipment 5. Explain the factors that affect system performance. 6. Understand the principles of operational radiation protection. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer. 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care. 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 24 MSc Medical Physics 2010-11 v2.doc Indicative Content Fundamentals Mathematical and physical principles behind the formation of the image o Radiographic Images (film, CR, DR, fluoroscopy) o Transaxial imaging CT o Mammography The physics of radiation interactions with matter in diagnostic radiology. The key parameters that define optimal image quality for a range of clinical / research applications. Legislation and Guidance Quantities and units (including dosimetry underlying regulatory quantities) Basis of radiation protection standards (e.g. epidemiology, linear hypothesis for stochastic effects, deterministic effects) ICRP principles: o justification; o optimisation; o dose limitation. Practices and interventions (including natural radiation especially radon) Legal and regulatory basis: o International recommendations/conventions; o European Union legislation; o Ionising Radiations Regulations 1999 o Ionising Radiations (Medical Exposures) Regulations 2000 o Approved Code of Practice and Guidance Notes o Environmental Permitting Regulations 2010, High Activity Sealed Sources (HASS) regulations 2006 and other relevant Health and Safety Regulations. NaTsCo security requirements o Ionising Radiation (Medical Exposures) Regulations 2000, Amended 2006 o The Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2004 o Exemption Orders o Other relevant legislation o Detailed knowledge and understanding of other key documents (ARSAC/MARS, MHRA/GMP, GCP/GLP etc.), national and local SOPs, policies and procedures. o Competent authorities Operational radiation protection types of sources (sealed, unsealed, x-ray units, accelerators) hazard and risk assessment (including environmental impact) minimisation of risk control of releases monitoring: area, personal dosimetry (external, real time and internal), biological critical dose concept/dose calculation for critical group ergonomics (e.g. user-friendly design and layout of instrumentation) 25 MSc Medical Physics 2010-11 v2.doc operating rules and contingency planning emergency procedures remedial action/decontamination Dealing with radiation incidents and incident reporting analysis of past incidents including experience feedback record keeping security accumulation of waste, wipe testing knowledge of instrumentation and limitations Clinical The appearance of the radiographic image Common imaging artefacts Results from analyses (e.g. qualitative, quantitative) and the context in which they were acquired. Understands and can communicate radiation risk to patients, staff and members of the public Technical Detailed understanding of the design principles and operation of radiographic imaging equipment. Understands how to assess system performance and perform comparative evaluations. Quality assurance and quality control Dosemeters and contamination monitors, equipment for measuring patient dose Radiation protection for diagnostic X-rays, Radiotherapy and Nuclear Medicine including o Biological effects o Protection quantity and units o Risk factors and dose limits o Risk-benefit, cost benefit analysis o ALARA, ALARP o Radiation working areas o Protection Instrumentation o Engineering control 26 MSc Medical Physics 2010-11 v2.doc Section 5.2 Division: Theme: Specialism: Year 2 and 3: Physical Sciences and Biomedical Engineering Medical Physics Radiation Safety Research Project in Radiation Safety [60 Credits] The overall aim of this module, building on the Research Methods module is for the trainee to undertake a research project that shows originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in a specialism of healthcare science. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Understand the basic scientific principles underpinning research. 2. Critically evaluate, analyse and summarise current research and advanced scholarship in the specialism and draw justified conclusions from the evidence. 3. Understand the use and limitations of reference manager systems. 4. Know the process leading to publication of a research paper. 5. Know the current system of grading research publications. Learning Outcomes: Practical Skills On successful completion of this module the trainee will: 1. Establish the core skills necessary for scientific research. 2. Develop and propose a hypothesis. 3. Undertake a research project to test the hypothesis from conception to completion. 4. Confirm the necessary ethical, audit and/or Research and Development (R&D) approval. 5. Assemble a body of data and analyse the data using appropriate statistical techniques. 6. Prepare a written project report and analyses the findings and identifies strengths and weaknesses of the research/audit project. 7. Communicate knowledge or arguments from the research project both orally and in writing including presentation at a workplace based meeting. 27 MSc Medical Physics 2010-11 v2.doc Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. 2. 3. 4. 5. 6. 7. Further develop critical analytical skills. Evaluate and apply evidence. Work within an ethical framework. Work independently or as a member of a team. Demonstrate effective time management and organisation. Exercise initiative and personal responsibility. Reflect on performance and seek help and advice when necessary. Indicative Content Literature Searching Critical Analysis Research project that may include: o Systematic Review o Evaluation of new methodologies o Investigation to improve performance of a method o Evaluation of new/modified quality assurance of a method o Audit of method performance across a range of departments o Critical analysis of evidence-base underpinning a specified procedure Communications Skills Report Writing Presentation Skills 28 MSc Medical Physics 2010-11 v2.doc Section 5.3 Division: Theme: Specialism: Year 3: Physical Sciences and Biomedical Engineering Medical Physics Radiation Safety Radiation Safety 2 [30 Credits] This module provides the trainee with the knowledge that underpins the specialist rotation in Radiation Safety in the third year of the MSc. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Discuss the role of the radiation safety expert and the importance of safety culture. 2. Understand the physical principles and safe use of non-ionising radiations used in healthcare. 3. Design radiation facilities. 4. Undertake optimisation of radiographic techniques. 5. Understand the IT environment in radiation departments including issues around interconnectivity of systems. 6. Explain image display systems and their optimisation. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer. 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care. 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 29 MSc Medical Physics 2010-11 v2.doc Indicative Content Organisation of radiation protection: Role of qualified experts (eg Medical Physics Expert, Radiation Protection Adviser) safety culture (importance of human behaviour) communication skills (skills and ability to instil safety culture into others) record keeping (sources, doses, unusual occurrences, etc.) permits to work and other authorisations designation of areas and classification of workers quality control/auditing dealing with contractors cooperation between employers patient related issues; release of radioactive patients ALARP re: patient safety Justification, optimisation, limits Overexposure of patients and staff Working safely within the range of radiation environments encountered in healthcare Practitioner, operator and referrer training and duties Radioactive materials Registration and authorisation of sealed and unsealed sources Releases to the environment. Environmental impact assessment Best practical means Waste management: o principles of management o principles of disposal Transport Non-ionising radiation Sources -physical properties, interactions with matter, biological effects, measurement, clinical applications and safety of: o UV o Intense Light Sources o Lasers o Infrared o Microwaves o RF o Electric and magnetic fields o US o MRI Relevant guidelines, documents and standard operating procedures for safe practice within regard to the use of non-ionising radiation in the clinical environment Safety issues and exposure limitations relevant to different patient groups Rationale behind safety standards 30 MSc Medical Physics 2010-11 v2.doc Image display Hard copy and soft copy display systems External factors affecting image displays Quality assurance of image display systems Understanding of image perception Optimisation Measurement and calculation of patient doses Population exposures ALARP Design of facilities Design of facilities for Radiotherapy, Diagnostic Radiology and Nuclear Medicine Shielding calculations, design features and engineering controls Cyclotrons and radionuclide production facilities Technical The requirements of equipment for calibration / QA, both generally and specific to each application Appropriate methods for data reconstruction, pre-processing (e.g. registration, smoothing) and analysis (eg region of interest, curve generation) Gated and time sequence imaging The commissioning process for new equipment with reference to: o Diagnostic Radiology equipment o CT, including cone beam CT o Mammography o Radiotherapy/brachytherapy equipment o The critical examination IT and networking o Image analysis software o PACS o Specialist patient management systems eg Cardiology systems Radiology information systems o Networking and the network environment o System management, configuration control and software release o Interoperability, DICOM RT, HL7 and messaging standards o Links to hospital administration systems o Legislative framework for IT, data protection o Regulatory standards including IEC601 and the Medical Devices Directive as applied to software 31 MSc Medical Physics 2010-11 v2.doc Section 5.4 Overview of Workplace-based training The purpose of this section is to summarise the workplace-based competences for the Healthcare Scientist Training Programmes in Medical Physics. They are indicative and, as the training manuals develop, will undergo some changes. The Healthcare Scientist working in Radiation Safety (both ionising and nonionising) will be able to: 1. Assess risks associated with planned new facilities or services involving radiation. 2. Specify design features for new facilities or services involving the use of radiation. 3. Specify radiation protection and control features required for new facilities involving the use of radiation. 4. Develop organisational policies for radiation protection. 5. Develop procedures for management and control of radioactive substances. 6. Develop procedures for control of equipment generating radiation and of the radiation emitted. 7. Critically appraise the framework for audit of radiation dose to patients. 8. Critically appraise the framework for audit of radiation dose to staff. 9. Develop QA programmes for radiation equipment. 10. Critically appraise procedures and policies for the management and control of incidents involving radiation. 11. Promote safe and effective working practices in areas which may be affected by radiation. 12. Optimise practices involving radiation. 13. Quality assure equipment and radiation sources. 14. Audit areas where radiation is used. 15. Assess environmental radiation levels within the organisation and in the surrounding areas. 16. Investigate and report on legislative aspects of use of radiation throughout the organisation. 17. Investigate and report on radiation incidents. 18. Participate in response to radiation emergencies. 19. Audit and interpret environmental radiation monitoring results. 20. Audit and interpret staff dosimetry and workplace monitoring results. 21. Assess radiation doses to members of the public. 22. Assess, audit and interpret patient radiation dose. 23. Measure and record levels and characteristics of radiation. 24. Confirm acceptability of installation by performing critical examination. 25. Calibrate and test equipment that measures radiation. 32 MSc Medical Physics 2010-11 v2.doc 6.0 Specialist Modules for Imaging with Ionising Radiation Year 3 Imaging with Ionising Radiation 2 Module Titles Research Project in Imaging with Ionising Radiation [30] Year 2 Year 1 Research Methods Imaging with Ionising Radiation 1 [10] [20] Healthcare Science integrating science and professional practice [20] [30] Research Project in Imaging with Ionising Radiation [30] Introduction to Specialist Medical Physics Underpinning knowledge for rotational elements and integrated professional practice [40] Generic Modules: Common to all divisions of Healthcare Science Division/Theme Specific Modules: Common to a division or theme Specialist Modules: Specific to a specialism 33 MSc Medical Physics 2010-11 v2.doc Section 6.1 Division: Theme: Specialism: Year 2: Physical Sciences and Biomedical Engineering Medical Physics Imaging with Ionising Radiation Imaging with Ionising Radiation 1 [20Credits] This module provides the trainee with the knowledge that underpins the specialist rotation in Imaging with Ionising Radiation in the second year of the MSc. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Discuss the physical processes behind image formation in nuclear medicine and diagnostic radiology. 2. Explain the normal and pathological appearances of images and identify common imaging artefacts. 3. Discuss the physical principles and operation of radiographic and nuclear medicine equipment. 4. Explain the factors that affect system performance. 5. Understand the legislation and guidance that ensures safe working in the radiation environment. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer. 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 34 MSc Medical Physics 2010-11 v2.doc Indicative Content Fundamentals Principles of tracer kinetic method, pharmacokinetics and the use of radiopharmaceuticals as physiological markers and therapeutic agents Mathematical and physical principles behind the formation of the image o Radiographic image o Nuclear Medicine o Multiplanar imaging CT/SPECT/PT o DEXA o Imaging with non-ionising radiation The physics of radiation interactions with matter in diagnostic radiology and nuclear medicine. The key parameters that define optimal image quality for a range of clinical / research applications. Radiation protection for diagnostic X-rays and Nuclear Medicine including o Biological effects o Protection quantity and units o Risk factors and dose limits o Risk-benefit, cost benefit analysis o ALARA, ALARP o Radiation working areas o Protection Instrumentation Engineering controls o Dealing with radiation incidents and incident reporting o Understands and can communicate radiation risk to patients, staff and members of the public Clinical Understands the normal and pathological appearances of nuclear medicine and radiographic images Common imaging artefacts (pathological, patient related, technical and system related) Understands results from analyses (e.g. qualitative, quantitative) and the context in which they were acquired. Technical Detailed understanding of the design principles and operation of nuclear medicine imaging equipment. Detailed understanding of the design principles and operation of radiographic imaging equipment. Understands how to routinely quality assure, assess system performance and perform comparative evaluations. Dosemeters and contamination monitors for use in diagnostic radiology and nuclear medicine 35 MSc Medical Physics 2010-11 v2.doc Legislation and Guidance Ionising Radiations Regulations 1999, Ionising Radiations (Medical Exposures) Regulations 2000 Environmental Permitting Regulations 2010, High Activity Sealed Sources (HASS) regulations 2006 and other relevant Health and Safety Regulations Ionising Radiation (Medical Exposures) Regulations 2000 Other relevant legislation Awareness of other key documents (eg ARSAC/MARS, MHRA/GMP, GCP/GLP etc.) national and local SOPs, policies and procedures Section 6.2 Division: Theme: Specialism: Year 2 and 3: Physical Sciences and Biomedical Engineering Medical Physics Radiotherapy Physics Research Project in Imaging with Ionising Radiation [60 Credits] The overall aim of this module, building on the Research Methods module is for the trainee to undertake a research project that shows originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in a specialism of healthcare science. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Understand the basic scientific principles underpinning research. 2. Critically evaluate, analyse and summarise current research and advanced scholarship in the specialism and draw justified conclusions from the evidence. 3. Understand the use and limitations of reference manager systems. 4. Know the process leading to publication of a research paper. 5. Know the current system of grading research publications. Learning Outcomes: Practical Skills On successful completion of this module the trainee will: 1. Establish the core skills necessary for scientific research. 2. Develop and propose a hypothesis. 3. Undertake a research project to test the hypothesis from conception to completion. 4. Confirm the necessary ethical, audit and/or Research and Development (R&D) approval. 36 MSc Medical Physics 2010-11 v2.doc 5. Assemble a body of data and analyse the data using appropriate statistical techniques. 6. Prepare a written project report and analyses the findings and identifies strengths and weaknesses of the research/audit project. 7. Communicate knowledge or arguments from the research project both orally and in writing including presentation at a workplace-based meeting. Learning Outcomes: Associated Personal Qualities/Behaviours (Professionalism) On successful completion of this module the trainee will: 1. 2. 3. 4. 5. 6. 7. Further develop critical analytical skills. Evaluate and apply evidence. Work within an ethical framework. Work independently or as a member of a team. Demonstrate effective time management and organisation. Exercise initiative and personal responsibility. Reflect on performance and seek help and advice when necessary. Indicative Content Literature Searching Critical Analysis Research project that may include: o Systematic Review o Evaluation of new methodologies o Investigation to improve performance of a method o Evaluation of new/modified quality assurance of a method o Audit of method performance across a range of departments o Critical analysis of evidence-base underpinning a specified procedure Communications Skills Report Writing Presentation Skills 37 MSc Medical Physics 2010-11 v2.doc Section 6.3 Division: Theme: Specialism: Year 3: Physical Sciences and Biomedical Engineering Medical Physics Imaging with Ionising Radiation Imaging with Ionising Radiation 2 [30Credits] This module provides the trainee with the knowledge that underpins the specialist rotation in Imaging with Ionising Radiation in the third year of the MSc. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Understand the processes behind the safe production of radiopharmaceuticals. 2. Undertake a range of non-imaging nuclear medicine studies. 3. Discuss appropriate image analysis/quantification techniques. 4. Design safe radiation environments that meet the requirements of legislation and guidance. 5. Participate in the delivery of unsealed source therapy. 6. Participate in the commissioning and quality assurance of radiographic and nuclear medicine equipment. 7. Understand the IT environment in which radiographic and nuclear medicine equipment operates. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 38 MSc Medical Physics 2010-11 v2.doc Indicative Content Radiopharmacy Manufacture and Production Production of radiopharmaceuticals, including PET Principles and operation of cyclotrons and automated radiochemistry for PET Radiopharmaceutical practice Internal dosimetry of radiopharmaceutical including practical methods of calculating radiation dose to patients and staff in emergency situations Non-imaging nuclear medicine techniques Clinical Understands results from analyses (e.g. qualitative, quantitative) and the context in which they were acquired for nuclear medicine and complex diagnostic radiology techniques Understands limitations of applied acquisition and analysis protocols as this relates to interpretation Understands physiological and pathological processes giving rise to image findings Understands the consequences of the result of the procedure to the patient’s overall clinical management, particularly in relation to radiotherapy and radiotherapy treatment planning Image display Understanding of hard copy and soft copy display systems External factors affecting image displays Quality assurance of image display systems Understanding of image perception Radiation protection specific to diagnostic facilities Measurement and calculation of patient doses Optimisation Design of facilities Shielding calculations Cyclotrons and radionuclide production facilities Environmental monitoring Population exposures Radioactive source transport and waste disposal Accident procedures and emergency planning Unsealed source treatments The scientific basis and radiobiology of the use of radioactive materials for Radiotherapy Unsealed source treatments including preparation, administration, protection arrangements and decontamination Uptake, planning and dosimetric calculations, 39 MSc Medical Physics 2010-11 v2.doc Technical The requirements of equipment for calibration / QA, both generally and specific to each application Appropriate methods for data reconstruction, pre-processing (e.g. registration, smoothing) and analysis (e.g. region of interest, curve generation) Imaging techniques in radiotherapy (portal imaging, megavoltage imaging, cone beam CT and simulation Gated and time sequence imaging The commissioning process for new equipment with reference to: o Gamma cameras including SPECT/CT o PET/CT o Diagnostic Radiology equipment o The critical examination IT and networking o Nuclear Medicine workstations o Image analysis software o PACS o Specialist patient management systems – e.g. Cardiology systems o Networking and the network environment o System management, configuration control and software release o Interoperability, DICOM RT, HL7 and messaging standards o Links to hospital administration systems o Legislative framework for IT, data protection o Regulatory standards including IEC601 and the Medical Devices Directive as applied to software 40 MSc Medical Physics 2010-11 v2.doc Section 6.4 Overview of Workplace-based training The purpose of this section is to summarise the workplace-based competences for the Healthcare Scientist Training Programmes in Medical Physics. They are indicative and, as the training manuals develop, will undergo some changes. For a range of Diagnostic Radiology and Nuclear Medicine equipment and techniques the Healthcare Scientist must be able to: 1. Demonstrate correct and safe use of imaging equipment used in nuclear medicine and diagnostic radiology for equipment performance evaluation and clinical imaging. 2. Demonstrate the effects of image acquisition parameters and postacquisition processing on image quality. 3. Describe the acquisition and processing of a range of common imaging investigations in Diagnostic Radiology and Nuclear Medicine including mammography, CT, SPECT/CT scans and PET/CT scans. 4. Manage imaging equipment including commissioning, handover, quality assurance, organisation of maintenance and repair and disposal 5. Advise on the acquisition and processing of complex clinical imaging. 6. Analyse images to extract quantitative information and increase diagnostic utility. 7. Contribute to the interpretation and reporting of images 8. Manage equipment for non-imaging diagnostic tests including uptake counters, gamma spectrometers, manual and automatic beta and gamma sample counters and, where possible, other equipment such as whole body counters. 9. Advise on the acquisition and processing of data relating to non-imaging nuclear medicine investigations. 10. Contribute to the interpretation and reporting of non-imaging nuclear medicine investigations. 11. Describe practical aspects of the administration of radionuclide therapy to patients. 12. Demonstrate an understanding of the post-therapy behavioural restrictions placed on the patient. 13. Discuss choice of appropriate physical properties of radiopharmaceuticals for radionuclide therapy. 14. Discuss facilities required for radionuclide therapy. 15. Manage radiation safety associated with radionuclide therapy administrations and patients. 16. Describe the facilities required for the preparation of sterile and non-sterile radiopharmaceuticals. 17. Advise on radiation safety requirements in a radiopharmacy. 18. Demonstrate the correct and safe use of radionuclide calibrators. 19. Perform quality assurance tests of facilities, products and equipment. 41 MSc Medical Physics 2010-11 v2.doc 20. Understand the specification of facilities for the production of sterile and non-sterile radiopharmaceuticals. 21. Manage a quality assurance programme for facilities, products and equipment. 22. Demonstrate safe practice in the handling of sealed and unsealed radioactive sources. 23. List and describe the main items of legislation and sources of advice relevant to the practice of nuclear medicine, distinguishing between Acts, Regulations, Codes of Practice and Guidance. 24. Discuss the radiation safety information that should be given to patients following the administration of diagnostic and therapeutic radiopharmaceuticals. 25. Advise on safe practice in the handling of sealed and unsealed radioactive sources. 26. Provide radiation safety information to patients and their carers following the administration of diagnostic and therapeutic radiopharmaceuticals. 27. Calculate estimated absorbed, equivalent and effective doses to patients and effective doses to staff and members of the public. 28. Deal with radiation incidents. 42 MSc Medical Physics 2010-11 v2.doc 7.0 Specialist Modules for Imaging with Non-Ionising Radiation Year 3 Year 2 Year 1 Imaging with Non-Ionising Radiation 2 Research Methods Module Titles Research Project in Imaging with Non-Ionising Radiation [30] Imaging with Non-Ionising Radiation 1 [10] [20] Healthcare Science integrating science and professional practice [20] [30] Research Project in Imaging with Non-Ionising Radiation [30] Introduction to Specialist Medical Physics Underpinning knowledge for rotational elements and integrated professional practice [40] Generic Modules: Common to all divisions of Healthcare Science Division/Theme Specific Modules: Common to a division or theme Specialist Modules: Specific to a specialism 43 MSc Medical Physics 2010-11 v2.doc Section 7.1 Division: Theme: Specialism: Year 2: Physical Sciences and Biomedical Engineering Medical Physics Imaging with Non-Ionising Radiation Imaging with Non-Ionising Radiation 1 [20 Credits] This module provides the trainee with the knowledge that underpins the specialist rotation in Imaging with Non-Ionising Radiation in the second year of the MSc. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Discuss the physical processes behind image formation using non-ionising radiation. 2. Explain the normal and pathological appearances of images and identify common imaging artefacts. 3. Discuss the physical principles and operation of ultrasound and MRI. 4. Explain the factors that affect system performance. 5. Understand the legislation and guidance that ensures safe working. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer. 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care. 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 44 MSc Medical Physics 2010-11 v2.doc Indicative Content Fundamentals Mathematical and physical principles behind the formation of the image o MRI o Ultrasound including Doppler Ultrasound o Laser imaging o Image registration in multiplanar imaging including MRI, CT, PET and SPECT The physics of electromagnetic and acoustic radiation interactions with matter The key parameters that define optimal image quality for a range of clinical / research applications. Clinical Understands the normal and pathological appearances of MRI and Ultrasound images Common imaging artefacts Understands results from analyses (e.g. qualitative, quantitative) and the context in which they were acquired. Technical Detailed understanding of the design principles and operation of MRI. o Relaxation mechanisms o Pulse sequences and image generation o Instrumentation o The physics of MRI safety issues Detailed understanding of the design principles and operation of ultrasound. o Linear and non-linear propagation. o Generation and Detection – transducers – piezoelectric effect o Interactions with tissue – diffraction, reflection, scatter, absorption o B- scanner principles – TGC, signal processing, image storage, array types. o Resolution – focusing, o Beam Steering o Doppler Imaging Understands how to assess system performance and perform comparative evaluations. Monitoring devices for RF, electric and magnetic fields Measurement of ultrasound beams and ultrasound power levels Non-ionising radiation Sources -physical properties, interactions with matter, biological effects, measurement, applications and safety of: o UV o Intense Light Sources o Lasers o Infrared 45 MSc Medical Physics 2010-11 v2.doc o Microwaves o RF o Electric and magnetic fields. The clinical measurements that use non-ionising radiation e.g.: o red/infrared light to measure O2 content in blood o infrared to measure microvascular circulation o UV to measure skin sensitivity Knows the relevant guidelines, documents and standard operating procedures for safe practise within regard to the use of non-ionising radiation in the clinical environment Understands the EM interactions between implanted devices and the MRI environment Understands the safety issues and exposure limitations relevant to different patient groups Rationale behind safety standards Section 7.2 Division: Theme: Specialism: Year 2 and 3: Physical Sciences and Biomedical Engineering Medical Physics Imaging with Non-Ionising Radiation Research Project in Imaging with Non-Ionising Radiation [60 Credits] The overall aim of this module, building on the Research Methods module is for the trainee to undertake a research project that shows originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in a specialism of healthcare science. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Understand the basic scientific principles underpinning research. 2. Critically evaluate, analyse and summarise current research and advanced scholarship in the specialism and draw justified conclusions from the evidence. 3. Understand the use and limitations of reference manager systems. 4. Know the process leading to publication of a research paper. 5. Know the current system of grading research publications. Learning Outcomes: Practical Skills On successful completion of this module the trainee will: 1. Establish the core skills necessary for scientific research. 2. Develop and propose a hypothesis. 46 MSc Medical Physics 2010-11 v2.doc 3. Undertake a research project to test the hypothesis from conception to completion. 4. Confirm the necessary ethical, audit and/or Research and Development (R&D) approval. 5. Assemble a body of data and analyse the data using appropriate statistical techniques. 6. Prepare a written project report and analyses the findings and identifies strengths and weaknesses of the research/audit project. 7. Communicate knowledge or arguments from the research project both orally and in writing including presentation at a workplace-based meeting. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. 2. 3. 4. 5. 6. 7. Further develop critical analytical skills. Evaluate and apply evidence. Work within an ethical framework. Work independently or as a member of a team. Demonstrate effective time management and organisation. Exercise initiative and personal responsibility. Reflect on performance and seek help and advice when necessary. Indicative Content Literature Searching Critical Analysis Research project that may include: o Systematic Review o Evaluation of new methodologies o Investigation to improve performance of a method o Evaluation of new/modified quality assurance of a method o Audit of method performance across a range of departments o Critical analysis of evidence-base underpinning a specified procedure Communications Skills Report Writing Presentation Skills 47 MSc Medical Physics 2010-11 v2.doc Section 7.3 Division: Theme: Specialism: Year 3: Physical Sciences and Biomedical Engineering Medical Physics Imaging with Non-Ionising Radiation Imaging with Non-Ionising Radiation 2 [30 Credits] This module provides the trainee with the knowledge that underpins the specialist rotation in Imaging with Non-Ionising Radiation in the third year of the MSc. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Understand the use of non-ionising radiation in treatment. 2. Discuss appropriate image analysis/quantification techniques. 3. Participate in the commissioning and quality assurance of MRI and Ultrasound equipment. 4. Explain Biophotonic techniques and imaging using optical radiation. 5. Understand the IT environment in which imaging equipment operates. Learning Outcomes: Associated Personal Qualities and Behaviours (Professionalism) On successful completion of this module the trainee will: 1. Present complex ideas in both oral and written formats at a level appropriate to the hearer. 2. Consistently operate within sphere of personal competence and level of authority. 3. Manage personal workload and objectives to achieve quality of care. 4. Actively seek accurate and validated information from all available sources. 5. Select and apply appropriate analysis or assessment techniques and tools. 6. Evaluate a wide range of data to assist with judgements and decision making. 7. Conduct a suitable range of diagnostic, investigative or monitoring procedures with due care for the safety of self and others. 8. Take restorative action within quality control/assurance requirements to address threats of performance deterioration. 9. Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care. 48 MSc Medical Physics 2010-11 v2.doc Indicative Content Fundamentals MRI o Knowledge of specialist methods (e.g. Magnetic Resonance Spectroscopy, perfusion-MRI, diffusion-MRI, fMRI) and their clinical applications. o Contrast media o Hyper-polarised imaging o Factors that affect image quality o Development of pulse sequences o Magnetic Resonance Angiography Ultrasound o Doppler – continuous wave, pulsed, colour and power. The Doppler spectrum o Contrast media o Harmonic imaging o Factors that affect image quality Clinical Understands results from analyses (e.g. qualitative, quantitative) and the context in which they were acquired for MRI and ultrasound imaging Understands limitations of applied acquisition and analysis protocols as this relates to interpretation. Understands physiological and pathological processes giving rise to image findings. Understands the consequences of the result of the procedure to the patient’s overall clinical management, particularly in relation to radiotherapy and radiotherapy treatment planning Image display Understanding of hard copy and soft copy display systems External factors affecting image displays Quality assurance of image display systems Understanding of image perception Treatments using non-ionising radiation UV Photodynamic therapy Ultrasound including HIFU and Lithotripsy Calibration and dosimetry RF and microwave ablation Biophotonics and Imaging using optical techniques Laser Doppler imaging Optical coherence tomography Raman spectroscopy Fourier-Transform Infra-red absorption spectroscopy 49 MSc Medical Physics 2010-11 v2.doc Technical The requirements of equipment for calibration / QA, both generally and specific to each application. Appropriate methods for data reconstruction, pre-processing (e.g. registration, smoothing) and analysis (e.g. region of interest, curve generation). Gated and time sequence imaging The commissioning process for new equipment with reference to: o MRI o Ultrasound IT and networking o Image analysis software o PACS o Specialist patient management systems – e.g. Cardiology systems o Networking and the network environment o System management, configuration control and software release o Interoperability, DICOM RT, HL7 and messaging standards o Links to hospital administration systems o Legislative framework for IT, data protection o Regulatory standards including IEC601 and the Medical Devices Directive as applied to software 50 MSc Medical Physics 2010-11 v2.doc Section 7.4 Overview of Workplace-based training The purpose of this section is to summarise the workplace-based competences for the Healthcare Scientist Training Programmes in Medical Physics. They are indicative and, as the training manuals develop, will undergo some changes. For a range of MRI, ultrasound and optical equipment the Healthcare Scientist working in Non-Ionising Radiation (NIR) equipment will be able to: 1. 2. 3. 4. 5. 6. 7. Critically appraise treatment and diagnostic protocols for patients. Devise tests to check the functionality of NIR equipment. Use a range of NIR equipment safely. Develop and provide methods to ensure optimum equipment performance. Develop a specification for procurement of NIR equipment. Develop evaluation criteria for the procurement of NIR equipment. Analyse and interpret data from individual patient investigations/treatments. 8. Critically review operational NIR safety structure for patients and staff. 9. Critically review the dosimetry framework for NIR. 10. Develop and validate new NIR diagnostic and treatment techniques. 11. Perform diagnostics and therapeutic procedures. 12. Check functionality of NIR measurement instruments. 13. Determine that NIR equipment is fit for intended use. 14. Develop and implement quality control measures and methods for non ionising radiation. 15. Audit NIR systems and frameworks. 16. Advise on individual patient treatment for non-ionising radiation. 17. Investigate actual or potential adverse incidents. 18. Assess environmental levels of NIR. 19. Assess personal protective equipment and other means of reducing NIR exposure. 51 MSc Medical Physics 2010-11 v2.doc Section B: Generic Curriculum Professional Practice Within the Scientist Training Programme (STP) the generic curriculum contains two modules namely Healthcare Science and Research Methods. Professional Practice is also generic across the 3-year STP programme and it is intended that the learning outcomes with respect to Professional Practice will be delivered within the workplace and MSc. Generic Outcomes: Professional Practice Integrated theme running from Year 1 to Year 3 The overall aim of this part of the curriculum is to ensure that the trainee has the underpinning knowledge and gains the accompanying skills and attitudes to work as a Healthcare Scientist. Learning Outcomes: Knowledge and Understanding On successful completion of this module the trainee will: 1. Know the current structure, management, legal framework and quality improvement structures and processes within the NHS. 2. Discuss patient centred care to ensure that the wishes, beliefs, concerns, expectations and needs of patients are respected. 3. Recognise the patient and carer perspective with respect to illness, the diversity of the patient experience, disability, potential health inequalities, the importance of self-care and the impact of life threatening and critical conditions. 4. Discuss the importance of developing and maintaining appropriate patientprofessional relationships. 5. Explain the principles of effective communication including written, verbal and non-verbal communication and feedback. 6. Discuss the principles, guidance and law with respect to medical ethics, confidentiality, informed consent, equality and diversity, child protection and the use of chaperones. 7. Describe local guidelines for responding to unacceptable behaviour by patients, carers, relatives, peers and colleagues including harassment, bullying and violent behaviour. 8. Discuss best practice requirements for record keeping and data security emphasising accurate recording within patient records. 9. Explain the basic principles of infection control and the importance of current infection control measures within the workplace. 10. Explain the principles of screening programmes in healthcare and is aware of a current screening programmes in a relevant division. 11. Explain the importance of health and safety with the workplace, the regulations and current procedures with respect to equipment safety. 12. Define Standard Operating Procedure, Protocol and Guideline and understand the purpose of and difference between each document. 52 MSc Medical Physics 2010-11 v2.doc 13. Explain the processes for document distribution for example Medical Device Alerts (MDA). 14. Explain the common causes of error, the critical incident reporting process and the importance of a no blame culture. 15. Recognise the importance of correctly identifying patients referred to healthcare science settings and/or samples sent for analysis. 16. Explain the importance of innovation across healthcare science and the role of innovation in improving quality and patient care. 17. Recognise the role of the healthcare scientist and the potential impact of scientific developments for example health prevention, genomic medicine, diagnostics and rehabilitation. 18. Understand the importance of public engagement in science and its role in health and society. 19. Know and understand the underpinning principles of effective team work and working within and across professional boundaries. 20. Explain the core theories of learning particularly adult learning and reflective practice. Clinical Examination Skills 20. Describe the process of patient centred interviewing and the features of a good consultation. 21. Know how information from a history and examination is used to develop clinical management plans. Leadership 22. Explain how effective leadership can underpin the delivery of high quality services, an organisation’s aspiration and strategy and in developing improvements to services. 23. Discuss personal values, principles and assumptions, understanding how these may differ from those of other individuals and groups and learn from experience. 24. Explain the importance of the concept of shared leadership and the associated personal qualities and behaviours that promote shared leadership. 25. Know how planning can actively contribute to the achievement of service goals. Associated Personal Qualities/Behaviours(Professionalism) On successful completion of this module the trainee will: 1. Demonstrate practice that places the patient at the centre of care dealing with patients in an empathic and sensitive manner that promotes patient well-being and self-care. 2. Establish and maintain appropriate patient-professional partnership. 3. Communicate effectively and sensitively with patients, relatives and carers across the age spectrum utilising clear explanations/descriptions. 4. Communicate succinctly and effectively with other professionals as appropriate and the public including the ability to explain science to both 53 MSc Medical Physics 2010-11 v2.doc specialist and non-specialist audiences. 5. Demonstrate the ability to give effective feedback to colleagues and patients. 6. Contribute to service and quality improvement and productivity in the workplace. 7. Recognises the need for, and accepts change working across different provider landscapes as required. 8. Develop and demonstrate self awareness, self management and self development acting with integrity at all times. 9. Demonstrate accurate record keeping and the ability to adhere to current data security regulations. 10. Apply appropriately the principles, guidance and laws regarding equality and diversity, medical ethics, confidentiality and informed consent. 11. Apply current regulations with respect to patient safety and safe systems within the workplace including child protection and the use of chaperones. 12. Work within teams encouraging and valuing contributions from all members whilst ensuring the team are aware of and work together to minimise risk including the multi-disciplinary team. 13. Develop and maintain professional relationships and networks 14. Demonstrate adherence to current infection control regulations at all times. 15. Demonstrate adherence to the regulations and current procedures in place with respect to equipment safety. 16. Recognise the causes of error and learn from them, realising the importance of honesty and effective apology. 17. Recognise the desirability of monitoring performance, learning from mistakes and adopting no blame culture in order to ensure high standards of care and optimise patient safety. 18. Prioritise and organise academic and work based tasks in order to optimise own work and the work of the department and act autonomously in planning and implementing tasks at a professional level. 19. Develop skills of an independent learner and demonstrates a commitment to continuing professional development. 20. Demonstrate self-direction and originality in tackling and solving problems including dealing with complex issues, making sound judgements in the absence of complete data. 21. Identify best practice and emerging trends and innovation that will have an impact on health outcomes 22. Continue to advance personal knowledge and understanding applying skills of reflection to continually improve performance, acknowledging and acting on feedback. Clinical Examination Skills 23. Demonstrate the ability to take a history and present the findings to a peer or colleague including initiation of a consultation, eliciting information, clarifying where necessary, summarising and empathising. 24. Give and receive feedback sensitively to or from a peer or colleague. 25. Perform a range of clinical examination skills relevant to the healthcare science specialism. Leadership 54 MSc Medical Physics 2010-11 v2.doc 26. Identify personal strengths and limitations and the impact of personal behaviour on others. 27. Identify personal emotions and prejudices and understand how these can affect personal judgement and behaviour. 28. Obtain, analyse and act on feedback from a variety of sources. 29. Use evidence, both positive and negative, to identify options. Indicative Content Structure and management of health and social care services Management of local healthcare systems in the United Kingdom Legal framework within which healthcare is provided across the UK including its devolved administrations Local healthcare systems Patient centred care o Response to illness o Patient and carer perspective o Health belief models o Diversity of the patient experience o Disability including learning disabilities o Potential health inequalities o Self-care Impact of life threatening and critical conditions Patient-professional partnership. Effective Communication Skills o Principles and underpinning models for: Written Verbal Non-verbal communication Giving and receiving feedback from patients and colleagues Breaking bad news Negotiation Communication within patients across the age spectrum Principles, guidance and law with respect to: o Medical ethics o Confidentiality o Informed consent o Equality and diversity o Child protection o Use of chaperones o Elder Abuse. Local guidelines for responding to unacceptable behaviour Record Keeping and Data Security o Best practice requirements for record keeping o Data security o Accurate recording within patient records o Data protection Act o Caldicott Standards 55 MSc Medical Physics 2010-11 v2.doc Clinical Information Systems o Clinical coding/terminology o Clinical information systems and applications Infection Control o Basic principles o Current infection control measures within the workplace o Hand washing Screening o What is Screening? o When is a Screening Programme justified? o How is Screening organised? o Which Screening Programmes currently exist and which may be developed? Health and safety within the workplace o Regulations and current procedures with respect to equipment safety Safety Testing o Importance of regulations with respect to patient safety, safety of 3rd parties and safe systems o Standard Operating Procedures o Protocol and Guidelines o Department of Health (DH) Central Alerting System (CAS) o Common causes of error Critical incident reporting Processes for document distribution o Department of Health (DH) Central Alerting System (CAS), o Medical Device Alerts (MDA) Public engagement in science and its role in health and society Effective team work Time management and decision making Core theories of learning o Adult learning o Active Learning o Reflective practice. Recognise and accept the responsibilities and roles of the Healthcare Scientist o In relation to other healthcare professionals o Working within and across professional boundaries o Health and well being. Clinical Examination Skills Typical structures used in patient-centred history taking and clinical examination Listening skills Commonly used questioning techniques. Clinical management plans Leadership 56 MSc Medical Physics 2010-11 v2.doc Demonstrating personal qualities o Self Awareness o Managing Yourself o Continuing Professional Development o Acting With Integrity Working with others o Developing Networks o Building & Maintaining Relationships o Encouraging Contribution o Working within Teams Managing Services Improving Services Setting Direction 57 MSc Medical Physics 2010-11 v2.doc Appendix 1 Members of the Curriculum Development Group for Medical Physics The MSc curriculum for Medical Physics has been coordinated by the MSC Professional Advisor with valued contributions throughout the development process from the following professionals in the Medical Physics curriculum working group: Alison Mackie Andrea Wynn-Jones Carl Rowbottom Claire Greaves Graham Petley Iain Chambers John Moody Katherine Lymer Malcolm Sperrin Seeni Naidu Stephen Evans Tony Bedford Wendy Waddington Will Evans The MSc curriculum for Medical Physics has also been circulated to the following professional bodies and societies for their comments and contributions: IPEM: Institute of physics and Engineering in Medicine BNMS: British Nuclear Medicine Society NRIG: National Radiotherapy Implementation Group The MSC Professional Advisor was: Derek Pearson 58 MSc Medical Physics 2010-11 v2.doc Appendix 2 MSc Clinical Science (Medical Physics) Learning Outcomes and Indicative Content 2010 - 11 Amendments - May 2011 Pg 3 section 1.1 High level MSc Framework – title change to read HIGH LEVEL FRAMEWORK MSc IN CLINICAL SCIENCE P58 Appendix 1 added The rest of the content in the curriculum is unaltered. The refreshed version is called MSc Medical Physics 2010-11 v2 on the footer. For any queries regarding this change please email [email protected] 59 MSc Medical Physics 2010-11 v2.doc