Lilian V. Rodriguez National Project Coordinator THE PREPARATION FOR THE CLINICAL RADIATION ONCOLOGY MEDICAL PHYSICS RESIDENCY TRAINING PROGRAMME-PHILIPPINE EXPERIENCE Lilian V. Rodriguez National Project Coordinator Clinical Radiation Oncology Medical Physics Residency Programme, Philippines QA set of procedures that the performance of the machine remain consistent within accepted tolerances throughout its clinical life Begin immediately after commissioning If QC tests identify departures from expected performance, corrective actions are required.

Introduction of ROMP to the Philippines 5th SEACOMP November 21-23, 2007 University of Santo Tomas Manila “IAEA-RCA Clinical Training Modules In Radiation Oncology Medical Physics” – A/Prof. John Drew “Experience in Piloting the IAEA ROMP Clinical Training Modules”- Dr. Anchali Krisanachinda

Why participate in piloting the ROMP? Masters Degree program at USTGS was a project of IAEA. Recent graduates of the program are not allowed to practice by regulatory bodies without supervision or without proof of training Future regulations would include certification and residency

Initial Stage of Preparation Implementation Guide of the RCA Clinical Training Programme for Radiation Oncology Medical Physics Application form to Participate in the RCA Pilot Clinical Training Programme in Radiation Oncology Medical Physics

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program National Responsible Authority-provide formal recognition of the qualification of ROMP Philippine Nuclear Research Institute (PNRI), DOST Bureau of Health Devices and Technology (BHDT), DOH

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program National Steering Committee Members* Ms Agnette Peralta, Chairperson- National Project Coordinator RAS/6/038 for the Philippines Mr. Gil Palcone, President -Philippine Organization of Medical Physicists Representative form the Philippine Radiation Oncology Society Mr. Rafael C. Solis- VP, St. Luke’s Medical Center, (representative from the Hospital Management) *Not yet complete

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program National Programme Coordinator (Lilian V. Rodriguez) Support Group (Dr. Enrico Tangco, Dr. Teresa Sy Ortin, Dr. Gaudencio Vega, Mr. Bayani San Juan, Mr. Teofilo Hermoso, Ms. Monica Bacaling, external radiation oncology medical physicist*, etc.)

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program Criteria for Clinical Departments Teletherapy Unit Brachytherapy Treatment Planning System Simulator/CT Simulator Dosimetry Equipment Medical Physicist with Master’s degree (or about to graduate) with at least 5 years experience

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program Clinical Departments St. Luke’s Medical Center, Q.C. University of Santo Tomas Hospital-Benavidez Cancer Institute, Manila Makati Medical Center, Makati City Cardinal Santos Medical Center, Pasig City The Medical City, Mandaluyong City University of Perpetual Help Rizal Medical Center, Las Pinas

CLINICAL DEPARTMENTS All six departments have at least one linear accelerator, simulator and/or CT simulator. One of the six departments uses LDR manual afterloader. The rest have HDR brachytherapy machines. All departments have automatic waterphantom systems, dosemeter (with 0.6cc, plane parallel and small diameter chambers), and waterphantoms.

CLINICAL DEPARTMENTS All departments perform 3-D conformal, 5 perform IMRT and 3 perform SRS No department has TLDs but 2 have diodes for dose verification

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program Criteria for Clinical Supervisors Must have a Masters degree or is about to graduate from the course. Must have in-depth clinical experience in radiation oncology medical physics

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program Clinical Supervisors Mr. Julius Cezar Rojales (SLMC) Mrs. Maureen Bojador (USTH) Mr. Jonathan Corpuz (MMC) Miss Verleah Gonio (CSMC) Mr. Mart Lester De Guzman (TMC) Mr. Norberto Abella (UPHRMC)

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program Selection of Residents Priority is given to those employed in the hospital Residents must file an application form to the Department Application will be endorse to the National Program Coordinator National Program Coordinator and External Coordinator to review

Initial Stage of Preparation Identification of the essential requirements for the implementation of the Program Selection of Residents Only 4 residents have been identified, and three of these residents work in the Clinical Departments that have been identified

National Responsible Authority (BHDT, PNRI) National Steering Committee (Agnette P. Peralta, Gil Palcone, Rafael C. Solis, PROS Rep) External Coordinator (IAEA Designated) External Reviewer (IAEA Designated) National Project Coordinator (RAS 6/038) (Agnette P. Peralta) National Programme Coordinator (Lilian V. Rodriguez) Professional Body (POMP) Support Group) (Drs, Physicists, etc) TMCClin Supervisor ML DeGuzman MMC Clin Supervisor JD Corpuz SLMC Clin Supervisor JC Rojales USTH Clin Supervisor MR Bojador CSMCClin Supervisor VC Gonio UPHRMCSupervisor NA Abella Resident Vacant Resident RR Remoto Resident DJ Manlapaz Resident Vacant Resident JP Limbo Resident DA Loria

Second Stage of Preparation Letters were sent to: Hospital Administrators Head of the Radiation Oncology Departments Presentation was made during the Scientific Meeting of the Philippine Organization of Medical Physicists held on April 5, 2007 in Binan, Laguna Information was uploaded in the POMP Yahoo Groups

Second Stage of Preparation Meetings with the Proposed Clinical Supervisors Administrative concerns Variation in clinical oncology services Certification Process Commitment to the program Recruitment, Support and Tenure of Residents

Second Stage of Preparation Meetings with the Proposed Clinical Supervisors Organizational Support (IAEA) Train the trainers (clinical supervisors) Other IAEA Training Programmes Books and reference materials IAEA Training Guides

Second Stage of Preparation Meetings with the Proposed Clinical Supervisors Organizational Support (IAEA) How departments get assistance from experts as stated in guide Application forms for residents Sample assignments, templates for learning agreement and forms necessary for the administration of the programme are missing

IAEA Train the Trainers Professor Brian Thomas September 2-6, 2008 St. Luke’s Medical Center, Cathedral Heights, E. Rodriguez, Sr. Blvd., Quezon City

This is just the beginning….. Before September 2: Complete list of members of National Steering Committee Complete commitment of all administrators to the project Complete recruitment of residents for the facilities By October: Programme is in full swing

THANK YOU!