IAEA Regional Meeting June 07 National Workshop June 07 Expert Visit to Facilities 29 June-1 July 07 Orientation 15 July 07 Competency Training 1 August 07 IAEA Expert Visit Nov 07 6 Month Progress Report Feb 08

Opening by Hospital Director, Special Clinic, KCMH President, Thai MP Society reports the objective of the programme The Role and Responsibility of Clinical Supervisors, Residents Tutorial schedule, rotational practice Introduction to Log book, Port Folio, Assignment Discussion

1.Mr.Sornjarod Oonsiri 2.Mr.Isra Issarangkul 3.Ms.Puntiwa Insang 4.Ms.Daranee Piriyasang 5.Ms.Pimolpun Changkaew 6.Ms.Kumutinee Pairut 7.Ms.Khummook Krongyuth 8.Ms.Lukkana Apipanyasopon 9.Ms.Wararat Prommoon 10.Ms.Benjarat Chaorungrit 11.Ms.Wannapa Nobnop 12.Mr.Apiyut Udomphon

1.Ms.Sivalee Suriyapee 2.Ms.Chotika Jumpangern 3.Ms.Chirapha Tannanonta 4.Ms.Pungpen Tungboonduangjit 5.Mr.Surat Vinijsorn 6.Ms.Chumpot Kakanaporn 7.Ms.Paranee Sahaschajesdakul 8.Mr.Somsak Wanwilairat

Hospital LinacCo-60HDRLDRSimulator X-Ray, CT Brachy Planning Ext Beam Plan Chula3 MLC Rama Siriraj2 MLC Rajvithee Chiengmai 3 MLC

National Authority Committee –Office of Atoms for Peace –Universities National Steering Committee -Thai Medical Physicist Society -Radiation Oncology Society of Thailand National Assessment Committee

Module #Sub-Modules 1.Clinical Introduction4 2.Radiation Safety and protection9 3.Rad Dos and Ext Beam Therapy7 4.Rad Therapy-Ext Beam8 5.Ext Beam Treatment Planning5 6.Brachytherapy8 7.Prof.Studies and Quality Management6 8.Research,Development and Teaching2

ModuleMonthsPeriod 33Aug-Oct 07 11Nov 07 55Dec 07-Apr 08 45May-Sep 08 63Oct-Dec 08 22Jan – Feb 09 72Mar – April 09 83May – July 09

Period Submodule TopicDateType of teaching Instructor Place 1-7 August week 3.1 Dosimetry operations using ionization chambers All topics are taught by each institute 8-28 August weeks 3.2 Dosimetry operations using methods other than ionization chambers TLD, solid state dosimeters Film dosimeters 11 August 2007 Teaching Teaching and demonstrate SivaleeChulalongkorn 29 Aug.- 12Sep weeks 3.3 Absolute absorbed dose measurements Cross calibration of electron beams 8 September 2007 PracticalChiraphaRamathibodi Sep weeks 3.4 Relative dose measurements All topics are taught by each institute 27 Sep-10 Oct weeks 3.5 Patient dose verification Dose verification by film and ion chamber Dose verification by Diode array 29 September 6 October 2007 Practical Surat, Jumpot Sivalee, Chotika Siriraj Chulalongkorn Oct In-vivo Dosimetry In-vivo dose measurement 20 October 2007 PracticalChirapha, Puangpen Ramathibodi October : Evaluation

9.00 –10.00 Ion chamber : Isara, Apiyuth, Kumutini, Pimolpun –10.45 Film dosimetry : Benjarat, Wararat, Daranee TLD : Luckana, Sornjarod Solid State dosimetry: Puntiva, Khummook Lunch Workshop on problem solving of Radiation Dosimetry

0900Welcome Address Progress on Thai ROMP trainingAK 0930Progress report - Chiang Mai UniversitySW 1000Siriraj Hospital SV 1030Ramathibodi HospitalPT 1100Chulalongkorn UniversitySS 1130Discussion & Closing JD 1200Lunch

Sub-module1 Clinical aspects of radiobiology 15 May 2008 Introduction to radiobiology Sornjarod 22 May 2008 Biological effect Pantiwa 29 May 2008 Biology for brachytherapy Isara Sub-module 2 Introduction to radiation oncology Resident 2, Staff June Principle of cancer treatment1 hour 2. Role of radiation therapy (XRT+Brachytherapy)1 hour 3. Complication of radiation treatment1 hour 4. Altered fractionation and clinical application1 hour Chemical modifier of radiation response Sub-module 3 Anatomy Resident1, Staff : Review the anatomical and physiological changes to the body/organ : Identify key anatomical features on CT cross sectional images through body sections Sub-module 4 Patient related clinical experience : Ward round Dr Chawarit, Dr Kanjana : Tumor clinic 23, 28 April 2008

9.00 – 9.45 Specification of treatment planning ; budgetary requests: Benjarat, WararatSivalee 9.45 – Quality assurance in treatment planning : Acceptance testIsara CommissioningLuckana Quality controlKhummookPuangpen Lunch – Planning computer system administration : Puntiwa Surat – Acquisition of patient data Sornjarod Jumpot Treatment planningKumutini, Pimolpun, Daranee Chirapha, Taweap

27 July 2008 Sub-Module 1 Treatment and imaging equipment Sub-Module 2 Specifications and acquisition of new equipment 24 August 2008 Sub-Module 3 Quality assurance of external beam equipment: Acceptance testing Sub-Module 4 Quality assurance of external beam equipment: Commissioning Sub-Module 5 Quality assurance of external beam equipment: Quality Control 28 September 2008 Sub-Module 6 Operation procedure Sub-Module 7 Treatment techniques Sub-Module 8 Patient positioning and treatment verification

5 Meetings Clinical Supervisors & Residents 2 Meetings National Steering Committee Competency Assessment

Level of Competency Achieved Dosimetry operations using ionisation chambers  3.2 Dosimetry operations using other methods  3.3 Absolute absorbed dose measurements  3.4 Relative dose measurements  3.5 Patient dose verification  3.6 In-vivo dosimetry  3.7 QA in dosimetry  1 = best …….. 5 = limited

Training is going on quite well at 3 University Hospitals in Bangkok - King Chulalongkorn Memorial Hospital - Ramathibodi Hospital - Siriraj Hospital The other 2 centers need extra support and encouragement. - Rajvithee Hospital - Chiengmai University Hospital It is expected that the completion of the training is in July 2009 for some residents, extension for the rest.

Chulalongkorn University approved for ROMP Competency Training as -Higher Graduate Diploma of Clinical Science Programme in Medical Physics -The training will be started in 2009 for radiation therapy, 2010 for Medical Imaging Licensing for Qualified Medical Physicist ( )

John Drew Brian Thomas Lisa Duggan Prinath Dias I.D.McLean