1. 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.

2. Introduction of ROMP to the Philippines
5th SEACOMP
November , 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

3. 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

4. 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

5. 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

6. 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

7. 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.)

8. 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

9. 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

10. 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.

11. 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

12. 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

13. 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)

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

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

22. 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

23. THANK YOU!