ACVR - RO Residency Program Annual Update

ACVR Radiation Oncology Residency Program Annual Update
Purpose: To provide current information to the ACVR and the Radiation Oncology Residency Standards and Evaluation Committee about the status of each radiation oncology residency training program. We also ask that you take a moment to review the Radiation Oncology Residency Program Essentials, Training Standards and Requirements.

The form should be completed by the radiation oncology residency director by January 31st of each year.

When filling out the application, the first full page of information is entered and you hit next, the form will automatically save the information entered to the emailed link for the submitter to stop and start the application with the emailed link. Once a page is started it must be completed and next hit for that page to save.
I acknowledge.

ACVR Radiation Oncology Residency Program Annual Update
1. Date of Application Update

MonthDayYear
Your Name:

First NameLast Name
Your Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email:
example@example.com
2. Location of radiation oncology residency program:
3. Residency Director:
YesNo
4. Name of Residents:

Please list only those dates of the actual training program. Time spent by the resident at your facility prior to beginning or following the completion of the actual training program should not be included.

ACVR Radiation Oncology Residency Program Annual Update
The following questions relate to the status of required faculty in the residency training program. If there is a change in status of any of the required faculty, please state in the box indicated how this change impacts residency training and compliance of your program. Specific reference should be made to the numbers of weeks per year a given faculty member or class of faculty members (e.g. medical oncologists) is available to the resident on a daily basis.
5. Please list changes in Radiation Oncology Diplomates involved in resident training:
YesNo
Additions*
YesNo
Deletions*
How do any listed changes impact resident training and compliance, as described in the Radiation Oncology Residency Program Essentials, Training Standards and Requirements.

ACVR Radiation Oncology Residency Program Annual Update
6. Please list any changes in Diagnostic Radiologists (Diplomates, ACVR or ECVDI) involved in resident training:
YesNo
Additions:*
YesNo
Deletions*
How do any listed changes impact resident training and compliance of your program?

ACVR Radiation Oncology Residency Program Annual Update
7. Please list any changes in Diplomates of ACVIM (Oncology) involved in resident training:
YesNo
Additions*
YesNo
Deletions*
How do any listed changes impact resident training and compliance of your program?

ACVR Radiation Oncology Residency Program Annual Update
8. Please list any additions/deletions in other specialties related to surgery or pathology.
YesNo
Additions*
YesNo
Deletions*
How do any listed changes impact resident training and compliance of your program?

ACVR Radiation Oncology Residency Program Annual Update
9. Please list any changes in the resident's schedule for rounds, seminars, conferences, journal clubs, etc. If there are no changes, simply write "none."
10. Please list any changes in facilities and/or equipment related to residency training. If there are no changes, simply write "none."
YesNo
If not, please explain:
12. If applicable, list the residents who have successfully completed the training program within the last year:
13. If applicable, list any residents who have withdrawn from the training program within the last year:
16. How many weeks per year is one ACVR Diplomate of Radiation Oncology available on site at your institution?
Weeks per year

9. Please list any locums (radiation oncology, medical oncology, diagnostic imaging) in support of the residency training program that were required to meet the training requirements over the past year.

Be sure to include how many weeks were covered for each listed below.
Locums (plus weeks of service)
If applicable
Please upload a brief CV or biosketch for the individuals listed above.

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ACVR Radiation Oncology Residency Program Annual Update