Medical Physicist

Medical Physicist Skills Checklist

Answer Key:

1. No Experience 2. Limited Experience 3. Experienced 4. Very Experienced

Age of Patients

Rows	1	2	3	4
Newborn/Neonate (birth to 30 days)
Infant (1 month to 1 year)
Toddler (1 year to 3 years)
Preschooler (3 years to 5 years)
School Age Child (5 years to 12 years)
Adolescents (12 years to 18 years)
Young Adults (18 years to 39 years)
Middle Adults (39 years to 64 years)
Older Adults (64 years to 79 years)
Elderly Adults (over 79+ years)

General Skills

Rows	1	2	3	4
Standard Precautions
Isolation Precautions
Pediatric Respiratory/ Cardiac Arrest
Adult Respiratory/ Cardiac Arrest
Crash Carts
Defibrillators

Basic Clinical Skills in Radiotherapy

Rows	1	2	3	4
The Clinical Environment
Simulation
Clinical Conduct
Chart Checking
Record and Verify Systems
Basic Radiation Safety

Quality Assurance in Radiation Oncology

Rows	1	2	3	4
Linear Accelerator Quality Assurance
Acceptance Testing and Commissioning
Measurement Equipment QA
CT Simulator QA
Portal Imaging and kV X-Ray Imaging QA
Cone-Beam CT QA
PET-CT QA
HDR QA
Software Systems QA
Prevention of Technology-Related Errors

Treatment Planning

Rows	1	2	3	4
Prerequisites for Treatment Planning
Mark and Start Cases
3D-Conformal Planning
IMRT Planning
Protocols
Secondary Monitor Unit (MU) Checks
Block Cutting
Diodes/TLD
Beam Data Collection, Modeling, and Commissioning

Special Procedures

Rows	1	2	3	4
Radiosurgery
LDR Brachytherapy
HDR Brachytherapy
TBI Electrons and Photons
IGRT Methods
Rotational Therapy
Proton Therapy

Health Physics

Rows	1	2	3	4
Radiation Safety
Instrumentation for Health Physics Measurements
Shielding Calculations
Isotope Procedures

Certifications

Rows	Yes	No
American Board of Radiology
American Board of Medical Physics
The Canadian College of Physicists in Medicine
The American College of Science in Nuclear Medicine
The American Board of Health Physics

I attest that this checklist represents a true reflection of my experience to the best of my knowledge. By electronically signing this form I give my permission for it to be shared with facilities as a way to assess my skill level and be considered for employment opportunities.

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