What are the minimum training requirements for physicians to use fluoroscopy (fluoroscopic imaging) in Oregon?

From the Guidelines

In Oregon, the minimum training requirements for physicians to use fluoroscopy are not explicitly stated, but a curriculum that covers the basic knowledge of radiation physics, radiation biology, radiation safety, and radiological imaging is recommended, with training times suggested in the range of 2 to 20 clock-hours 1. The training should include initial didactic training, operational training on individual fluoroscopes, and fluoroscopic continuing medical education.

• The curriculum proposed in the ACCF/AHA/HRS/SCAI Fluoroscopy Clinical Competence Statement 1 conforms to the JCAHO elements and specifies topics to be included, but does not specify any minimum number of clock-hours needed to complete the curriculum.
• The necessary knowledge could be acquired through didactic courses, self-study, or computer-based instruction, and physicians who have completed training should be able to demonstrate that they possess the knowledge specified by the curriculum by passing an appropriate certifying examination 1.
• Additionally, the Advanced Radiation Physics and Safety Curriculum for individuals training to perform fluoroscopically guided angiographic, interventional, and electrophysiological cardiovascular procedures suggests approximately 12 hours of instruction or study 1. It is essential to note that the training emphasizes the ALARA principle (As Low As Reasonably Achievable) for radiation exposure and teaches techniques to reduce fluoroscopy time, optimize equipment settings, and use appropriate shielding.
• These standards are in place because fluoroscopy involves real-time X-ray imaging that can deliver significant radiation doses if not used properly, and it is crucial to minimize radiation exposure to both patients and healthcare workers while obtaining necessary diagnostic information.

From the Research

Minimum Training Requirements for Physicians to Use Fluoroscopy in Oregon

There are no specific studies provided that directly address the minimum training requirements for physicians to use fluoroscopy in Oregon. However, the available evidence highlights the importance of training in radiation safety and management for physicians who use fluoroscopy.

General Training Requirements for Fluoroscopy

• The study 2 emphasizes the need for focused training in radiation physics, radiation biology, and radiation safety for physicians who use fluoroscopic radiation.
• The article 2 also mentions that completion of an approved educational program with appropriate testing provides evidence of a practitioner's qualifications.
• Another study 3 demonstrates the effectiveness of an online training program in reducing patient dose without affecting diagnostic quality.

Radiation Safety and Protection

• The review 4 highlights the importance of radiation protection knowledge and methods in the fluoroscopy environment.
• The study 5 evaluates X-ray dose exposure in surgical team members and determines urologist radioprotection knowledge and practices, emphasizing the need for proper training and radiation safety practices.
• The article 6 provides an overview of radiation safety in fluoroscopy, including basic concepts of radiobiology, fluoroscopy systems, and methods for controlling occupational exposure.

Training and Education

• The study 3 shows that an online training program can result in a significant decrease in patient dose.
• The review 4 suggests that formal and continuous training should be provided to enhance knowledge and ensure the safety of staff and patients.
• The article 2 emphasizes the need for training and education in radiation safety and management for physicians who use fluoroscopy.