Curriculum
The two year Radiotherapy Physics Residency Program includes the following six clinical rotations:
Clinical Rotation 1: On-site, full-day clinical training in external beam modalities (megavoltage photons, electrons, superficial x-rays) covering calibration of instrumentation and phantoms, patient safety, quality assurance, treatment techniques, treatment planning, and monitor unit calculations. Theoretical basis and practical application of these procedures are emphasized throughout the rotation. Topics in ethics and professionalism are also covered.
Clinical Rotation 2: On-site, full-day clinical training covering physics concepts and implementation of standard radiation treatment (RT) techniques for common cancer treatment sites, routine quality assurance associated with patient specific RT and planning, special RT procedures, quality assurance of RT planning systems, monitor unit calculations, patient safety with respect to radiation therapy, and treatment planning.
Clinical Rotation 3: On-site, full-day clinical training including the theoretical basis and use of detectors and dosimeters (ionization chambers, TLD/OSLD, diodes, film, and MOSFETs), as well as participation in quality assurance activities. Additional training includes hands-on experience with treatment planning workstations for beam data acquisition, modeling, acceptance testing, algorithm evaluation, and verification of treatment techniques. Radiation protection principles are applied through room design, shielding calculations, regulatory licensing, site planning, and radiation surveys across energy ranges.
Clinical Rotation 4: On-site, full-day clinical training in the principles of computed tomography (CT) simulator, associated radiation protection/design considerations, CT protocols. Training in intensity modulated radiation therapy (IMRT) and volumetric modulated radiation therapy (VMAT). Training in quality assurance, calibration, inverse planning, IMRT/VMAT delivery, and radiation safety.
Clinical Rotation 5: On-site, full-day clinical training in the physics of imaging modalities, image guided radiotherapy, and quality assurance on CT, MRI, ultrasound, PET as related to radiation therapy, and treatment planning. Training in image archiving and communication systems.
Clinical Rotation 6: On-site, full-day clinical training in brachytherapy, including radionuclides and sealed sources in brachytherapy, clinical applications of the sources, treatment planning, and quality assurance. Training in Proton Therapy and Special Procedures including Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT). Topics in leadership are also covered.