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Syllabus for First FRCR Examination - FRCR Part 1

Author: rcr, Posted on Monday, November 21 @ 01:31:04 IST by RxPG  

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FRCR

It is intended that the syllabus should be delivered through approximately 30 hours of formal physics teaching. In the UK, this would usually be scheduled over an eight week period from the beginning of October with the intention for candidates to sit the First FRCR Examination at the Winter sitting in early December. Further elements of physics, as included in the revised Final FRCR Examination syllabus, should be taught later in the first year of training.

AIMS

To provide knowledge of radiation physics sufficient to understand the interaction of radiation with matter and to have an awareness of the associated radiation hazards and risks.

To understand the principles of diagnostic x-ray and radionuclide equipment sufficient to be able to describe factors affecting image quality and patient dose, to recognise artefacts and to be able to use equipment correctly.

To describe the various UK legislation affecting the use of ionising radiations in the medical environment.

OBJECTIVES

The candidate should be able to

describe the structure of the atom, the types of radiation and the modes of radioactive decay
understand the concept of half life

give a basic description of the important electron and photon interactions with matter and state how they vary with energy and properties of the material
describe attenuation in terms of absorption, scatter, HVL, and understand the inverse square law
understand the basic physics of the production of x-rays

state the radiation quantities and units: activity, exposure, absorbed dose, equivalent dose, effective dose and the relationships between these quantities
give a description of the biological effects of radiation on tissue

understand and give examples of stochastic and deterministic effects of radiation

demonstrate an awareness of the populations used to evaluate radiation risk, risk values and understand how factors such as age affect these values

communicate the concept of radiation risk from medical exposures to patients.

understand the requirements for the protection of staff and members of the public arising from their use of radiation and the extent to which they are responsible for safety within the overall radiation protection framework

demonstrate a thorough knowledge of the regulations governing the medical exposure of an individual and of their own and other people’s responsibilities
understand their own responsibilities regarding the restriction of the environmental impact of their use of radiation

describe basic measures of image quality
understand the basic physics of image receptors
have an overview of the physics of CT scanners with particular reference to factors affecting image quality and dose

have an overview of nuclear medicine physics with particular reference to factors affecting image quality and dose

SYLLABUS

Fundamental Physics of Matter and Radiation

Basic physics
Fundamental properties of matter and radiation decay
Interactions of ionising radiation with matter

Radiation Hazards and Dosimetry
Biological effects of radiations
Risks of radiation
Principles of radiation protection

Justification
Optimisation
Limitation
Absorbed dose, equivalent dose, effective dose and their units

Practical Radiation Protection

General Radiation Protection
General radiation protection
Radiation protection of the patient including pregnancy, infants and children

Medical and biomedical research
Health screening
Radiation protection of staff and members of the public Use of radiation protection devices

Statutory Requirements and Non-Statutory Recommendations

Ionising Radiations Regulations 1999
Responsibility for radiation safety
Local rules and procedures
Role of radiation protection adviser and radiation protection supervisor
Classified workers
Restriction of exposure (through design, systems of work and ppe)
Dose limits
Equipment used for medical exposures
Notification of incidents
Dose constraints for comforters and carers
Routine inspection and testing of equipment
Notification of incidents

Ionising Radiation (Medical Exposure) Regulations 2000
Responsibilities of referrer, operator, practitioner, employer and medical physics expert
Patient identification and consent
Dose recording and diagnostic reference levels
Adequate training and local entitlement
Employers procedures
Quality assurance programmes, clinical evaluation of exposure and clinical audit
Notification of incidents
Research exposures, including ethics committees and dose constraints
Health screening

Other relevant legislation

Medicines (Administration of Radioactive Substances) Regulations 1978
Radioactive Substances Act 1993

Diagnostic Radiology and Radionuclide Radiology

Diagnostic Radiology
Production of X-rays

General tubes
Mammography
Radiological image
Factors affecting radiation dose and image quality
Quality assurance and quality control
Conventional film processing

Fluoroscopy and Fluorography
Image intensification
Operator controlled variables
Measurement of image quality
Factors affecting radiation dose and image quality

Computed Tomography Scanning (Introduction)
Basic physics of CT
Factors affecting radiation dose and image quality

Patient Dosimetry
Methods
Diagnostic reference levels (including high dose techniques)
Magnitude and measurements

Radionuclide Imaging (Introduction)
Fundamentals of diagnostic use
Properties of radiopharmaceuticals
Factors affecting radiation dose and image quality
Radiation protection requirements for

Conception, pregnancy and breastfeeding
Arrangements for radioactive patients
Keeping of radioactive substances
Disposal of radioactive waste



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