Future of Medical Physics in Future of Medical Physics in KSA KSA

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Future of Medical Physics in Future of Medical Physics in KSA KSA

  1. 1. Future of Medical Physics inFuture of Medical Physics in KSAKSA Dr. Nabil MaalejDr. Nabil Maalej Physics DepartmentPhysics Department King Fahd University of PetroleumKing Fahd University of Petroleum and Mineralsand Minerals
  2. 2. OutlineOutline Medical Physics Education Training Career
  3. 3. OutlineOutline Medical Physics Education Training Career
  4. 4. What is a Medical Physicist?What is a Medical Physicist? AA medical physicistmedical physicist is a professional whois a professional who specializes in the application of thespecializes in the application of the concepts and methods of physics to theconcepts and methods of physics to the diagnosis and treatment of humandiagnosis and treatment of human disease.disease.
  5. 5. The Medical PhysicistThe Medical Physicist Bridges Physics and MedicineBridges Physics and Medicine Physics Medical Physicist Medicine
  6. 6. Medical Physics DisciplinesMedical Physics Disciplines Radiation therapy PhysicsRadiation therapy Physics Diagnostic Imaging PhysicsDiagnostic Imaging Physics Medical Nuclear PhysicsMedical Nuclear Physics Health PhysicsHealth Physics
  7. 7. Medical PhysicistMedical Physicist’’s Primarys Primary Discipline (USA)Discipline (USA) 76% 15% 3% 4% 1%1% Radiation Therapy Imaging Physics Nuclear Medicine Health Physics Engineering Administration Source: 2002 AAPM Survey
  8. 8. General Areas of Responsibility ofGeneral Areas of Responsibility of the Medical Physicistthe Medical Physicist ClinicalClinical Regulatory ComplianceRegulatory Compliance EducationEducation ResearchResearch
  9. 9. Medical PhysicistMedical Physicist’’s Primarys Primary ResponsibilitiesResponsibilities 78% 8% 5% 3% 4% 2% Clinical Academic Research Administrative Regulatory Product Development Source: 2002 AAPM Survey
  10. 10. Pathways into Medical PhysicsPathways into Medical Physics M.S. or Ph.D. in Medical Physics M.S. or Ph.D. in Physics or related field Medical Physics Residency Program Medical Physics Postdoctoral Training Practicing Medical Physicists B.S. in Physics or related field On the Job Clinical Training in Medical Physics On the Job Clinical Training in Medical Physics
  11. 11. Medical Physics Education Training Career
  12. 12. KFUPM MasterKFUPM Master’’s Programs Program Follows guidelines of the AmericanFollows guidelines of the American Association of Physicists in MedicineAssociation of Physicists in Medicine (AAPM Report 79: Academic Program(AAPM Report 79: Academic Program Recommendations for Graduate DegreesRecommendations for Graduate Degrees in Medical Physics).in Medical Physics).
  13. 13. Academic Program RequirementsAcademic Program Requirements RequirementsRequirements CreditsCredits Completion of Core CoursesCompletion of Core Courses 1818 Passing the M.S. comprehensive examinationPassing the M.S. comprehensive examination -- Completion of Medical Physics ElectiveCompletion of Medical Physics Elective CoursesCourses 1515 Completion of clinical training (MEPH 590)Completion of clinical training (MEPH 590) 66 Completion of MasterCompletion of Master’’s Projects Project 33 TOTALTOTAL 4242
  14. 14. Core CoursesCore Courses COURSE # TITLE CR MEPH 510 Radiobiology 2 MEPH 561 Radiological Physics and Dosimetry 3 MEPH 563 Radioisotopes in Medicine and Biology 3 MEPH 566 Radiotherapy Physics 3 MEPH 567 Diagnostic Radiology Physics 3 MEPH 569 Health Physics 4 18
  15. 15. Medical Physics Elective CoursesMedical Physics Elective Courses COURSE # TITLE CR MEPH 501 Physics for Medicine and Biology 3 MEPH 511 Instrumentation for Medical Physics 3 MEPH 568 Magnetic Resonance Imaging (MRI) 2 MEPH 570 Advanced Brachytherapy Physics 2 MEPH 571 Advanced External Radiation Oncology 3 MEPH 573 Imaging in Medicine 3 MEPH 574 Applications of Digital Imaging: DSA, CT, MRI 2 MEPH 575 Diagnostic Ultrasound Physics 3 MEPH 581 Laboratory in Radiological Physics – Radiotherapy 1 MEPH 582 Laboratory in Radiological Physics – Diagnostic Radiology 1 MEPH 583 Laboratory in Radiological Physics – Nuclear Medicine 1 MEPH 584 Laboratory in Radiological Physics – Health Physics 1 MEPH 585 Laboratory in Radiological Physics – CT, MRI, and DSA 1 MEPH 586 Laboratory in Radiological Physics – Medical Ultrasound 1 MEPH 591 Selected Topics in Medical Physics 1-3 MEPH 592 Independent Reading 1-3
  16. 16. Needs For ImprovementNeeds For Improvement Hiring Medical Physics FacultyHiring Medical Physics Faculty Stronger collaboration with hospitalsStronger collaboration with hospitals Laboratory facilitiesLaboratory facilities Better collaboration between KFUPM and UQUBetter collaboration between KFUPM and UQU Target accreditation by Commission of MedicalTarget accreditation by Commission of Medical Physics Education Programs (CAMPEP)Physics Education Programs (CAMPEP)
  17. 17. Medical Physics Education Training Career
  18. 18. Clinical Training CollaborationClinical Training Collaboration with KFSH&RC and RKHwith KFSH&RC and RKH The student spends 4 months of hospitalThe student spends 4 months of hospital training to complete a clinical rotation intraining to complete a clinical rotation in radiation therapy, diagnostic imaging, nuclearradiation therapy, diagnostic imaging, nuclear medicine and health physicsmedicine and health physics The student observes and practices clinicalThe student observes and practices clinical procedures under the direct supervision of aprocedures under the direct supervision of a senior clinical medical physicistsenior clinical medical physicist The student writes progress reports and a finalThe student writes progress reports and a final report on the procedures he performedreport on the procedures he performed
  19. 19. Need for ResidencyNeed for Residency Residency programs are aimed at both educating and providing practical experience so that the medical physicist would be ready to practice in a hospital setting and obtain board certification.
  20. 20. Residency AccreditationResidency Accreditation Commission of Medical Physics Education ProgramsCommission of Medical Physics Education Programs (CAMPEP)(CAMPEP) Compliance with standards of training Overall quality of the program Number and competence of the teaching staff Teaching loads Rigor and breadth of instructional offerings Adequacy of facilities: Machinery and Procedures Supporting personnel Aptitude of students Performance of the graduates
  21. 21. OutlineOutline Medical Physics Education Training Career
  22. 22. Medical Physicist RewardsMedical Physicist Rewards Challenge of applying the principles ofChallenge of applying the principles of physics to medicinephysics to medicine Satisfaction of working with the state of theSatisfaction of working with the state of the art medical technologyart medical technology Contributing to the wellContributing to the well--being of patientsbeing of patients Receiving competitive compensationReceiving competitive compensation
  23. 23. Professional Credentials ofProfessional Credentials of Medical PhysicistsMedical Physicists EducationEducation: M.S.: M.S. TrainingTraining: Training vs. Residency: Training vs. Residency CertificationCertification: By specialty: By specialty Am. Board of Radiology (ABR)Am. Board of Radiology (ABR) Am. Board of Medical Physics (ABMP)Am. Board of Medical Physics (ABMP) Canadian College of Medical Physics (CCMP)Canadian College of Medical Physics (CCMP) OthersOthers
  24. 24. Average Income (MS Degree in USA)Average Income (MS Degree in USA) 0 20 40 60 80 100 120 140 Salary(Thousands) 0-2 3-4 5-9 10-14 15-19 20+ Years of Experience Total Annual Income No Certification Certification Source: 2002 AAPM Survey
  25. 25. Survey • Dr. Al-Jarallah of the Physics Department surveyed the need for medical physicists in 23 hospitals and medical schools across the Kingdom (May 2000) • The survey showed an urgent need for 33 clinical medical physicists at those hospitals
  26. 26. The Ministry of Health (MOH) The Head of Preventive Health estimates MOH future needs at 100 clinical medical physicists over the next 5 years
  27. 27. MOH Statistics (2001)MOH Statistics (2001) Number of HospitalsNumber of Hospitals 193193 Number of Health CentersNumber of Health Centers 17921792 Number of Hospital BedsNumber of Hospital Beds 1967519675 Number of RadiologistsNumber of Radiologists 300300 Number of XNumber of X--rayray TechnologistsTechnologists 29582958 Medical PhysicistsMedical Physicists ??
  28. 28. Hospital Statistics (2001)Hospital Statistics (2001) Total Number of HospitalsTotal Number of Hospitals 331331 Total Number of BedsTotal Number of Beds 4701847018
  29. 29. Recommended Staffing LevelRecommended Staffing Level The InterThe Inter--Society Council for Radiation OncologySociety Council for Radiation Oncology recommends one full time Oncology Medicalrecommends one full time Oncology Medical Physicist for every 400 treated cancer patients perPhysicist for every 400 treated cancer patients per year (Radiation Oncology in Integrated Canceryear (Radiation Oncology in Integrated Cancer Management,Management, ““Blue BookBlue Book””, 1991), 1991) The AAPM recommends one Diagnostic ImagingThe AAPM recommends one Diagnostic Imaging Medical Physicist for a 300 bed hospital (report # 33:Medical Physicist for a 300 bed hospital (report # 33: Staffing levels and responsibilities in diagnosticStaffing levels and responsibilities in diagnostic radiology, 1991 )radiology, 1991 )
  30. 30. Estimate of the NeedEstimate of the Need Based on the staffing recommendation and theBased on the staffing recommendation and the number of hospitals, the Kingdom is in need ofnumber of hospitals, the Kingdom is in need of approximately 150 Medical Physicists to haveapproximately 150 Medical Physicists to have one medical physicist for every 300 bedsone medical physicist for every 300 beds
  31. 31. Number of Medical PhysicistsNumber of Medical Physicists According to a 2001 survey, there are 18According to a 2001 survey, there are 18 Medical Physicists in 11 radiotherapy centersMedical Physicists in 11 radiotherapy centers (Collaborative Quality Assurance Program for(Collaborative Quality Assurance Program for Dosimetry of Radiation Therapy Equipment inDosimetry of Radiation Therapy Equipment in KSA, Dr Jazi AlKSA, Dr Jazi Al--Mokhlef et al ).Mokhlef et al ).
  32. 32. Reality of The job MarketReality of The job Market Most hospitals do not have a MedicalMost hospitals do not have a Medical PhysicistsPhysicists Most hospital administrators do no know whatMost hospital administrators do no know what is the role of a Medical Physicistis the role of a Medical Physicist Many hospitals have no quality managementMany hospitals have no quality management program and rely on the supplier of theirprogram and rely on the supplier of their equipment to do yearly maintenance (conflictequipment to do yearly maintenance (conflict of interest)of interest)
  33. 33. Reality of The job MarketReality of The job Market There are no regulations that require hospitalsThere are no regulations that require hospitals to hire medical physiciststo hire medical physicists There is no association for Medical PhysicistsThere is no association for Medical Physicists to promote the profession in the Kingdomto promote the profession in the Kingdom There is no medical physics job announcementThere is no medical physics job announcement bulletinbulletin
  34. 34. ConclusionConclusion Medical Physics Education Training Career
  35. 35. Conclusion: EducationConclusion: Education We have promising BS (Umm AlWe have promising BS (Umm Al--QuraQura University) and MS programs in MedicalUniversity) and MS programs in Medical Physics (King Fahd University of PetroleumPhysics (King Fahd University of Petroleum and Minerals)and Minerals) There is need for support and strongerThere is need for support and stronger collaboration with hospitalscollaboration with hospitals To maintain high standards aim forTo maintain high standards aim for accreditationaccreditation
  36. 36. Conclusion: TrainingConclusion: Training There are limited opportunities for the trainingThere are limited opportunities for the training of Medical Physicists in the Kingdomof Medical Physicists in the Kingdom There is an urgent need for a residencyThere is an urgent need for a residency program to prepare Medical Physicists for theirprogram to prepare Medical Physicists for their clinical jobs and for board certificationclinical jobs and for board certification
  37. 37. Conclusion: CarrierConclusion: Carrier There is a need for medical physicists toThere is a need for medical physicists to insure quality health careinsure quality health care This need is not evident for most hospitalThis need is not evident for most hospital administrators and government institutionsadministrators and government institutions There is an urgent need for a MedicalThere is an urgent need for a Medical Physics Association that will promote thePhysics Association that will promote the profession, facilitate employment, and lobbyprofession, facilitate employment, and lobby for government regulations to insure qualityfor government regulations to insure quality health carehealth care

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