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RAS-6038-Project Proposal for 2003-2004

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  • 1. RCA PROJECT PROPOSAL IN THEMATIC HEALTH CARE 2003 – 20043 cycle 1. Title of Proposed Project : Strengthening Medical Physics in The Asia & Pacific Region 2. Project Description : a). Problem to be addressed : Limited medical physics support for the broad health care sector by insufficient numbers of trained medical physicists even for the existing equipment, let alone any expansion in the numbers of units. b). Importance of The Problem : It has been well documented by the IAEA the accident overexposure of radiotherapy patients in San Jose, Costa Rica , 1998. To prevent next possible accidents, IAEA publish Safety series No. 17 with the title “Lessons Learned from accidental Overexposure of radiotherapy”. The important message from this publication is that since proper QA/QC is not performed well, the accidents can occur in the practice of radiotherapy. But, to implement appropriate QA/QC and to underpin the safe application of radioisotopes and radiation trained and qualified medical physicist are very needed. Medical physicist play an important part in the safe applications of radiation in medicine. This includes the development of safety procedures, maintenance of technical standards, development and implementation of QA/QC protocols. In a radiotherapy department, for example, a large part of the QA/QC is the responsibility of the medical physicist. Medical Physicist collaborate with clinicians in practically all fields of medicine and have significantly contributed into development of radiological fields ( radiotherapy, x – ray diagnostics and nuclear medicine ). As well as supervising hospital radiation protection programs, they also cover extensive areas in non-ionizing medical applications (ultrasound, lasers, etc.) in some countries. With medical physicists playing an increasingly important part in the scientific and technical aspects of diagnosis and treatment of many diseases, high standards of medical physics must be developed and maintained. c). End-users : Hospitals in the Member State d). Importance of regional / sub regional approach : The ongoing development of health service quality and the introduction of more advanced technology throughout the region will require even more stringent standards, adding further emphasis for suitably trained and experienced medical physicists and the application of appropriate QA/QC protocols. Table 1 details the number of radiotherapy physicists throughout the region based on an RCA survey. Most RCA Member States have less than 30 % of the recommended number based on European Federation of Organizations for Medical Physics (EFOMP) guidelines. Although this data supplied has not been verified and is thus only semi-
  • 2. quantitative, the actual situation is most probably even worse than shown in the table for the following two reasons : a. Many instances have been observed where a person listed has not received training in medical physics and many not even have a degree. b. In a number of institutions a physicist will work in more than one area (eg radiotherapy and nuclear medicine) In addition the data was limited by reference to numbers of people and not full time equivalent positions. Although there is no equivalent data for radiologi and nuclear medicine physics, strong anecdotal evidence would suggest that the situation is no better in either of this areas. In addition to the basic education requirements for qualification as a medical physicist, there is growing need for medical physicists to be trained to certain minimum standards to then qualify as a”qualified expert” as requaired by the national regulations being developed from the IAEA’s Basic Safety Standars (BSS). National recognition for medical physicists in this category would be highly desirable as would be general national definition of “medical physicst” Agreeing on the role and responsibilities of a “qualified expert” is an important step in defining the standard set of training tools that should be included in all regional training courses (including post graduate courses). Progression towards “expert” status will be important in motivating students. Introduction of regional standars will improve the professional standing of medical physicists. This proposal is prepared by Australia and endorse by Malaysia, Thailand, Indonesia and Philippine. The involvement of Australia in this regional project will be of prime importance for the regional cooperation due to the experience of this country in the implementation of learning distance methods to elevate the capability in nuclear medicine area.. e). Technical Justification of the project : The specific objectives is : The improvement of medical physics capability and capacity in the Asia –Pacific region through the establishment of : 1. a regional for a common quality assurance program through the medical application of QA/QC and technical standards and operating practices in the key areas of medical physics. 2. a regional standard training program for education and training of medical physicist To realize this objective, the implementation approach / strategy are : a. Approving on regional strategy for the improvement and upgrading of technical standards and safe operating practices including QA/QC in the key areas of medical physics. b. Standardization a common definition of base level and advanced level medical physicist. c. Approving on standard regional training program for education and training of medical physicist base on these two levels d. Enhancing the skill and knowledge of medical physicist among RCA the Member state f) Measurable Outputs :
  • 3. Expected Results : 1. A regional standard for QA/QC Medical Physics protocols in Health Care Services 2. A regional standard for Matriculation of Education and Training Program (teaching resources) for Medical Physicist and an agreed common regional definition for base and advance level Medical Physicist 3. Distance assist training / distance learning program for Medical Physics in RCA Member state. 4. Necessary Instrument and System for Distance assist training / distance learning program for Medical Physics To achieve these expected results, there are planned some activities, as follow : 1. Regional Advisory Board meetings 2. Consultants meetings 3. A Regional Workshop on Standard QA/QC Medical Physics Protocols in Health Care Services and The Definition of a Base Level and Advanced Level Medical Physicist. 4. Regional Meeting of Government and Professional Association Delegation among the RCA – Member State to convent the Draft of regional standard QA/QC Protocols related to technical and physical aspect in the key of medical physics 5. Enhancing the capability of trainer by fellows and group activities 6. Establishing a Standard Regional Matriculation of Education and Training Program (teaching resources) for Base Level and Advance Level Medical Physicist through a conduction of regional workshop 7. Pilot project of Program of Distance Assist / Distance Learning for Medical Physicist in RCA Member State 8. Procurement of Instrument and System for Distance Assist / Distance Learning for Medical Physicist Expected Social, economic and environment impact : Strengthening of QA/QC program in medical physic, which must be done by high quality trained medical physicist, can increase the quality of health services. The capability to give high quality health services increase the competition capacity in regional and international health services market. Project Duration : four years g) Estimated Budget : See Annex-1 2001/02 2003 2004 2005 2006 RAB (17 nat Exp+IAEA
  • 4. TO)5d +(5 acad. consul)x 2d Consultants Meeting(2) 2x (4 Exp. x 4d) Resource development Subcontract Subcontract Subcontract $120k $120k $120k “Train the trainer” 2x[(14 part 2x[(14 part + 3 courses(4) + 3 Lect.) x Lect.) x 5d] 5d] Expert missions related 4 x (3 Exp x to course start up for 5d) NM, RO and RT(12) Operation of regional 2x[(14 part + 3 support network Lect.) x 5d] Regional courses for 2x[(14 part + 3 2x[(14 part + 3 students(4) Lect.) x 5d Lect.) x 5d Evaluation visits 4 x (3 Exp x 5d) 4 x (3 Exp x 5d) Fellowships # The duration of the proposed project is 4 years since two years will be set aside to develop resources followed by 2 years pilot project implementation. It is recommended that the RAB, in the form of a Project Formulation Meeting, and consultants meetings be held prior to the start of the project. This will permit the syllabus and work plan to be developed as well as the content development for the DAT, DL and other support resource modules with the help of regional input 3. Proposed Work plan and Schedule of major Project activities for the first two years. ( It should be discussed among the RCA – Member State ) Activities Year of Execution 2001/02 2003 2004 2005 2006 rd Regional Advisory Board & 3 .qr 01 Consultants meetings 1st.qr 02 Resource development Full year Full year Full year Train the trainer courses 1st & 2nd 1st & 2nd halves halves Expert missions related to 1st & 2nd course startup halves Operation of regional 2nd half support network Regional courses for 1st half 1st half students Evaluation visits 2nd half 2nd half 4. The national plan of activities that each participating country will undertake to achieve the objective of the regional plan of the project. 5. List of RCA Member States which have indicated their intention to participate in the project and their National Project Co-ordinators.
  • 5. 1. Country : Australia National Project Co-ordinator Last name : Easey Firs name : Jhon Telephone : 61-2-9717-3649 Fax : 61-2-9717-9108 Telex :- E-mail address : jfe@ANSTO.gov.au Postal address : 6. National infrastructure
  • 6. Title of RCA – Project : Strengthening of Medical Physics Services Lead Country : Australia Organizations : ANSTO / Westmead Hospital Project Description Project Design Elements Verifiable Indicators Mean of Verification Important Assumption Overall Objective Better standard health in Asia Health status in this National Statistic Report –Pacific Region, region on Health of Member State Specific Objective The improvement of medical Implementation of physics health services regional standard QA/QC capability and capacity in theprogram related to Asia –Pacific region through technical and physical the establishment of : aspect in the key of 1. a regional for a common medical physics in at least quality assurance programNational Reference through the medical Hospital of RCA – application of QA/QC and Member State and Document technical standards and Recognition and operating practices in the implementation of key areas of medical established regional physics. standard training program 2. a standard regional for education and training training program for medical physicist around education and training ofthe RCA – Member State medical physicist Project Outputs 1. A regional standard for 1. A regional standard Document QA/QC Medical Physics code for QA/QC protocols in Health Care Program related to Services technical and physical 2. A regional standard for aspect in the key area Matriculation of Education of Medical Physics and Training Program 2. The regional catalog (teaching resources) for of Matriculation of
  • 7. Medical Physicist and an Education and Document agreed common regional Training Program definition for base and (teaching resources) advance level Medical for Base Level and Physicist Advance Level 3. Distance assist training / Medical Physicist distance learning program 3. 2 class pilot project for Medical Physics in course for base and RCA Member state. advance level with 10 5. Necessary Instrument and students from every Document System for Distance assist RCA – Member State training / distance learning 4. Distance assist program for Medical training / distance Physics learning program for Document Medical Physics Labor Activities 1. Regional Advisory Board 1. The basic concept of Document meetings regional policy to 2. Consultants meetings strengthen Medical 3. A Regional Workshop on Physics services Standard QA/QC 2. Some important Medical Physics Recommendation Protocols in Health about the QA/QC Care Services and The program related to Document Definition of a Base technical and Level and Advanced physical aspect in the Level Medical key of medical Physicist. physics 4. Regional Meeting of 3. Draft of regional Government and standard QA/QC Professional Protocols related to
  • 8. Association Delegation technical and Document among the RCA – physical aspect in the Member State to key of medical convent the Draft of physics regional standard QA/ 4. Convention of the QC Protocols related to implementation of technical and physical Regional QA/QC Document aspect in the key of Medical Physics medical physics Protocols in Health 5. Enhancing the capability of Care Services among trainer by fellows and the RCA – Member Document group activities State 6. Establishing a Standard 5. 2 trainer from every Regional Matriculation of RCA – Member Education and Training State have adequate Program (teaching qualification resources) for Base Level 5. The catalog of and Advance Level Standard QA/QC Medical Physicist through 6. a conduction of regional 7. Medical Physics workshop Protocols in Health Care Services, and Document Standard regional 7. Pilot project of Program of definition for a Base Distance Assist / Distance Level and Advanced Learning for Medical Level Medical Physicist in RCA Member Physicist. State 7. Conduction of 16. Procurement of Instrument Distance Assist / Document and System for Distance Distance Learning Assist / Distance Learning for Medical Physicist for Medical Physicist in RCA Member State. 8. Some instrument and
  • 9. system IAEA + CP Inputs Agency Input : 1. Expertise 1. Expert mission 2. Fellows 2. Fellowship 3. Equipment 3. Equipment CP Inputs : 1. Manpower procurement 2. Operational Budget 3. Labor and necessary facilities
  • 10. ANNEX-1 BUDGET ESTIMATION YEAR/QUARTER ACTIVITIES BUDGET(US$) 2001/Q4 Regional Advisory Board Meeting (17 nat Exp+IAEA TO)5d +(5 acad. consul)x 2d 85,000 2002/Q1 Consultant Meeting (2x (4 Exp. x 4d)) 25,000 2003 Resource Development (Subcontract) 120,000 2003 Train the trainer 2x[(14 part + 3 Lect.) x 5d] 30,000 2003 Expert Mission 4 x (3 Exp x 5d) 5,000 2004 Resource Development (Subcontract) 120,000 2004 Train the trainer 2x[(14 part + 3 Lect.) x 5d] 30,000 2004 Operation of Regional Support Network 2x[(14 part + 3 Lect.) x 5d] 30,000 The budget allocated for 2001 – 2002 are not included with the total 335,000 Total