Each year, CARTI offers a medical physics radiation oncology residency program to prepare students entering the field of medical physics. This program is CAMPEP accredited.

This 24-month program will be strongly clinical and professional, not didactic. CARTI will offer the resident a dynamic clinical learning environment and a vigorous and aggressive adoption of new and proven technology.


Physics Resident Program Information

ADMISSIONS

Pre-Requisite Requirements:

Applicants must satisfy the following criteria in order to be considered for acceptance into the residency program:

Graduate of a CAMPEP approved Medical Physics program with a Masters or Doctoral degree.
Graduated with at least a 3.0 cumulative overall GPA.
Meets CARTI employee requirements.
Application Process:

CARTI is participating in the AAPM Common Application Program and MedPhysMatch. Please see the following website for more information: http://www.aapm.org/CAP/

The position will be posted by November 1st.

NUMBER OF RESIDENTS

The physics residency program is designed to handle a maximum of 2 residents. One resident is accepted per year.

NEW RESIDENT ORIENTATION

Upon entering the program, the resident will be given a residency handbook that contains all resources, opportunities, and requirements for successful completion of the CARTI residency program will be explained. The program director and all staff physicists will always be available to answer questions and give clarification should the resident request it. In addition, the resident will be given his/her own CARTI employee manual.

During the two year residency program, continuing education will be required on a monthly basis. This continuing education is the same as that required of CARTI employees and covers areas such as radiation protection, patient confidentiality, infection control, and clinical expectations.

EVALUATION OF RESIDENT PROGRESS

Residents are monitored throughout the program by the program director. Residents will meet with the program director, as well as the assigned resident mentor, at least once a month. In addition, at the completion of each rotation the resident will receive written feedback on their performance. By the completion of the residency, the physics resident is expected to be able to perform all radiation oncology physics functions.

FINANCIAL

The medical physics residency position at CARTI will be a full-time salaried new employee. As such, this position will qualify for the same benefits as any other new employee, including health and dental insurance plans, CARTI holidays, paid time off, 403 B tax deferred annuity and retirement plan (the retirement plan is not fully vested for 5 years). This position also includes paid registration, travel and lodging, and meals to one meeting or workshop each year, and membership dues to one related professional society. Transportation to CARTI sites outside of Little Rock is provided by CARTI, or reimbursed at the current mileage level set by CARTI.

All other financial burdens are the responsibility of the resident, including all travel and living expenses, out-of-pocket health care, books, supplies, uniforms/lab coats, etc.

Training Requirements

REQUIREMENTS FOR COMPLETION

The requirements for completion of the residency will be the demonstrated ability to perform independently all tasks generally recognized as fundamental clinical physics duties, as outlined in Task Group 249 of the AAPM. The residency program will be of 24-month duration. The objective of the first year will be the attainment of the ability to manage, with necessary supervision from the CARTI clinical physics staff, the broad range of clinical duties necessary for the daily operation of a radiation oncology clinic; primarily the safe planning and delivery of radiation therapy to cancer patients, state licensing maintenance, radiation safety issues, etc. The objective of the second year will be to build on the first year and to develop areas of specialization and expertise, and to develop a greater level of responsibility and independence.

One advantage that CARTI offers residents is its multiple (6) clinical sites, each staffed with its own radiation oncologist(s), dosimetrist(s), therapists, and administrative staff. It is expected that in the second year of the residency, the resident will join the clinical travel rotation with the other staff physicists. This will enhance the resident’s ability to work independently; while at the same time have access to support from the other physics staff. It is expected that the resident will attend or participate in departmental and clinical conferences, in-services, and e-learning programs which have direct or indirect educational or clinical relevance. Examples of ongoing conferences are:

·  weekly physics staff meetings

·  weekly chart rounds

·  weekly stereotactic conference

·  weekly radiation oncologist case review

·  monthly medical physics journal club

·  monthly e-learning clinical programs

CLINICAL ROTATIONS

·  Introduction to the Treatment Process

·  External Beam Treatment Planning and Delivery (non-SRS/SBRT)

·  Linacs, Treatment Planning Systems, and Radiation Detection

·  Brachytherapy

·  SRS/SRT

·  SBRT

·  Imaging in Radiation Oncology

·  Education, Communication, and Research

The method for evaluations of the resident’s performance in each clinical rotation will be determined by the CARTI physics staff. Possible methods for evaluation will be

a) oral exams
b) written exams
c) performance of a specific task (e.g. independent performance of annual calibration)
d) oral presentations by the resident to physics or other staff
e) journal article reviews

Program Administration

ROLE OF PROGRAM DIRECTOR

The program director is Joe Grant, M.S., DABR. The associate program director is Bobby Mathews, M.S., DABR.

The program director will be responsible for maintaining routine documentation for compliance with CAMPEP certification, directing annual and quarterly reviews of the residency program with the residency advisory board, and conducting monthly reviews with each resident to assess progress through the program. The program director will also delegate mentoring responsibilities to the staff physicist on a monthly rotating basis.

ROLE OF ADMISSIONS COMMITTEE AND MEDICAL PHYSICS RESIDENCY REVIEW BOARD

The following standing committees will meet as needed, but at least annually.

1. Admissions Committee
2. Medical Physics Residency Review Board

The admissions committee will meet starting in December of each year to begin the review process, and to interview new program applicants. It will continue to meet as necessary until an offer has been made and accepted by an applicant. The review board will review the entire program annually and make changes to the curriculum, rotations, and competencies based on feedback from the faculty, residents, and other staff. Quarterly reviews will be conducted by the review board to address any pressing matters that may arise.

Committee Members include:
Paul Bruce, M.S. DABR
Joe Grant, M.S., DABR
Bobby Mathews, M.S., DABR
Scott Yakoubian, M.S., DABR
Vance Keeling, M.S., DABR
Dr. Christopher Pope, M.D.

Equipment and Facilities

The resident will use all CARTI facilities, with occasional travel to satellite centers.  Technology available includes:

Varian TrueBeam and/or C-series linear accelerators equipped with HD or Millenium 120 leaf MLC with integrated imaging systemsand/or BrainLab ExacTrac IGRT
Phillips large bore 4D CT and/or conventional simulator
Varian Eclipse TPS v13.6
Phillips Pinnacle3 TPS v9.10
Mosaiq Record and Verify system.

The CARTI Cancer Center also has a Varian TrueBeam accelerator with a 6D table used for cranial stereotactic radiosurgery (SRS), stereotactic radiotherapy (SRT), and stereotactic body radiotherapy (SBRT). TLow dose rate (LDR) prostate implants using I-125 and Pd-103 seeds are performed at the CARTI Cancer Center and Mt. Home at a local, or adjacent hospital. For example, the CARTI Cancer Center implants are performed in the operating room at St. Vincent Infirmary.  In addition, CARTI/Baptist treats high dose rate (HDR) treatments using Nucletron MicroSelectron v3.  HDR is primarily used for gynecological applications and Mammosite breast therapy.  Brachytherapy planning utilizes Oncentra for HDR and Variseed planning system for LDR seed implants.

Physics equipment available is extensive, and includes two iba Blue Phantom scanning system systems with micro-diamond, diode and ion chamber detectors, an  iba linear diode array (LDA), assorted phantoms and phantom  materials, cylindrical, parallel-plate and well type ionization chambers of various sizes, electrometers, and a MOSFET  system for in-vivo measurements.  Additional QA phantoms include a MapCheck2, ArcCheck, and Quasar. There is also a Profiler diode array system.  Special CT phantoms and a Victoreen Nero mAx  radiation output detector are used for CT- simulator QA.  Almost all maintenance and repair of treatment machines is performed in-house, so a well equipped engineering electrical/machine shop, including a milling machine, a lathe, and wood working tools, is available on site.

Educational facilities include conference rooms with video teleconferencing at each site.Office space for resident’s use is provided. There are at present no formal library facilities within the physics department; however, the department purchases necessary and useful textbooks and reference materials and several online subscriptions to journals which are made readily available to department members, including residents. In addition, the extensive personal libraries of the department members are available for sharing. The resident will have ready access to the internet and other electronic resources.

Program History: Past and Current Residents

Name: Jatinder (Jay) Saini
Graduation: June 2012
Present Status: Senior Medical Physicist, Seattle Cancer Care Alliance Proton Therapy Center (Seattle, WA)
Certification: ABR (2013)

Name: Bobby Mathews
Graduation: July 2013
Present Status: Medical Physicist, CARTI (Little Rock, AR)
Certification: ABR (2014)

Name: Stephanie Maricle
Graduation: July 2014
Present Status: Medical Physicist, CARTI (Little Rock, AR)
Certification: ABR (2015)

Name: Pushpa Otageri
Graduation: June 2015
Present Status: Medical Physicist, Augusta Health Center (Fishersville, VA)
Certification: ABR (Passed Part II)

Name: Daniel McFadden
Graduation: July 2016
Present Status: Medical Physicist, Rush-Copley Hospital (Aurora, IL)
Certification: ABR (Passed Part II)

Name: Mark Johnson
Expected Graduation: July 2017
Certification: ABR (Passed Part I)

Name: David Heins
Expected Graduation: July 2018

program-history

 

For more information, contact Carol Spillers at cspillers@carti.com.