NUCLEAR MEDICINE CLINICAL ROTATIONS All residents will be expected to spend a minimum of 700 hours or 4 months total assigned to nuclear medicine clinical sites at the various participating hospitals during their four years of training in diagnostic radiology. Resident Passports When on rotation, the resident will be expected to participate in activities which will satisfy the requirements of the resident "passport." Not all of the activities need to be completed in any one rotation, but all activities should be completed by the end of the training program. Most of the activities can be completed in the mornings by working with the staff technologists at each site. Lectures on Basic Principles The residents will also have a set of core lectures on basic principles of nuclear medicine and PET which they will be expected to review while on rotation. Copies of these lectures will be available at each site. The list of lectures and topics is located in the Resource Section of the Nuclear Medicine Homepage. A total number of 20-30 didactic hours is available through these lectures. Components of Training and Experience Required for Authorized User Status Information about the required components of training and experience for individuals seeking authorized user status at the time they are admitted to the Radiology Oral Examination will also be posted on the Nuclear Medicine Homepage under Resources and will include interactive learning tools regarding: ordering, receiving, and unpacking radioactive materials safely and performing the related radiation surveys; performing quality control procedures on instruments used to determine the activity of dosages and performing checks for proper operation of survey meters; calculating, measuring, and safely preparing patient or human research subject dosages; using administrative controls to prevent a medical event involving the use of unsealed byproduct materials; using procedures to safely contain spilled radioactive material and using proper decontamination procedures; administering dosages of radioactive drugs to patients or human research subjects; and eluting generator systems appropriate for preparation of radioactive drugs for imaging and localization studies, measuring and testing the eluate for radionuclidic purity, and processing the eluate with reagent kits to prepare labeled radioactive drugs Documentation of Training and Experience in the Therapeutic Use of Sodium Iodide I-131 Residents seeking authorized user status for radiotherapy as described in Part 35 - Medical use of Byproduct Material 35.392 Training for the oral administration of sodium iodide I-131 requiring a written directive in quantities less than or equal to 1.22 gigabecquerels (33 millicuries). 35.394 Training for the oral administration of sodium iodide I-131 requiring a written directive in quantities greater than 1.22 gigabecquerels (33 millicuries). Will need to provide documentation of their supervised participation and experience in the treatment of a minimum of three patients for each of the above two categories. The documentation should include the date of therapy, the amount of radioiodine use, the condition treated and the name of the referring physician. Patient identification should not be provided as part of this documentation to avoid violation of patient privacy rights.