proposal for the initiation of a new instructional program leading to the statewide ms or phd in

OREGON UNIVERSITY SYSTEM OFFICE OF ACADEMIC AFFAIRS

Proposal for the Initiation of a

New Instructional Program Leading to the Statewide MS or PhD in Medical Physics

Oregon Health and Science University

School of Medicine Radiation Medicine Department

& Oregon State University

Department of Nuclear Engineering and Radiation Health Physics

Description of Proposed Program 1. Program Overview

a. Proposed CIP number: 51.2205 Health/Medical Physics b. Provide a brief overview (approximately 1-2 paragraphs) of the proposed program, including a

description of the academic area and a rationale for offering this program at the present time. Please include a description of any related degrees, certificates, or subspecialties (concentrations, areas of special emphasis, etc.) that may be offered now or in the foreseeable future.

Oregon Health and Sciences University School of Medicine and Oregon State University propose creating a jointly sponsored program entitled Oregon Medical Physics (OMP). This program will lead to an MS or PhD in Medical Physics, a branch of physics associated with the practice of medicine, specifically, radiation therapy, diagnostics, nuclear medicine, and safety. A graduate program is desperately needed in Oregon due to the present shortage of medical physicists. At the present time, Oregon must “import” all medical physicists from outside the state to treat its expanding population. There are currently about five thousand practicing medical physicists in the United States. Due to the increased complexity of equipment and the patient population, there is a steady increase in demand for this profession. Because of the shortage it generally takes medical establishments 6 months to 1 year to hire a qualified medical physicist and salaries are increasing nearly 10% per year. There are at present only eleven certified graduate programs in the U.S., the closest is in Los Angeles, with the next geographically close programs being in Wisconsin, Michigan, Tennessee, and Texas (there are also non-certified programs, the closest ones being in San Francisco, Minnesota, Ohio, and Oklahoma). The goal of this proposal is to create a quality graduate program in the State of Oregon, which, because of the qualifications of the two universities, can quickly attain accreditation. The program will be administered through Oregon State University’s Department of Nuclear Engineering and Radiation Health Physics (OSU) and Oregon Health and Sciences University (OHSU), with each university granting degrees, and the diploma listing both institutions.

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Admittance to the OMP will be overseen by a jointly operated program with common admittance and graduation criteria. OHSU will bring its long-standing tradition of clinical experience while OSU will bring its decades of research in radiation safety, computational physics and an existing accredited program in Health Physics. Students enrolled in the Medical Physics Program will have the opportunity to take courses at either OHSU or OSU based on their selection of a specialty track in therapeutic radiological physics, medical health physics, diagnostic imaging physics, or medical nuclear physics. The program will require approximately two years to complete for an MS degree, and four years for a PhD. The goal of the program will be to have the students ready for professional certification exams following three years of clinical work.

c. When will the program be operational, if approved?

The program will start in the fall of 2007.

2. Purpose and Relationship of Proposed Program to the Institution's Mission and Strategic Plan

a. What are the objectives of the program?

The purpose of this program is to graduate professional medical physicists from an accredited university within the state of Oregon, with the intent of helping alleviate the critical shortage of these professionals in this state.

b. How does the proposed program support the mission and strategic plan of the institution(s)? How

does the program contribute to attaining long-term goals and directions of the institution and program?

The proposed Oregon Medical Physics Degree program is consistent with the stated missions and strategic plans of both institutions. OHSU’s mission is to “ ... improve the well-being of the people in Oregon and beyond” and “strives to educate tomorrow’s health and high-technology professionals, scientists, and environmental engineers for leadership in their fields” as well as “explore new basic and applied research frontiers in health and biomedical sciences”. OSU’s mission is to promote economic, social, cultural and environmental progress for people across Oregon, the nation and the world through its graduates, research, scholarship, outreach, and engagement. In its strategic plan, OSU has identified five multidisciplinary academic thematic areas intended to integrate the mission of teaching, research, and outreach. One of these thematic areas is dedicated to “..the optimal delivery of public health services in healthy environments” with OSU committed to building “an integrated and novel program focused on the prevention of disease and the promotion of health”. The proposed degree program is also completely consistent with the goals of the Department of Nuclear Engineering and Radiation Health Physics (OSU) and the Radiation Oncology Department (OHSU). The radiation safety program has been offered at Oregon State University since 1963 and was moved into the Department of Nuclear Engineering beginning in the late 1980s. During the past two decades the program has been renamed Radiation Health Physics and expanded in student enrollment, research activity and in the number of departmental faculty working in the field. It became accredited through the American Board on Engineering Technology in 2003. Over the years many students in the program have expressed interest in pursuing medical-related radiation research, and many have undertaken research requiring internships at local area hospitals. The program has also had several students graduate only to seek advanced degrees out of state in the field of medical physics. Because of the considerable overlap in focus between the fields of radiation health physics and medical

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physics, the Department of Nuclear Engineering and Radiation Health Physics desires to expand its degree offerings into this area. It should also be noted that OSU is currently qualified to offer degrees in Medical Health Physics (one of the subspecialties of medical physics) without the addition of new courses by virtue of course content, available facilities, and professional certification of several of its faculty1. The Radiation Oncology Department of OHSU has a long tradition of educating radiation therapy technologists during the senor undergraduate year in therapeutic radiation physics, as well as radiation oncologists during their four year residency. The education includes both year long didactic lecture for both groups, with the residents taking additional month-long rotations in radiation treatment planning and a mentored radiation physics laboratory. OHSU now wishes to expand on our clinical training experience to include medical physics graduate students. OHSU will also use the program and program collaborators to advance research in the field.

c. How does the proposed program meet the needs of Oregon and enhance the state's capacity to respond effectively to social, economic, and environmental challenges and opportunities?

As noted earlier, Oregon currently has no program in place to educate accredited medical physicists. If approved, this proposal will provide a pipeline of medical physicists that are educated in the newest technologies and treatment modalities. This will help ensure a greater quality of care to Oregon’s residents. It will also contribute to new and exciting advances in patient treatment while enhancing both the State’s educational reputation and the quality of life of its residents. 3. Course of Study

a. Briefly describe proposed curriculum. (List is fine.) i. Slash courses (i.e., 400/500-level) should be listed as such. ii. Include course numbers, titles, credit hours.

The field of medical physics recognizes four major subdisciplines2. These are therapeutic radiologic physics, medical health physics, nuclear medicine, and diagnostic imaging. While it is the intent of this program to ultimately offer coursework in all subdisciplines, OHSU and OSU will take a phased approach to establishing the OMP program. Therapeutic radiologic physics and medical health physics will be the first tracks established. As staff and resources become available, the remaining specialties (nuclear medicine and diagnostic imaging) will be added.

OMP Tracks – MS Degree Resources needed to begin the program are currently available within OSU and OHSU. Graduate programs that will be offered are a Masters of Medical Physics (professional degree), and a Masters of Science in Medical Physics (with thesis). Both degrees will culminate with an oral examination and the minimum number of credit hours will be 45. For the Masters in Medical Physics (the professional degree), the capstone project will consist of the Practicum/Internship, which will encompass a clinical problem that is solved with formal documentation, i.e. commissioning a new linear accelerator, radiological concerns over a new technology, commissioning an in vivo diode dosimetry program, carrying out annual quality

1 American College Of Medical Physics , Scope Of Practice Of Medical Physics, ACMP Scope_feb 12_2002.doc 2 The exact title of each subdiscipline varies from institution to institution; these are the generally recognized titles.

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assurance testing and adjustments. All these projects will be under the supervision of a medical physicist, which will include community medical physicists. The oral examination committee will review both the capstone project as well as general subject matter with the student.

For the Masters of Science in Medical Physics, a standard thesis will be required. The oral examination committee will review both the thesis and the general subject matter with the student.

At Oregon State University all graduate coursework is already in place to offer the specialty of Medical Health Physics and existing courses are appropriate for the therapeutic radiologic physics specialty. Two classes will be added as electives to provide additional depth to the degree. These are 1) Therapeutic Medical Physics - An introduction to the subspecialty and 2) Diagnostic Medical Physics – An introduction to the subspecialty. Graduate faculty sufficient to initiate the program are already on staff at OSU with a commitment by the College to add another FTE by fall of 2007 (a letter of support is included as an attachment to the proposal). At OHSU, the physics faculty presently teach didactic courses within the Radiation Therapy Technology and Radiation Oncology Residency programs. In OHSU’s proposed program, six didactic and two lab courses will be added, with the remainder of the courses being provided elsewhere within OHSU and OSU. The program will consist of a common core of 27 credits in Medical Physics that are shared between the two sponsoring organizations. These are shown below in Table 1. This core has been developed based on the recommendation of the accrediting organizations in Medical Physics.3 The student’s study program will be developed by the student and his/her graduate committee following the requirements and policies of the respective Graduate Schools and in consideration of the recommendations of the accrediting bodies. Each university will determine the specific program concentrations that will be offered at its university and will determine the requirements for, and the curricular content of, the concentrations beyond the core curricula. As noted in the previous section, OSU and OHSU will take a phased approach to establishing the OMP program. Therapeutic radiologic physics and medical health physics will be the first tracks established, based on the initial core competencies of each school. However, as staff and resources become available the remaining specialties will be added, with neither school automatically restricted to any single subspecialty.

3 AAPM Report No. 79, Academic Program Recommendations for Graduate Degrees in Medical Physics, 2002.

Table 1. Medical Health Physics Masters Program (MS) – Core Courses

Subject Area OSHU Course OSU Course

Radiological Physics

Radiophysics (RHP 531- 3 CR) Radiophysics (RHP 531 - 3 CR)

Physiology Physiology (OHSU PHYS 510 – 4 CR)

Principles of Physiology (Z530 – 4 CR)

Radiobiology Radiobiology (OHSU RDTT 540 – 3 CR)

Radiobiology (RHP 583 – 4CR)

Dosimetry Rad Therapy Dosimetry (TMRP 620 – 3 CR)

Radiation Dosimetry (RHP 590 – 4 CR)

Anatomy Anatomy w/Lab (OHSU ANAT 510 – 4 CR)

Advanced Human Anatomy and Physiology Laboratory(Z441 - 2 CR)

Statistics Intro to Statistics (PHPM 524 – 4 CR)

Methods of Data Analysis (ST 511- 4 CR)

Radiation Safety Applied Radiation Safety (RHP 582 – 4 CR)

Applied Radiation Safety (RHP 582 – 4 CR)

Internship/Practicum

Practicum (TMRP 671 – 3 CR) Internship (RHP 510 3 CR)

TOTAL 27 28

Additional credits relevant to the designated specialization (medical health physics, radiological therapeutic physics, nuclear medicine, and diagnostic imaging) will be required. For the Therapy physics class, we will have an annual seminar in ethics and use of human subjects provided during Journal Club. Following completion of coursework all students will be required to pass an oral examination. The suggested two year program in Medical Health Physics is shown below in Table 2. The suggested program for Therapeutic Radiologic Physics is provided in Table 3.

Table 2 - Medical Health Physics Masters Program (MS) Programa

Quarter First Year Credit Hours

Second Year Credit Hours

Fall Radiophysics (RHP 531) 3(E,D) b,c Radiation Shielding (RHP 535)

3(E,D)

Principles of Physiology (Z530) 4(E) Methods of Data Analysis (ST 511))

4(E)

Journal Club (RHP 505) 1(E,D) Principles of Nuclear Medicine (RHP 550)

3(E)

Winter Radiobiology (RHP 583) 4(E,D) Applied Health Physics (RHP 582)

4(E,D)

Advanced Radiation Detection (RHP 536)

4(E) Thesis 3

Journal Club (RHP 505) 1(E,D)

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Spring Radiation Dosimetry (RHP 590)

4(E) Elective 1

Advanced Human Anatomy and Physiology Laboratory(Z441)

2(E) Thesis 3

Journal Club (RHP 505) 1(E,D)

Summer Internship (RH 510) 3(E)

Total Credit Hours 48d

aShown with OSU course designations bE = Existing course, P = Proposed Course cD = Simultaneously offered as distance course dIncludes undergraduate 2 credit course

Table 3 - Therapeutic Medical Radiologic Physics Masters Program (MS)a Quarter First Year Credit

Hours Second Year Credit

Hours Fall Radiation Therapy 1 (TMRP

660) 2(P) b Radiation Therapy Lab 1(TMRP

650) 2(P)

Anatomy w/Lab (OHSU TMRP 610)

4(E) Radiobiology (OHSU TMRP 640) 3(P)

Radiation Protection (OSU – RHP 581/TMRP 681)

4(E,D) Intro to Statistics (PHPM 524) MS

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Journal Club (TMRP RC600-01)

1(P) Radiation Oncology (TMRP 605-01)

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Princ. Scientific Conduct and Practice (CON 650)

2 (E) Journal Club (TMRP RC600-01) 1(P)

Winter Radiation Therapy 2 (TMRP

661) 2(P) b Radiation Therapy Lab 2(TMRP

651) 2(P)

Physiology (OHSU TMRP

611) 4(E) Radiation Oncology (TMRP 505-

02) 1


1(P) Spec Topic Radiation Therapy 1 (TMRP 660)

2(P)

Introduction to Medical Imaging (TBD OGI)

3(P) Advanced Radiation Detection (RHP 636)

4(E)

Journal Club (TMRP RC600-02) 1(P) Spring Radiation Therapy 3 (TMRP

662) 2(P) b Radiation Oncology (TMRP 605-

03) 1

Rad Therapy Dosimetry (TMRP 620)

2(P) Spec Topic Radiation Therapy 2 (TMRP 661)

2(P)


0(P) Journal Club (TMRP RC600-03) 1(P)

Thesis (TMRP 603) or Practicum, (TMRP 671)

3(P)

Summer

Total Credit Hours 59 aShown with OHSU course designations bE= Existing course, P=Proposed Course, D = Simultaneously offered as distance course

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Electives for both programs are listed below. Medical Health Physics Electives (4 credits – OSU Course Designations)

Seminar in RHP RHP 507 1 credit (max. 3) Radiochemistry RHP 416/516 3 credits Nuclear Radiation Shielding RHP 535 3 credits Low Level Radioactive Waste Management RHP 542 3 credits High Level Radioactive Waste Management RHP 543 3 credits Principles of Nuclear Medicine RHP 550 3 credits Field Practices in Radiation Protection RHP 580 1-3 credits Radiation Risk Evaluation RHP 592 3 credits Non-Reactor Radiation Protection RHP 593 3 credits

Suggested Additional Electives (4 credits – OSU Course Designations)

Principles and Practice of Epidemiology H525 3 International Health H529 3 Environmental and Occupational Health H542 3 Health Risk Communication H549 3

Therapeutic Radiologic Physics Electives – (OSU/OHSU Course Designations) Research (TMRP 601) Radiophysics (OSU - RHP 531/TMRP 631) 3 credits (existing, distance)

Radiation Dosimetry, OSU RHP 590/TMRP 590 4 credits Statistics (PHPM 525, 526, 527) Computer Science Grant Writing (OHSU seminars)

OMP Tracks – PhD Degree

Candidates for the doctorate are required to have an M.S. degree in medical physics, physical science or engineering or mathematics or equivalent. This equivalence may be a degree earned, but not yet awarded, or a degree in another related field with a significantly strong medical physics component minor. Additional requirements for the doctorate include the following:

• Passing (B average or higher) graduate courses offered in the Department and in such minor subject courses as judged desirable for satisfactory progress in doctoral research;

• Continuous enrollment until graduation, except for periods in which they are absent for an approved leave of absence. Taking a minimum of 1 credit per term during the regular academic year (fall, winter and spring terms) will constitute continuous enrollment. Registration during the summer term is not required to meet the continuous enrollment requirement, For the Ph.D. degree, a minimum of six full-time academic terms in residence is required.

• Passing a written qualifying examination;

• Preparation and presentation of a written dissertation proposal and subsequent approval by the dissertation committee.

• Passing a preliminary oral examination in the major subject;

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• Successful written and oral presentation and defense of original dissertation research.

The previous is not intended as a comprehensive list. Additional requirements will be specified by the Progress and Promotion Committee and incorporated in the student handbook and will include the academic requirements of the Graduate School of both institutions.

b. Describe new courses. Include proposed course numbers, titles, credit hours, and course descriptions.

All courses will use Grade mode (A, A-, B+, B, B-, C+,C, C-, D+, D, D-, F) except for the courses denoted pass/no-pass

OSU- Proposed new courses

• Therapeutic Medical Physics - 3 credit hours: An introduction to this subspecialty.

Topics to be covered include the therapeutic application of radiation, the analysis and interpretation of radiation equipment performance measurements and the calibration of equipment associated with the production and use of this radiation, the analysis and interpretation of measurements associated with patient doses, and the radiation safety aspects associated with the production and use of such radiation

• Diagnostic Medical Physics – 3 credit hours: An introduction to the subspecialty which examines the diagnostic application of radiation, the analysis and interpretation of image quality, performance measurements and the calibration of equipment associated with the production and use of such radiation, the analysis and interpretation of measurements associated with patient doses and exposures, and the radiation safety aspects associated with the production and use of such radiation;

OHSU – Proposed new courses

• TMRP 530, Radiation Therapy 1, 2 credit hours: Radioactivity, radioactive decay, x-ray generation, ionizing radiation interactions, measurement of ionizing radiation.

• TMRP 531, Radiation Therapy 2, 2 credit hours: Radiation dose distribution and scatter analysis, dosimetric calculations, radiation treatment planning

• TMRP 532, Radiation Therapy 3, 2 credit hours: Electron Beam treatment therapy, brachytherapy, quality assurance for radiation oncology, total body irradiation (photon and electron).

• TMRP 520, Radiation Therapy Dosimetry, 2 credit hours: Theoretical basis for dose measurement (Bragg/Gray cavity theory, Spencer/Attix theory), Output measurement (AAPM Task Group Reports-21, 23 & TG51), electron transport (Hogstrum algorithm).

• TMRP 550, Radiation Therapy Lab 1, 2 credit hours: use of an ionization chamber (cylindrical and parallel plate), stem effect, measurement of tissue maximum ratios (TMR), tissue-air ratios (TARs), Scatter-maximum factor ratios (SMR), collimator Scatter (Sc), phantom scatter (Sp), beam flatness and symmetry, off-axis ratios, depth dose, wedge scanning, x-ray output (TG-21 and TG51 formalism), electron output (TG-21 and TG51 formalism), gantry isocentricity, collimator isocentricity, table isocentricity, electron virtual source distance

• TMRP 551, Radiation Therapy Lab 2, 2 credit hours: (some of these labs will be taught at other facilities by participating physicists): Simulator verification, x-ray dose verification, electron dose verification, total skin electron verification, gaping calculation and measurement, image-guided radiation stereotactic radiosurgery QA, three to four labs using different treatment equipment in the Portland/Vancouver area, Brachytherapy

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QA (Tx plan, hand calc, verification measurement), IMRT QA. • TMRP 560, Special Topics in Radiation Therapy 1, 2 credit hours: Brachytherapy

formalism (TG43), stereotactic radiosurgery, pencil-beam dose calculation, super-position convolution algorithm, overview of Monte Carlo techniques.

• TMRP 561, Special Topics in Radiation Therapy 2, 2 credit hours: Total Body Irradiation; intensity modulated radiation therapy; brachytherapy hand-calculation verification for point, line, plane, volume sources.

• TMRP 571, Practicum, 3 credit hours: Students will work closely with participating physicists to carry out a particular project, such as annual accelerator QA, commissioning a new machine or system (i.e. in vivo diode dosimetry system, image guided radiation therapy). If the number of students is greater than the number of participating physicists, a standard project will be available to the student of doing a certain number of photon, electron, brachytherapy treatment plans, hand verification calculations, and routine accelerator QA.

• TMRP RC500,Journal Club in Therapeutic Medical Physics, 0 credit hours, required: Instructors and students will present current journal articles for discussion each week for 1 hour. This course will be offered every quarter, and students will be expected to take it every quarter with exceptions granted as needed by the student’s mentor. One session each year will be devoted to handling patient health information. This is a pass/no pass course.

• TMRP/OGI XXX, Intro to Medical Imaging, 3 credit hours: Introductory course in computed tomography, magnetic resonance imaging, ultra sound, positron emission tomography, single positron emission tomography.

c. Provide a discussion of any nontraditional learning modes to be utilized in the new courses, including, but not limited to: (1) the role of technology, and (2) the use of career development activities such as practica or internships.

Shared courses may be offered by utilizing distance education technology. The NE/RHP department of OSU has been offering streamed courses concurrent with its onsite offerings in Radiation Health Physics for three years. Both OHSU and OSU have the ability to provide course lectures utilizing a video conference format. A majority of medical physicists will be employed in a clinical environment. Consequently residency training is a key component of these degrees. For example, through OHSU’s program the Radiation Therapy Laboratory will include methods for collecting data needed for radiation treatment planning purposes, machine quality assurance, and labs at other hospitals with unique equipment to demonstrate and carry out quality assurance on these systems (other physicists in the area have expressed interest in this program). One of the last courses will be a practicum, which will be a clinical application at our hospital or another; examples include commissioning a new accelerator, carrying out dosimetry on a radioactive eye plaque, bringing a treatment modality on-line.

d. What specific learning outcomes will be achieved by students who complete this course of study?

This program of study will provide the student with intensive classroom instruction in the fundamentals of medical physics. They will receive residency experience that is relevant to their chosen specialty and attain the tools necessary to practice in the field of medical physics. On successful completion of this program students should demonstrate competency within the following categories (as evidenced by successful completion of coursework and their oral defense):

a. Knowledge and skills

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1. Systematic understanding of Medical Physics in both an academic and professional context,

2. Awareness of current problems and/or new developments in the field. 3. Comprehensive understanding of techniques applicable to their own subspecialty

in Medical Physics. 4. Familiarity with issues in management and safety and their application to Medical

Physics in a professional context. b. Core academic ability

1. Plan and execute under supervision, an experiment or investigation, analyze critically the results and draw valid conclusions.

2. Evaluate the level of uncertainty in their results, 3. Compare these results with expected outcomes, theoretical predictions or with

published data. 4. Critically assess current research and advanced scholarship in the discipline. 5. Demonstrate an ability to make sound judgments in the absence of complete

data, and communicate their conclusions clearly to technical and lay audiences. c. Other skills

1. Communicate complex scientific ideas, the conclusions of an experiment, investigation or project concisely, accurately and informatively;

2. Manage their own learning and to make use of appropriate texts, research articles and other primary sources

4. Recruitment and Admission Requirements

a. Is the proposed program intended primarily to provide another program option to students who are already being attracted to the institution, or is it anticipated that the proposed program will draw students who would not otherwise come to the institution?

As noted earlier the state of Oregon does not have a program to train medical physicists. At OSU students have previously completed their degrees in RHP only to move out of state to attain additional medical physics training. Consequently, this program will complement and build upon existing programs and capabilities and draw (or keep!) students who would not otherwise come.

b. Are any requirements for admission to the program being proposed that are in addition to admission to the institution? If so, what are they?

Admission to the program will be administered by a jointly operated committee which will establish common acceptance and matriculation critieria which meet the requirements of each institution. .

c. Will any enrollment limitation be imposed? If so, please indicate the specific limitation and its rationale. How will students be selected if there are enrollment limitations?

Enrollment caps will be determined by each institution based on staff workloads and the ability to accommodate students. For example, at OHSU enrollment will be limited to 6 students the first year, 6 the following year, and 8 students thereafter. The limited enrollment at the beginning is to ensure the program is viable and to work out any difficulties. For clinical laboratories, it is impractical to have more than 8 students, as the accelerators will only be available after clinical hours, and the space around the vaults and consoles are not suited for large groups. Space for the students at OHSU is also a consideration. Also, there will be limited annual opportunities in the community for the practicum at the end of the program.

5. Accreditation of the Program

a. If applicable, identify any accrediting body or professional society that has established standards in the area in which the proposed program lies.

The primary accrediting bodies for the practice of Medical Physics are (based on the appropriate sub-field): the American Board of Medical Physics, the American Board of Radiology, the Canadian College of Physicists in Medicine or the American Board of Science in Nuclear Medicine. Certification by the American Board of Health Physics is an acceptable qualification for the practice of Medical Health Physics.

The American Association of Medical Physicists in Medicine have recommendations for academic programs in medical physics published as a formal report. They also have a body that accredits programs called Commission on Accreditation of Medical Physics Education Programs, Inc. (CAMPEP) (http://www.campep.org/)

b. If applicable, does the proposed program meet professional accreditation standards? If it does not, in what particular area(s) does it appear to be deficient? What steps would be required to qualify the program for accreditation? By what date is it anticipated that the program will be fully accredited?

This program is being designed to meet the CAMPEP accreditation requirements. Graduates will be able to sit for board exams prior to accreditation.

c. If the proposed program is a graduate program in which the institution offers an undergraduate

program, is the undergraduate program accredited? If not, what would be required to qualify it for accreditation? If accreditation is a goal, what steps are being taken to achieve accreditation?

The OSU RHP BS program in RHP is already accredited by the Related Programs arm of ABET, the American Board of Engineering and Technology. This is not the same accrediting bodies used for accreditation of medical physics programs. However, it illustrates that OSU has the necessary infrastructure, and history, to pursue accreditation for the medical physics program. Accreditation of this program can only be pursued after the program is formally established and graduates have matriculated. Otherwise, OHSU and OSU have the necessary coursework, facilities and faculty to pursue accreditation.

Need 6. Evidence of Need

a. What evidence does the institution have of need for the program? Please be explicit. (Needs assessment information may be presented in the form of survey data; summaries of focus groups or interviews; documented requests for the program from students, faculty, external constituents, etc.)

A graduate program is desperately needed in Oregon due to the present shortage of medical physicists. At the present time, Oregon must “import” all medical physicists from outside the state to treat its expanding population. There are currently about five thousand practicing medical physicists in the United States. Due to the increased complexity of equipment and the patient population, there is a steady increase in demand for this profession. Because of the shortage it generally takes medical establishments 6 months to 1 year to hire a qualified medical physicist and salaries are increasing nearly 10% per year. There are at present only

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eleven certified graduate programs in the U.S., the closest is in Los Angeles, with the next geographically close programs being in Wisconsin, Michigan, Tennessee, and Texas (there are also non-certified programs, the closest ones being in San Francisco, Minnesota, Ohio, and Oklahoma). The shortage is due to recent improvements in technology which are labor-intensive to bring on-line and maintain. Exact numbers of the historical increase of physicists in Oregon are not available, but nationally, the number of members of the American Association of Physicists in Medicine (AAPM) have been 4,291 in 1995, 4615 in 2000 (8% increase over 1995), and 5659 in 2005 (23% increase over 2000). These numbers include diagnostic, nuclear medicine, and some university physicists not active in radiation oncology, but give an indication of the growth in the field

b. Identify statewide and institutional service-area employment needs the proposed program would assist in filling. Is there evidence of regional or national need for additional qualified individuals such as the proposed program would produce? If yes, please specify.

Please see 6.a.

c. What are the numbers and characteristics of students to be served? What is the estimated number of graduates of the proposed program over the next five years? On what information are these projections based?

Per institution it is estimated that six students the first year (5 MS, 1 PhD admitted), 6 students the following year (5 MS, 1 PhD admitted), 8 new students per year thereafter (mix of MS and PhD dependent on funding). After the first 5 years, the estimated number of MS students completing the program will be 22 per institution and the number of PhDs will be 2, with several PhDs having started the program. This information is based on anecdotal evidence of Vanderbilt University Medical Center, which started a program and is now accredited. They also found that after they were accredited the number of applications increased. They only accept 8 per year and have primarily MS students.

d. Are there any other compelling reasons for offering the program?

In its “Notebook for Legislators” 4 the OUS noted that:

“Key economic drivers that Oregon's public universities have contributed to include: • The quality and quantity of graduates from Oregon public universities who enrich and

diversify the state's workforce, attracting and retaining companies and jobs • Cultivation of well-paying jobs that go to Oregonians and reduce the need to import

top management and skill positions from out-of-state, and • Creation of world-class signature research centers and business incubators that

transfer scientific innovation into solutions and products that create new companies, jobs and revenues for Oregon”

OUS recognizes that a quality educational institution can serve as an economic engine for the State. Having graduate students, particularly PhD students, is an essential component of developing quality programs that include research. This proposed program will necessitate and foster collaboration among Oregon universities (OSU, OHSU, OGI), its medical establishment, as well as business entities that serve the medical community.

e. Identify any special interest in the program on the part of local or state groups (e.g., business, industry, agriculture, professional groups).

Unknown

4 See http://www.ous.edu/legnote/ed.htm, “Notebook for Legislators”

http://www.ous.edu/legnote/ed.htm

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f. Discuss considerations given to making the complete program available for part-time, evening,

weekend, and/or placebound students.

OSU currently makes available the majority of its RHP graduate courses through e-campus (as distance learning courses) or as condensed 1- to 2-week intensive onsite classes (e.g., for radiochemistry and advanced instrumentation). The laboratories at OSU and OHSU will require on-site attendance. Some of the OHSU labs may be at different hospitals while the facilities are not treating patients, which will require flexibility on the part of the students and instructors.

Assessment and Outcomes 7. Program Evaluation

a. How will the institution determine the extent to which the academic program meets the objectives (section 2a) previously outlined? (Identify specific post-approval monitoring procedures and outcome indicators to be used.)

The OMP Advisory Board will be established and will advise if the program objectives have been met. The OMP Advisory Board will consist of representatives outside of OSU and OHSU, 1 representative from OHSU, and 1 representative from OSU. The Board will be chaired by a non-OSU/OHSU member. Term appointments to the board would be for 3 years. The OMP program will also establish a Progress and Promotion committee, composed of membership from OHSU and OSU that will be responsible for student acceptance into the program and tracking of student outcomes. The program directorship will alternate between OSU and OHSU every 4 years. The Program Director will be appointed by the Department Chairs of the respective institutions. The first Program Director will be from OHSU. The Deputy Program Directorship will alternate between OSU and OHSU every 4 years, with the Deputy Director assuming the Program Director’s position at the end of 4 years. The Deputy Program Directors will be appointed by the Department Chairs of the respective institutions. The first Deputy Program Director will be from OSU. Proposed members of the Progress and Promotion Committee from OHSU will include the Chief Physicist or delegate, Department Chair; and an additional faculty member within the department appointed by the Chair. OSU representatives include a Medical Physicist appointed by the Chair, the Chair, and an additional faculty member appointed by the Chair within the department. When additional subspectialities are added to the OMP (e.g., diagnostic and nuclear medicine tracks), appropriate representatives from these departments will be added in a similar fashion. At OSU the Nuclear Engineering and Radiation Health Physics Department and the department’s Advisory Board, and at OHSU the Department of Radiation Medicine’s Medical Physics Advisory Committee, will be responsible for collecting the appropriate information on their admitted students; which will be used for evaluating the program’s success in achieving its objectives. This information will include recognition of the program outside of OSU and OHSU; successful employment of students after graduation; successful certification of graduates; and a high degree of student satisfaction (demonstrated through student survey) with the program at graduation and again after two to five years of employment. Evaluation will include trends of enrollment, student evaluation, teaching self-evaluation, graduation success, and employer feedback on student preparation. Programmatically, anOMP Progress and Promotion Committee will consist of equal representatives of the faculty from OHSU and OSU. This committee will consider the data collected by each body and recommendations from the Advisory Board. .

b. How will the collected information be used to improve teaching and programs to enhance student

learning?

At OSU, the Department has both its Nuclear Engineering and its Radiation Health Physics

14

undergraduate programs accredited by ABET. This being the case, the faculty is already familiar with the information needed to improve teaching and maintain a high level of quality. Student learning is assessed through methods recommended by ABET and enhanced by the Department. At OHSU, the data collected (section 7.a) will be accumulated and presented at the OMP Progress and Promotion Committee. 8. Assessment of Student Learning

a. What methods will be used to assess student learning? How will student learning assessment be embedded in the curriculum?

At OSU, Grades, student evaluations, and learning assessments are already collected as part of the Department’s ongoing self-assessment. A system is currently in place to collect the necessary assessment data, as evidenced by our recent 5-year re-accreditation of the NE and RHP undergraduate programs. This infrastructure will be used to provide data to the newly created Progress and Promotions Committee. At OHSU, homework will be collected and examinations, both written and practical, will be given. Grades will be accumulated via the OHSU School of Medicine Registrar. Student assessment of the course and the instructor after each class will be required, accumulated by the Program Administrator, and reviewed by the Progress and Promotion Committee.

b. What specific methods or approaches will be used to assess graduate (completer) outcomes? At OHSU, statistics will be accumulated regarding students starting the program and completing it. The Progress and Promotion Committee will calculate simple ratios to determine that completion ratios are greater than 90% over a 5 year period. Completion ratios will be broken into categories of the students (i.e. MS track, PhD track, accepted on probational basis, PhD residents). Results will be given to the Advisory Committee. At OSU, to ensure that the degree program meets the student’s professional and educational goals there will be a program committee meeting to approve the student's program of study. Learning outcomes that meet the student’s goals will be used as guides to develop the student’s program. At the completion of the student’s program the final oral examination will be used to determine the success of the student in meeting the learning outcomes. The students must pass a comprehensive oral examination. We will also administer a new evaluation form (at exit) to assess their level of satisfaction with the program and their recommendations for improvements. Overall program outcomes will be assessed through retention and graduation percentages, and employer follow-up on preparation of graduates, Both OSU and OHSU graduate outcomes will be presented to the OMP Advisory Board.

c. Is a licensure examination associated with this field of study?

Yes. See item 5 above. Integration of Efforts 9. Similar Programs in the State

a. List all other closely related OUS programs. None.

15

b. In what way, if any, will resources of other institutions (another OUS institution or institutions,

community college, and/or private college/university) be shared in the proposed program? How will the program be complementary to, or cooperate with, an existing program or programs?

As previously described, both OHSU and OSU will jointly administer this program. Oregon Graduate Institute, which is affiliated with OHSU will also administer one to two courses and provide additional research faculty. There is a radiation technologists program at Linn-Benton Community College and a Bachelors degree program at the Oregon Institute of Technology that focus on radiation technology and imaging systems. These programs may provide strong conduits for students interested in medical physics at the baccalaureate or masters level. Historically, NE/RHP has had several graduates from OIT, and several transfer students from LBCC, receive degrees in nuclear engineering and radiation health physics. There is also Bachelors degree radiation therapy technology (RTT) program offered at OHSU in the Radiation Medicine Department through the Allied Health Program, and several of these students have gone on to medical physics programs. Resources to be shared with the RTT program include a treatment planning computer laboratory and some didactic lectures.

c. Is there any projected impact on other institutions in terms of student enrollment and/or faculty workload?

Impact on other institutions should be minimal, due to the limited number of students in the program. The workload of the OHSU and OSU faculty will increase. OHSU is planning for this increase of 0.5 FTE and will hire an additional therapy medical physicist. Resources 10. Faculty

a. Identify program faculty, briefly describing each faculty member's expertise/specialization. Separate regular core faculty from faculty from other departments and adjuncts. Collect current vitae for all faculty, to be made available to reviewers upon request.

i. Core Faculty - OHSU

Darryl Kaurin, PhD, CHP, DABR, Assistant Professor, Therapeutic Radiological Physics Tongming (Tony) He, PhD, DABR, Assistant Professor, Therapeutic Radiological Physics Annica DeYoung, BS, Instructor, Therapeutic Radiological Physics Paul Brown, PhD, DABR, Professor, Diagnostic Radiological Physics (Dr. Brown is retiring, Radiology is recruiting for his replacement) Anne Maddeford, MS, RTT, Assistant Professor, RTT Program Director Linda Yates, BS, RTT, Instructor, RTT Program Faculty Radiation Biologist: Presently Recruiting Charles Thomas, MD, Professor, OHSU Radiation Medicine Department Chair Carol Marquez, MD, Associate Professor, OHSU Radiation Medicine Faculty John Holland, MS, MD, Associate Professor, OHSU Radiation Medicine Faculty Arthur Hung, MD, Associate Professor, OHSU Radiation Medicine Faculty Xubo Song, PhD, Assistant Professor, OGI Electrical Computer Engineer Deniz Erdogmus, PhD, Assistant Professor, OGI Science and Engineering

16

17

ii. Adjunct Faculty – OHSU

Wolfram Laub, PhD, DABR, Therapeutic Radiological Physics Julian Tran, PhD, DABR, Therapeutic Radiological Physics Sandra Colliander, MS, DABR, Therapeutic Radiological Physics

iii. Core Faculty – OSU a. Kathryn Higley, PhD, CHP, Professor, NE/RHP b. David Hamby, PhD, Professor, NE/RHP c. Stephen Binney, PhD, CHP, Professor Emeritus, NE/RHP d. Steven Reese, PhD, CHP, Director Radiation Center, Professional Faculty,

NE/RHP e. Todd Palmer, PhD, Associate Professor, NE/RHP f. Jack Higginbotham, PhD, CHP, Professor, NE/RHP g. Rick Tyson, PhD, Vet Med

iv. Adjunct Faculty – OSU a. Proposed: Dawn Fucillo, Director, Good Samaritan Regional Cancer Center b. Proposed: Elizabeth Shiner, M.S., Good Samaritan Regional Cancer Center c. Proposed: Stacy Mallory, M.S., Linn-Benton Community College

b. Estimate the number, rank, and background of new faculty members who would need to be added to initiate the proposed program in each of the first four years of the proposed program's operation (assuming the program develops as anticipated). What commitment does the institution make to meeting these needs?

At OSU: a medical physicist with clinical experience at the assistant professor rank or higher will be needed to offer expertise in advanced dose calculation and optimization algorithms. OSU will begin the search for this faculty member with a planned start date of Fall 2007. An additional 0.5 FTE medical physicist will be needed at OHSU at the assistant professor rank or higher (see 9.c. above).

c. Estimate the number and type of support staff needed in each of the first four years of the program.

OHSU support staff needs will be limited to that of the Program Administrator. This person will distribute and accumulate enrollment material, statistical data, meeting minutes, and work with the OHSU Program Director. The budget includes 0.1 FTE during the first year, 0.2 FTE for the second year, and 0.3 FTE thereafter. Funds for the Program Administrator will be “in-kind”. 11. Reference Sources

a. Describe the adequacy of student and faculty access to library and department resources (including, but not limited to, printed media, electronically published materials, videotapes, motion pictures, CD-ROM and online databases, and sound files) that are relevant to the proposed program (e.g., if there is a recommended list of materials issued by the American Library Association or some other responsible group, indicate to what extent access to such holdings meets the requirements of the recommended list).

18

THE OHSU LIBRARY The OHSU Library and its branch libraries are part of the OHSU Biomedical Information Communication Center (BICC). The BICC integrates the activities of information and technology services and informatics research to support the teaching, research, patient care and outreach missions of the University. The BICC is one of five original IAIMS (Integrated Advanced Information Management System) sites funded by a grant from the National Library of Medicine (NLM). The OHSU Library system serves as the primary biomedical information resource for the state of Oregon. The Library maintains a collection of books, journals, multimedia, bibliographic and full-text databases and electronic resources in the fields of medicine, nursing, dentistry and the allied health sciences. The OHSU Library is comprised of: the Main Library, which houses current materials the Old Library, housing earlier materials, both on Marquam Hill; the Isabel MacDonald Library at the Oregon National Primate Research Center (ONPRC) and the OGI Samuel L. Diack Science & Engineering Library, both at West Campus; and, an offsite storage facility near the Waterfront Campus. The Main Library is open 74.5 hours/week and is in close proximity to all university and affiliated hospitals. Library services include reference and research services, database searching, interlibrary loans, a photocopy service, and classes. As of June 30, 2005, the total holdings for the OHSU Library are 280,920 bound volumes of journals and books, 90,735 book titles, and 1,120 audiovisual and multimedia titles. In FY 2005, the Library subscribed to 2,087 current journal titles and the collection had a net gain of 4,911 volumes, both books and journals. The portion of the Library's book collection relating specifically to medical physics includes approximately 1,100 titles or 1.2% of the total book collection. The OHSU Main Library and OGI Samuel L. Diack School of Science & Engineering Library collections include current subscriptions to 27 general physics and medical physics-related journal titles. About 70% are online only and 30% are held in both print and online format. Therefore, on and off-campus electronic access is available for all 27 titles. Current subscriptions in general physics as well as medical physics are better than what would be expected in a medium-sized academic health sciences library because of the strong physics collection held by the OGI Library, but some core titles are lacking. These 27 titles are approximately 1.3% of total current subscriptions. A proxy server allows access to online resources via the Web to OHSU faculty, students and staff from on or off-campus. The Library provides around-the-clock access to articles from approximately 4,000 journals in the areas of clinical and basic health science, primatology, alternative or complementary therapies, health administration, biotechnology, business, computer science, education, physical sciences, and engineering, as well as approximately 5,000 general interest titles from EBSCOhost statewide database agreement. Access to electronic journals is available via the OHSU Library catalog at http://catalogs.ohsu.edu/search~S5. The Library subscribes to over 50 databases, and links to many more on the databases web page at http://www.ohsu.edu/library/databases. Subscribed databases include Medline, CINAHL, PsycINFO, Cochrane Library, MD Consult, Micromedex, Stat!Ref, UpToDate, Academic Search Premier, Business Source Premier, Web of Science, Compendex, SciFinder Scholar, and Engineering Village. Most of the databases include full text articles or have the ability to link to the full text of over 6,000 electronic journals through the WebBridge system. All the databases, with the exception of UpToDate, can be accessed off campus as well as on campus.

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Other electronic resources accessible via the Library home page, http://www.ohsu.edu/library/index.shtml, include OCLC's WorldCat and Summit. Summit combines the library collections of 33 Pacific Northwest academic libraries into a single unified database. The majority of these items can be requested easily from any of the libraries in the system and will be received at the OHSU Library within 48 hours. Access is also provided to over 100 full text health sciences books through AccessMedicine, MD Consult, and Stat!Ref, and over 6,000 business, computing, engineering, and general books through Books 24x7 and NetLibrary. OSU Library Resources -

OSU Libraries deliver distinctive and outstanding service to the OSU community and the state of Oregon through support of OSU’s research, instructional, and outreach missions. A dedicated commitment to proven and emerging technologies has enabled us to successfully develop unique collections and services. The Library strengths include:

The Valley Library The Valley Library is Oregon State University's main library. It provides support to meet the informational, reference, and research needs of the faculty, staff, and students at Oregon State University. This support is provided through the library's collection of more than 1.4 million volumes, 14,000 serials, and more than 500,000 maps and government documents. The Valley Library collection comprises materials in all subject areas. The renovated and expanded Valley Library is a center for learning, study, and collaboration. Designed to make maximum use of technology, this spacious, technologically advanced building is heavily used by undergraduate students for both individual and group study. Conceived as a center for student learning and work, the library incorporates tutoring, research, and the necessary technology support for the effective completion of student papers and projects. The Valley Library has developed a variety of technologies for finding and using information productively and efficiently. In addition to its collections, the Valley Library also houses the Northwest Art Collection, a collection of more than 100 paintings, sculptures, photographs, and mixed media artworks. The Guin Library Located within OSU’s Hatfield Marine Science Center (HMSC), the Guin Library is recognized nationally for its strong collection with particular depth in marine fisheries. Guin Library staff tailors services and resources to address the information needs of OSU faculty and students, state and federal agency researchers located at HMSC, marine resource managers, public policy makers, and private industry. Noteworthy collections – paper and digital Excellent collections in natural resources, marine science, forestry, and agricultural science are an important part of the libraries’ offerings. The papers of Ava Helen and Linus Pauling are a cornerstone in our Special Collections’ focus on the history of 20th century science. In recent years, a significant portion of this collection has been digitized to produce an invaluable resource for researchers across the globe. Other digital collections including the Willamette Basin Stream Survey, Virtual Oregon: a Natural Resources Digital Library, and the Braceros in Oregon photograph collection have received considerable recognition for both their regional historical relevance and distinctive quality.

Partnerships and research collaboration The OSU Libraries are recognized for their contributions to statewide, regional, and national library organizations. Membership in the Orbis Cascades Alliance consortium has provided OSU faculty and student access to over 27 libraries, 22 million books, and other critical reference and research materials. Recently, the libraries have joined with OSU departments

http://www.ohsu.edu/library/index.shtml

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to explore collecting, maintaining, and making available digital research by OSU faculty and students through institutional repositories. In a time of significantly reduced funding, we have partnered with the University of Oregon Libraries to construct a mutually beneficial program of collection management.

Technology, innovation, and digital initiatives The Valley Library is known for its Information Commons, a sizeable array of state-of-the-art public-use computer workstations, software, and printers that are busy with students day and night. A growing number of users take advantage of the wireless networking technology within the Valley Library for laptop computers. Resource sharing OSU Libraries actively participate in library consortia to provide increased access to information resources. Students and faculty can request books from libraries in the Orbis Cascades Alliance consortium. Our membership in the Greater Western Libraries Alliance (GWLA) provides access to collections in other libraries as well. OSU Libraries fully covers all costs involved in obtaining materials from other sources – no fees or charges are passed on to faculty or students.

b. How much, if any, additional financial support will be required to bring access to such reference materials to an appropriate level? How does the institution plan to acquire these needed resources?

At OHSU no additional references will be needed. A treatment planning laboratory will be maintained by the vendor serving the clinic.

OSU Libraries are fortunate to have two substantial endowments: the Donald and Delpha Campbell University Librarian Endowed Chair and the Gray Family Chair for Innovative Library Services. These endowments support distinguished library faculty as well as provide funds for innovative projects and the purchase of significant library materials that are beyond the reach of state funds. Generous donations from library supporters are dedicated to the purchase of books and journals that enhance both the general collection and targeted subject areas. Donated and grant funds provide the flexibility to take advantage of opportunities to leverage other revenue and form internal and external partnerships. 12. Facilities, Equipment, and Technology

a. What unique resources (in terms of buildings, laboratories, computer hardware/software, Internet or other online access, distributed-education capability, special equipment, and/or other materials) are necessary to the offering of a quality program in the field?

At OHSU, the medical school setting provides access to physicians who train students; it contains medical physicists who train students. A quality program must offer a lab using state-of-the-art treatment delivery devices (e.g., linear accelerators(LINACs)). Because LINACs cost several million dollars, it must be the same equipment used in the clinic. The medical school will have state-of-the-art equipment. There are different types of LINACs in the Portland metro area, and physics at these non-medical school facilities have indicated they would be happy to have a lab exercise with their equipment. Additional unique resources include the radiation treatment planning systems, which vendors usually can donate at cost. At OSU, the Radiation Center is a unique facility which serves the entire Oregon State University Campus as well as other Oregon universities and numerous institutions of higher education throughout the nation. Located within the Radiation

21

Center are offices and laboratory facilities for the OSU Department of Nuclear Engineering and Radiation Health Physics. There is no other university facility with the combined capabilities of the OSU Radiation Center in the western half of the United States. The Radiation Center provides space and technical support for all types of internal and off-campus instructional activities involving nuclear science, nuclear engineering, nuclear and radiation chemistry, radiation protection and similar programs. Currently, 70-75 different courses per year are taught totally or in part at the Radiation Center; 40% of these use the reactor; and 40% of the reactor's operating hours support these classes. The Radiation Center supports research, development and service programs involving nuclear science and engineering, radiation protection, and related disciplines. It provides a place especially designed for the use and handling of radioisotopes and other sources of ionizing radiation. Research totaling approximately two million dollars per year is performed at the Radiation Center by resident researchers. About 70% of projects use the reactor. Research projects include applications of:

• Neutron activation analysis • Radiotracer techniques • Medical isotope development and production • Radiation sterilization • Radiation dosimeter testing • Boron neutron capture therapy • Radiochemical methodologies

b. What resources for facilities, equipment, and technology, beyond those now on hand, are

necessary to offer this program? Be specific. How does the institution propose that these additional resources will be provided?

No additional facility, equipment, or technology resources will be needed.

13. If this is a graduate program, please suggest three to six potential external reviewers. Charles W. Coffey II, PhD, FAAPM, DABR (Therapeutic) Vanderbilt University Medical Center, B902 TVC, Radiation Oncology, 1301 22nd Ave So., Nashville, TN 37232-5671, [email protected], (615)322-2555, FAX:(615)343-0161. Background: Dr. Coffey has started two therapeutic medical physics programs, the first at the University of Kentucky, and more recently at Vanderbilt University Medical Center (accredited in 2003). Dr. Coffey has held numerous positions in the AAPM, including the presidency and educational committees.

Bhudatt R. Paliwal, PhD, FAAPM, DABR (Therapeutic), Univ. Hosp, K4/B100, 600 Highland Ave.Madison , WI 53792, [email protected], 608-263-8514, Fax:608-263-9167. Background: Dr. Paliwal is the chief physicist at the University of Wisconsin, which has the largest medical physics graduate program in the country and is a therapeutic medical physicist. In addition to numerous positions in the AAPM, including the presidency, he has been a member and Chair of committees, subcommittees, and task groups for the education of medical physicists. Kenneth R. Hogstrom, PhD, DABR (Therapeutic) FAAPM, Dept. of Physics & Astronomy, Louisiana State University, 202 Nicholson Hall, Baton Rouge , LA 70803-4001, [email protected], 225-578-0590 Fax:225-578-0824. Background: Dr. Hogstrom has been the chief physicist at MD Anderson Medical Center in Houston, Texas, the largest radiation cancer therapy program in the US with the second largest number of PhD medical physics graduates, and more recently is the chief physicist and director of the medical physics program at Louisiana State University. The program he started in Louisiana is new and has not yet been accredited. In addition to numerous positions in the AAPM, including the presidency, he has

mailto:[email protected]



22

been a member and Chair of committees, subcommittees, and task groups related to the education of medical physicists. Richard J. Vetter, PhD, CHP, Mayo Clinic/Radiation Safety, 200 1st St SW, MS B28, Rochester, MN 55905, [email protected], (507)284-4408. Fax(507)284-0150. Background: Dr. Vetter is a health physicist, and has many positions in the Health Physics Society, including the editor of the Health Physics Journal, and the presidency. His input would be helpful for the Medical Health Physics Program. Ralph P. Lieto, MS. DABR (Medical Nuclear Physics), Radiation Safety Officer/Medical Physicist, Radiation Safety Office, St. Joseph Mercy Hospital, 5301 E. Huron River Dr. PO Box 995, Ann Arbor, MI 48106-0995 [email protected] (734)712-5334, FAX: (734)712-5334. Background: Mr. Lieto has held the following positions in the AAMP: Member of CRCPD Subcommittee, Chair of Government and Regulatory Affairs, Member of, Professional Council as Chair of Government and Regulatory Affairs, past chair of Radiation Safety Subcommittee, Member of Task Group No. 115 Educator's Resource Guide. His input would be helpful for the Medical Health Physics Program.

14. Budgetary Impact

a. On the “Budget Outline” sheet (available on the Forms and Guidelines Web site), please indicate the estimated cost of the program for the first four years of its operation (one page for each year). The “Budget Outline Instructions” form for filling out the Budget Outline is available on the Forms and Guidelines Web site, as well.

See attached for the four year budgetary estimate by institution. For the OHSU budget, the expenses are for the teaching time and administration. For faculty, a standard internal formula was used to calculate the FTEs for teaching (the formula includes additional time needed to develop new courses as opposed to existing courses). Using the formula, the number of medical physics FTEs were 0.3, 0.58, and 0.45 for Y1,Y2, Y3+, respectively. Administrative support was estimated to be 0.1, 0.2, and 0.3 FTE for Y1,Y2, Y3+, respectively. The budget was then calculated using the extrapolated average salaries multiplied by the number of FTEs, however, Dr. Thomas has offered administrative support to be “in-kind”. The income is from tuition costs. For the present application, the income used was based on state tuition levels. OHSU can set tuition levels at cost, which may be greater than that of state tuition levels when considering the Dean’s tax on tuition and if administrative costs are to be supported by the program at a later date. Tuition will be the same at both institutions. For the OSU budget the costs shown include salary, benefits, overhead, startup monies (in the first year only) and ongoing library costs. The Dean of OSU’s College of Engineering (Ron Adams) previously committed to funding a new position within the Department of Nuclear Engineering and Radiation Health Physics, specifically targeted to Medical Physics. A letter reiterating that commitment accompanies this proposal package. Because of this commitment, the estimated salary and startup costs shown as part of the Cat 1 proposal are actually budget neutral. It also should be noted that this collaborative agreement will provide enhanced opportunities for funded research by both OHSU and OSU. OSU will have increased opportunities for access to NIH grants. It will also provide clinical opportunities for our students, which have previously been severely limited.



23

b. If federal or other grant funds are required to launch the program, describe the status of the grant application process and the likelihood of receiving such funding. What does the institution propose to do with the program upon termination of the grant(s)?

None planned at this time

c. If the program will be implemented in such a way as to have little or minimal budgetary impact,

please provide a narrative that outlines how resources are being allocated/reallocated in order that the resource demands of the new program are being met. For example, describe what new activities will cost and whether they will be financed or staffed by shifting of assignments within the budgetary unit or reallocation of resources within the institution. Specifically state which resources will be moved and how this will affect those programs losing resources. Will the allocation of going-level budget funds in support of the program have an adverse impact on any other institutional programs? If so, which program(s) and in what ways?

Program will have minimal budgetary impact. An additional 0.5 physicist FTE and 0.1 – 0.3 administrative FTE will be needed at OHSU, and will be paid for out of tuition so it is budget neutral. As noted for OSU in item (a) above, a previous commitment to hiring a medical physicist has been made by the Dean of COE, as such the budgetary impact will be minimal.

Budget Outline

Estimated Costs & Sources of Funds for Proposed Program (Total new resources required to handle the increased workload, if any. If no new resources are required, the budgetary impact should be reported as zero. See the “Budget Outline Instructions” on the Forms and Guidelines Web site.)

OHSU Radiation Medicine Institution: Therapeutic Medial Physics Program: 2007-2008 Academic Year:

indicate the year: x First ٱ Second ٱ Third ٱ Fourth; prepare one page each of the first four years.

Column A Column B Column C Column D Column E Column F

From

Current Budgetary Unit

Institutional Reallocation from

Other Budgetary Unit

From Special State Appropriation

Request

From Federal Funds & Other Grants

From Fees, Sales, & Other

Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $-41,473 (0.3) NA NA NA $65,112 $23,639

Graduate Assistants (include FTE) 0 NA NA NA 0 0

Support Staff (include FTE) $-3,387 (0.1) NA NA NA 0 $-3,387

Fellowships/Scholarships 0 NA NA NA 0 0

OPE $-14,355 NA NA NA $0 $-14,355

Nonrecurring 0 NA NA NA 0 0

Personnel Subtotal: $-59,214 NA NA NA $65,112 $5,898

Other Resources Library/Printed 0 NA NA NA 0 0

Library/Electronic 0 NA NA NA 0 0

Supplies and Services 0 NA NA NA 0 0

Equipment 0 NA NA NA 0 0

Other Expenses 0 NA NA NA 0 0

Other Resources Subtotal: NA NA NA 0 0

Physical Facilities Construction 0 NA NA NA 0 0

Major Renovation 0 NA NA NA 0 0


Physical Facilities Subtotal: 0 NA NA NA 0 0

GRAND TOTALS: $-59,214 ($4,470 of this is in-kind)

$65,112 $5,898 ($10,368 with in-kind)

6/02

24

Budget Outline


OHSU Radiation Oncology Institution: Therapeutic Medial Physics Program: 2008-2009 Academic Year:

indicate the year: ٱ First x Second ٱ Third ٱ Fourth; prepare one page each of the first four years.


From





Request



Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $-84,797 (0.58) NA NA NA $130,224 $45,427 Graduate Assistants (include FTE) 0 NA NA NA 0 0 Support Staff (include FTE) $-6,976 (0.2) NA NA NA 0 $-6,976 Fellowships/Scholarships 0 NA NA NA 0 0 OPE $-29,368 NA NA NA $0 $-29,368 Nonrecurring 0 NA NA NA 0 0







Other Resources Subtotal: 0 NA NA NA 0 0





GRAND TOTALS: $-121,141 ($9,209 will be in-kind) $130,224 $9,083 ($18,292

with in-kind) 6/02

25

Budget Outline



indicate the year: ٱ First ٱ Second ٱ xThird ٱ Fourth; prepare one page each of the first four years.


From





Request



Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $-67,575 (0.45) NA NA NA $151,928 $84,353

Graduate Assistants (include FTE) 0 NA NA NA 0 0

Support Staff (include FTE) $-10,778 (0.3) NA NA NA 0 $-10,778

Fellowships/Scholarships 0 NA NA NA 0 0

OPE $-25,073 NA NA NA $ $-25,073

Nonrecurring 0 NA NA NA 0 0







Other Resources Subtotal: NA NA NA 0 0





GRAND TOTALS: $-103,426 ($14,228 in-kind) $151,928 $48,502 ($62,728

with in-kind) 6/02

26

Budget Outline



indicate the year: ٱ First ٱ Second ٱ Third ٱ xFourth; prepare one page each of the first four years.


From





Request



Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $-70,278 (0.45) NA NA NA $173,632 $103,354 Graduate Assistants (include FTE) 0 NA NA NA 0 0 Support Staff (include FTE) $-11,102 (0.3) NA NA NA 0 $-11,102 Fellowships/Scholarships 0 NA NA NA 0 0 OPE $-26,042 NA NA NA $0 $-26,042 Nonrecurring 0 NA NA NA 0 0







Other Resources Subtotal: 0 NA NA NA 0 0





GRAND TOTALS: $-107,422 ($14,654 in-kind) $173,632 $66,210 ($80,864

with in-kind) 6/02

27

Budget Outline


OSU Medical Physics Institution: Medical Physics Program: 2007-2008 Academic Year:

indicate the year: x First ٱ Second ٱ Third ٱ Fourth; prepare one page each of the first four years.


From





Request



Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $109,674 (1.0 ) $109,674 Graduate Assistants (include FTE) Support Staff (include FTE) Fellowships/Scholarships OPE $49,353 $49,353 Nonrecurring

Personnel Subtotal: $159,028 $159,028 Other Resources Library/Printed $2500 $2500 Library/Electronic $2500 $2500 Supplies and Services Equipment Other Expenses $45000 $50000

Other Resources Subtotal: $50000 $50000

Physical Facilities Construction

Major Renovation

Other Expenses

Physical Facilities Subtotal: NA NA NA 0

GRAND TOTALS: $209,028 0 $209,028

6/02

28

Budget Outline



indicate the year: First ٱX Second ٱ Third ٱ Fourth; prepare one page each of the first four years.


From





Request



Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $114,061 (1.0) $114,061 Graduate Assistants (include FTE) Support Staff (include FTE) Fellowships/Scholarships OPE $51,328 $51,328 Nonrecurring

Personnel Subtotal: $165,389 $165,389

Other Resources Library/Printed $2500 $2500 Library/Electronic $2500 $2500 Supplies and Services 0 0 Equipment 0 0 Other Expenses 0 0


Physical Facilities Construction 0

Major Renovation 0

Other Expenses 0

Physical Facilities Subtotal: 0

GRAND TOTALS: $170,389 0 $170,389

29

Budget Outline



indicate the year: First ٱ Second X Third ٱ Fourth; prepare one page each of the first four years.


From





Request



Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $118,624 (1.0) $118,624 Graduate Assistants (include FTE) Support Staff (include FTE) Fellowships/Scholarships OPE $53380 $53380 Nonrecurring

Personnel Subtotal: $172004 $172004

Other Resources Library/Printed $2500 $2500 Library/Electronic $2500 $2500 Supplies and Services

Equipment

Other Expenses



Major Renovation

Other Expenses

Physical Facilities Subtotal:

GRAND TOTALS: $177,004 0 $177,004

30

Budget Outline



indicate the year: First ٱ Second ٱ Third X Fourth; prepare one page each of the first four years.


From





Request



Income

LINE ITEM

TOTAL

Personnel Faculty (include FTE) $123368 (1.0) $123368 Graduate Assistants (include FTE) Support Staff (include FTE) Fellowships/Scholarships OPE $55,516 $55,516

Nonrecurring

Personnel Subtotal: $178884.5 $178884.5

Other Resources Library/Printed $2500 $2500 Library/Electronic $2500 $2500 Supplies and Services Equipment Other Expenses



Major Renovation

Other Expenses

Physical Facilities Subtotal:

GRAND TOTALS: $183,884 0 $183,884

31

proposal for the initiation of a new instructional program leading to the statewide ms or phd in

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