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THE PREPARATION FOR THE
CLINICAL RADIATION ONCOLOGY
MEDICAL PHYSICS RESIDENCY
TRAINING PROGRAMME-PHILIPPINE
EXPERIENCE
Lilian V. Rodriguez
National Project Coordinator
Clinical Radiation Oncology Medical
Physics Residency Programme,
Philippines
Introduction of ROMP to the
Philippines
• 5th SEACOMP
November 21-23, 2007
University of Santo Tomas
Manila
“IAEA-RCA Clinical Training Modules In
Radiation Oncology Medical Physics” –
A/Prof. John Drew
“Experience in Piloting the IAEA ROMP
Clinical Training Modules”- Dr. Anchali
Krisanachinda
Why participate in piloting
the ROMP?
• Masters Degree program at USTGS
was a project of IAEA.
• Recent graduates of the program
are not allowed to practice by
regulatory bodies without
supervision or without proof of
training
• Future regulations would include
certification and residency
Initial Stage of Preparation
• Implementation Guide of the RCA
Clinical Training Programme for
Radiation Oncology Medical
Physics
• Application form to Participate in
the RCA Pilot Clinical Training
Programme in Radiation Oncology
Medical Physics
Initial Stage of Preparation
• Identification of the essential
requirements for the
implementation of the Program
– National Responsible Authorityprovide formal recognition of the
qualification of ROMP
• Philippine Nuclear Research Institute
(PNRI), DOST
• Bureau of Health Devices and
Technology (BHDT), DOH
Initial Stage of Preparation
• Identification of the essential
requirements for the implementation of
the Program
– National Steering Committee Members*
• Ms Agnette Peralta, Chairperson- National Project
Coordinator RAS/6/038 for the Philippines
• Mr. Gil Palcone, President -Philippine
Organization of Medical Physicists
• Representative form the Philippine Radiation
Oncology Society
• Mr. Rafael C. Solis- VP, St. Luke’s Medical
Center, (representative from the Hospital
Management)
*Not yet complete
Initial Stage of Preparation
• Identification of the essential
requirements for the implementation of
the Program
– National Programme Coordinator
(Lilian V. Rodriguez)
– Support Group
(Dr. Enrico Tangco, Dr. Teresa Sy Ortin, Dr.
Gaudencio Vega, Mr. Bayani San Juan, Mr.
Teofilo Hermoso, Ms. Monica Bacaling,
external radiation oncology medical
physicist*, etc.)
Initial Stage of Preparation
• Identification of the essential
requirements for the implementation of
the Program
– Criteria for Clinical Departments
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Teletherapy Unit
Brachytherapy
Treatment Planning System
Simulator/CT Simulator
Dosimetry Equipment
Medical Physicist with Master’s degree (or about
to graduate) with at least 5 years experience
Initial Stage of Preparation
• Identification of the essential
requirements for the implementation of
the Program
– Clinical Departments
• St. Luke’s Medical Center, Q.C.
• University of Santo Tomas Hospital-Benavidez
Cancer Institute, Manila
• Makati Medical Center, Makati City
• Cardinal Santos Medical Center, Pasig City
• The Medical City, Mandaluyong City
• University of Perpetual Help Rizal Medical Center,
Las Pinas
CLINICAL DEPARTMENTS
• All six departments have at least one
linear accelerator, simulator and/or CT
simulator.
• One of the six departments uses LDR
manual afterloader. The rest have HDR
brachytherapy machines.
• All departments have automatic
waterphantom systems, dosemeter (with
0.6cc, plane parallel and small diameter
chambers), and waterphantoms.
CLINICAL DEPARTMENTS
• All departments perform 3-D
conformal, 5 perform IMRT and 3
perform SRS
• No department has TLDs but 2
have diodes for dose verification
Initial Stage of Preparation
• Identification of the essential
requirements for the
implementation of the Program
– Criteria for Clinical Supervisors
• Must have a Masters degree or is about
to graduate from the course.
• Must have in-depth clinical experience in
radiation oncology medical physics
Initial Stage of Preparation
• Identification of the essential
requirements for the implementation of
the Program
– Clinical Supervisors
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Mr. Julius Cezar Rojales (SLMC)
Mrs. Maureen Bojador (USTH)
Mr. Jonathan Corpuz (MMC)
Miss Verleah Gonio (CSMC)
Mr. Mart Lester De Guzman (TMC)
Mr. Norberto Abella (UPHRMC)
Initial Stage of Preparation
• Identification of the essential
requirements for the implementation of
the Program
– Selection of Residents
• Priority is given to those employed in the hospital
• Residents must file an application form to the
Department
• Application will be endorse to the National
Program Coordinator
• National Program Coordinator and External
Coordinator to review
Initial Stage of Preparation
• Identification of the essential
requirements for the
implementation of the Program
– Selection of Residents
• Only 4 residents have been identified,
and three of these residents work in the
Clinical Departments that have been
identified
National Responsible Authority
(BHDT, PNRI)
External
Coordinator
(IAEA
Designated)
National Steering Committee
(Agnette P. Peralta, Gil Palcone, Rafael C. Solis, PROS Rep)
External
Reviewer
National Project Coordinator (RAS 6/038)
(IAEA
Designated)
(Agnette P. Peralta)
Professional
Body (POMP)
National Programme Coordinator
(Lilian V. Rodriguez)
Support Group)
(Drs, Physicists, etc)
TMCClin
Supervisor
MMC Clin
Supervisor
SLMC Clin
Supervisor
USTH Clin
Supervisor
CSMCClin
Supervisor
UPHRMC
Supervisor
ML DeGuzman
JD Corpuz
JC Rojales
MR Bojador
VC Gonio
NA Abella
Resident
Resident
Resident
Resident
Resident
Resident
Vacant
RR Remoto
DJ Manlapaz
Vacant
JP Limbo
DA Loria
Second Stage of Preparation
• Letters were sent to:
– Hospital Administrators
– Head of the Radiation Oncology
Departments
• Presentation was made during the
Scientific Meeting of the Philippine
Organization of Medical Physicists held
on April 5, 2007 in Binan, Laguna
• Information was uploaded in the POMP
Yahoo Groups
Second Stage of Preparation
• Meetings with the Proposed Clinical
Supervisors
– Administrative concerns
– Variation in clinical oncology services
– Certification Process
– Commitment to the program
– Recruitment, Support and Tenure of
Residents
Second Stage of Preparation
• Meetings with the Proposed Clinical
Supervisors
– Organizational Support (IAEA)
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Train the trainers (clinical supervisors)
Other IAEA Training Programmes
Books and reference materials
IAEA Training Guides
Second Stage of Preparation
• Meetings with the Proposed Clinical
Supervisors
– Organizational Support (IAEA)
• How departments get assistance from
experts as stated in guide
• Application forms for residents
• Sample assignments, templates for
learning agreement and forms necessary
for the administration of the programme
are missing
IAEA Train the Trainers
• Professor Brian Thomas
• September 2-6, 2008
• St. Luke’s Medical Center,
Cathedral Heights, E. Rodriguez,
Sr. Blvd., Quezon City
This is just the beginning…..
• Before September 2:
– Complete list of members of National
Steering Committee
– Complete commitment of all
administrators to the project
– Complete recruitment of residents for
the facilities
• By October:
– Programme is in full swing
THANK YOU!