Educators Resource Guide

Sources for Existing Fluoroscopy Training Programs

• Fluoroscopic Safety, LLC offers both Advanced and Basic Training Programs in the safe use of fluoroscopy. The Advanced Training Program has been approved for up to 8 hours of AMA PRA Category I CME and participants in the Basic Training Program may claim up to 5 hours of self-reported Category 2 CME credit. Developed by two board certified physicists and a board certified radiologist with a CAQ in Interventional Radiology. A detailed hands-on lab guide is available. Available for purchase at www.xraysafety.org
• AAPM Rocky Mountain Chapter Web based Training Program, Examination and Certificate for compliance with Colorado regulations.
  
  
• Minimizing Risks form Fluoroscopic X Rays for Anesthesiologists, Cardiologists, Gastroenterologists, Interventionalists, Orthopedists, Physiatrists, Pulmonologists, Radiologists, Radiologic Technologists, Surgeons, and Urologists 4th Edition, 7th Printing,by Wagner LK, Archer BR. Partners in Radiation Management, Ltd. Company provides training information, test and continuing education credits, as well as hard and soft copy licenses (for purchase).
  
  
• AAPM (1998). American Association of Physicists in Medicine. Managing the Use of Fluoroscopy in Medical Institutions. AAPM Report No. 58. American Association of Physicists in Medicine, College Park, Maryland. Didactic syllabus and test.

Google search for Fluoroscopy Training or Fluoroscopy Radiation Safety for university training programs available on line.

Sources of Information for Developing a Training Program

• RSNA-AAPM Online Physics Modules.  (2009 to Present) “Fluoroscopy Systems”, “Radiation Dose and Safety in Interventional Radiology”, “Basic Radiation Biology”, “Radiation Effects”.  Radiological Society of North America, Oak Brook, IL and American Association of Physicists in Medicine, College Park, MD.  Available to RSNA and AAPM members free of charge.
  
  
• American Association of Physicists in Medicine A Guide to the Teaching of Clinical Radiological Physics to residents in Diagnostic and Therapeutic Radiology. AAPM Report No. 64. American Association of Physicists in Medicine, College Park, MD, 1999.
  
  
• National Council on Radiation Protection and Measurements. Radiation Dose Management for Fluoroscopically-Guided Interventional Medical Procedures, NCRP Report No. 168. National Council on Radiation Protection and Measurements, Bethesda, MD, 2011.
  
  
• Chambers CE, Fetterly K, Holzer R, Lin PJP, Blankenship JC, Balter S, Laskey WK. , Radiation Safety Program for the Cardiac Catheterization Laboratory. Cath and Card Interv., 2011 77: 510-514.
  
  
• ACR Technical Standard for Management of the Use of Radiation in Fluoroscopic Procedures . American College of Radiology, Reston, VA, 2008. Available at www.acr.org.
  
  
• ACR White Paper Recommendations on Radiation Dose in Medicine. The American College of Radiology, Reston, VA, 2007. Available at www.acr.org.
  
  
• Image Gently has expanded its campaign to reduce pediatric radiation doses from CT procedures to include fluoroscopy. See here or here.
  
  
• Image Gently Guidance for pediatric interventional radiologist for dosed reduction.
  
  
• ACR Practice Guidelines for specific procedures. Available at www.acr.org.
  
  
• American College of Cardiology-American Heart Association Expert Consensus Document. “2012 American College of Cardiology Foundation-Society for Cardiovascular Angiography and Interventions Expert Consensus Document on Cardiac Catheterization Laboratory Standards Update.” J. Am. Coll. Cardiol. Published on line May 8, 2012.
  
  
• Society of Interventional Radiology Clinical Practice Guidelines and Standards of Practice. Main webpage has sub-sites for consensus, credentialing, safety and emerging technologies statements.
  
  
• ACR-SIR-SNIS Practice Guideline for Interventional Clinical Practice (2009 Revision).
  
  
• Quality Improvement Guidelines for Preventing Wrong Site, Wrong Procedure, and Wrong Person Errors: Application of the Joint Commission "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery" to the Practice of Interventional Radiology. Angle JF, Nemeck AA Jr, Cohen AM, Miller DL, Grassi CJ, D'Agostino HR, et al. for the SIR Standards Division. J Vasc Interv Radiol 2008; 19:1145-1151.
  
  
• Quality Improvement Guidelines for Recording Patient Radiation Dose in the Medical Record for Fluoroscopically Guided Procedures. Miller DL, Balter S, Dixon RG, Nikolic B, Bartal G, Cardella JF, er al. for the Society of Interventional Radiology Standards of Practice Committee, J Vasc Interv Radiol 2012; 23:11-18.
  
  
• Interventional Fluoroscopy: Reducing Radiation Risks for Patients and Staff. Miller DL. J Vasc Interv Radiol 2009; 20:S274.
  
  
• Occupational Health Hazards in the Interventional Laboratory: Time for a Safer Environment. Klein LW, Miller DL, Balter S, Laskey W, Haines D, Norbash A, et al., on behalf of the members of the Joint Inter-Society Task Force on Occupational Hazards in the Interventional Laboratory. J Vasc Interv Radiol 2009; 20:147-153.
  
  
• Occupational Radiation Protection in Interventional Radiology: A Joint Guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology. Miller DL, Vano E, Bartal G, Balter S, Dixon R, Padovani R, et al. J Vasc Interv Radiol 2010; 21:607-615.
  
  
• Radiation Management for Interventions Using Fluoroscopic or Computed Tomographic Guidance during Pregnancy: A Joint Guideline of the Society of Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe with Endorsement by the Canadian Interventional Radiology Association. Dauer LT, Thornton RH, Miller DL, Damilaki J, Dixon RG, Marx MV, et al., for the Society of Interventional Radiology Safety and Health Committee and the Cardiovascular and Interventional Radiology Society of Europe Standards of Practice Committee. J Vasc Interv Radiol 2012; 23:19-32.
  
  
• Training Standards for Physicians Performing Peripheral Angioplasty and Other Percutaneous Peripheral Vascular Interventions: A Statement for Health Professionals from the Special Writing Group of the Councils on Cardiovascular Radiology, Cardio-Thoracic and Vascular Surgery, and Clinical Cardiology, the American Heart Association. Levin DC, Becker GJ, Dorros G, Goldstone J, King SB, Seeger JM, et al. J Vasc Interv Radiol 2003 14: S359-S361.
• Credentials for Peripheral Angioplasty: Comments on Society of Cardiac Angiography and Intervention Revisions. Sacks D, Becker GJ, and Matalon TAS. J Vasc Interv Radiol 2003 14: S363-S367.
  
  
• Position Statement: Documenting Physician Experience for Credentials for Peripheral Arterial Procedures—What You Need to Know: A Consensus Statement Developed by the Standards Division of the Society of Interventional Radiology. Lewis CA, Sacks D, Cardella JF, and McClenny TF. J Vasc Interv Radiol 2003 14: S373.
  
  
• Training, Competency, and Credentialing Standards for Diagnostic Cervicocerebral Angiography, Carotid Stenting, and Cerebrovascular Intervention. Connors JJ, Sacks D, Furlan AJ, Selman WR, Russell EJ, Steig PE, et al., for the Neurovascular Coalition Writing Group. J Vasc Interv Radiol 2004; 15:1347-1356.