Executive Order On Education In Radiation Therapy

Original Language Title: Bekendtgørelse om uddannelse i stråleterapi

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Overview (table of contents) Chapter 1 Purpose

Chapter 2 Features

Chapter 3 Education

Chapter 4 Rating, etc.

Chapter 5 Education responsibilities and structure

Chapter 6 Board of education

Chapter 7 appeals and supervision

Chapter 8 entry into force

Annex 1

Annex 2 The full text of the Executive order on education in radiation therapy

Under section 16 of the Act No. 451 of 22. May 2006 on approval of health professionals and health professional activity and after negotiation with the Minister of education shall be established under the authority of the Minister of health and prevention.

Chapter 1


§ 1. The purpose of the training in radiation therapy is that the students acquire knowledge, skills and competences with a view to implementation of radiotherapy.

Chapter 2


§ 2. Functions within the radiation therapy include:

1) implementation of radiotherapy with computer controlled apparatus, including

a) ensuring the practical implementation of a prescribed course of treatment

(b)) the use of guidelines for optimal radiation protection

2) communication with, care for and observation of patients in radiation therapy, so as to allow for specific identification of and intervention for radiotherapy-related side effects

3) involvement in quality development within the Department

4) Participation in interdisciplinary cooperation in the field of radiation therapy.

Chapter 3


Conditions of access

§ 3. Applicants who meet the following 2 conditions can be included in the training:

1) conducted a health professional bachelor or equivalent previous medium of higher health vocational education

2) Obtained Danish authorization.

(2). The training is conducted in connection with a 1-year-old recruitment on a radiotherapy Department approved by the Board of education referred to in section 16. The training consists of theoretical instruction and systematically, supervised and guided clinical training.


§ 4. The training is of 1 year's duration (equivalent to 60 ECTS credits). Theory lessons includes 12 weeks (equivalent to a total of 18 ECTS credits) and the clinical training 33 weeks (equivalent to a total of 42 ECTS-points).

Content and objectives

§ 5. Education must give the learners the opportunity to acquire knowledge, skills and competencies to independently carry out practical implementation of radiotherapy. Training goals are elaborated in annex 1.

§ 6. The training is organised in an interaction between theory and practice.

§ 7. The theoretical training is carried out at an educational institution that is relevant to the training in radiation therapy.

§ 8. The clinical training takes place at the place of employment, however, with the possibility for shorter educational stay at other radiotherapy departments.

(2). The clinical training shall designate an educational responsible physicist, who ensures that the learners will achieve sufficient competence to perform radiation therapy in accordance with applicable notice of electron accelerators for patient treatment.

(3). The clinical training shall designate a clinical supervisor, providing supervision and guidance on radiation therapy after the training programme and to ensure that ongoing evaluation is carried out by the learners.

(4). The clinical supervisor and the learners shall together organise a training programme for the clinical period as well as a plan for an ongoing evaluation of the candidates ' education and clinical training. The program should proceed on the basis of the applicant's education and experience, the actual clinical practice and related theory.

Credit transfer

§ 9. Education Council, see. § 16, after an individual assessment grant exemption for shortening the training (merit) in the light of other documented relevant training.

Chapter 4

Rating, etc.


§ 10. In connection with the theoretical training periods held two written, individual samples judged pass/fail. The one is judged by an external examiner.

Final practical exam

§ 11. In connection with the completion of education held an individual practical exam, graded pass/fail by internal examiner. The learners must demonstrate to meet the objectives of both the theoretical as clinical training in planning, implementation and discussion of representative parts of the patient's radiotherapy. There will be examined in four courses, where treatments represent different treatment techniques.

Retaken and medical exam

§ 12. The learners can prepare itself for the tests and the final practical exam 3 times.

(2). Medical exam can be held.


§ 13. The educational institution shall issue one of the National Board of Health approved diploma for completed education. Education level of theory and clinical training shall be entered in the certificate.

(2). The person who conducted the training, given the term radiation therapist.

(3). The educational institution leads list of training recorded people and register of issued certificates. The educational institution shall notify the health protection agency, which persons who have completed the training.

(4). Health Agency keep a register of persons who have successfully completed the training.

Chapter 5

Educational responsibility and structure

§ 14. Regions entrepreneur training in radiotherapy and designate educational institutions, see. Annex 2

(2). Educational institutions shall draw up together a nationwide educational system. In the educational system shall be determined in accordance with the rules laid down in this Ordinance arrangements for:

1) Training Organisation in theoretical and clinical training periods

2) Objectives and content for the individual clinical and theoretical training periods

3) overview of subjects and time allocation in theory sessions

4) rules for the conduct of tests and final practical exam (time, form, conditions, medical exam, etc.)

5) requirements for instrumental clinical training sites

6) requirements for teachers

7) absence, including rules on the extension of the training by the absence of a defined extent.

(3). Training scheme set by it pursuant to § 16 reduced Board of education to the Board of Health's approval. Implementation of training in accordance with paragraph 1 assumes that the health protection agency has approved training scheme.

§ 15. The costs for the implementation of the programme shall be borne by the regions.

Chapter 6

Board of education

§ 16. The regions shall set up a National Board of education.

(2). The Education Council has the following composition:

1) 4 experts with broad clinical experience at high levels from radiotherapy area designated by Danish regions comprising a Chief physicist, a senior doctor with the responsibility and competence in accordance with the National Board of Health's notice of electron accelerators for patient treatment and two clinical representatives for radiation therapy, including one with managerial responsibilities.

2) 1 member appointed by the Board of health.

3) 1 member from each of the training institutions (training manager).

(3). Education Council elects itself and shall adopt its rules of procedure.

(4). The Council may convene special education experts for lighting of special issues.

(5). The Education Council has the following duties and responsibilities:

1) responsibility for training is carried out in accordance with approved training scheme

2) Setting of the training institution (s) produced the nationwide training scheme to the National Board of Health's approval

3) approval of radiotherapy departments that can help in training

4) establishment and coordination of the external examiners ' company and the appointment of censors

5) continued assessment of the need for training in radiation therapy

6) contribution to coordination of the total number of training places

7) the processing of appeals from decisions of the educational institution (s) and the clinical training sites

8) evaluation of the possibility of shortening the training (merit) on the basis of documented other relevant education

9) Assessment of foreign qualifications and the recommendation to the Board of health of the persons who must be issued a document that acknowledges these to function in radiation therapy

10) Annual reporting to the health protection agency on training, etc.

Chapter 7

Redress and supervision

§ 17. Appeals from decisions of the educational institution (s) or the clinical training sites may be brought before the Council not later than two weeks after the training, that the complainant is made aware of the decision.

§ 18. Appeals from decisions of the Council may be brought before the Board of health education within 2 weeks after, that the complainant is made aware of the decision. Health Agency's decisions cannot be brought before another administrative authority.

§ 19. The health protection agency oversees the Organization and implementation of training.

(2). The health protection agency as a regulatory authority can ask the Education Council and the court-appointed examiners for information about educational undertaking.

Chapter 8

Date of entry into force of

§ 20. The notice shall enter into force on the 15. May 2008.

(2). At the same time repealed Guide No. 139 of 25. July 2001 on the training of personnel in radiation therapy departments (radiotherapy nurse – radiation therapy radiograf). Training in accordance with the guidance rules that commenced before the entry into force of the present publication, can be completed according to the existing rules.
The National Board of health, the 9. May 2008 Jesper Fisker/Marit Karina Buccarella Annex 1

Training objectives


That the learners acquire the knowledge, skills and competencies to independently perform radiation therapy.

They must therefore

– understand the background for curative and palliative radiation therapy

-understand the Basic radio biology

– understand ionising radiation properties and interaction

– understand, explain and apply a dose level in relation to the anticipated side effects, dosage, seating and field entries

-understand and apply knowledge of x-ray Anatomy and topographic Anatomy

– understand, record and use the CT-scan images in connection with image verification as well as understand and use other diagnostic imaging used in the planning of treatment fields

-understand and apply the principles of radiation protection

– assess the radiation treatment in relation to the patient and the planned treatment

– understand, apply, and evaluate the radio therapeutic treatment techniques

– have the familiarity with the apparatus control surface

-have knowledge of quality assurance of the Department's apparatus

– be familiar with and apply quality assurance procedures from visitation to the radiation treatment,

-have knowledge of the background to the research that is going on in relation to radiation therapy of cancer patients

-independently carry out information of selected groups of patients before, during, and after radiation therapy

-be able to assess and handle patients ' needs for care in connection with radiation therapy, and evaluate and develop efforts

-have a thorough knowledge of side effects of radiation treatment and act upon the occurrence of side effects, including could search the patient on to other relevant professional

-understand and be able to relate critically to own area of responsibility

– understand the importance of being active in a interdisciplinary collaboration internally and externally

Theory training

Theory training consists of the following professional areas related to radiation therapy:

– Mathematical and physical concepts used in clinical physics, dosimetry and dose planning.

– Social studies (Organization of cancer treatment, law, ethics, etc.)

– General Oncology

– Special Oncology

– Clinical physics

– Dosimetry (including tutorials)

– Ionizing radiation

– Radio biology

– Acute side effects and senkomplikationer for radiation therapy

– Radiation protection

– Longitude, and planning of radiation therapy

– Treatment techniques and techniques for image verification

– Apparatus for radiation therapy

– Quality assurance

– – Radiographic Anatomy, topographic Anatomy, General imaging and kV x-ray, CT, PET and MRI

-Research methods

– Interdisciplinary collaboration, communication and clinical pathway

Internship training

Internship training includes the essential and common types of treatment offered. It must be ensured that the learners after implemented training can operate diverse equipment, including systems for image verification and it commonly found radiotherapy equipment.
Annex 2

Recommendations of the m. v.

It is recommended that applicants have at least 2 years of professional experience related to patients within the healthcare area.

In order to ensure the quality of education should be the theoretical training offered by one, up to a maximum of two educational institutions in the country.

The theoretical training can be implemented with the involvement of e-learning and other forms of IT-supported teaching.

In both the theoretical and practical training may be involved the use of simulation in a 3D-accelerator and training in information technology laboratory.