Royal Decree 772/2014 of 12 September, establishing the title of Superior Technician in Radiotherapy and Dosimetry and establishing its minimum teachings, acts in accordance with Royal Decree 1147/2011 of 29 July 2011, laying down general arrangements for the vocational training of the education system, which defines in Article 9 the structure of vocational training qualifications and courses of specialisation, on the basis of the National Catalogue Vocational qualifications, the guidelines laid down by the European Union and other aspects of social interest and implants the aforementioned title of Superior Technician in Radiation Therapy and Dosimetry.

Organic Law 2/2006, of 3 May, of Education, provides that educational administrations will develop the curriculum of vocational training diplomas, starting with the basic curriculum and under the conditions laid down in the Article 6a 4. The teaching centres shall develop and complete, where appropriate and as established by the educational authorities, the curriculum of the different stages and cycles in use of their autonomy as set out in Chapter II of Title V of the said Directive. Organic Law.

Royal Decree 772/2014 of 12 September 2014 in its Single Derogation Provision repeals Royal Decree 556/1995 of 7 April 1995 establishing the curriculum of the higher education cycle corresponding to the title of the Superior Technician in Radiation Therapy, established under the Organic Law 1/1990, of October 3, of General Ordination of the Educational System.

In accordance with the above and once the Royal Decree 772/2014, of September 12, has set the professional profile of the title of Superior Technician in Radiotherapy and Dosimetry, the basic aspects of the curriculum, which ensure a common formation and guarantee the validity of the titles in all the national territory, it is now necessary to determine, in the field of management of the Ministry of Education, Culture and Sport, the extension and contextualization of the contents of the modules professionals included in this title, respecting the professional profile of the title.

The needs of an integrated labour market in the European Union require that vocational training courses pay particular attention to the languages of the Member States, incorporating them into their training offer. In this sense, this formative cycle incorporates in the curriculum training in the English language, in response to the provisions of Royal Decree 1147/2011, of July 29.

addition, the curriculum of this training cycle is established from the respect of the pedagogical, organizational and management autonomy of the centers that provide professional training, promoting these the work in the team of the teachers and the development of training, research and innovation plans in their teaching field and actions to promote the continuous improvement of training processes.

On the other hand, vocational training centres will develop the curriculum established in this order, taking into account the characteristics of pupils, with particular attention to the needs of people with disability.

Finally, it should be specified that the curriculum of this formative cycle integrates the scientific, technological and organizational aspects of the teachings established to achieve that the students acquire an overall view of the processes production of the professional profile of the superior technician in Radiotherapy and Dosimetry.

In the process of drafting this order, the State School Board has issued a report.

For all of the above, in its virtue, I have:

CHAPTER I

General provisions

Article 1. Object.

This order is intended to determine, from the basic curriculum established in Royal Decree 772/2014 of 12 September, establishing the title of Superior Technician in Radiation Therapy and Dosimetry and fixing their minimum teaching, the curriculum of the higher grade training cycle corresponding to that title.

Article 2. Scope.

The curriculum established in this order will be applied in the territorial area of management of the Ministry of Education, Culture and Sport.

CHAPTER II

Curriculum

Article 3. Curriculum.

1. The curriculum for vocational training of the educational system corresponding to the degree of Higher Technician in Radiation Therapy and Dosimetry, established in Royal Decree 772/2014 of 12 September, is determined in the following terms: fixed in this order.

2. The professional profile of the curriculum, which is expressed by the general competence, the professional, personal and social skills, and the qualifications and the competence units of the National Catalogue of Professional Qualifications, is the included in the title of Superior Technician in Radiation Therapy and Dosimetry, referred to in the previous point.

3. The general objectives of the training cycle curriculum, the objectives of the professional modules expressed in terms of learning outcomes and their evaluation criteria are those included in the title of Higher Technician in Radiation Therapy and Dosimetry referred to in point 1 of this Article.

4. The contents of the professional modules that make up this curriculum, adapted to the socio-economic reality as well as to the perspectives of economic and social development of the environment, are those set out in Annex I of this order.

Article 4. Adaptation to the socio-productive environment.

1. The curriculum of the training cycle regulated in this order is established taking into account the socio-economic reality and the geographical, socio-productive and labour characteristics of the environment for the implementation of the title.

2. Vocational training centres shall have the necessary educational, organisational and economic management autonomy for the development of the teaching and their adaptation to the specific characteristics of the socio-economic, cultural and professional.

3. The centres authorised to provide this training cycle will concretize and develop the organizational and curricular measures that are most appropriate to the characteristics of their students and their productive environment, in a flexible way and in the use of their Pedagogical autonomy, in the general framework of the educational project, in the terms established by the Organic Law 2/2006, of Education.

4. The curriculum of the training cycle regulated in this order will be developed in the didactic programs or curricular development, strengthening or creating the culture of prevention of occupational risks in the spaces where the different modules are delivered professionals, as well as promoting a culture of environmental respect, excellence in work, compliance with quality standards, creativity, innovation, gender equality and respect for equal opportunities, the " design for all people " and universal accessibility, especially in relation to people with disabilities.

Article 5. Adaptation to the educational environment.

1. The vocational training centres managed by the Ministry of Education, Culture and Sport will develop the curriculum established in this order, taking into account the characteristics of pupils and the environment, particularly in the light of persons with disabilities, in conditions of accessibility and with the necessary support resources to ensure that this student can cure these teachings under the same conditions as the rest.

2. Also, the lessons of this cycle will be taught with a flexible and open methodology, based on self-learning and adapted to the conditions, abilities and personal needs of the students, in order to allow the reconciliation of the learning with other activities and responsibilities.

Article 6. Duration and sequencing of professional modules.

1. The total duration of the lessons for this training cycle, including the vocational training module in the workplace, is 2,000 hours.

2. The professional modules of this training cycle, when offered under face-to-face arrangements, will be organised in two academic courses and will be in line with the weekly hourly sequencing and distribution set out in Annex II of this order.

3. The first academic year will be fully developed in the educational center. In order to be able to pursue the second course, it will be necessary to have completed the professional modules which, as a whole, are at least 80% of the hours of the first course.

4. The right of registration of those who have passed any professional module in another Autonomous Community shall be guaranteed in the terms laid down in Article 48.3 of Royal Decree 1147/2011 of 29 July 2011 establishing the general vocational training of the educational system.

5. In general, during the third quarter of the second year, and once the positive evaluation has been achieved in all the professional modules carried out in the educational centre, the vocational training module will be developed in job.

6. Exceptionally, and in order to facilitate the adaptation of the number of persons registered to the availability of training positions in enterprises, approximately half of the second-year students will be able to develop this vocational training module. Training in workplaces during the second trimester of the second year, provided they have positively overcome all the professional modules of the first academic year.

7. Without prejudice to the foregoing and as a result of the temporality of certain economic activities which may prevent the development of the vocational training module in the workplace from being in conformity with the above assumptions, the latter may be organise in other periods coinciding with the development of the economic activity of the professional profile of the title.

8. In any case, the evaluation of the vocational training module in the workplace will be conditional on the positive evaluation of the rest of the professional modules of the training cycle.

Article 7. Project Professional Module.

1. The professional module of the project has an interdisciplinary character and incorporates the technological and organizational variables related to the essential aspects of the professional competence of the title of Superior Technician in Radiotherapy and Dosimetry.

2. In general, this module will be taught by the teachers who are tutoring training in job centers.

3. The project professional module will be developed during the last period of the training cycle, combining individual and collective tutoring, so that at least 50% of the total duration will be carried out in an in-person manner and completed with remote tutoring in which information and communication technologies will be used.

4. In any case and prior to the start of the vocational training module in the workplace, the teaching and learning activities to facilitate the development of the project professional module should be anticipated by the responsible teacher.

5. The evaluation of this professional module will be conditional on the positive evaluation of the rest of the professional modules of the training cycle, including the training in job centers.

Article 8. Bilingual teaching.

1. The curriculum of this training cycle incorporates the English language in an integrated way, at least in two professional modules, from among those that make up the whole of the training cycle. These modules will be taught by teachers with teaching assignment in them and, in addition, they will have the language enablement corresponding to level B2 of the Common European Framework of Reference for Languages.

2. In order to ensure that bilingual education is delivered in the two academic courses of the training cycle on an ongoing basis, professional modules of both courses will be chosen.

3. The modules which may be imparted in the English language are those listed in Annex III.

4. As a result of the greater complexity of the transmission and reception of teaching in a language other than the mother tongue, professional modules taught in the English language will increase their time load in three hours a week. for the set of modules that are delivered in the first year and two hours for which they are developed during the second course. In addition, the teachers who provide these professional modules will be assigned, in their individual hours, at least three hours a week for their preparation. These hours will have the same character as the reading hours.

5. Exceptionally and on a transitional basis up to the year 2020, when teachers with teacher allocation do not have the level of English required in these professional modules, they will share a total of three hours per week for all the teachers. modules to be delivered in the first year and two hours for those who develop during the second course with a teacher or a teacher of the English specialty. In this case, the programming of these modules will include at least one unit of work or didactics which will be developed exclusively in the English language and the other teaching units will incorporate teaching activities exclusively in English at that time allocated.

6. Exceptionally, in the case of students or students with disabilities who may be able to present difficulties in their oral expression (cerebral palsy, deafness, etc.), measures of relaxation and/or alternatives will be established. in the requirement for the provision of modules in the English language, so as to enable all the teaching of professional modules in their mother tongue to be cured.

CHAPTER III

Teachers, spaces and equipment

Article 9. Qualifications and accreditation of teacher requirements.

1. The specialties of teachers with teaching assignment in the professional modules which constitute the teachings established for the title referred to in Article 1 of this order, as well as the equivalent qualifications for the purposes of teaching, are the entries respectively in Annexes III A and III B to Royal Decree 772/2014 of 12 September 2014.

2. In order to ensure compliance with Article 12.6 of Royal Decree 772/2014 of 12 September 2014, for the delivery of the professional modules that make up the company, in private or public ownership centers of other administrations other than educational administrations, it must be established that all the requirements set out in that Article are met, with the following documentation:

(a) Photocopy of the official academic title required, in accordance with the qualifications included in Annex III C of Royal Decree 772/2014 of 12 September. Where the degree presented is linked to the professional module which is to be provided, it shall be deemed to include in itself the objectives of that module. Otherwise, in addition to the titration, the documents referred to in subparagraph (b) or (c) shall be provided.

(b) In the event that it is necessary to justify that the teachings leading to the titration provided encompass the objectives of the professional modules that are intended to be taught:

Personal academic certification of studies performed, original or photocopied, issued by an official center, in which the teachings are recorded detailing the subjects.

Programs of the studies provided and submitted by the person concerned, original or photocopy of the studies, sealed by the corresponding official or authorized official or official University or Center.

c) Where it is necessary to justify by means of the work experience which, at least for three years, has developed its activity in the sector related to the family, its duration shall be credited by the appropriate supporting official document, which shall be added to:

Certification of the employer or employer in which the activity developed by the person concerned is specifically recorded. This activity must be implicitly related to the learning outcomes of the professional module that is intended to be delivered.

For those who are self-employed, a statement of the person concerned with the most representative activities related to learning outcomes.

Article 10. Spaces and equipment.

The spaces and facilities to be assembled by the vocational training centres, in order to enable the development of teaching activities, are those set out in Annex IV of this order and must comply with the Article 11 of Royal Decree 772/2014 of 12 September 2014, as well as the rules on equal opportunities, "design for all persons" and universal accessibility, prevention of occupational risks and safety and health at the workplace.

CHAPTER IV

Other offerings and mode of these teachings

Article 11. Distance offering.

1. Professional modules offered at a distance, when required by their characteristics, will ensure that students achieve all the objectives expressed in learning outcomes, through face-to-face activities.

2. The Provincial Directorates and the Board of Education shall take the necessary measures and shall give the precise instructions to the centres which are authorized to provide this training cycle under pressure for implementation and operation of the offer from the same distance.

3. Centres authorised to provide vocational training lessons at a distance shall have appropriate curriculum materials which will be adapted to the provisions of the fourth additional provision of the Organic Law 2/2006 of 3 May.

Article 12. Combined offering.

In order to respond to personal needs and interests and to provide the possibility to reconcile training with work activity, with other activities or situations, the offer of these teachings for people adults and young people in special circumstances may be combined between face-to-face and distance learning systems at the same time, provided that the same modules are not cured in both modes at the same time.

Article 13. Offer for adults.

1. The professional modules of this training cycle associated with the competence of the National Catalogue of Professional Qualifications may be the subject of a modular offer for adults.

2. This training will be developed with an open and flexible methodology, adapted to the conditions, capabilities and personal needs that enable them to reconcile learning with other activities and responsibilities, in compliance with the Chapter I of Title IV of Royal Decree 1147/2011 of 29 July 2011. In addition, such training shall be capitalizable in order to obtain a professional training certificate, in order to obtain evidence of the established access requirements.

3. In order to reconcile learning with other activities and responsibilities, the Provincial Directorates and the Board of Education may establish specific measures to comply with the provisions of Article 41 of Royal Decree 1147/2011, July 29 and enable a face-to-face and remote offering simultaneously.

4. In order to promote training throughout life, the Directorate-General for Vocational Training of the Ministry of Education, Culture and Sport may authorise the Provincial Directorates and the Education Ministry to give the training, in the centres of their competence, of professional modules organised in training units of shorter duration. In this case, each learning result, with its evaluation criteria and its corresponding block of contents, will be the minimum and indivisible unit of partition.

Additional disposition first. Authorization to impart these teachings.

The Provincial Directorates and the Board of Education will deal with the Directorate-General for Vocational Training with the authorization to provide the teaching of this training cycle, in full or in part, in In-person and distance-based arrangements, of the institutions that request it and comply with the requirements required under the current legislation.

Additional provision second. Linguistic enablement of bilingual teaching faculty.

Teachers who are to be taught in English must be in possession, before the date of commencement of each academic year, of the relevant language qualification, to which the Ministry of Education, Culture and Sport will carry out an enabling procedure before the start of each course.

Additional provision third. Training of bilingual teaching staff.

The Provincial Directorates and the Board of Education will schedule courses and training activities in the English language for all teachers of vocational training to be taught in professional modules. which may be taught in the English language, who will have the obligation to assist them until they obtain the required qualification. These measures shall apply until at least the year 2020.

The training to be offered will be three types:

a) Intensive training, through a course, preferably in face-to-face mode, during the month of September.

b) Long-term training throughout the school year, by means of a course that combines in-person and online form, which will be performed outside of the mandatory time in the training center. During the period of completion of the vocational training module in the workplace, this course will be intensified and will be carried out, as far as possible, within the required time of stay in the centre.

(c) Training in English-speaking country, through courses, which will be possible to include cultural visits and conferences, and which will be carried out at the end of the course after the completion of school activities in the training centres.

Single transient arrangement. Replacement of titles related to these teachings.

1. The students who, at the end of the school year 2014-2015, meet the conditions required to attend the second course of the title of Superior Technician in Radiation Therapy, established by Royal Decree 544/1995, of April 7, under the Law of Organic Law 1/1990, of 3 October, of General Management of the Educational System, and that it has not exceeded some of the professional modules of the first course of the mentioned title, will have two calls in each of the two successive years in order to overcome these professional modules. After that period, in the school year 2017-2018, the convalidations, for the superimposed modules, established in Article 15.1 of Royal Decree 772/2014, of 12 September, regulated by the Law of Organic Law 2/2006, of 3 of May, Education.

2. To the students who, at the end of the school year 2014-2015, do not meet the conditions required to cure the second course of the title of Superior Technician in Radiotherapy, established by Royal Decree 544/1995, of April 7, under the Law Organic 1/1990, of 3 October, of General Management of the Educational System, will be applied the convalidations established in article 15.1 of the Royal Decree 772/2014, of 12 September, regulated by the Law of the Organic Law 2/2006, of May 3, Education.

3. The students who, at the end of the school year 2015 -2016, do not meet the conditions required to obtain the degree of Superior Technician in Radiation Therapy, established by Royal Decree 544/1995, of April 7, under the Law of Organic Law 1/1990, of 3 October, for the General Management of the Educational System, will have two calls in each of the two successive years to be able to overcome these professional modules, with the exception of the training module in the centre of work for which it will be available of an additional school year. The students who have passed that period have not obtained the title will be applied to the convalidations, for the modules surpassed, established in article 15.1 of the Royal Decree 772/2014, of 12 September, regulated by the Organic Law 2/2006, of 3 May.

Final disposition first. Application of the order.

The Directorate-General for Vocational Training, in the field of its powers, is authorised to take the measures and to issue the necessary instructions for the implementation of the provisions of this order.

Final disposition second. Implementation of these teachings.

1. In the course of 2015-2016, the first course of the training cycle referred to in Article 1 of this order will be implemented and the lessons of the first course covered by the Organic Law 1/1990 of 3 October, of Ordination, will cease to be taught. General of the Educational System, corresponding to Royal Decree 544/1995, of 7 April, establishing the title of Superior Technician in Radiation Therapy.

2. In the course of 2016-2017 the second course of the training cycle referred to in Article 1 of this order will be implemented and the second course teachings covered by the Organic Law 1/1990 of 3 October will be stopped General Management of the Educational System, corresponding to Royal Decree 544/1995, of 7 April, establishing the title of Superior Technician in Radiation Therapy.

Final disposition third. Entry into force.

This order will take effect the day following your publication in the "Official State Bulletin".

Madrid, 21 July 2015.-The Minister of Education, Culture and Sport, Iñigo Méndez de Vigo and Mr Mondez.

ANNEX I

Professional Modules

1. Professional Module: Patient Care.

Code: 1345.

Contents:

a) Job scope identification:

Structure of the public and private healthcare system in Spain.

Public and community health.

Health indicators.

Radiodiagnostic, nuclear medicine, and radiation therapy units in the healthcare system.

Healthcare store management:

Inventories.

How to store materials.

Healthcare products.

Professional functions in the unit.

Healthcare economy.

Quality in the provision of radiodiagnostic, nuclear medicine and radiotherapy services.

Current legislation applied to the scope of activity.

b) Application of patient host protocols:

Patient identification, registration and identification protocols:

Attention priority criteria.

Clinical documents:

Document types, utilities, applications, and fulfillment criteria.

Non-clinical documents:

Books and administrative documents.

Information documentation on scans and treatments:

Preparation protocols.

Ethics rules.

Personal Data Protection Act:

Social responsibility and ethical principles.

c) Application of communication techniques and psychological support:

Communication elements:

Communication types. Verbal and written communication.

Difficulties of communication. Barriers, interference and distortions.

Personal and social skills that improve interpersonal communication.

Communication techniques.

Information characteristics.

Phases of assistance to the user.

Cultural mediation in the healthcare environment.

Personality development:

Evolutionary stages in psychology.

Psychological changes and adaptation to disease:

Psychology of the chronically ill.

Psychology of the cancer patient.

Psychology of the Geriatric Sick.

Psychology of the terminally ill.

Psychology of the child and adolescent with disease.

Disease Defense Mechanisms:

Stress and anxiety.

Help relationship:

Psychological support mechanisms and techniques.

Gender. Health and disease.

d) Observation, according to unit protocols, of physical-clinical parameters:

Emergency Plan.

Specific Actions

Assessment of the level of consciousness.

Taking vital constants:

Pulse, temperature, blood pressure, and breathing.

Normal values and alterations.

Scan protocols:

Hygiene and comfort.

Pain.

Assistance to patients with special needs:

Pediatric, geriatric, unconscious and unstable.

e) Patient preparation procedures:

The human being and his needs:

biophysical, psychic and social needs.

The health-disease process.

Determinants of health:

Dependency and disability.

Hygiene and comfort in the diagnostic or treatment unit:

Comfort of the patient in bed.

Move and Move Techniques:

Safety criteria and body mechanics.

Ergonomics.

f) Contingency resolution, according to unit, equipment and device protocols:

Performances by the technician.

Technical characteristics of sanitary equipment:

Equipment Functionality.

Electromedical equipment. Recognition and use.

Disposable material and reusable material:

Handling and control criteria.

Verification and conditioning criteria.

Oxygenotherapy equipment:

Handling and control criteria.

Verification and conditioning criteria.

Vacuum Cleaners:

Handling and control criteria.

Verification and conditioning criteria.

Monitoring and infusion teams:

Handling and control criteria.

Verification and conditioning criteria.

Probes, drains, and ostomies:

Handling and control criteria.

Verification and conditioning criteria.

g) Application protocol for the administration of contrasts and radiopharmaceuticals:

Pharmacology bases.

Pharmacokinetics principles:

Absorption, distribution, metabolism, and elimination.

Drug groups.

Contrast products:

Types.

Indications.

Contraindications and side effects.

Administration and Material Techniques:

Sondages.

Enemas.

Catheterisms.

Other.

Performances in case of anaphylactic reactions:

cardiorespiratory arrest.

Cardiopulmonary Resuscitation.

Basic life support techniques.

h) Prevention and protection of infectious diseases:

Infection and epidemiological chain.

Communicable Diseases.

Nosocomial infections:

Concept.

Transmission paths.

Risk situations.

Preventive measures.

Personal and patient isolation.

Hand washing.

Cleaning and disinfection of the material.

Disposal of waste.

2. Professional module: Physical foundations and equipment.

Code: 1346.

Contents:

a) Characterization of radiations and waves:

Ionizing and non-ionizing radiation.

Electromagnetic and particle radiation.

Material waves and ultrasounds.

magnetism and applications in obtaining diagnostic images:

Fields and magnetic forces.

Classification of magnetic materials.

Atomic magnetic dipoles.

Applications of ionising radiation in radiation therapy and image for diagnosis:

ionising radiation of nuclear and non-nuclear origin.

The origin of the X radiation.

Radionuclides and Nuclear Disintegration.

Application of non-ionising radiation and material waves in radiation therapy and image for diagnosis:

Source of radio frequencies and their use in obtaining diagnostic images.

Origin of ultrasounds and use in image for diagnosis.

Units and magnitudes of use in radiation therapy and image for diagnosis.

b) Characterization of conventional radiology equipment:

Radiation X:

Feature radiation and braking radiation.

The amount and energy of the radiation emission X.

X Radiation Emission Curves.

X-ray interactions with matter:

Compton and photoelectric effects.

Classical dispersion, peer formation, and photodisintegration.

Attenuation of X-rays by matter.

Radiographic Densities.

Components and operation of the X-ray tube:

Ray tube and accessory elements.

Types of anodes and cathodes.

Protective shells.

Tube clamping and movement devices.

Angulation and Focus of the beam.

Technical characteristics of the radiation beam:

Technical factors: kVp and mAs.

Radiation contrast.

Amount of radiation.

Scattered radiation. Anti-diffuser grids.

Radiation Beam Restrictor Devices:

Colliders and types.

Other restrictor devices.

Tables and wall devices. Designs, components, and applications:

Types of radiographic tables. Movements of the table.

Locking and clamping devices.

Telemands.

Wall Devices. Positioning and clamping movements and devices.

Image Receivers.

Command console:

Basic components.

Technical parameters and aids: curriculum.

Patient characteristics.

Auto Display.

Efficient use of resources.

c) Processing and processing of the image in conventional radiology:

Structure and types of films:

Revealed of the latent image.

Automatic Processors.

Reinforcement screens:

Standard and rare earth screens.

Radiographic Chassis.

Identification and marking of the image.

Digital X-ray image record:

Indirect digital radiography.

Direct digital radiography.

Recording of the image in radioscopy:

The image enhancer.

Scanning the radiographic image.

Factors that condition the quality of the radiographic image:

Radiographic densities of the image, contrast, sharpness and resolution.

Influence of the technical parameters on the features of the image.

Geometry of the image.

Artifacts in Radiology.

d) Characterization of computed tomography (CT) equipment:

Evolution of tomographic techniques.

Generations of tomographic equipment.

Conventional computed tomography and spiral.

Multi-cut computed tomography.

Electronic beam computed tomography.

Components of a computed tomography equipment:

Tube and detectors. Gantry.

Collimation and filtration.

Control Console.

Diagnostic and therapeutic uses of computed tomography.

Security in computed tomography scans.

Image representation on computed tomography:

Density and scale of grays. Hounsfield Units.

Width and window level.

2D multiplanar reconstruction.

3D Reconstruction.

Image quality: spatial, temporal, contrast, noise, linearity, and spatial uniformity resolution.

Artifacts in computed tomography.

Efficient use of resources.

e) Characterization of magnetic resonance equipment (MRI):

Nuclear spin behavior in a magnetic field:

magnetization vector.

Longitudinal and transverse components.

Recession. Larmor equation.

Generation of the resonance signal:

Excitation: RF pulses.

Proton density.

Longitudinal relaxation: T1.

Transverse Relaxation: T2.

Relaxation T2.

The MRI scan room.

Open and closed resonance equipment.

Magnets. Types and classification.

Magnetic Resonance Receivers:

Receipt, broadcast, and mixed coils.

Gradient coils: selection of the plane and thickness of the tomographic cutting.

Body and surface coils.

Command console and scan schedule.

Diagnostic and therapeutic uses of MRI.

Security in magnetic resonance scans.

Capture the token. Fourier transform. Space k. Data array.

Repeat, echo, acquisition, and investment times:

Saturation-recovery.

Investment-Recovery.

Spin-Echo Pulse Sequences.

Grade-Eco pulse sequences.

Other sequences.

Reconstruction in 2D and 3D.

Artifacts in magnetic resonance.

Emerging techniques: functional magnetic resonance imaging, interventional magnetic resonance imaging, magnetic resonance imaging in radioterapic simulation. Magnetic resonance spectroscopy.

Efficient use of resources.

f) Characterization of ultrasound equipment:

Mechanical waves. Features. Sound ranges.

Production and reception of ultrasounds: piezoelectric effect.

Ultrasound interactions with the media. Propagation of ultrasounds in homogeneous and non-homogeneous means:

Acoustic propagation rate-impedance.

Intensity, frequency, wavelength, and divergence.

Reflection and reflectance.

Refractive and diffraction.

Absorption and attenuation.

Transducers. Components and types:

Linear.

Sectorial.

Convex.

Intracavitarians.

Console or control table.

Output devices: monitors and printers.

Diagnostic and therapeutic uses of US images.

ultrasound operation modes:

Static image: amplitude mode and brightness mode.

Dynamic image: Motion mode.

Localization: doppler effect and types.

A static and moving digitized image. 2D, 3D and 4D ultrasounds.

Artifacts in ultrasonography.

Efficient use of resources.

g) Managing the diagnostic image:

Communication networks and databases:

LAN and WAN in medical uses.

Healthcare databases and communication standards.

Telemedicine:

Diagnosis.

Teleconsultation.

Emerging applications in telemedicine.

Standardizing services management and planning:

Structure of the HL7 standard for electronic exchange of clinical information.

Standardization of the medical image. DICOM and main features of the standard:

Formats and services.

HIS, management and planning of hospital activity:

Logging, storing, and transmitting information.

RIS, medical image system management:

Job Lists, Patient Data, Radiological History, and Request Log.

PACS and procurement modes:

Capture and image management systems.

Storage systems.

Display stations.

HIS-RIS-PACS Integration.

HIS and RIS management software.

Medical image management software.

Data protection requirements.

3. Professional Module: Anatomy by the image.

Code: 1347.

Contents:

a) Localization of anatomical structures:

anatomical position, axes, and reference planes.

Position, direction, and motion terms.

Body regions.

Body Cavities:

Cranial Cavity.

Thoracic cavity: chest walls and viscera.

Abdominal cavity: walls, peritoneal cavity and abdominal viscera.

Pelvic cavity: walls and pelvic waxes. Perine.

Contents of body cavities and anatomical relationships.

Surface anatomical references and external marks.

Surface projection of internal organs.

b) Analysis of diagnostic imaging and recognition of the technique used:

Image techniques for the diagnosis and general characteristics of the generated image.

Contributions and limitations of techniques:

Analog and digital images.

Computed tomography images.

Magnetic resonance imaging.

Ultrasound images.

Patient positions in the study by imaging techniques: projections.

Diagnostic image reading rules:

Conventional image reading rules.

tomographic image reading rules.

Organ recognition from medical imaging:

Cranial Cavity.

Thoracic organs.

Abdominal and pelvic organs.

Graphic differences between organ images according to the technique used.

Graphic differences between normal and pathological images.

Image adjustment methods for visualization optimization: contrast and resolution, saturation, and brightness.

c) Recognition of the anatomical structures of the motor vehicle:

Structure and functions of the bones.

Ossification:

Intramembranosa.

endodral.

ossification centers.

Classification of bones.

Vascularization and innervation of the bones.

Bone marks: reliefs and depressions.

Skull and face bones:

Newborn Skull.

Temporo-mandibular Articulation.

Muscles of the stomatognatic apparatus.

Backbone:

Normal and pathological vertebral curves.

Structure of the type vertebra.

Peculiarities of the different vertebral segments.

Upper Limb Bones and Scapular Waist.

Lower Limb Bones and pelvic waist.

The joints. Classification:

Mobile.

Semimoviles.

Mobile.

Joint elements:

Joint Surfaces.

Articular cartilage.

Articular capsule.

Other elements: ligaments, disks, and rodetes.

Vascularization and innervation of the joints.

Identification of joint elements in medical images.

Muscles. Structure and function.

Classification and location of muscles.

Disease of the locomotor apparatus. Classification.

Graphic differences between normal and pathological images of the locomotor apparatus.

d) Identification of the anatomy, physiology and pathology of the nervous system and the organs of the senses:

The nerve tissue.

Neurons and neuroglia. Grey substance and white substance. The synapses.

The topographical anatomy of the nervous system:

Central and peripheral nervous system.

encephus: division and functional organization.

Spinal Cord.

Meninges. Ventricles. Subarachnoid cisterns:

Production and flow of cerebrospinal fluid (CSF).

Radiological and tomographic anatomy of the head:

Annotated reading of CT scans and magnetic resonance of the central nervous system.

Pathologic processes of the central nervous system. Classification:

Tumor processes of the central nervous system.

Alterations in the circulation of cerebrospinal fluid.

Central Nervous System Bleeding: Classification and Identification in Tomographic Images.

Normal and pathological images of the central nervous system.

Body of vision.

Anatomy and physiology.

Identification of orbital content in medical imaging.

Body of hearing and balancing.

Anatomy and physiology.

Analysis of medium and internal ear structures in tomographic images.

Study of lacrimal pathways, sinuses, and nostrils in medical imaging.

e) Recognition of the anatomy, physiology and pathology of cardiocirculatory and respiratory devices:

Structure and contents of the rib cage.

Anatomy and physiology of cardiocirculatory apparatus.

Cavities and heart valves.

Heart study in image for diagnosis:

Heart conduction system.

Alterations in cardiac impulse conduction.

Mediastino: limits, content, and relationships.

Anatomical distribution of major blood vessels and lymph vessels.

Blood vessels and angiographic images:

Blood circulation.

Peculiarities of pulmonary, hepatic and cerebral circulation.

Lymphatic circulation: vessels and lymph nodes. Lymph organs.

Study of the main cardiac and vascular pathologies.

Blood study.

Classification of blood disorders.

Anatomy and physiology of the respiratory system.

Classification of respiratory diseases.

Radiological anatomy of the respiratory system.

Comparative analysis between normal and pathological images.

f) Identification of the anatomy, physiology and pathology of the digestive system and the urinary system:

Abdominal and Pelviana cavity: structure and content. Peritoneum.

Oral Cavity and salivary glands:

Temporary, mixed and permanent dentition. Dental morphology.

Radiological anatomy of the oral cavity.

digestive tract.

Digestive tract pathology.

Liver and bile ducts. Liver physiology and pathology.

Pancreas. Pancreatic physiology. Pancreatic pathology.

Physiology of digestion.

Medical imaging of the abdomen and pelvis.

Renal and urinary tract anatomy:

Process of urine formation.

Renal and urinary tract anatomy.

Kidney and urinary tract pathologies.

Radiological anatomy of the kidney and urinary tract.

Conventional radiology images with and without contrast.

Structures of the digestive system in tomographic images.

Urinary structures in tomographic images.

g) Recognition of the anatomy, physiology and pathology of the endocrine system and the genital apparatus:

Endocrine system.

Hormone regulation of the body.

Endocrine system pathology.

Male and female genital appliances.

Diseases of the female genital apparatus.

Radiological and ecographic studies.

Comparative analysis between normal images and images with pathological alterations.

Anatomophysiological bases of the breast.

Breast diseases.

Normal and pathological mammography images.

Diseases of the male genital apparatus.

Prostate pathology.

Radiological anatomy of the pelvic cavity.

4. Professional Module: Radiological Protection.

Code: 1348.

Contents:

a) Application of radiation detection procedures:

Measures and Radiological Units:

Dosimetry.

Exposure (X).

Kerma.

Absorbed dose (D).

Relationship between exposure and absorbed dose in a material.

Linear energy transfer (LET).

Relationship between activity and kerma in air or exposure.

Radioprotection.

Equivalent dose (H).

Limiting measures.

Operational Measures.

Radiation detection and measurement:

Physical fundamentals of detection.

Gaseous Ionization Detectors.

ionization chamber.

Proportional counter.

Geiger counter.

Semiconductor detectors.

Scintillation Detectors.

Luminescent crystals.

Fotomultiplier.

Liquid phase Centelleo.

Radiation Dosimetry:

Environmental and personal Dosimetry.

Radiation monitors and dosimeters.

Personal Dosimeters.

Operational Dosimeters.

Exposure or dose rate monitors.

Pollution monitors.

Neutron Detectors.

Interpretation of dosimetric reads.

b) Interaction of ionising radiation with the biological environment:

Mechanism of action of ionizing radiation:

Direct action.

Indirect action.

Interaction of radiation at the molecular and cellular level:

About Nucleic Acids.

Over other cellular elements.

Cell-level injuries:

Radiosensitivity.

Factors that influence cell response.

Radioinduced biological effects:

deterministic effects.

Stochastic effects: somatic and hereditary.

Total cell, systemic and systemic response:

Body's response to radiation: stages (prodromal, latent, and manifest).

c) Application of operational radiological protection protocols:

General radiological protection:

Concept of radiation protection.

Radiological protection system.

Practices and interventions.

Exposure types:

Occupational, medical, and public.

General principles of radiation protection: justification, optimization and limitation.

Radiological protection measures: distance, time and shielding.

National and international organizations related to radiation protection.

Description of operational radiological protection:

Radiation Protection Objective.

Classification of persons according to the risks to ionising radiation.

Limits set for each group.

Measures to be taken in operational protection.

Prevention of exposure.

Sources of radiation and risks.

Pollution and irradiation.

Zoning and signaling zones.

Classification of exposed workers.

Assessment of the exposure.

Monitoring the work environment.

Individual monitoring.

Health surveillance of exposed workers.

d) Characterization of radioactive installations:

Regulations on radioactive installations:

Encapsulated and non-encapsulated radioactive sources.

Classification of radioactive installations and authorizations.

Inspection of installations.

Facilities and obligations personnel.

Operation Journal.

Analysis of the radiological risks associated with the use of non-encapsulated sources:

Major sources of risk of irradiation or contamination.

Pathways of incorporation of radionuclides to the organism.

Major sources of radiological risks in a nuclear medicine service.

The dispersion of radioactive material.

Design of the installation in nuclear medicine and radio armacacia:

General design considerations for nuclear medicine facilities.

Zoning and access distribution.

Materials and surfaces.

Ventilation and HVAC installations.

Electrical installation.

Fire protection system.

Enclosures and storage of sources, equipment and systems of radiation protection.

Radioactive waste storage and disposal system for liquid effluents.

Radiological risks in tele-therapy and brachytherapy facilities:

Radiological risks from the use of encapsulated sources.

Design of teletherapy and brachytherapy facilities:

General aspects of the design of installations with linear electron accelerators and cobalt units.

General aspects of the design of brachytherapy facilities.

Radiation types present and elements of the installation.

Calculating shields.

Safety systems for radiation protection.

Auxiliary systems.

Technical characteristics of radiodiagnostic facilities:

Particular radiation protection requirements in interventional radiology, trauma, pediatric radiology, mobile equipment, and mammography facilities, among others.

Regulations and legislation applicable to health radioactive installations.

e) Management of radioactive material:

Radioactive waste management:

Definition of radioactive waste.

Sorting the waste.

Options in waste management.

Phases of waste management.

Management and storage of low and medium-activity waste in Spain.

Transport of radioactive material:

Regulation for the safe transport of radioactive material.

Terminology.

Classification of radioactive materials.

Types of packages and packages.

Categories of packages and labeling.

Transport documentation.

Managing the waste generated in a nuclear medicine and radio service.

Managing the waste generated in a radiotherapy service.

f) Application of the quality assurance plan in nuclear medicine, radiotherapy and radiodiagnostics:

Quality assurance in nuclear medicine:

Description of quality assurance and control in nuclear medicine.

Quality Assurance Program.

Reference values for radiodiagnostics (NRD), CE-PR-109.

Maintenance and calibration of different types of detectors.

Care and information for patients, family members, and care staff.

Quality assurance in radiotherapy:

Description of quality assurance and control in radiation therapy.

Quality assurance and control commission in radiation therapy.

Quality assurance program in copper-therapy facilities, linear accelerators, and brachytherapy equipment.

Maintenance and calibration of different types of detectors.

Care and information for patients, family members, and care staff.

Quality assurance in radiodiagnostics:

Description of quality assurance and control in radiodiagnostics.

Quality assurance program in radiodiagnostic facilities.

Quality control of the radiographic image and dose ratio.

Maintenance and calibration of different types of detectors.

Care and information for patients, family members, and care staff.

Current quality regulations:

Nuclear medicine.

Radiation Therapy.

Radiodiagnostic.

g) Application of emergency plans in radioactive installations:

Accidents and emergency plans in nuclear medicine:

Prevention of incidents and accidents.

Action in incidents.

Decontamination rules.

Emergency Plan.

Emergency Drills.

Assessment of the emergency plan.

Accidents and emergency plans in radiation therapy:

Incidents and crashes in the cobalt unit and linear accelerators.

Incidents and accidents in brachytherapy.

Emergency plan in teletherapy.

Emergency plan in brachytherapy.

Emergency drill.

Assessment of the emergency plan.

5. Professional Module: Treatment Simulation.

Code: 1359.

Contents:

a) Making molds and add-ons:

Description of the mold and add-on lab or workshop.

Teletherapy area:

Teams.

Tools and Materials.

Security Material.

Brachytherapy area:

Equipment, tools, and materials.

Individualized add-on area:

Equipment and materials.

Characteristics and elaboration of the shaped blocks used in teletherapy treatments:

Individualized blocks for photons.

Individualized blocks for electrons.

Characteristics and elaboration of the molds (applicators) used in the brachytherapy treatments:

Interstitial Brachytherapy: Needle and vector placement plates.

Standard Intracavitary Brachytherapy: Colpostates.

Individualized intracavitary brachytherapy: molds in resin.

Characteristics and elaboration of individualized add-ons for immobilization:

Positioning bases and thermoplastic head, neck, chest, abdomen, and limb masks.

Individualized polymers of polymers (alpha wedges).

Individualized Vacuum Mattresses.

Individual hydroformed immobilizers.

b) Application of simulation procedures in head and neck teletherapy:

Selection and preparation of imaging equipment.

Simulation procedure in tele-therapy for CNS tumors:

Holocraneo.

Craneo-focal.

Crane-spinal.

Neuroaxis.

Radiosurgery.

Fractional stereotaxic radiation therapy.

Other.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means:

Support-heads, thermoplastic mesh, oral devices, alpha wedge and arm extenders.

Markups on the immobilizer.

Image acquisition protocols.

Recording, importing, and processing images.

Selection and preparation of imaging equipment.

Simulation procedure on teletherapy in ORL.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means:

Support-heads, thermoplastic mesh, oral devices, alpha wedge and arm extenders.

Markups on the immobilizer.

Image acquisition protocols.

Recording, importing, and processing images.

c) Application of simulation procedures in teletherapy for tumors of the thoracic region, abdomen, and pelvis:

Selection and preparation of imaging equipment.

Simulation procedure in teletherapy for chest tumors:

Mom.

Lung.

Mediastino.

Other.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means:

Support-heads, thermoplastic mesh, oral devices, alpha wedge and arm extenders.

Markups on the immobilizer.

Image acquisition protocols.

Recording, importing, and processing images.

Simulation procedure in teletherapy for tumors of the abdomen and pelvis:

Digestive tract.

Female Genital Apparatus.

Male genital apparatus. Prostate.

Other.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means:

Support-heads, thermoplastic mesh, oral devices, alpha wedge and arm extenders.

Markups on the immobilizer.

Image acquisition protocols.

Recording, importing, and processing images.

d) Application of simulation procedures in teletherapy for lymphomas, sarcomas, and pediatric tumors:

Selection and preparation of imaging equipment.

Simulation procedure in teletherapy for lymphomas:

Extended Fields.

Affected fields.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means:

Support-heads, thermoplastic mesh, oral devices, alpha wedge and arm extenders.

Markups on the immobilizer.

Image acquisition protocols.

Recording, importing, and processing images.

Simulation procedure in teletherapy for sarcomas:

Sarcomas of hard parts.

Soft-part Sarcomas.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means:

Supports heads, thermoplastic mesh, oral devices, alpha wedge, and arm extenders.

Markups on the immobilizer.

Image acquisition protocols.

Recording, importing, and processing images.

Simulation procedure in teletherapy for pediatric tumors.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means:

Supports heads, thermoplastic mesh, oral devices, alpha wedge, and arm extenders.

Markups on the immobilizer.

Image acquisition protocols.

Dose optimization. ALARA criterion. Protectors.

Recording, importing, and processing images.

e) Application of simulation procedures in intraoperative radiation therapy (RIO) and radioterapic urgencies:

Selection and preparation of imaging equipment:

Obtaining the study according to location.

Piece resected.

Simulation procedure in intraoperative radiation therapy.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Transfer of the patient from the operating room to the simulator.

Positioning and quiesce means.

Image acquisition protocols.

Recording, importing, and processing images.

Simulation procedure in radio-terapical urgencies:

Upper vena cava syndrome.

Spinal Compression.

Anti-algic and hemostatic treatment.

Geometric delimitation of references in the patient:

Skin References.

Plumped marks.

Positioning and quiesce means.

Image acquisition protocols.

Recording, importing, and processing images.

f) Application of simulation procedures in endocavitary, endoluminal and superficial brachytherapy:

Simulation in brachytherapy for endocavitary tumors:

Ginecolecas.

bronchial and esophageal endoluminal.

Simulation in surface brachytherapy.

Positioning and quiesce means:

Probes and contrasts.

Placement of gynaecological individualised moulds or moulds in the operating room:

Introduction of dummy fonts for simulation.

Placement of the patient at the simulator table:

Placement of the reference box.

Identification of drawings and references for obtaining the medical image.

Image acquisition protocols.

Recording, importing, and processing images.

g) Description of occupational risk prevention and environmental protection procedures:

Prevention plan tailored to the radiation therapy service.

Radiation sources in radiation therapy.

Identification of risks associated with prevention of occupational risks in radiation therapy:

Irradiation, puncture and injury.

Determination of occupational risk prevention measures in radiation therapy:

Armored doors.

Armored Crystal.

Mandiles and protectors.

Prevention of occupational risks in radiation therapy procedures:

Ergonomics.

Individual protection.

Patient transfer systems from the bed to the wheelchair and to the simulator table (patslide).

Prevention and collective protection:

Area Dosimetry.

Closed armored doors.

Individual protective equipment:

Mandiles and protective plumbers in use for patients and exposed personnel.

Personal flap, ring, and bracelet.

Gloves for hospital use.

Goggles.

Gorros for hospital use.

Tattoo needles with anti-prick systems.

Environmental protection management:

Operational radiological protection.

Workplace risk prevention and environmental protection regulations:

Royal Decree 1566/1998, of July 17, establishing the criteria for quality in radiation therapy.

Order and cleaning methods and rules.

6. Professional Module: Physical and clinical Dosimetry.

Code: 1360.

Contents:

a) Defining the equipment required to perform physical dosimetry:

Radiation measurement equipment:

Description and operation.

Types.

ionization-electrometer chamber.

Semiconductor detectors.

Thermoluminescence Detectors.

Radiographic Plates.

Computer program.

Measurement equipment calibration tests.

Mannequins or fantomas:

Homogeneous: water vat and others.

Heterogeneous.

b) Defining the procedure to perform physical dosimetry in radiation therapy:

Dosimetry of radiation beams in external radiation therapy:

Quality control of radiation emitting equipment.

Verification (or reference) tests and evidence of constancy.

Dosimetric and geometric verifications. Periodicity.

Tests to verify the status of the security and operating conditions of the treatment unit.

Tests to verify the geometric characteristics of the beam.

Tests to verify the mechanical characteristics of the treatment unit.

Tests to verify the match between the functional features and their indicators.

Tests to verify the dosimetric characteristics of the treatment beam.

In-depth performance curves (PDDs).

Isodose curves for photons and electrons.

Profiles for photons and electrons: profiles with wedges and profiles without wedges.

Radiation Beam Modifier.

Quality control of brachytherapy sources:

Calibration of radioactive sources.

Control of the tightness of the sources.

c) Application of the principles of radiobiology to radiation therapy:

Effects of radiation at cellular, tissue, and organic levels.

Cell response to irradiation:

Damage produced by radiation and repair of radiation-induced cell damage.

Response of normal and tumor tissues to radiation:

Cell Survival Curves.

Fractionation of the dose and types of fractionation.

Effects of irradiation and cell survival fractionation.

Modification of cell sensitivity:

Oxygen effect.

Reoxygenation.

Radiosensitizers.

Radioprotectors.

Radiation and hyperthermia.

Radiochemotherapy

Differences between radiation therapy and chemotherapy.

Radio interactions and chemotherapy.

Benefits and drawbacks.

d) Realization of clinical dosimetry for teletherapy treatments:

3D calculation and scheduling system description:

Workstation.

Integrated networks between the scheduler, image acquisition team, and treatment unit.

Description of the different scheduler tools.

Characterization of the treatment units used.

Capture high-resolution images from computed tomography and MRI studies, among others.

Defining the volumes and localization of the reference marks.

Establishment of the isocenter and points of interest.

Disposition of the beams: geometry and modifying elements.

Dose calculation.

Reference Isodose.

Evaluation of the dosimetric plan.

Isodose curves (BEV display).

Volume dose histograms (HDV).

Verifying the plan using reconstructed digital images (RDRs).

Obtaining graphical records and reports.

Dosimetric planning in different tumors and locations:

Dosimetric planning for central nervous system tumors.

Dosimetric planning for head and neck tumors.

Dosimetric planning in breast tumors.

Dosimetric planning for lung tumors.

Dose planning for tumors of the esophagus, stomach, and pancreas.

Dosimetric planning for gynecological tumors.

Dosimetric planning for colo-rectal and bladder tumors.

Dosimetric planning for prostate tumors.

Dose planning for hematologic, bone, soft tissue, and lymphomas tumors.

Dosimetric planning for superior vena cava syndrome and medullary compression syndrome.

Checking the dose using in vivo dosimetry.

Getting records.

e) Realization of clinical dosimetry for brachytherapy treatments:

3D calculation and scheduling system description:

Workstation.

Integrated networks between the scheduler, image acquisition team, and treatment unit.

Description of the different scheduler tools.

Paris System.

Manchester System.

Localization of radioactive sources using dummy sources:

Orthogonal X-rays.

TAC.

RM.

ECO.

Calculation of the dose distribution absorbed into the tissue by the planning computer system:

Calculation algorithms.

Calculation planes.

Dosimetric planning in different tumors and locations.

Dosimetric planning in gynecological tumors.

Vagina, cervix, and endometrium.

Dosimetric planning in intracranial recurrent cystic tumors.

Dosimetric planning for lung, esophageal, and endovascular tumors.

Dosimetric planning for prostate and breast tumors.

Dosimetric planning in tumors of the ORL sphere.

Dosimetric planning for tumors of the year, rectum, and penis

Dose planning in eye and skin tumors.

7. Professional Module: Treatments with teletherapy.

Code: 1361.

Contents:

a) Characterization of equipment used in external radiation therapy:

Characteristics and operation of linear accelerators:

Basis.

Types of radiation emitted.

Team parts.

Mobile parts: gantry, collimer, and table.

Types of collimers: jaws, multisheets, micromultifils, and circulars.

Accessories.

Irradiation and patient positioning volume verification systems: electronic portal imaging devices (EPIDs), cone beam, X-rays, portals, and ultrasound-based systems (US), among others.

Control Console.

Running the accelerator.

Security systems.

Log and communication systems.

Characteristics and operation of the cobaltotherapy team:

The radioactive source.

Team parts.

Mobile parts: gantry, collimer, and table.

Accessories.

irradiation volume verification system.

Control Console.

Operation of the computer.

Security systems.

Description of quality control and maintenance protocols based on equipment.

Daily controls on treatment equipment.

Treatment verification and control systems.

Technological advances in treatment equipment:

Portable accelerators.

Linear accelerators adapted with new technologies. Tomotherapy, and cyberknife.

Multitherapy multitherapy: gammaknife.

Proton accelerators: cyclotrons and synchrotrons.

b) Characterization of external radiation therapy facilities:

General aspects of the design of installations with linear electron accelerators and cobalt units:

Types of radiation present in an external radiation therapy facility.

Elements of the installation.

Shields.

Safety systems for radiation protection.

Special operating procedures for cobalt units:

Receipt of radioactive material.

Radioactive source tightness tests.

Storage and removal of the radioactive source.

Auxiliary systems.

Radiological protection equipment:

Required equipment.

Usage and maintenance rules.

Calibration and verification.

Emergencies in external radiation therapy.

c) Identification and description of treatment techniques in external radiation therapy:

3D-shaped radiotherapy with fixed fields:

Techniques based on the distance of treatment: isocentric and isometric.

Techniques based on the number of fields.

3D-shaped radiotherapy with mobile fields:

Arcotherapy.

Image-guided radiation therapy (IGRT).

Radiosurgery.

Fractionated stereotaxic radiation therapy: intracranial and extracranial.

Modulated intensity radiotherapy (IMRT):

static IMRT.

Dynamic IMRT (IMAT) and Modulated Volumetric arcotherapy (VMAT).

4D radiotherapy.

Synchronized radiation therapy with respiratory movements.

Hadron therapy.

intraoperative radiation therapy.

Total Body Irradiation.

Incorporating new techniques.

d) Application of treatment with external radiation therapy for central nervous system (CNS) tumors:

Central nervous system tumors sensitive to radiation therapy:

Epidemiology, clinical, and diagnosis of nervous system tumors.

Treatments combined.

3D-shaped radiation therapy in CNS tumors:

Holographic irradiation.

Focal cranial irradiation.

Cranial-spinal irradiation: field junction.

Radiosurgery and fractionated stereotaxic radiation therapy:

differential characteristics of the techniques.

Indications of the techniques.

Quiesce media and fixing methods.

stereotaxia framework.

Employee collimation systems.

Modulated intensity radiation therapy (IMRT) in central nervous system tumors.

Side effects of treatment.

e) Application of treatments with external radiation therapy for tumors located in the thoracic region:

Radiation therapy in breast cancer:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce.

Usual treatment technique with 3D-shaped radiation therapy.

Modulated intensity radiotherapy (IMRT).

Image-guided radiation therapy (IGRT).

Side effects of treatment.

Other techniques.

Radiation therapy in lung cancer:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Radiation therapy of modulated intensity in lung cancer.

Other treatment techniques.

Side effects of treatment.

Radiation therapy in esophageal cancer:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Other treatment techniques.

Side effects of treatment.

Urgent radioterapic treatment in the compression syndrome of the superior vena cava.

f) Application of treatments with external radiation therapy in tumors located in the abdomen and pelvis:

Radiotherapy in stomach and pancreatic cancer:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Other treatment techniques.

Side effects of treatment.

Radiation therapy in gynecological tumors: cervix, endometrium, vagina, and vulva:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Other treatment techniques.

Side effects of treatment.

Radiation therapy in rectal and bladder cancer:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means

Usual treatment technique with 3D-shaped radiation therapy.

Other treatment techniques.

Side effects of treatment.

Treatment in prostate cancer with external radiation therapy:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Other treatment techniques.

Side effects of treatment.

g) Application of treatments with external radiation therapy for head and neck tumors:

Radiation therapy in oral cavity tumors.

Radiation therapy in nasopharyngeal, oropharyngeal, and hypopharynx tumors.

Radiation therapy in larynx tumors.

Radiation therapy in nasal cavity tumors and sinuses:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Treatment of ganglion chains.

Reduction of fields.

Other treatment techniques.

Side effects of treatment.

h) Application of treatments with external radiation therapy in hematologic, lymphoid, bone sarcomas, and soft tissue tumors:

Radiation therapy on lymphomas:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Affected fields and extended fields.

Electron bath in skin lymphomas.

Other treatment techniques.

Side effects of treatment.

Total Body Irradiation with Photons (ICT):

ICT in conditioning prior to bone marrow transplantation in hematologic tumors.

Radiotherapy in bone sarcomas and soft parts:

Epidemiology, clinical and diagnostic.

Treatments combined.

Positioning and quiesce means.

Usual treatment technique with 3D-shaped radiation therapy.

Other treatment techniques.

Side effects of treatment.

Urgent treatment in spinal cord compression syndrome.

8. Professional Module: Treatments with brachytherapy.

Code: 1362.

Contents:

a) Characterization of the types of brachytherapy:

Brachytherapy according to the places of insertion of radioactive sources:

Interstitial Therapy.

Intracavitary and intraluminal Brachytherapy.

Superficial brachytherapy.

Brachytherapy based on how to insert radioactive sources:

Direct Insertion therapy.

Deferred insertion therapy: manual and automatic.

Brachytherapy according to the administered dose rate:

Low Dose Rate Brachytherapy (LDR).

Half Dose Rate Therapy (MDR).

High Dose Rate Therapy (HDR).

Pressed therapy.

Brachytherapy according to the duration of the radioactive implant:

Temporary Implants.

Permanent Implants.

Forms of presentation of radioactive sources.

Applicators.

Auto-load teams:

Description.

Operation.

Pre-use controls for computers.

Equipment maintenance.

b) Characterization of brachytherapy facilities:

General aspects of the installation design.

Low dose rate brachytherapy facilities:

Radiological characteristics and risks.

Shields.

Security devices.

High-dose rate brachytherapy facilities:

Radiological characteristics and risks.

Shields.

Security devices.

Metabolic brachytherapy facilities:

Radiological characteristics and risks.

Shields.

Security devices.

Auxiliary systems.

Radiological protection equipment.

Radiation Detectors used in area and personnel dosimetry.

c) Application of handling procedures for radioactive sources:

Characteristics of radioactive sources used in brachytherapy.

Acquisition, receiving, and storage of radioactive sources.

Records and control of radioactive sources.

Gammateca record books.

Operating procedures in handling radioactive sources.

Moving radioactive sources into the installation.

Radiation protection measures in the handling of radioactive sources.

Radiation surveillance:

Tightness control.

Dosimetric controls.

Management of radioactive waste.

d) Application of intracavitary and endoluminal brachytherapy treatments:

Instrumentation and Equipment.

Treatments combined with teletherapy and chemotherapy.

Intracavitary brachytherapy in gynaecological tumors: vagina, cervix, and endometrium:

Description of implant techniques.

Rigid and flexible applicators (colpostates).

Individual molds and vaginal cylinders.

Surgical and instrument handling of the operating room.

Source localization systems.

High and low dose rate.

Withdrawal of implant sources.

Side effects of treatment.

Brachytherapy in Intracranial Recurrent Cystic Tumors with phosphoro-32.

Endobronchial, Esophageal, and Endovascular Brachytherapy:

Description of the techniques.

Insertion and Radiological Control Probes.

High dose rate.

Side effects of treatment.

e) Application of interstitial and superficial brachytherapy treatments:

Instrumentation and Equipment.

Multidisciplinary approach to treatment.

Vulva and vagina gynaecological tumor therapy:

Implantation needles.

Implementation techniques.

Surgical procedures.

Side effects.

Prostate therapy:

Characteristics of the iodine-125 and palladium-103 sources.

Operating room procedures.

Brachytherapy with temporary implants.

Brachytherapy with permanent implants.

Insertion of seeds: implant grate and transrectal ultrasound.

Guided by image therapy.

Complications of treatment.

Breast therapy:

Implementation technique.

Applicators: needles, plastic tubes, and methacrylate perforated template.

Operating room procedures and supplemental material.

Verification of the implant.

intraoperative balloon technique (mammosite).

Brachytherapy supported in mammography imaging (accubost).

High and low dose rate.

Side effects.

Brachytherapy in the sphere of ORL: tongue, palate, tonsils and cheeks.

Braintherapy for the year and the year.

Penile therapy.

Superficial brachytherapy in ocular and skin tumors:

implant procedures.

Applicators.

High dose rate.

Intraoperative therapy

f) Characterization of treatments with metabolic brachytherapy:

Characteristics of metabolic brachytherapy:

Comparative analysis with other brachytherapy techniques.

Radiopharmaceuticals.

Clinical applications of metabolic therapy:

Thyroid cancer.

Bone Metastases.

Other applications.

Operating procedures during metabolic therapy.

Operational procedures after metabolic therapy:

Rules to be followed by the care staff.

Decontamination and handling of specific waste.

Care delivery to the hospitalized patient in the metabolic therapy unit.

Emergencies in metabolic therapy.

9. Professional module: Radiation therapy and dosimetry project.

Code: 1363.

Contents:

a) Identification of the needs of the productive sector and the organization of the company:

Identification of job roles.

Industry structure and organization.

Company activity and its location in the industry.

Organization chart of the company. Functional relationship between departments.

Industry trends: productive, economic, organizational, employment and other.

Work procedures in the company scope. Systems and methods of work.

Determination of excluded labor relations and special labor relations.

Collective agreement applicable to the professional field.

Company culture: corporate image.

Quality and security systems applicable in the industry.

b) Design of projects related to the sector:

Analysis of the local reality, the business offer of the sector in the area and the context in which the professional training module will be developed in the workplace.

Collecting information.

The overall structure of a project.

Crafting a work script.

Project execution planning: objectives, content, resources, methodology, activities, timing, and evaluation.

Project Feasibility and Opportunity.

Review of applicable regulations.

c) Planning for project execution:

Sequencing of activities.

Elaboration of work instructions.

Making a risk prevention plan.

Documentation required for project execution schedule.

Compliance with safety and environmental standards.

Project quality assurance indicators.

d) Defining control and evaluation procedures for project execution:

Proposal for solutions to the objectives outlined in the project and justification of the selected ones.

Defining the project evaluation procedure.

Determining the variables that can be evaluated.

Documentation required for project evaluation.

Process and end product quality control.

Log of results.

10. Professional module: Training and employment orientation.

Code: 1364.

Contents:

a) Active job search:

Valuation of the importance of permanent training for the professional and professional trajectory of the superior technician in Radiotherapy and Dosimetry.

Analysis of personal interests, skills and motivations for the professional career.

Identification of the training itineraries related to the superior technician in Radiotherapy and Dosimetry.

Responsible for learning itself. Knowledge of the requirements and expected fruits.

Definition and analysis of the professional sector of the title of Superior Technician in Radiation Therapy and Dosimetry.

Planning your own career:

Setting work goals, in the medium and long term, compatible with needs and preferences.

Realistic and consistent goals with current and projected training.

Job search process in small, mid-sized, and large companies in the industry.

Learning and employment opportunities in Europe. Europass, Ploteus.

Job search techniques and instruments.

Self-employment assessment as an alternative for professional insertion.

The decision-making process.

Setting a personal checklist of consistency between career plan, training, and aspirations.

b) Conflict management and work teams:

Valuation of the advantages and drawbacks of the team work for the organization's effectiveness.

Equipment classes in the field of radiotherapy and dosimetry, depending on the functions they perform.

Analysis of the training of work teams.

Features of an effective work team.

The participation in the work team. Analysis of the possible roles of their members.

Conflict definition: features, sources, and stages of the conflict.

Methods for conflict resolution or suppression: mediation, reconciliation, and arbitration.

c) Job Contract:

The right of the job.

Intervention of public authorities in industrial relations.

Analysis of the individual labor relationship.

Determination of excluded labor relations and special labor relations.

Hiring contract modes and promotion measures.

Rights and duties arising from the employment relationship.

Working Conditions. Salary, work time and work rest.

Modifying, suspending, and extinguishing the work contract.

Representation of workers.

Collective bargaining as a means of reconciling the interests of workers and employers.

Analysis of a collective agreement applicable to the professional scope of the superior technician in Radiotherapy and Dosimetry.

Collective conflicts of work.

New work organization environments: subcontracting and teleworking, among others.

Benefits for workers in new organizations: flexibility and social benefits, among others.

d) Social Security, Employment and Unemployment:

The Social Security System as a basic principle of social solidarity.

Structure of the Social Security system.

Determination of the principal obligations of employers and workers in the field of social security: affiliation, ups, downs and contributions.

The protective action of Social Security.

Classes, requirements, and benefits.

Concept and situations that are protected by unemployment.

Systems of workers ' advice regarding their rights and duties.

e) Professional risk assessment:

Importance of preventive culture at all stages of professional activity.

Assessment of the relationship between work and health.

Analysis and determination of working conditions.

The concept of professional risk. Risk factor analysis.

Risk assessment in the company as a basic element of preventive activity.

Risk analysis linked to security conditions.

Risk analysis linked to environmental conditions.

Risk analysis linked to ergonomic and psychosocial conditions.

Specific risks in the field of radiation therapy and dosimetry.

Determination of the possible health damage to the worker that can be derived from the identified risk situations.

f) Planning for risk prevention in the enterprise:

Rights and duties in the field of occupational risk prevention.

Responsibilities in the field of occupational risk prevention.

Managing prevention in the enterprise.

Representation of workers on preventive matters.

Public bodies related to the prevention of occupational risks.

Planning for prevention in the enterprise.

Emergency and evacuation plans in work environments.

Elaboration of an emergency plan in a small or medium enterprise in the sector.

g) Application of prevention and protection measures in the enterprise:

Determination of individual and collective prevention and protection measures.

Action protocol in an emergency situation.

First aid. Medical urgency. Basic concepts.

Application of first aid techniques.

Training for workers in the field of emergency plans.

Surveillance of workers ' health.

11. Professional module: Enterprise and entrepreneurial initiative.

Code: 1365.

Contents:

a) Entrepreneurship Initiative:

Innovation and economic development. Main characteristics of the innovation in the activity of radiotherapy and dosimetry. (materials, technology and organization of production, among others).

Entrepreneurial culture as a social need.

The entrepreneurial character.

Key factors for entrepreneurs: initiative, creativity and training.

Collaboration between entrepreneurs.

The performance of entrepreneurs as employees of a company related to radiotherapy and dosimetry.

The performance of entrepreneurs as entrepreneurs in the field of radiotherapy and dosimetry.

The risk in entrepreneurial activity.

Concept of entrepreneur. Requirements for the exercise of business activity.

Personal goals versus business goals.

Business Plan: The business idea in the field of radiotherapy and dosimetry.

Good practices of entrepreneurial culture in the activity of radiotherapy and dosimetry at the local level.

b) The company and its environment:

Basic company functions.

The enterprise as a system.

The overall business environment.

Analysis of the overall environment of a company related to radiotherapy and dosimetry.

The company's specific environment.

Analysis of the specific environment of a company related to radiotherapy and dosimetry.

A radiotherapy and dosimetry company's relationships with your environment.

Relationships of a radiotherapy and dosimetry company with the whole of society.

Company culture: corporate image.

Social responsibility.

The Social Balance.

Business ethics.

Social and ethical responsibility of companies in the field of radiotherapy and dosimetry.

c) Creating and starting a company:

Company concept.

Enterprise Types.

The responsibility of the owners of the business.

Taxation in companies.

Choice of the legal form. Dimension and number of partners.

Administrative formalities for the formation of a company.

Economic Viability and financial viability of a company related to radiotherapy and dosimetry.

Analysis of sources of funding and budgeting of a company related to radiotherapy and dosimetry.

Aid, grants and tax incentives for SMEs related to radiotherapy and dosimetry.

Business plan: choice of legal form, economic and financial feasibility study, administrative procedures and management of grants and grants.

d) Administrative function:

Concept of basic accounting and notions.

Accounting operations: recording the economic information of a company.

Accounting as a true picture of the economic situation.

Analysis of accounting information.

Corporate Tax Obligations.

Requirements and deadlines for the filing of official documents.

Administrative management of a company related to radiotherapy and dosimetry.

12. Professional module: Training in job centres.

Code: 1366.

Contents:

a) Identification of the structure and business organization:

Structure and business organization of the radiotherapy and dosimetry sector.

Company activity and its location in the radiotherapy and dosimetry sector.

Organization chart of the company. Functional relationship between departments.

The company's logistics organization. Suppliers, customers, and marketing channels.

Work procedures in the company scope. Systems and methods of work.

Human resources in the enterprise: training requirements and professional, personal and social skills associated with different jobs.

Quality system set in the job center.

The security system set in the job center.

b) Application of ethical and labour habits:

Personal Attitudes: empathy, punctuality.

Professional attitudes: order, cleanliness, responsibility and security.

Attitudes to the prevention of occupational and environmental risks.

Hierarchy in the enterprise. Communication with the work team.

Documentation of professional activities: methods of classification, coding, renewal and elimination.

Recognition and application of internal company rules, work instructions, standard work procedures, and others.

c) Operation and organization of the radiation therapy unit:

The radiation therapy unit within the healthcare setting.

Competencies of the medical, nursing, auxiliary and technical staff.

Functional areas of radiation therapy or radiation protection service.

The daily programming of a radiation therapy unit.

Managing the warehouse.

Detection of product acquisition and replacement needs.

Product and material stock control.

The inventory.

d) Healthcare technical assistance to the patient:

Identification and preparation of the patient.

Processing the health and administrative documentation.

Selection and handling of material and medical devices.

Assessment of the overall status of the patient. Warning signs and symptoms.

Performance protocols in the administration of contrasts.

Communication techniques and psychological support for the patient.

e) Participation in imaging using simulation equipment:

Preparing the room, equipment, and material needed for simulation. Daily unit controls.

Patient information and positioning in the simulator unit.

Placement of means of immobilization and marking to the patient.

Selecting simulation parameters.

Verifying the simulation and completing the technician sheet.

Conditioning the equipment and room for a new simulation.

Delimitation and contouring of patient volumes according to ICRU recommendations.

f) Elaboration of molds and add-ons used in radiotherapy:

Preparing the add-on lab.

Selection of materials for the elaboration of molds and add-ons.

Application of processing techniques for teletherapy, brachytherapy and individualized immobilizers.

Quality and agreement criteria for the material produced.

g) Realization of clinical dosimetric plans for tele-therapy or brachytherapy treatments:

Verifying the correct operation of the scheduler system.

Using the different scheduler tools.

Defining treatment volumes and critical organs.

Determination of the treatment fields, the incidence of the beams, the radiation dose, and the distribution.

Application of calculation procedures to determine the dosimetry of the organs to be irradiated.

Record the data in the treatment tab.

Evaluation of the dosimetric plan.

h) Checking the radiation doses by performing physical dosimetry.

Handling of equipment used to perform radiation measurements.

Application of measurement and calibration protocols for measuring equipment.

Selection of mannequins and reference values.

Performance of the quality assurance program.

i) Application of teletherapy treatments:

Preparation of the room, equipment, and material needed for treatment, based on the optional prescription.

Performing the daily controls of the treatment unit.

Patient information and positioning.

Performing the displacements for the location of the isocenter.

Selection of treatment parameters.

Verification of treatment and fulfillment of the treatment sheet.

j) Application of brachytherapy treatments:

Preparation of the room, equipment, and material needed for treatment, based on the optional prescription.

Performing the daily controls of the treatment unit.

Patient information and positioning.

Deployment material.

Managing more used radioactive sources in implantation and removal.

Verifying the position of the source.

Dissipmetric controls from sources.

Fulfillment of the treatment sheet.

k) Application of radiation protection procedures:

Handling of radiation measurement and detection equipment used for environmental and personal dosimetry.

Identification of the radiological risks inherent in the radioactive installation.

Collaboration in radiation surveillance and control processes.

Experimental determination of the variation of the absorbed dose, due to a point source, depending on the distance, time, and shielding.

Identification of the quality control procedures set out in the Quality Assurance Plan.

Action Plan in emergencies.

Management procedures for radioactive material.

ANNEX II

Sequencing and weekly hourly distribution of professional modules

Higher Grade Forming Cycle: Radiation Therapy and Dosimetry

1346. Physical fundamentals and equipment ⁽¹⁾

1347. Anatomy by image ⁽²⁾

1348. Radiation protection⁽¹⁾

	Module	Duration (hours)	First Course (h/week)	Second
				2 Quarters (h/week)	1 quarter (hours)
	1345. Patient-health care for patient (1)	130	4
230	7
230	7
130	4
1364. Job training and guidance	90	3
1365. Enterprise and entrepreneurship	60	2
reserved for the English imparted module	90	3
1359. Treatment simulation	140		7
1360. Physical and clinical dosimetry	120		6
1361. Treatments with teletherapy	160		8
1362. Treatments with brachytherapy	140		7
reserved for the imparted module in English	40
1366. Job center training	400			400
1363. Radiotherapy and dosimetry project	40			40
in the formative cycle	2,000	30	30	440

⁽¹⁾ Professional modules cross-cutting to other Professional Training titles.

ANNEX III

Modules capable of being imparted in the English language

1346. Physical fundamentals and equipment.

1347. Anatomy by the image.

1348. Radiation protection.

1359. Simulation of treatment.

1360. Physical and clinical dosimetry.

1361. Treatments with teletherapy.

1362. Treatments with brachytherapy.

ANNEX IV

Minimum spaces and equipment

Spaces:

Form Space

Surface
30 pupils	20 pupils
60	60	40
Lab	120	90
60	40

Minimum Equipment:

Forative Space

-purpose Aula.	Computers installed in network, projection system, and internet. Audiovisual media. Application computer programs
Laboratory of radiotherapy.	} \f3 s} {\f3 s} {\f3 s} {\f3 s} {\f3 s} {\f3 s} {\f3 s} {\f3 s} {\f3 s} vacuum, bely-board, nuqueras, and wedges. Brachytherapy simulator equipment. Mold And Plug-in Workshop: Automatic Mold Cutter. Manual Mold Cutter. Cast Crisp. Work Bank with tools: hammer, lime, knife, screwdrivers, and pliers, among others. Lead mount baskets. Low melting point alloy. Security material: extractor, protective glasses, and gloves (vinyl, latex, and anti-cut). Puller. Hand or Micromotor Piece with all of its add-ons. Thermal Bath. Negatoscopes.
Laboratory of Dosimetric Planning.	PCs installed in network with the 3D planning computer system. High-resolution PCs monitors. Projection Canon. Printer.