Order Ecd/1546/2015, On 21 July, Which Establishes The Curriculum Of The Formative Cycle Of Top Grade Corresponding To The Title Of Senior Technician In Radiation And Dosimetry.

Original Language Title: Orden ECD/1546/2015, de 21 de julio, por la que se establece el currículo del ciclo formativo de grado superior correspondiente al título de Técnico Superior en Radioterapia y Dosimetría.

Read the untranslated law here: http://www.boe.es/buscar/doc.php?id=BOE-A-2015-8481

The Royal Decree 772/2014, of 12 September, which establishes the title of technician in radiotherapy and dosimetry and fix their minimum educations, acts in accordance with the Royal Decree 1147 / 2011, July 29, which establishes the general management of the vocational training of the educational system, which defines the structure of the titles of professional training and specialization courses in article 9 , on the basis of the national catalogue of professional qualifications, the guidelines laid down by the European Union and other aspects of social interest and implements the mentioned title of senior technician in radiotherapy and dosimetry.

The organic law 2/2006, of 3 may, education, establishes the educational administrations to develop the curriculum of the titles of professional training, starting from the basic curriculum and in the conditions laid down in article 6 bis 4. Schools will develop and complete, where appropriate and as established by the educational administrations, the curriculum of the different stages and cycles in use of their autonomy as set out in chapter II of title V of the aforementioned organic law.

The Royal Decree 772/2014, 12 September, at their sole repeal provision, repeals the Royal Decree 556/1995, of 7 April, which establishes the curriculum of the training cycle of top grade corresponding to the title of senior technician in radiotherapy, established under the auspices of the organic law 1/1990 of 3 October, General Organization of the educational system.

In accordance with the above and once the Royal Decree 772/2014, of 12 September, has set the professional profile of the title of technician in radiotherapy and dosimetry, the basic aspects of the curriculum, that ensure a common training and guarantee the validity of the titles throughout the national territory, comes now to determine, in the field of management of the Ministry of education Culture and sport, the expansion and contextualization of the contents of the professional modules included in this title, respecting the professional profile of the same.

The needs of a market of work integrated in the European Union require that the teachings of training pay special attention to the languages of the countries members, incorporating them into its training offer. In this sense, this training cycle includes in the curriculum for training in English language, in response to the provisions of the Royal Decree 1147 / 2011, July 29.

In addition, the curriculum of the training cycle is established since respect autonomy pedagogical, organisational and management of the centres that offer vocational training, promoting these teamwork of teachers and the development of plans of training, research and innovation in the teaching field and actions that promote the continuous improvement of the training processes.

On the other hand, professional training centres will develop the curriculum established in this order, taking into account the characteristics of the student body, with special attention to the needs of persons with disabilities.

Finally, it should be noted that this training cycle curriculum integrates scientific, technological and organizational aspects of the established teachings for the students to acquire a global vision of the productive processes of the professional profile of the technician in radiotherapy and dosimetry.

In the process of elaboration of this order has issued report of the State School Board.

For all of the above, in 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, which establishes the title of technician in radiotherapy and dosimetry and fix their minimum educations, the curriculum of the training cycle of top grade corresponding to the aforementioned title.

Article 2. Scope of application.

The curriculum established in this order shall apply within the territorial scope of the Ministry of education, culture and sport management.

Chapter II article 3 curriculum. Curriculum.

1. the curriculum for the teaching of vocational training of the educational system corresponding to the title of senior technician in radiotherapy and dosimetry, established in Royal Decree 772/2014, of 12 September, is determined in the terms set out in this order.

2. the professional profile of the curriculum, which is expressed by the general competence, professional, personal and social competences and qualifications and units of competence of the national catalogue of professional qualifications, is included in the title of technician in radiotherapy and dosimetry, referred to in the previous point.

3. the General objectives of the curriculum of the training cycle, the objectives of the professional modules expressed in terms of learning outcomes and assessment criteria are included in the title of technician in radiotherapy and dosimetry, referred to in paragraph 1 of this article.

4. the contents of the professional modules that make up the present curriculum, adapted to the socio-economic reality as well as the prospects for 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 by this order is established taking into account the socio-economic reality and the geographical, socio-productive and labor characteristics of the environment's implementation of the title.

2 vocational training centres will benefit necessary autonomy pedagogical, organisational and economic management for the development of the teachings and its adaptation to the specific characteristics of the socio-economic, cultural, and professional environment.

3. the authorized to deliver this training cycle will realized and develop curricular and organisational measures that are most appropriate to the characteristics of its students and of their production environment, flexibly and in use of their pedagogic autonomy, within the general framework of the educational project, in the terms established by the organic law 2/2006, education.

4. the curriculum of the training cycle regulated by this order will take place in educational programs or curriculum development, enhancing or creating the culture of prevention of occupational hazards in the spaces where be given professional modules, as well as promoting a culture of environmental respect, excellence in work, compliance with standards of quality, creativity, innovation gender equality and respect for equality of opportunity, the 'design for all' 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 the students and the environment, attending especially to persons with disabilities, in terms of accessibility and support resources needed to ensure that this student can study these teachings in the same conditions as the rest.

2. in addition, the teachings of this cycle will be taught with a flexible and open methodology based on self-learning and adapted to the conditions, capabilities and needs of students, so as to enable reconciliation of learning with other activities and responsibilities.

Article 6. Duration and sequencing of professional modules.

1. the total duration of the teachings relevant to this training cycle, including the professional training module in workplace, is 2,000 hours.

2. the professional modules of this training cycle, when they are offered on a face-to-face basis, will be organized in two academic years and shall be adjusted to the sequencing and weekly hourly distribution determined in annex II of this order.

3. the first academic year will take place entirely in the educational center. To be able to attend the second course, you will need to have passed the professional modules involving altogether, at least eighty percent of the hours of the first course.

4. ensure the right of registration of those who have completed a professional module in another autonomous community in the terms established in article 48.3 of the Royal Decree 1147 / 2011, July 29, which establishes the general management of the vocational training of the educational system.

5. in General, during the third quarter of the second year, and once achieved the positive assessment in all professional modules in the educational center, the professional training module will be developed in work centers.

6. exceptionally, and in order to facilitate the adjustment of the number of registered people to the availability of training posts in enterprises, approximately half of the second year students may develop module professional training in workplace during the second quarter of the second year, provided they have positively passed 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 that can prevent the development of professional training module in workplace can conform to previous assumptions, this will organize in other periods coincide with the development of the economic activity of the professional profile of the title.

8. in any case, the evaluation of the professional training module in workplace will depend to the positive evaluation of the rest of the professional modules of the training cycle.

Article 7. Professional project module.

1. the professional project module has an interdisciplinary character and incorporates the technological and organizational variables related to the essential aspects of the professional competence of the title of technician in radiation and dosimetry.

2. in General, this module will be taught by teachers who exerts the tutoring of training in workplace.

3. the professional module of project will be developed during the last period of the training cycle, combining the collective, and the individual tutoring so that at least 50% of the total length is carried out in person and complete with mentoring a distance in which information and communication technologies will be employed.

4. in any case, and before the start of the professional training module in workplace, responsible teachers must anticipate the teaching and learning activities that facilitate the development of the professional project module.

5. the evaluation of this professional module will depend to the positive evaluation of the rest of the professional modules of the training cycle, including training in workplace.

Article 8. Bilingual education.

1. the curriculum of the training cycle includes the English language in an integrated manner at least in two professional modules that make up the whole of the training cycle. These modules will be taught by teachers with teaching attribution in them and, in addition, having the linguistic qualification corresponding to level B2 of the common European framework of reference for languages.

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

3. likely to be taught in English language modules are the designated annex III.

4. as a result of the greater complexity involved in the transmission and reception of teaching in a language other than the mother, the professional modules taught in English language increase their workload time, three hours per week for the set of modules that are taught in the first year and two hours for which develop during the second year. In addition, teachers who impart these professional modules will be assigned, in your individual schedule, at least three hours a week to prepare. These hours will be the same character as the hours.

5. on an exceptional basis and temporarily until 2020, when teachers with teaching attribution does not have the level of English required in these professional modules, you will share a total of three hours per week for the set of modules that are taught in the first year and two hours for which develop during the second course with a teacher or a teacher of English specialty. In this course, the programming of these modules will include, at least, a unit of work or teaching to be held exclusively in English language and the rest of didactic units will incorporate given teaching and learning activities exclusively in English at the assigned time.

6. on an exceptional basis, and upon request, in the case of students or students with disabilities that may present difficulties in its oral expression (cerebral palsy, deafness...) easing measures and/or alternatives will be established on the requirement of delivery of modules in English language, in a way that can take all the teachings of the professional modules in their mother tongue.

Chapter III faculty, spaces and facilities article 9. Qualifications and accreditation of teachers requirements.

1. the specialties of faculty with teaching attribution in professional modules that constitute the teachings laid down for the title referred to in article 1 of this order, as well as equivalent qualifications for the purpose of teaching, are pick-ups respectively in annexes III A and III B the Royal Decree 772/2014, on 12 September.

2. with the aim of ensuring compliance with article 12.6 of Royal Decree 772/2014, of 12 September, for the delivery of professional modules that comprise it, privately owned centres or public owned by other than the educational administrations, it must demonstrate that it complies with all the requirements established in that article, providing the following documentation (: a) certified photocopy of the official academic title demanded, according to the qualifications listed in annex III C of Royal Decree 772/2014, from 12 September. When linked with the professional module that you want to impart, the presented qualifications deemed that it encompasses the objectives of the module itself. Otherwise, in addition to the degree, the documents referred to in subparagraph (b) be provided) or c).

(b) in the event that want to justify that teachings leading to the qualification provided encompasses the objectives of professional modules that is intended to impart: personal academic certification of studies, original or authenticated, issued by official site, stating the teachings taken detailing the subjects.

Studies programs provided and completed by the person concerned, original or certified photocopy them, sealed by the University or corresponding official or authorized school.

c) where it is necessary to justify through work experience, at least for three years, has developed its activity in the sector linked to the professional family, its duration will be credited with the corresponding supporting official document, which will be: certification of the company or employer organization specifically indicating the activity carried out by the person concerned. This activity has to be implicitly related to the learning outcomes of the professional module which aims to impart.

In the case of those who work on their own, statement by the person concerned of the most representative activities related to learning outcomes.

Article 10. Spaces and facilities.

Spaces and facilities which must comply with the vocational training centres, to enable the development of teaching activities, are those set out in annex IV of this order and shall comply with the provisions of article 11 of Royal Decree 772/2014, of 12 September, as well as the legislation on equal opportunities, 'design for all' and universal accessibility , prevention of occupational health and safety in the workplace.

Chapter IV other offers and modality of these teachings article 11. Offer remote.

1. the professional modules offered to distance, when by its characteristics they required, ensure students the attainment of all the objectives expressed in the results of learning, through face-to-face activities.

2. the provincial directorates and the departments of education shall take the necessary measures and will give detailed instructions to centres authorized to deliver this training cycle in face-to-face mode, to start up and operation of the offer of the same distance.

3 authorised centres for imparting teachings of professional distance learning will have appropriate curriculum materials to be adapted to the provisions of the fourth additional provision of the organic law 2/2006 of 3 May.

Article 12. Combined offer.

In order to respond to the needs and personal interests and give the possibility to combine training with work, with other activities or situations, the offer of these teachings for adults and young people in special circumstances can be combined between regimes of classroom teaching and distance simultaneously, provided the same modules in two modalities do not take at the same time.

Article 13. Offer for adults.

1. the professional modules of this training cycle associated with units of competence of the national catalogue of professional qualifications may be a modular offer aimed at adults.

2. This training will be developed with an open and flexible methodology adapted to the conditions, capabilities and personal needs that allow them to reconciliation of learning with other activities and responsibilities, fulfilling the provisions of chapter I of title IV of the Royal Decree 1147 / 2011, July 29. In addition, this training will be capital to achieve a degree of professional formation, for which it will be necessary to prove the requirements of access.
3. with the aim of reconciling the learning with other activities and responsibilities, the provincial directorates and the departments of education may establish specific measures to fulfil the provisions of article 41 of the Royal Decree 1147 / 2011, July 29 and enable a range of face-to-face and distance simultaneously.

4. with the aim of promoting lifelong training, the Directorate-General of professional training of the Ministry of education, culture and sport may authorize the provincial directorates and the departments of education teaching, in the centers of their competence, professional modules organized in training units of shorter duration. In this case, each result of learning, with their criteria of evaluation and its corresponding block of content, will be the minimum and indivisible unit of partition.

First additional provision. Authorisation to impart these teachings.

Provincial and regional ministries of education processed authorization to the General Directorate of vocational training to be able to impart the teachings of this formative cycle of complete or partial form regime face-to-face and distance, of centres who request it and meet the requirements under the current legislation.

Second additional provision. Linguistic empowerment of teachers in bilingual education.

Teachers who go to provide teaching in English language must be in possession, before the date of beginning of each academic year, of the corresponding linguistic empowerment, for which purpose the Ministry of education, culture and sport will conduct a habilitation procedure before the beginning of each course.

Third additional provision. Training of teachers of bilingual education.

Provincial and regional ministries of education scheduled courses and English language training for all teachers of vocational training that will provide teaching in the subject to be taught in English language, professional modules who will be required to attend to them until they get the required habilitation. These measures shall apply, at least until the year 2020.

The training offered will be of three types: a) intensive training, through a course made, preferably in the modality, during the month of September.

(b) formation of long-lasting throughout the school year, through a course that combines face-to-face form and online, which will be held outside opening hours of forced stay in the training centre. During the period of preparation of the professional training module in workplace, this course will intensify and will be held, if possible, between the hours of forced stay in the Center.

(c) training in English-speaking country, through courses, which possibly will include cultural visits to institutions and attendance at conferences, and to be held at the end of the year once completed school activities in the training centres.

Sole transitional provision. Substitution of titles related to these teachings.

1. the students, at the end of the 2014-2015 school year, complying with the conditions required to attend the second course of the title of technician in radiotherapy, established by Royal Decree 544/1995, of 7 April, under cover of the organic law 1/1990 of 3 October, General Organization of the educational system, and that has not passed any of the professionals of the first course of the mentioned title modules It will feature two calls in each of two successive years to overcome such professional modules. After this period, in the school year 2017-2018, apply you the validation, for modules overcome, laid down in article 15(1) of Royal Decree 772/2014, of 12 September, regulated by the organic law 2/2006 of 3 may, education.

2. to students who at the end of the school year 2014-2015, not satisfying the conditions required to attend the second course of the title of technician in radiotherapy, established by Royal Decree 544/1995, of 7 April, under cover of the organic law 1/1990 of 3 October, General Organization of the educational system, will apply you the recognition set out in article 15(1) of the Royal Decree 772/2014 of 12 September, regulated by the organic law 2/2006 of 3 may, education.

3 students that, at the end of the school year 2015-2016, not satisfying the conditions required to obtain the title of technician in radiotherapy, established by Royal Decree 544/1995, of 7 April, under cover of the organic law 1/1990 of 3 October, General Organization of the educational system, will have two calls in each of two successive years to overcome such professional modules , with the exception of the training module in workplace for which you will have an additional school year. To students who after that period had not obtained the title apply the validations for the overmatched modules set out in article 15(1) of Royal Decree 772/2014, of 12 September, regulated by the organic law 2/2006 of 3 May.

First final provision. Application of the order.

The Directorate-General of professional training, is authorized in the scope of their powers, to adopt measures and enact the necessary instructions for the application of the provisions of this order.

Second final provision. Implementation of these teachings.

1 during the 2015-2016 will be implemented the first year of the training cycle to which refers article 1 of this order and they will impart the teachings of first course covered by the organic law 1/1990 of 3 October, of General Organization of the educational system, corresponding to the Real Decree 544/1995, of 7 April, which establishes the title of technician in radiotherapy.

2 during the 2016-2017 will be implemented the second year of the training cycle to which refers article 1 of this order and they will impart the teachings of second year covered by the organic law 1/1990 of 3 October, of General Organization of the educational system, corresponding to the Real Decree 544/1995, of 7 April, which establishes the title of technician in radiotherapy.

Third final provision. Entry into force.

This order shall enter into force the day following its publication in the "Official Gazette".

Madrid, 21 July 2015.-the Minister of education, culture and sport, Íñigo Méndez de Vigo and Montojo.

Annex I professional modules 1. Professional module: Patient care.

Code: 1345.

Contents: a) identification of the scope of work: structure of public and private healthcare in Spain.

Public and community health.

Health indicators.

Radiology, nuclear medicine and radiotherapy units in the health system.

Healthcare Logistics: inventory.

Preservation of materials.

Sanitary products.

Functions of the professional in the unit.

Health economics.

Quality in the provision of diagnostic radiology, nuclear medicine and radiation therapy services.

Legislation applied to the field of activity.

(b) implementation of protocols for patient receiving: citation, registration and patient identification protocols: criteria for priority attention.

Clinical documentation: types of documents, utilities, applications and completion criteria.

Non-clinical documents: books and paperwork.

Informative documentation to examinations and treatments: preparation protocols.

Ethical standards.

Law of protection of data of a Personal nature: social responsibility and ethical principles.

(c) application of communication and counselling techniques: elements of communication: communication types. Verbal and written communication.

The communication difficulties. Barriers, interference and distortions.

Personal and social skills that improve interpersonal communication.

Communication techniques.

Characteristics of the information.

Phases of assistance to the person the user.

Cultural mediation in the healthcare environment.

Personality development: developmental stages in psychology.

Psychological changes and adaptation to disease: psychology of the chronically ill.

Psychology of the cancer patient.

The ill geriatric psychology.

Psychology of the sick terminal.

Psychology of children and adolescents with the disease.

Mechanisms of defense against disease: stress and anxiety.

Relationship help: mechanisms and counselling techniques.

Genus. Health and disease.

(d) observation, according to protocols of the unit, fisico-clinicos parameters: Emergency Plan.

Assessment of the level of consciousness specific actions.

Taking of vital signs: temperature, blood pressure, pulse and breathing.

Normal values and alterations.

Scanning protocols: hygiene and comfort.

Pain.

Assistance to patients with special needs: Pediatric, geriatric, unconscious and unstable.

(e) procedures for preparation of the patient: the human being and needs: biophysical, psychological, and social needs.

The health-disease process.

Determinants of health: dependency and disability.

Hygiene and comfort in the diagnosis or treatment unit: bedridden patient's comfort.

Mobilization and transfer techniques: criteria of safety and body mechanics.

Ergonomics.
(f) resolution of contingencies, according to protocols of the unit, equipment and devices: performances by the technician.

Technical characteristics of sanitary-engineering equipment: equipment functionality.

Electro-medical equipment. Recognition and use.

Disposable and reusable material: criteria of manipulation and control.

Criteria for verification and conditioning.

Oxygen therapy equipment: criteria of manipulation and control.

Criteria for verification and conditioning.

Vacuum cleaners: Criteria of manipulation and control.

Criteria for verification and conditioning.

Equipment monitoring and perfusion: criteria of manipulation and control.

Criteria for verification and conditioning.

Probes, drains, and ostomy: criteria of manipulation and control.

Criteria for verification and conditioning.

(g) protocol for the administration of radiopharmaceuticals and contrasts: Bases of Pharmacology.

Principles of pharmacokinetics: absorption, distribution, metabolism and elimination.

Groups of drugs.

Contrast products: types.

Indications.

Contraindications and side effects.

Management techniques and material: drilling.

Enemas.

Catheterization.

Others.

Actions in case of anaphylactic reactions: cardio.

Cardiopulmonary resuscitation.

Basic life support techniques.

(h) prevention and protection from infectious disease: infection and epidemiological chain.

Communicable diseases.

Nosocomial infections: concept.

Routes of transmission.

Situations of risk.

Preventive measures.

Personal privacy and patient.

Washing of hands.

Cleaning and disinfecting equipment.

Waste disposal.

2. professional module: Physical foundations and equipment.

Code: 1346.

Contents: a) characterization of waves and radiation: ionizing radiation and non-ionizing.

Electromagnetic and particle radiation.

Material waves and ultrasound.

Magnetism and applications in diagnostic imaging: magnetic forces and fields.

Classification of magnetic materials.

Atomic magnetic dipoles.

Applications of ionizing radiation in radiation therapy and Imaging for diagnosis: ionizing radiation from nuclear and non-nuclear.

Origin of X radiation.

Radionuclides and nuclear decay.

Application of non-ionizing radiation and the material waves in radiation therapy and Imaging for diagnosis: origin of radio frequencies and their use in diagnostic imaging.

Origin of ultrasound and Imaging for diagnostic use.

Units and magnitudes of use in radiation therapy and Imaging for the diagnosis.

(b) characterization of the equipment of conventional Radiology: radiation: radiation characteristic and Bremsstrahlung.

Quantity and power of the emission of X radiation.

Emission of X radiation curves.

Interactions of x-rays with matter: effects compton and photoelectric.

Classical scattering, formation pairs and fotodesintegracion.

Attenuation of x-rays by matter.

Radiographic densities.

Components and operation of the x rays and walkin tube tube.

Types of anodes and cathodes.

Protective shields.

Anchors and movements of the tube.

Angle and focused beam.

Technical characteristics of the radiation beam: technical factors: kVp and more.

Contrast of radiation.

Amount of radiation.

Scattered radiation. Anti-scatter grids.

Devices restrictors of the radiation beam: collimators and types.

Other devices restrictors.

Tables and murals devices. Designs, components and applications: types of radiographic tables. Movements of the table.

Immobilisation and restraint devices.

Remote controls.

Wall devices. Movements and positioning and clamping devices.

Image receptor.

Control console: basic components.

Technical parameters and AIDS: setting studies.

Characteristics of the patient.

Automatic Exposimetría.

Efficient use of resources.

(c) processing and treatment of the image in conventional Radiology: structure and types of films: developing the latent image.

Automatic processing.

Boost screens: standard and rare earth screens.

Radiographic chassis.

Identification and marking of the image.

The digital x-ray image registration: indirect digital radiography.

Direct digital radiography.

Registration of x-ray image: the image intensifier.

Digitization of the fluoroscopic image.

Factors affecting the quality of the image: radiographic densities of the image, contrast, noise, sharpness and resolution.

Influence of technical parameters on the characteristics of the image.

Geometry of the image.

Artifacts in Radiology.

(d) characterization of computed tomography (CT) equipment: evolution of the tomographic techniques.

Generations of tomographic equipment.

Conventional CT and spiral.

Multislice computerized tomography.

Electron beam computed tomography.

A CT scan equipment components: tube and detectors. Gantry.

Collimation and filtration.

Control console.

Diagnostic and therapeutic uses of computed tomography.

Safety in CT scans.

Representation of CT image: density and grayscale. Hounsfield units.

Width and window level.

2D multiplanar reconstruction.

3D reconstruction.

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

Artifacts in computed tomography.

Efficient use of resources.

(e) characterization of magnetic resonance imaging (MRI) equipment: behavior of the nuclear spin in a magnetic field: magnetization Vector.

Longitudinal and transverse components.

Precession. Larmor equation.

The resonance signal generation: excitation: RF pulses.

Proton density.

Longitudinal relaxation: T1.

Transverse relaxation: T2.

T2 relaxation.

The MRI scan room.

Open and closed resonance equipment.

Magnets. Types and classification.

New radios of magnetic resonance: coils of reception, emission and mixed.

Gradient coils: selection of the plane and CT slice thickness.

Body and surface coils.

Console controls and planning of exploration.

Diagnostic and therapeutic uses of magnetic resonance imaging.

Security in magnetic resonance scans.

Capture of the signal. Fourier's transformed. Space k. data matrix.

Times of repetition, ECHO, acquisition and investment: Saturacion-recuperacion.

Inversion.

Spin-Eco pulse sequences.

Pulse gradient-echo sequences.

Other sequences.

Reconstruction in 2D and 3D.

Artifacts in magnetic resonance imaging.

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

Efficient use of resources.

(f) characterization of ultrasonic equipments: mechanical waves. Features. Sound ranges.

Production and reception of ultrasonic: piezoelectric effect.

Interactions of ultrasound with the medium. Propagation of ultrasonic in homogeneous and non-homogeneous media: speed of sound propagacion-impedancia.

Intensity, frequency, wavelength and divergence.

Reflection and reflectance.

Refraction and diffraction.

Absorption and attenuation.

Transducers. Components and types: linear.

Sectoral.

Convex.

Intracavitary.

Console or control table.

Output devices: monitors and printers.

Diagnostic and therapeutic uses of the images of US.

The ultrasound operation modes: static image: mode amplitude and mode brightness.

Dynamic image: movement mode.

Location: types and doppler effect.

Scanned image static and in motion. 2D, 3D and 4 d ultrasound.

Artifacts in ultrasonography.

Efficient use of resources.

(g) management of the diagnostic image: communication networks and data bases: LAN and WAN in medical applications.

Communication and health data standards.

Telemedicine: remote diagnosis.

Teleconsultation.

Emerging applications in telemedicine.

Standardization of the management and planning of services: structure of the HL7 standard for the electronic exchange of clinical information.

Standardization of medical imaging. DICOM and main features of the standard: formats and services.

HIS, planning of hospital operation and management: registration, storage and transmission of information.

RIS, the system of medical image management: work lists, patient, radiological history and request log data.

PACS and modes: capture and image management systems.

Storage systems.

Viewing stations.

HIS-RIS-PACS integration.

HIS and RIS management software.

The medical image management software.

Data protection requirements.

3. professional module: Anatomy for the image.

Code: 1347.

Contents: a) location of anatomical structures: anatomical position, axes and datum planes.

Terms of position, direction and movement.

Parts of the body.

Body cavities: skull cavity.

Thoracic cavity: walls and thoracic viscera.

Abdominal cavity: walls, peritoneal cavity and abdominal viscera.

Pelvic cavity: walls and pelvic viscera. Perineum.
Content body cavities and anatomical relations.

Superficial anatomical references and external marks.

Projection surface of the internal organs.

(b) analysis of diagnostic imaging and recognition of the technique: imaging techniques for the diagnosis and General characteristics of the generated image.

Contributions and limitations of techniques: analog and digital images.

CT scans.

Magnetic resonance images.

Ultrasound images.

Positions of the patient in the study by imaging techniques: projections.

Diagnostic Imaging reading standards: standards of reading of conventional images.

Standards of reading of tomographic images.

Recognition of organs from medical images: skull cavity.

Thoracic organs.

Abdominal and pelvic organs.

Graphic differences between images of organs according to the technique used.

Graphic differences between normal and pathological images.

The picture adjustment methods for optimization of the display: contrast and resolution, saturation and brightness.

(c) recognition of the anatomical structures of the musculoskeletal system: structure and functions of bones.

Ossification: Intramembranosa.

Endochondral.

Centers of ossification.

Classification of bones.

Vascularization and innervation of the bones.

Bone brands: reliefs and depressions.

Bones of the skull and the face: skull of the newborn.

Temporo-mandibular joint.

Muscles of the oral cavity.

Spine: normal and pathological spinal curvatures.

Structure of vertebra type.

Peculiarities of different spinal segments.

Bones of the upper extremity and waist scapular.

Bones of the lower extremity and pelvic waist.

The joints. Classification: motionless.

Semi-mobile.

Mobile.

Elements joint: articular surfaces.

Articular cartilage.

Articular capsule.

Other elements: ligaments, discs and wheels.

Vascularization and innervation of the joints.

Identification of elements joint in medical imaging.

Muscles. Structure and function.

Classification and location of the muscles.

Diseases 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 sense organs: the nervous tissue.

Neurons and neuroglia. Gray matter and white matter. The synapse.

Topographic Anatomy of the nervous system: central and peripheral nervous system.

Brain: functional organization and division.

Spinal cord.

Meninges. Ventricles. Subarachnoid cisterns: production and flow of cerebrospinal fluid (CSF).

Radiological, tomographic Anatomy of the head: commented reading of scans by computed tomography and magnetic resonance imaging of the central nervous system.

Pathological processes of the central nervous system. Classification: Central nervous system tumor processes.

Changes in the circulation of the cerebrospinal fluid.

Bleeding of the central nervous system: classification and identification in tomographic images.

Normal and pathological images of the central nervous system.

Organ of vision.

Anatomy and physiology.

Identification of the orbital contents in medical imaging.

Organ of hearing and balance.

Anatomy and physiology.

Analysis of the structures of the middle and inner ear in tomographic images.

Study of tear tracks, paranasal sinuses and nasal cavity in medical imaging.

(e) recognition of the anatomy, Physiology and pathology of the cardiovascular apparatus and respiratory: structure and content of the rib cage.

Anatomy and physiology of the cardiovascular apparatus.

Cavities and heart valves.

Study of the heart in image for diagnosis: cardiac conduction system.

Alterations in the conduction of the cardiac impulse.

Mediastinum: limits, content, and relationships.

Anatomical distribution of the main blood and lymph vessels.

Blood vessels and angiographic images: blood circulation.

Peculiarities of lung, liver and cerebral circulation.

Lymphatic circulation: vessels and lymph nodes. Lymphatic organs.

Study of the main cardiac and vascular diseases.

Study of the blood.

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 and urinary system: abdominal and pelvic 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.

Pathology of the gastrointestinal tract.

Liver and biliary tract. Physiology and pathology of liver.

Pancreas. Pancreatic physiology. Pancreatic pathology.

Physiology of digestion.

Medical imaging of the abdomen and pelvis.

Renal and urinary tract Anatomophysiology: process of urine formation.

Radiologic Anatomy kidney and urinary tract.

Diseases of kidneys and urinary tract.

Radiological Anatomy of the kidney and urinary tract.

Images of x-rays 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 tract: endocrine system.

Hormonal regulation of the organism.

The endocrine system pathology.

Male and female genital apparatus.

Diseases of the female genital tract.

Ultrasound and radiologic studies.

Comparative analysis of normal images and images with pathological changes.

Bases anatomophisiological of the breast.

Breast disease.

Normal and pathological mammographic images.

Diseases of male genital tract.

Prostate pathology.

Radiological Anatomy of the pelvic cavity.

4. professional module: Radiological protection.

Code: 1348.

Contents: a) implementation of radiation detection procedures: quantities and units radiological: dosimetry.

Exhibition (X).

Kerma.

Absorbed dose (D).

Relationship between exposure and absorbed dose to a material.

Linear transfer of energy (LET).

Relationship between exposure or air kerma and activity.

Radiation protection.

Dose equivalent (H).

Limiting magnitudes.

Operational quantities.

Detection and measurement of radiation: physical foundations of the detection.

Gaseous ionization detectors.

Ionization chamber.

Proportional counter.

Geiger counter.

Semiconductor detectors.

Scintillation detectors.

Luminescent crystals.

Photomultiplier.

Scintillation in liquid phase.

Radiation dosimetry: environmental and personal dosimetry.

Monitors and radiation dosimeters.

Personal dosimeters.

Operational dosimeters.

Exposure or dose rate monitors.

Pollution monitors.

Neutron detectors.

Interpretation of dosimetry readings.

(b) interaction of ionizing radiation with biological means: mechanism of action of ionizing radiation: direct action.

Indirect action.

Interaction of radiation at the molecular and cellular level: on nucleic acids.

On other cellular elements.

Lesions at the cellular level: Radiosensitivity.

Factors that influence the cellular response.

Induced biological effects: deterministic effects.

Stochastic effects: hereditary and somatic.

Cellular response, organic and systemic total: response of the organism to radiation: stages (prodromal, latent and manifest).

(c) implementation of operational radiation protection protocols: general radiation protection: radiation protection concept.

System of radiation protection.

Practices and interventions.

Types of exposure: 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 radiation protection: radiation protection objective.

Classification of persons depending on the risks to ionizing radiation.

Limits for each group.

Measures to be taken in the operational protection.

Prevention of the exposure.

Radiation sources and risks.

Pollution and radiation.

Classification and marking areas.

Classification of exposed workers.

The exposure assessment.

Surveillance of the working environment.

Individual monitoring.

Health surveillance of exposed workers.

(d) characterization of the radioactive facilities: regulations on radioactive facilities: encapsulated and non-encapsulated radioactive sources.

Classification of the radioactive facilities and authorizations.

Inspection of the facility.

Staff facilities and obligations.

Daily operation.

Analysis of the radiological risks associated with the use of non-encapsulated sources: main sources of risk of radiation or contamination.

Way of incorporation of radionuclides to the body.
Main sources of radiological hazards in nuclear medicine service.

The dispersion of the radioactive material.

Design of the facility in nuclear medicine and radiopharmacy: General considerations for design of nuclear medicine facilities.

Distribution areas and access.

Materials and surfaces.

Ventilation and air conditioning installations.

Electrical installation.

Fire protection system.

Enclosures for work and storage of supplies, equipment and systems of radiation protection.

Storage of radioactive waste and liquid effluent disposal system.

Radiological hazards in teletherapy and brachytherapy facilities: radiological risks by the use of encapsulated sources.

Design of teletherapy and brachytherapy facilities: General aspects of the design of installations with linear accelerators for electrons and cobalt units.

General aspects of the design of the facilities of brachytherapy.

These radiation types and elements of the installation.

Cálculo de blindajes.

Security systems for protection against radiation.

Auxiliary systems.

Technical characteristics of plants in Radiology: particular requirements for radiation protection in facilities for Interventional Radiology, Traumatology, Pediatric Radiology, mobile equipment and mammography, among others.

Regulations and legislation applicable to health radioactive facilities.

(e) radioactive material management: management of radioactive waste: radioactive residue definition.

Classification of waste.

The waste management options.

Phases of waste management.

Management and storage of waste of low and intermediate-level in Spain.

Transport of radioactive material: regulations for the safe transport of radioactive material.

Terminology.

Classification of the radioactive materials.

Types of packagings and packages.

Categories of packages and labelling.

Transport documentation.

Management of the waste generated in a nuclear medicine and radiopharmacy service.

Management of the waste generated in a radiotherapy service.

(f) implementation of the plan of quality assurance in nuclear medicine, radiotherapy and radiodiagnosis: quality assurance in nuclear medicine: description of the guarantee and quality control in nuclear medicine.

Quality assurance program.

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

Maintenance and calibration of various types of detectors.

Support and information to patients, family members and nursing staff.

Quality assurance in radiotherapy: description of the guarantee and quality control in radiotherapy.

Committee on quality assurance and control in radiotherapy.

Programme of quality assurance in cobalt therapy facilities, linear accelerators and brachytherapy equipments.

Maintenance and calibration of various types of detectors.

Support and information to patients, family members and nursing staff.

Quality assurance in Radiology: description of the guarantee and quality control in Radiology.

Programme of quality assurance in radiology facilities.

Quality control of radiographic image and relationship with the dose.

Maintenance and calibration of various types of detectors.

Support and information to patients, family members and nursing staff.

Regulations on quality: nuclear medicine.

Radiation therapy.

Radiology.

(g) implementation of emergency plans in radioactive facilities: accidents and nuclear medicine-emergency planning: prevention of incidents and accidents.

Action in incidents.

Decontamination standards.

Emergency plan.

Emergency drills.

Evaluation of the emergency plan.

Accidents and emergency plans in radiotherapy: incidents and accidents in the unit's cobalt and linear accelerators.

Incidents and accidents in brachytherapy.

In teletherapy emergency plan.

Plan of emergency in brachytherapy.

Emergency drill.

Evaluation of the emergency plan.

5. professional module: Simulation of the treatment.

Code: 1359.

Contents: a) making moulds and accessories: description of the laboratory or workshop of molds and accessories.

Area of teletherapy: teams.

Tools and materials.

Material safety.

Area of brachytherapy: equipment, tools and materials.

Development of individualized supplements area: equipment and materials.

Characteristics and preparation of shaped blocks used in teletherapy treatments: blocks individualized for photons.

Blocks individualized for electrons.

Characteristics and production of molds (applicators) used in brachytherapy treatments: interstitial brachytherapy: plates for placement of needles and vectors.

Brachytherapy intracavitary standard: colpostatos.

Individualized intracavitary brachytherapy: moulds in resin.

Characteristics and development of Add-ons individualized for immobilization: Bases of positioning and thermoplastic masks of head, neck, thorax, abdomen, and extremities.

Individual mattresses of polymers (Alpha wedges).

Individual vacuum mattresses.

Individual immobilizers hydroforming.

(b) application of simulation procedures in teletherapy of head and neck: selection and preparation of the image acquisition equipment.

Procedure of simulation in teletherapy for tumors of the CNS: Holocraneo.

Skull-focal.

Craneo-Espinal.

Neuroaxis.

Radiosurgery.

Fractionated Stereotactic radiotherapy.

Others.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media: headrest, mesh thermoplastic, oral appliances, Alpha and extenders Cot of arms.

Markings in the immobilizer.

Image acquisition protocols.

Registration, import and processing of images.

Selection and preparation of the image acquisition equipment.

Procedure of simulation in teletherapy in ORL.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media: headrest, mesh thermoplastic, oral appliances, Alpha and extenders Cot of arms.

Markings in the immobilizer.

Image acquisition protocols.

Registration, import and processing of images.

(c) application of simulation procedures in teletherapy for tumors of the thoracic region, the abdomen and the pelvis: selection and preparation of the image acquisition equipment.

Procedure of simulation in teletherapy for chest tumors: breast.

Lung.

Mediastinum.

Others.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media: headrest, mesh thermoplastic, oral appliances, Alpha and extenders Cot of arms.

Markings in the immobilizer.

Image acquisition protocols.

Registration, import and processing of images.

Procedure of simulation in teletherapy for tumors of the abdomen and pelvis: digestive.

Female genital tract.

Male genital tract. Prostate.

Others.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media: headrest, mesh thermoplastic, oral appliances, Alpha and extenders Cot of arms.

Markings in the immobilizer.

Image acquisition protocols.

Registration, import and processing of images.

(d) application of simulation procedures in teletherapy for lymphomas, sarcomas and tumors Pediatric: selection and preparation of the image acquisition equipment.

Procedure of simulation in teletherapy for lymphomas: extended fields.

Affected fields.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media: headrest, mesh thermoplastic, oral appliances, Alpha and extenders Cot of arms.

Markings in the immobilizer.

Image acquisition protocols.

Registration, import and processing of images.

Procedure of simulation in teletherapy for sarcomas: Sarcomas of hard parts.

Soft tissue sarcomas.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media: supports heads, thermoplastic mesh, oral appliances, Alpha and extenders Cot of arms.

Markings in the immobilizer.

Image acquisition protocols.

Registration, import and processing of images.

Procedure of simulation in teletherapy for Pediatric tumors.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media: supports heads, thermoplastic mesh, oral appliances, Alpha and extenders Cot of arms.

Markings in the immobilizer.

Image acquisition protocols.

Dose optimization. ALARA criterion. Guards.

Registration, import and processing of images.

(e) application of simulation procedures in intraoperative radiotherapy (River) and radioterápicas emergency: selection and preparation of the image acquisition equipment: obtaining the study according to location.

Resected piece.

Intraoperative radiation therapy simulation procedure.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Transfer of the patient to the operating room to the Simulator.
Positioning and immobilization media.

Image acquisition protocols.

Registration, import and processing of images.

Simulation in radioterápicas emergency procedure: syndrome of vena cava superior.

Spinal cord compression.

Treatment antigalgic and hemostatic.

Geometric boundary of references in the patient: cutaneous references.

Leaded markings.

Positioning and immobilization media.

Image acquisition protocols.

Registration, import and processing of images.

(f) application of simulation procedures in endocavitaria, endoluminal brachytherapy and superficial: brachytherapy for tumors using simulation: gynecological.

Endoluminal bronchial and esophageal.

Simulation on surface brachytherapy.

Positioning and immobilization media: probes and contrasts.

Colpostatos or gynecological individual molds in the operating theatre placement: introduction of fictitious sources for the simulation.

Positioning the patient on the table of the Simulator: placement of references box.

Identification of plans and references for the obtaining of medical imaging.

Image acquisition protocols.

Registration, import and processing of images.

(g) description of procedures for prevention of occupational hazards and environmental protection: Prevention Plan adapted to the radiotherapy service.

Sources of radiation in radiation therapy.

Identification of the risks associated with the prevention of occupational risks in radiation therapy: irradiation, punctures and lesions.

Determination of the measures of prevention of occupational risks in radiotherapy: armoured doors.

Armored glass.

Aprons, and protectors.

Prevention of occupational risks in working in radiation therapy procedures: ergonomics.

Individual protection.

Systems of transfer of patients from bed to wheelchair and the Bureau of the Simulator (patslide).

Prevention and collective protection: Dosimetry of area.

Armoured doors closed.

Personal protective equipment: aprons and protective leaded in use for patients and exposed personnel.

Personal dosimeters of lapel, ring and bracelet.

Hospital use gloves.

Safety glasses.

Hats of hospital use.

With systems antipuncture tattoo needles.

Environmental protection management: operational radiation protection.

Prevention of occupational hazards and environmental protection legislation: Royal Decree 1566 / 1998 of 17 July, laying down quality criteria in radiotherapy.

Methods and standards of order and cleanliness.

6. professional module: Physical and clinical dosimetry.

Code: 1360.

Contents: a) definition of equipment necessary to perform the physical dosimetry: the radiation measuring equipment: description and operation.

Types.

Chamber of ionizacion-electrometro.

Semiconductor detectors.

Thermoluminescence detectors.

X-ray plates.

Computer program.

Calibration of measuring equipment test.

Phantoms or mannequins: homogeneous: water tank and others.

Heterogeneous.

(b) definition of the procedure to perform the physical dosimetry in radiotherapy: Dosimetry of external radiation therapy radiation beams: Quality Control of radiation emitting equipment.

Tests verify (or reference) and constancy tests.

Dosimetry and geometric checks. Periodicity.

Tests to check the status of the safety devices 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 check the coincidence between the functional characteristics and their indicators.

Tests to verify the treatment beam dosimetry characteristics.

In depth (PDD) yield curves.

For photons and electrons isodose curves.

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

Modifiers of the radiation beam.

Quality control of the sources of brachytherapy: calibration of radioactive sources.

The control of sources.

(c) application of the principles of radiobiology to radiotherapy: effects of radiation at the cellular, tissue, and organic level.

Cellular response to irradiation: damage caused by radiation and repair of radiation-induced cellular damage.

Response of tumor and normal tissues to radiation: cell survival curves.

Fractionation of dose and fractionation types.

Effects of fractionation irradiation and cell survival.

Modification of cell sensitivity: effect oxygen.

Reoxygenation.

Radiosensitizers.

Radioprotectors.

Radiation and hyperthermia.

Chemoradiation differences between radiotherapy and chemotherapy.

Interactions radio and chemotherapy.

Advantages and disadvantages.

(d) preparation of the clinical dosimetrias for teletherapy treatments: description of the system of planning and calculation in 3D: workstation.

Networks between the Planner, the image acquisition equipment and treatment unit.

Description of the different tools of the Planner.

Characterization of the employed treatment units.

Capture high resolution images from computed tomography, and magnetic resonance, among other studies.

Definition of volume and location of reference marks.

Establishment of isocenter and points of interest.

Disposal of the beams: geometry and modifying elements.

Calculation of dose.

Isodose reference.

Evaluation of the dosimetric plan.

(Display BEV) isodose curves.

Histograms dose volume (HDV).

Verification of the plan through reconstructed digital images (RDR).

Obtaining graphic records and reports.

Dosimetric planning in different tumors and locations: dosimetry planning in tumors of the central nervous system.

Dosimetric planning of head and neck tumors.

Dosimetric planning in breast tumors.

Dosimetric planning in lung tumors.

Dosimetric planning tumors of the esophagus, stomach, and pancreas.

Dosimetric planning in gynecological tumors.

Dosimetric planning in Colorectal tumors and bladder.

Dosimetric planning in prostate tumors.

Dosimetric planning in hematological tumors, bone, soft tissue and lymphomas.

Dosimetric planning in superior vena cava syndrome and syndrome of spinal cord compression.

Verification of the dose by vivo dosimetry.

Obtaining registration.

(e) implementation of the clinical dosimetrias for brachytherapy treatments: description of the system of planning and calculation in 3D: workstation.

Networks between the Planner, the image acquisition equipment and treatment unit.

Description of the different tools of the Planner.

System of Paris.

Manchester system.

Location of radioactive sources using fictitious sources: orthogonal X-rays.

TAC.

RM.

ECO.

Calculation of the distribution of dose absorbed in tissue by the computer system of planning: calculation algorithms.

Planes of calculation.

Dosimetric planning in different tumors and locations.

Dosimetric planning in gynecological tumors.

Vagina, cervix and endometrium.

Dosimetric planning in recurrent intracranial cystic tumors.

Dosimetric planning in Lung Tumors, esophageal and Endovascular.

Dosimetric planning in prostate and breast cancer.

Dosimetric planning in the field of ENT tumors.

Dosimetric planning in tumors of year, rectum and penis dosimetry planning in cutaneous and ocular tumors.

7. professional module: Teletherapy treatments.

Code: 1361.

Contents: a) characterization of the equipment used in external radiotherapy: characteristics and performance of linear accelerators: Foundation.

Types of radiation emitted.

Parts of the equipment.

Moving parts: gantry, collimator and table.

Types of collimators: jaws, collimator, micro-layers and circulars.

Accessories.

Verification of the volume of irradiation and patient positioning systems: electronic devices of image portal (EPIDs), cone beam, x-rays, portals and systems based on Ultrasound (US), among others.

Control console.

Operation of the accelerator.

Security systems.

Registration and communication systems.

Characteristics and operation of cobalt therapy equipment: the radioactive source.

Parts of the equipment.

Moving parts: gantry, collimator and table.

Accessories.

Verification of the volume of irradiation system.

Control console.

Operation of the equipment.

Security systems.

Description of maintenance and quality depending on the equipment control protocols.

Daily checks on the treatment equipment.

Computer systems of verification and control of the treatment.

Technological advances in treatment equipment: portable accelerators.

Linear Accelerator adapted with new technologies. TomoTherapy, and ciberknife.

Multiple cobalt-therapy: gammaknife.

Proton accelerators: cyclotrons and Synchrotrons.

(b) characterization of external radiotherapy facilities: General aspects of the design of the installations with linear accelerators for electrons and cobalt units: types of radiation present in an installation of external radiotherapy.
Elements of the installation.

Shields.

Security systems for protection against radiation.

Special cobalt units operating procedures: reception of the radioactive material.

Evidence of tightness of the radioactive source.

Storage and removal of the radioactive source.

Auxiliary systems.

Radiation protection equipment: equipment needed.

Rules of use and maintenance.

Calibration and verification.

External beam radiation emergencies.

(c) identification and description of external beam radiation treatment techniques: 3D radiation therapy with fixed fields: depending on the distance of treatment techniques: isocentric and isometric.

Techniques based on the number of fields.

3D radiation therapy with mobile camps: Arcoterapia.

(IGRT) image-guided radiation therapy.

Radiosurgery.

Fractionated Stereotactic radiotherapy: intracranial and extracranial.

Intensity modulated (IMRT) radiation therapy: static IMRT.

Dynamic IMRT (IMAT) and arcoterapia volumetric modulated (VMAT).

4 d radiation therapy.

Radiotherapy synchronized with respiratory movements.

Hadronterapia.

Intraoperative radiotherapy.

Total body irradiation.

Incorporation of new techniques.

(d) application of treatments with external radiation therapy for tumors of the central nervous system (CNS): the central nervous system tumors sensitive to radiation therapy: epidemiology, clinical and diagnosis of tumors of the nervous system.

Combined treatments.

Radiation therapy in 3D in CNS tumors: radiation back.

Focal Cranial irradiation.

Radiation craneo-espinal: union of fields.

Fractionated Stereotactic radiotherapy and radiosurgery: differential features of the techniques.

Indications of the techniques.

Means of immobilization and fixation methods.

Stereotactic frame.

Collimation systems.

Intensity modulated radiation therapy (IMRT) in tumors of the central nervous system.

Side effects of the treatment.

(e) application of treatments with external radiotherapy for tumors located in the thoracic region: radiation therapy in breast cancer: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization.

Technique of treatment with radiation therapy in 3D.

Intensity modulated (IMRT) radiation therapy.

(IGRT) image-guided radiation therapy.

Side effects of the treatment.

Other techniques.

Radiotherapy in lung cancer: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Intensity-modulated in lung cancer radiation therapy.

Other treatment techniques.

Side effects of the treatment.

Radiotherapy in esophageal cancer: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Other treatment techniques.

Side effects of the treatment.

Urgent radiotherapy treatment on syndrome of compression of the vein superior cava.

(f) application of treatments with external beam radiation at tumors in abdomen and pelvis: radiation therapy to the stomach and pancreas cancer: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Other treatment techniques.

Side effects of the treatment.

Radiotherapy in gynecological tumors: cervix, endometrium, vagina, and vulva: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Other treatment techniques.

Side effects of the treatment.

Radiotherapy of colo-rectal and bladder cancer: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and means of immobilization technique of treatment with radiation therapy in 3D.

Other treatment techniques.

Side effects of the treatment.

Treatment in external radiotherapy prostate cancer: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Other treatment techniques.

Side effects of the treatment.

(g) application of treatments with external beam radiotherapy of head and neck tumors: radiation therapy to tumors of the oral cavity.

Radiotherapy in nasopharynx, Oropharynx and hypopharynx tumors.

Radiotherapy in laryngeal tumors.

Radiation therapy to tumors in nasal cavity and paranasal sinuses: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Treatment of ganglion chains.

Reduction of fields.

Other treatment techniques.

Side effects of the treatment.

(h) application of external radiotherapy treatments in the Hematology, lymphoid, bone sarcomas and soft tissue: radiotherapy in lymphomas: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Suffering and extended fields.

Bath of electrons in the cutaneous lymphomas.

Other treatment techniques.

Side effects of the treatment.

Total body irradiation with photons (ICT): ICT in conditioning prior to the transplantation of bone marrow in haematological malignancies.

Radiotherapy in bone and soft tissue sarcomas: epidemiology, clinical and diagnostic.

Combined treatments.

Positioning and immobilization media.

Technique of treatment with radiation therapy in 3D.

Other treatment techniques.

Side effects of the treatment.

Urgent treatment in spinal cord compression syndrome.

8. professional module: Treatment with brachytherapy.

Code: 1362.

Contents: a) characterization of the types of brachytherapy: brachytherapy according to the places of insertion of radioactive sources: interstitial brachytherapy.

Intracavitary and intraluminal brachytherapy.

Surface brachytherapy.

Brachytherapy as a function of the form insert radioactive sources: direct insertion brachytherapy.

Deferred inclusion brachytherapy: manual and automatic.

According to the administered dose rate brachytherapy: low dose (LDR) brachytherapy.

Half dose (MDR) brachytherapy.

High dose (HDR) brachytherapy.

Brachytherapy pulsed.

Brachytherapy depending on the duration of the implant radioactive: temporary implants.

Permanent implant.

Forms of presentation of radioactive sources.

Applicators.

Automatic loading equipment: description.

Operation.

Checks prior to the use of the equipment.

Maintenance of the equipment.

(b) characterization of brachytherapy facilities: General aspects of the design of the facility.

Low dose rate brachytherapy facilities: features and radiological risks.

Shields.

Safety devices.

High dose rate brachytherapy facilities: features and radiological risks.

Shields.

Safety devices.

Metabolic brachytherapy facilities: features and radiological risks.

Shields.

Safety devices.

Auxiliary systems.

Radiation protection equipment.

Radiation detectors used in the area and personnel dosimetry.

(c) implementation of procedures for handling of radioactive sources: characteristics of radioactive sources used in brachytherapy.

Acquisition, receipt and storage of radioactive sources.

Records and control of radioactive sources.

Gammateca log books.

Operating procedures in the handling of radioactive sources.

Transfer of radioactive sources in the facility.

Measurements of radiation protection in the handling of radioactive sources.

Radiation monitoring: leak Control.

Dosimetric controls.

Management of radioactive waste.

(d) application of endoluminal and intracavity brachytherapy treatments: Instrumentation and equipment.

Combined with teletherapy and chemotherapy treatments.

Brachytherapy intracavitary in gynecological tumors: vagina, cervix and endometrium: description of the techniques of implant.

Rigid applicators and flexible (colpostatos).

Individual molds and vaginal cylinders.

Surgical instruments and surgical manipulation.

Location of source systems.

High and low dose rate.

Removal of the sources of the implant.

Side effects of the treatment.

Brachytherapy in recurrent intracranial cystic tumors with phosphorus-32.

Brachytherapy endobronchial, esophageal and endovascular: description of the techniques.

Inclusion and radiological control probes.

High dose rate.

Side effects of the treatment.

(e) application of surface and interstitial brachytherapy treatments: Instrumentation and equipment.

Multidisciplinary approach to treatment.

Brachytherapy of gynecological tumors of the vulva and vagina: needles of implantation.

Implementation techniques.

Surgical procedures.

Side effects.

Prostate brachytherapy: characteristics of the sources of iodine-125 and Palladium-103.

Operating room procedures.
Brachytherapy with temporary implants.

Brachytherapy with permanent implants.

Inclusion of seeds: grid of implant and transrectal ultrasound.

Image-guided brachytherapy.

Complications of treatment.

Breast Brachytherapy: implantation technique.

Applicators: needles, tubes of plastic and Perspex perforated template.

Procedures for operating room and supplementary material.

Verification of the implant.

Technique of intraoperative balloon (mammosite).

Brachytherapy supported images mammogram (accuboost).

High and low dose rate.

Side effects.

Brachytherapy in the field of Ent: tongue, palate, tonsils, and cheeks.

Year brachytherapy and straight.

Brachytherapy of penis.

Surface brachytherapy in ocular and cutaneous tumors: proceedings of implant.

Applicators.

High dose rate.

Intraoperative brachytherapy f) characterization of metabolic brachytherapy treatments: 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.

Metabolic therapy following operating procedures: rules you have to follow the nursing staff.

Decontamination and specific waste management.

Health care delivery to the hospital unit of metabolic therapy patient.

Emergency in metabolic therapy.

9. professional module: Project of dosimetry and radiation.

Code: 1363.

Contents: a) identification of the needs of the productive sector and the Organization of the company: identification of job functions.

Structure and business organization of the sector.

Activity of the company and its location in the sector.

Organizational chart of the company. Functional relationship between departments.

Industry trends: productive, economic, organisational, employment and others.

Working in the field of company procedures. Systems and methods of work.

Determination of excluded labour relations and special labour relations.

Collective agreement applicable to the professional field.

The culture of the company: corporate image.

Systems of quality and security applicable in the sector.

(b) design of sector-related projects: analysis of the local situation, of the business sector in the area and offer the context in which will develop the professional training module in workplace.

Compilation of information.

General structure of a project.

Elaboration of a working script.

Planning of the implementation of the project: objectives, contents, resources, methodology, activities, timing and evaluation.

Feasibility and opportunity project.

Review of the applicable regulations.

(c) planning of the implementation of the project: sequencing of activities.

Elaboration of work instructions.

Development of a risk prevention plan.

Documentation for the planning of the implementation of the project.

Compliance with safety standards and environmental.

Indicators of the quality assurance of the project.

(d) a definition of procedures for monitoring and evaluation of the implementation of the project: proposal of solutions to the objectives of the project and justification of the selected.

Definition of the procedure of evaluation of the project.

Determination of the variables subject to evaluation.

Documentation required for the evaluation of the project.

Quality control of process and final product.

Registration of results.

10. professional module: Training and job counseling.

Code: 1364.

Contents: a) actively seeking employment: evaluation of the importance of ongoing formation for the employment and professional career of the technician in radiation and dosimetry.

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

Identification of the learning paths related to the technician in radiotherapy and dosimetry.

Responsibility for own learning. Knowledge of the requirements and the expected fruits.

Definition and analysis of the professional sector of the title of technician in radiotherapy and dosimetry.

Own career planning: labour targets, medium and long term, consistent with needs and preferences.

Realistic and consistent with the current lineup and the projected targets.

The process of job search in small, medium and large companies in the sector.

Opportunities for learning and employment in Europe. Europass, Ploteus.

Job search tools and techniques.

Evaluation of the self-employment as an alternative for the professional insertion.

The process of decision-making.

Establishment of a list of personal consistency check between career, training plan and aspirations.

(b) management of the conflict and work teams: assessment of the advantages and disadvantages of teamwork for the effectiveness of the organization.

Kinds of equipment in the field of radiation therapy dosimetry, according to the roles played.

Analysis of the formation of the work teams.

Characteristics of an effective team.

Participation in the task force. Analysis of the possible roles of its members.

Definition of conflict: characteristics, sources and stages of the conflict.

Methods for resolution or deletion of the conflict: mediation, conciliation and arbitration.

(c) employment contract: the right to work.

Intervention by the public authorities in labour relations.

Analysis of the individual employment relationship.

Determination of excluded labour relations and special labour relations.

Modalities of work and measures of promotion of the procurement contract.

Rights and duties arising from the employment relationship.

Working conditions. Wages, working time and working rest.

Modification, suspension and termination of the employment contract.

Representation of workers.

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

Analysis of a collective agreement applicable to the professional field of the technician in radiotherapy and dosimetry.

Collective labour disputes.

New organization of work environments: outsourcing and teleworking, among others.

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

d) Social Security, employment and unemployment: the system of Social security as a basic principle of social solidarity.

Structure of the Social security system.

Determination of the main obligations of employers and employees in matters of Social Security: affiliation, high, low, and quote.

The protective action of Social Security.

Classes, requirements and amount of benefits.

Concept and yielded situations by unemployment.

Systems consulting of workers regarding their rights and duties.

(e) evaluation of occupational hazards: importance of the culture of prevention at all stages of the professional activity.

Assessment of the relationship between work and health.

Analysis and determination of working conditions.

The concept of professional risk. Analysis of risk factors.

The evaluation of risks in the enterprise as the basic element of the preventive activity.

Analysis of risks linked to security conditions.

Analysis of risks linked to environmental conditions.

Analysis of risks linked to psychosocial and ergonomic conditions.

Specific risks in the field of radiation and dosimetry.

Determination of possible damage to the health of the worker which can arise from the detected risk situations.

(f) planning of prevention of risks in the enterprise: rights and duties in the area of occupational risk prevention.

Responsibilities in the area of occupational risk prevention.

Prevention in the company management.

Representation of workers in prevention.

Public organisations related to the prevention of occupational risks.

Planning of prevention in the company.

Emergency and evacuation in environments of work plans.

Development of an emergency plan in a small or medium company in the sector.

(g) implementation of measures of prevention and protection in the enterprise: determination of individual and collective protection and prevention measures.

Protocol of action in a situation of emergency.

First aid. Medical emergency. Basic concepts.

Application of first aid techniques.

Training to workers in the field of emergency plans.

Surveillance of the health of workers.

11. professional module: Enterprise and entrepreneurship.

Code: 1365.

Contents: a) entrepreneurship: innovation and economic development. Main features of the innovation activity of dosimetry and radiation. (materials, technology and organization of production, among others).

Entrepreneurial culture as a social need.

The enterprising character.

Key factors of entrepreneurs: initiative, creativity and education.

The collaboration between entrepreneurs.

The action of entrepreneurs as employees of a company related to radiation and dosimetry.

The action of entrepreneurs as entrepreneurs in the field of radiation and dosimetry.

The risk in entrepreneurial activity.
Entrepreneur concept. Requirements for the exercise of the business activity.

Personal goals versus business objectives.

Business plan: business idea in the field of radiation and dosimetry.

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

(b) the company and its environment: basic functions of the company.

The company as a system.

The general environment of the company.

Analysis of the general environment of a company related to radiation and dosimetry.

The specific environment of the company.

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

A company of dosimetry and radiation relations with their environment.

A company of dosimetry and radiation relations with the whole of society.

The culture of the company: corporate image.

Social responsibility.

The social balance.

Business ethics.

Social responsibility and ethics of the companies in the sector of radiotherapy and dosimetry.

(c) creation and implementation of a company: company concept.

Types of company.

The responsibility of the owners of the company.

Taxation in enterprises.

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

Administrative procedures for the formation of a company.

Economic feasibility and financial viability of a company related to radiation and dosimetry.

Analysis of the sources of financing and budgeting of a company related to radiation and dosimetry.

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

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

(d) administrative function: concept of accounting and basics.

Accounting operations: registration of the economic information of a company.

Accounting as a true picture of the economic situation.

Analysis of accounting information.

Tax obligations of the companies.

Requirements and deadlines for the submission of official documents.

Administrative management of a company related to radiation and dosimetry.

12. professional module: Training in workplace.

Code: 1366.

Contents: a) identification of the structure and business organization: structure and enterprise organization in the sector of radiation and dosimetry.

Activity of the company and its location in the field of radiation and dosimetry.

Organizational chart of the company. Functional relationship between departments.

Logistical organization of the company. Suppliers, customers and marketing channels.

Working in the field of company procedures. Systems and methods of work.

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

Quality system established in the work center.

Security system established in the work center.

(b) application of ethical and work habits: personal attitudes: empathy, punctuality.

Professional attitudes: order, cleanliness, responsibility and security.

Attitudes towards the prevention of occupational and environmental hazards.

Hierarchy in the company. Communication with the team.

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

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

(c) operation and organization of the radiotherapy unit: the unit of radiation within the health sector.

Of the medical personnel, nurses, auxiliary and technical skills.

Functional areas of radiotherapy or radiation protection service.

The daily schedule of a radiation unit.

Management of the warehouse.

Detection of needs of acquisition and replacement of products.

Control of stocks of products and materials.

The inventory.

(d) provision of patient health technical assistance: identification and preparation of the patient.

Processing of health and administrative documentation.

Selection and management of material and health products.

Evaluation of the general State of the patient. Signs and symptoms of alert.

Protocols on the administration of contrasts.

Techniques of communication and psychological support for the patient.

(e) participation in the obtaining of images using simulation equipment: preparation room, the equipment and material necessary for the simulation. Daily checks of the unit.

Information and positioning of the patient in the unit Simulator.

Placement of means of restraint and marked to the patient.

Selection of the simulation parameters.

Simulation verification and completion of the technical sheet.

Conditioning equipment and room for a new simulation.

Delimitation and contouring of the volumes of the patient according to ICRU recommendations.

(f) development of moulds and accessories used in radiotherapy: preparation of the supplements laboratory.

Selection of materials for the production of moulds and accessories.

Application of techniques for teletherapy, brachytherapy and individualized immobilizers.

Criteria for quality and consistency of the elaborated material.

(g) carrying out dosimetric clinical plans for teletherapy or brachytherapy treatments: verification of the correct operation of the planning system.

Use of the different tools of the Planner.

Definition of treatment volumes and critical organs.

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

Application of calculation procedures to determine the dosimetry of the bodies that have to radiate.

Recording of data in the tab's treatment.

Evaluation of the dosimetric plan.

(h) verification of doses of radiation by means of physical dosimetrias.

Handling equipment used for measurements of radiation.

Application of measurement and realization of measuring equipment calibration protocols.

Selection of mannequins and reference values.

Interpretation of the quality assurance program.

(i) application of treatments of teletherapy: preparation of the room, equipment and material necessary for the treatment, according to the prescription.

Realization of the daily checks of the treatment unit.

Information and patient positioning.

Realization of displacement for the localization of isocenter.

Selection of treatment parameters.

Verification of treatment and completion of treatment sheet.

(j) application of brachytherapy treatments: preparation of the room, equipment and material necessary for the treatment, according to the prescription.

Realization of the daily checks of the treatment unit.

Information and patient positioning.

Implantation material.

Handling of radioactive sources used in the implantation and removal.

Check the position of the source.

Disimetricos controls the sources.

Completion of treatment sheet.

(k) implementation of procedures for radiological protection: management of measurement and radiation detection equipment used for environmental and personal dosimetry.

Identification of the radiological risks inherent in the radioactive installation.

Collaboration in the monitoring and control of radiation processes.

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

Identification of the quality control procedures set out in the quality assurance Plan.

Plan of action in emergencies.

Procedures for managing the radioactive material.

Annex II sequencing and weekly hourly distribution of professional modules of higher-level training cycle: radiation and dosimetry module professional duration (hours) Prime (h/week) second year course 2 quarters (h/week) 1 quarter (hours) 1345. Health care to the patient (1) 130 4 1346. Physical fundamentals and equipment (1) 230 7 1347. Anatomía por la imagen (2)





230





7





 





 






1348. Radiation protection (1) 130 4 1364. Training and labour orientation 90 3 1365. Enterprise and initiative entrepreneur 60 2 hours reserved for the module given in English 90 3 1359. Simulation of treatment 7-140





 
1360 dosimetría física and clinical 120 6 1361. Treatments with 160 8 1362 teletherapy. Treatment with brachytherapy 140 7 hours reserved for the module given in 40 2 1366 English. 400 400 1363 workplace training. Project of 40 40 Total dosimetry and radiation in the formative cycle 2,000 30 30 440 (1) transverse professional modules to other titles of vocational training.

Annex III susceptible modules to be taught in English language 1346. Physical fundamentals and equipment.

1347 anatomy by the image.

1348. radiological protection.

1359. simulation of treatment.

1360. physical and clinical dosimetry.

1361 teletherapy treatments.

1362 brachytherapy treatments.

Annex IV spaces and equipment minimum spaces: space training surface m² 30 20 40 60 multipurpose classroom students students 120 90 60 40 minimum equipment dosimetry planning laboratory radiation laboratory: training equipment multipurpose classroom space.





Computers installed in network, system imaging and internet.

Audiovisual media.

Application software.






Laboratory of radiation therapy.





Linear Accelerator without radiation source.

Conventional Simulator for teletherapy without radiation source.

Means of restraint: inclined plane, vacuum mattress, bely-board, nuqueras and baby cots.

Simulator equipment of brachytherapy.

Moulds and accessories workshop: Autocutter molds.

Manual cutter molds.

Cast iron crucible.

Workbench with tools: hammer, lima, knife, screwdrivers and pliers, among others.

Leads mounting trays.

Low melting point alloy.

Safety equipment: exhaust, protective glasses and gloves (vinyl, latex and anti-cut).

Polishing.

Piece of hand or micromotor with all their accessories.

Thermal bath.

X-ray film viewers.






Dosimetric planning lab.





PCs installed in network with the computer system of planning in 3D.

High-resolution monitors of PCs.

Canon of projection.

Printer.