ML23254A377
| ML23254A377 | |
| Person / Time | |
|---|---|
| Issue date: | 09/12/2023 |
| From: | Maryann Ayoade NRC/NMSS/DMSST/MSEB |
| To: | |
| References | |
| Download: ML23254A377 (23) | |
Text
Termination of U.S. NRC Recognition of the ABRs Certification Processes Presentation by:
Maryann Ayoade - Medical Radiation Safety Team Member Office of Nuclear Material Safety and Safeguards U.S. Nuclear Regulatory Commission September 12, 2023
Presentation Outline AGENDA
- Background
- How to Become an Authorized Individual
- ABR Recognition Timeline
- ABR Discontinues NRC Recognition (When?
What? Why?)
- What This Means For Individuals and Authorizations
- Where to Find Information
- How to Become an Authorized Individual -
Alternate T&E Pathway
- Current Status and Next Steps 2
How to Become an BACKGROUND Authorized Individual
- Individuals must complete T&E criteria in 10 CFR Part 35:
- To be authorized for the medical use of byproduct material;
- To independently fulfill the radiation safety-related duties of an authorized individual; and
- To be listed on a license as an Authorized Individual (e.g., AU, RSO/ARSO, AMP).
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How to Become an BACKGROUND Authorized Individual
- Three main pathways:
- 1. Board certification pathway
- Is the individual certified by an NRC-recognized medical specialty board?
- Has the necessary additional T&E been completed?
- 2. Alternate T&E pathway
- Has all required T&E (classroom & lab; supervised work experience, including case work; and device-specific training) been successfully completed?
- Was a written attestation submitted?
- 3. Authorized Individual listed on a license
- Is the individual already listed on an NRC or Agreement State license for equivalent types of use?
- Has the necessary additional T&E been completed?
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How to Become an BACKGROUND Authorized Individual Board Certification Pathway Alternate T&E Pathway
- Complete all required T&E. - Complete all required T&E.
- Essentially same requirements - Essentially same requirements depending on the type of use. depending on the type of use.
- For certain types of use, T&E must be acquired via a residency training program.
- Pass examination administered - Obtain preceptor attestation of by specialty board that assesses satisfactory completion of knowledge and competency in required T&E, and ability to areas that include radiation independently fulfill the safety. radiation safety-related duties for each type of use or device.*
- Note that preceptor attestations are not required for most individuals certified by recognized specialty boards. The attestation in 10 CFR 35.396(b)(3) is required for both board-certified individuals and individuals using the alternate T&E pathway 10 CFR 35.396(b)(1) and (b)(2).
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BACKGROUND ABR Recognition ABR becomes an NRC-recognized specialty board ABR will discontinue including In March 2005 (70 FR 16335), NRC published a final rule, AU/AMP/RSO-Eligible providing, among other things- updated criteria that specialty boards must meet to be recognized by the NRC designations on issued or the Agreement States. certificates March/April December 31, 2005 2022 2023 ABR notified NRC and submitted letter of intent to discontinue maintaining NRC recognition of certification processes (ML22091A272) 6
ABR Discontinues NRC BACKGROUND Recognition - WHEN?
ABR becomes an NRC-recognized specialty board ABR will discontinue
- In March 2005 (70 FR 16335), NRC published a final including AU/AMP/RSO-rule, providing, among other things- updated criteria that specialty boards must meet to be recognized by the NRC Eligible designations on or the Agreement States. issued certificates March/April 2005 2022 December 31, 2023 ABR notified NRC and submitted letter of intent to discontinue maintaining NRC recognition of certification processes (ML22091A272) 7
ABR Discontinues NRC BACKGROUND Recognition - WHAT?
- All NRC-recognized ABR specialty areas are impacted
- NRC-Recognized Specialty Boards Webpage: https://www.nrc.gov/materials/miau/med-use-toolkit/spec-board-cert.html Specialty Areas NRC Regulations Authorization 10 CFR 35.290 Diagnostic Radiology Authorized Users 10 CFR 35.392, 35.394 Interventional Radiology / 10 CFR 35.290 Authorized Users Diagnostic Radiology 10 CFR 35.394 10 CFR 35.390, 35.392, 35.394 Radiation Oncology 10 CFR 35.490 Authorized Users 10 CFR 35.690 Diagnostic Medical Physics 10 CFR 35.50 RSOs and Associate RSOs Nuclear Medical Physics 10 CFR 35.50 RSOs and Associate RSOs Therapeutic Medical Authorized Medical 10 CFR 35.51 Physics Physicists 8
ABR Discontinues NRC BACKGROUND Recognition - WHY?
- Outside the focus of ABR mission.
- Diverts resources from fundamental objectives (exams &
customer service).
- No specific correlation between being board certified &
having the AU/AMP/RSO-Eligible status.
- A direct pathway exists with NRC and Agreement States.
- ABR information webinar, direct link, and FAQs:
WHAT THIS Prior to December 31, 2023 MEANS
- ABR complies with applicable NRC regulations and maintains existing NRC recognition.
- ABR may issue NRC-recognized certificates with AU/AMP/RSO-Eligible designations.
- NRC-recognized certificates (issued prior to December 31st) remain valid for use via the NRC Board Certification Pathway.
- 7-yr. Recentness of Training requirement (10 CFR 35.59) applies.
- Individuals may obtain certification from a different NRC-recognized specialty board.
- Alternate T&E pathway remains an option.
Submit documentation of all required T&E and written preceptor attestation directly to NRC or Agreement States via the licensing process.
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WHAT THIS After December 31, 2023 MEANS
- ABR will not maintain NRC-recognition and certification processes will not be recognized by the NRC.
- ABR will not issue NRC-recognized certificates with AU/AMP/RSO - designations.
- NRC-recognized certificates (issued prior to December 31st) remain valid for use via the NRC Board Certification Pathway.
- 7-yr. Recentness of Training requirement (10 CFR 35.59) applies.
- Individuals may obtain certification from a different NRC-recognized specialty board.
- Alternate T&E pathway remains an option.
Submit documentation of all required T&E and written preceptor attestation directly to NRC or Agreement States via the licensing process.
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Where to Find Information NRCs Medical Uses Licensee Toolkit:
- Public Meeting Announcement and ABR 2022 Decision Letter
- Specialty Board Certifications Recognized by NRC Under 10 CFR Part 35
- How to Become Authorized
- Procedures for Recognizing, Monitoring, and Terminating the Certification Process of Specialty Boards
- 2022 Evaluation of NRC Recognized Specialty Boards Other useful links on the NRCs Medical Uses Licensee Toolkit web page:
- The NRC's ACMUI Subcommittee Reports
- Subcommittee on Training and Experience for All Modalities, Final Report
- FAQs About Licensing Medical Uses of Byproduct Material Under 10 CFR Part 35
- NRC Medical List Server
How to become an Authorized Individual - Alternate T&E Pathway
- Licensee submits request to NRC or Agreement State program.
- All applicable T&E documentation should be included.
- May use NRC 313A series forms
- Detailed instructions in NRC guidance - NUREG-1556, Vol. 9, Rev. 3 (Section 8.7 and Appendix C, D, and E).
- NOTE: NRC does not issue licenses to individuals, but rather to licensees. NRC authorizes individuals to be listed on a license.
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Sample NRC Form 313A (AUS)
Page 1 of 6
- 10 CFR 35.490 - Training for use of manual brachytherapy sources
- 10 CFR 35.491 - Training for ophthalmic use of strontium-90
- 10 CFR 35.690 - Training for use of remote afterloader units, teletherapy units, and gamma stereotactic radiosurgery units 14
Sample NRC Form 313A (AUS)
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Sample NRC Form 313A (AUS)
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Sample NRC Form 313A (AUS)
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Sample NRC Form 313A (AUS)
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Sample NRC Form 313A (AUS)
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Remember!
Prior to December 31, 2023 After December 31, 2023 ABR complies with applicable NRC ABR will not maintain NRC-regulations and maintains existing recognition and certification NRC recognition. processes will not be recognized by the NRC.
ABR may issue NRC-recognized ABR will not issue NRC-recognized certificates with AU/AMP/RSO- certificates with AU/AMP/RSO -
Eligible designations. designations..
NRC-recognized certificates (issued prior to December 31st) remain valid for use via the NRC Board Certification Pathway.
7-yr. Recentness of Training requirement (10 CFR 35.59) applies.
May obtain certification from a different NRC-recognized specialty board.
Alternate T&E pathway remains an option.
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Current Status / Next Steps
- Discontinuation of ABRs recognition with NRC is to occur on December 31, 2023.
- Licensees and Current/Potential Authorized Individuals:
Keep track of T&E documentation.
Complete NRC 313A series forms early.
Get familiar with NRC Part 35 T&E requirements.
Reach out to your friendly regulators.
- NRC will staff will:
Conduct a public meeting to share information.
Inform/notify stakeholders when discontinuation is finalized via the NRC Medical List Server.
Abbreviations
- ABR - American Board of Radiology
- AU - Authorized User
- AMP - Authorized Medical Physicist
- ARSO - Associate Radiation Safety Officer
- CFR - Code of Federal Regulations
- RSO - Radiation Safety Officer
- T&E - Training and Experience 22
Questions?
- Contact Us:
medicalquestions.resource@nrc.gov
- Medical Uses Licensee Toolkit 23