a Física Atómica Molecular y Nuclear, Dpto. Física Fundamental , Universidad de Salamanca

1. 9th Workshop - CHERNE 2013 Towards education and training in Health Physics and Radiation Protection in the Faculty of Science of the University of Salamanca J.C. Lozanoa, M. Fernándezb, B. Quintanaa, J.A. Whitec, S. Pérezd, A. Garcíae, E. De Senab, S. Rodríguezf aFísica Atómica Molecular y Nuclear, Dpto. Física Fundamental , Universidad de Salamanca bRadiofísica Hospitalaria, Hospital Clínico de Salamanca cFísica Aplicada, Dpto. Física Aplicada, Universidad de Salamanca dElectrónica, Dpto. Física Aplicada , Universidad de Salamanca eElectromagnetismo, Dpto. Física Aplicada , Universidad de Salamanca fCiencias de la Computación e Inteligencia Artificial, Informática y Automática , Universidad de Salamanca 9th Workshop CHERNE 2013, Salamanca

2. The Master of "Física y Tecnología Médicas" by the University of Salamanca: an option on the pathway since the University Basic Degree to the Medical Physics Expert • Really, this initiative was born three years ago: • - The Radiophysics Group of the Clinic Hospital of Salamanca (Sacyl) • - The Faculty of Sciences of the University of Salamanca • “Leit motiv” • Trends towards larger needs of personnel in the fields of Health Physics, Technologies in Medical Sciences and Radiation Protection • Future changes in the design of the Medical Physics career in the Europe Union Community and in Spain • Led us to propose a course related those fields • but... • ...with high education and training levels and quality 23/08/2014 9th Workshop CHERNE 2013, Salamanca 3

3. Current scheme for education and training “Especialista en Radiofísica Hospitalaria” in Spain University Official Degree (4 y new degree “graduado”) (5 y old degree “licenciado”) Coming from system after Bologna process Coming from system before Bologna process Other scientific or technological degrees with a high physics and mathematics content Physics Degree The exam is announced by Health Ministry There is no specific syllabus It is a questionnaire test Annually established National Exam Only candidates with the higher marks enter the special training Limited access Currently, medical physicist in Spain is a regulated and well consolidated profession. “However, we must keep the long-term aim in mind, that is, to achieve the requirement of 300 ECTS to qualify for the training and to continue improvement not only in quality training but also in professional practice” (M. Ribas et al., 2011) Theoretical and practical training at accredited hospitals Medical Physics Departments (Unidades Docentes) (3-4 y) 9th Workshop CHERNE 2013, Salamanca

4. Expected changes on the Health Physics career • BACKGROUND • Revision of the Euratom Basic Safety Standards, BSS (European Commission, 2011), motivated by the 2007 Recommendations of the International Commission on Radiological Protection (ICRP, 2007): • It defines the role of the Radiation Protection Expert (RPE) and the Medical Physics Expert (MPE). • The requirements for information, training and education are addressed and strengthened in a specific title: • The aim is to highlight the importance of education and training in radiation protection and in general in aspects concerned to the MPE competences • GUIDELINES ON MEDICAL PHYSICS EXPERT (Radiation Protection-draft; EC, 2012). • The document contains appropriate recommendations on: • harmonizing education, training and recognition requirements for MPEs in the European Union within the existing EU legislative framework. • the education and training structure must be based on the European Higher Education Area and on the European Qualifications Framework for Lifelong Learning (European Parliament and Council, 2008), to achieve the required professional competences. • the MPE staffing levels necessary to ensure adequate radiation protection of patients and, where appropriate, staff size itself, depending on the size and type of the radiological practice. RP can/must be extended to workers and the work environment. 9th Workshop CHERNE 2013, Salamanca

5. Proposed structure of the education and training for a Medical Physicist Expert in EU (Hardiman, 2012, IRPA13) 9th Workshop CHERNE 2013, Salamanca

6. Recommendations by the Comisión Nacional sobre la Especialidad de Radiofísica Hospitalaria (CNRFH) UNIVERSITY EDUCATION (300 ECTS) Basic University Degree 240 ECTS Physicist or another scientific or technological equivalent degree What about this stage? Postgraduate University Degree (Master) 60 ECTS • Curriculum non defined yet • Official or Non-Official Education? CNRFH is working on postgraduate training (4 y) including all the areas using ionizing radiations as well as non ionizing electromagnetic radiation and mechanical energies Postgraduate training 4 y resident in accredited teaching and training units (hospitals) On the job training Hospital 9th Workshop CHERNE 2013, Salamanca

7. SITUATION OF HIGH EDUCATION IN SPAIN HIGH SCHOOL Spanish Baccalaureate “Formación Profesional” (Superior-Level Training Program) After Bologna process (> 2009-2010) Before Bologna process (< 2009-2010) University Basic Degrees: University Basic Degree: “Graduado” (3-4 y, equivalent to 180-240 ECTS) First cycle: “Diplomado” (3 y) Long Cycle (1st+2nd cycles): “Licenciado” (4-5 y) Engineer (5-6 y) Architect (6 y) Second Cycle: “Licenciado” (+2 y) Engineer (+2-3 y) Architect (+3 y) Master Degree: M.Sc. (1-2 y, equivalent to 60-120 ECTS) Master Degree: (coexisted for few years) (non-official) (1-2 y) Higher Degree Ph.D. Award (3-5 y) Higher Degree (third cycle): Doctoral Courses →Ph.D. Award (3-5 y) SPANISH OFFICIAL FRAMEWORK 23/08/2014 9th Workshop CHERNE 2013, Salamanca 9

8. “NON-OFFICIAL” HIGH EDUCATION IN SPAIN Together the Official High Education structure, “Non-Official” University studies correspond to the higher stages of continuing education and lifelong learning, considered crucial in the European Higher Education Area (Lisbon Strategy and Bologna Process) • It is understand as a complementary offer to the Official Education. • It includes the continuing education in a more flexible manner to be better adapted to the needs and the demand of the society. • It is normally structured in an open and well addressed mode to suit specific education requirements and training (commonly professional oriented). • Its framework enhances the active participation of stakeholders external to the University staff (design, teaching, recognition, etc.). • Currently, normative with national range is in development. • It deals with: • Harmonization on categories, access, names, etc. • Establishment of a Quality Assessment and Quality Management System (similar to the Official Degrees) Meanwhile, each Spanish University proposes and regulates its “Own Titles” 23/08/2014 9th Workshop CHERNE 2013, Salamanca 10

9. First cycle: “Diplomado” (3 y) Long Cycle (1st+2nd cycles): “Licenciado” (4-5 y) Engineer (5-6 y) Architect (6 y) Second Cycle: “Licenciado” (+2 y) Engineer (+2-3 y) Architect (+3 y) “NON-OFFICIAL” or “OWN-TITLES” by the University of Salamanca “They are activities of continuing education with the aim to provide the students a set of competences (knowledge, skills and attitudes) through an advanced education with specialized or multidisciplinary character, and with an academic or professional orientation, equivalent to EQF levels of 5, 6, and 7” University Basic Degree: “Graduado” (180-240 ECTS) Postgrade “Own Titles” (> 30 ECTS) since Nov 30, 2011 Expired Postgrade “Own Titles” (> 20 ECTS) Diploma de Especialización 30-59 ECTS Outcome: EQF level 6 Experto Universitario > 20 ECTS Master 60-120 ECTS Final Master Work required (6-30 ECTS) Outcome: EQF level 7 Master Universitario > 50 ECTS 23/08/2014 9th Workshop CHERNE 2013, Salamanca 11

10. Recommendations by the Comisión Nacional sobre la Especialidad de Radiofísica Hospitalaria (CNRFH) UNIVERSITY EDUCATION (300 ECTS) University Basic Degree 240 ECTS Physicist or another scientific or technological equivalent degree What about this stage? University Postgraduate Degree (Master) 60 ECTS • Curriculum non defined yet • Official or Non-Official Education? CNRFH is working on postgraduate training (4 y) including all the areas using ionizing radiations as well as non ionizing electromagnetic radiation and mechanical energies Postgraduate training 4 y resident in accredited teaching and training units (hospitals) On the job training Hospital 23/08/2014 9th Workshop CHERNE 2013, Salamanca 12

11. For the postgraduate educational stage • we suggest advanced education and specific training towards RP and MP thinking in • hospital and other clinic installations (RP and MP) • companies related with Medical Physics (RP and MP) • industries and companies using technologies and techniques based in ionizing radiations (RP) • industries of the nuclear cycle (RP) • On campus type • 60 ECTS • EQF level 7 • Theoretical and practical charge • Spanish language (recommended a high level of English) The structure of the course is designed in modules, to make easier the recognition of ECTS but also to enhance the recognition of competences in a vocational frame (ECVET units) 9th Workshop CHERNE 2013, Salamanca

12. Modules and contents in the Master of Física y Tecnología Médicas 9th Workshop CHERNE 2013, Salamanca

13. Staff • (teachers and trainers) • University of Salamanca • 27 • University Hospital of Salamanca (Sacyl) • 14 • CIEMAT • 2 • ENRESA • 1 • Companies of the Medical-Technological field: • Agfa, • Carestream, • Emsor, • General Electrica, • IRE Rayos X, • Elekta, • Philips, • Radiología, • Siemens, • Toshiba, • Varian • ENUSA • EDUCATIONAL AND TRAINING ACTIVITIES • Sites and resources of the Faculty of Sciences: • Classroom lectures • General Seminars (special to deal with specific matter in depth) • Special Seminars (given by professionals of the technological and research fields – some of them are given in English) • Informatics-class practices • Laboratory practices • Sites and resources of the University Hospital of Salamanca (Sacyl) • Classroom lectures • Practices in different areas • Additionally • Individual attention to students • Practices in other centers and companies • Visits to research centers, installations of the nuclear cycle, centers and companies of technological development and innovation 23/08/2014 19 9th Workshop CHERNE 2013, Salamanca

14. Education and training will be based on the most updated textbooks and reports such as: • Medical physics textbooks such as the handbooks and training manuals produced by the IAEA for physics in radiation oncology, nuclear medicine and diagnostic radiology, • International, European and national legislation relevant to radiation protection, medical devices, physical agents and personal protective equipment, • Relevant EC reports, recommendations and protocols (e.g., Radiation Protection series), • International organizations reports, recommendations and protocols (e.g., IAEA, IEC, ICRP, ICRU, WHO, UNSCEAR), • Reports, recommendations and protocols from international, European and national medical physics professional bodies (e.g., IOMP, EFOMP, AAPM, IPEM, SEFM), and those associated with the specific areas of medical physics practice (e.g., ESTRO, ECR, EANM), • Reports, recommendations and protocols from relevant national authorities (e.g., HPA (UK), STUK (FI), CSN (SP)), • Primary research reports and review articles from the research literature, • Others 23/08/2014 20 9th Workshop CHERNE 2013, Salamanca

15. Should include, as a minimum, the educational components of the Core KSC of Medical Physics. When the educational components of the KSC of the specialty of Medical Physics are not included it must be covered in the residency              Instrumental       Interpersonal             Systemic 9th Workshop CHERNE 2013, Salamanca

16. 9th Workshop CHERNE 2013, Salamanca

17. OTHER OUTCOME LEARNING OBJECTIVES • Apart of KSC recommended by EC on the MP and RP: • reinforcement of knowledge in order to pass the National Exam to access the MP residency (while it exists) • achieving the License of Supervisor of Radioactive Installations (after passing an exam verified by CSN) • Definitively this Master is addressed to: • Students with University Graduate Level: • preferentially Graduate in Physics and/or Engineering • From Spanish Universities • From European Universities (*) • From Latin America Universities • Other Universities (*) • Working professionals wish to enlarge their education and training in Health Physics and Radiation Protection • Graduated with a recognizable title Directly recognizable Valuable by the University of Salamanca (*) Course in given in Spanish, however, high level of English is recommended 23/08/2014 9th Workshop CHERNE 2013, Salamanca 23

18. Than you very much 9th Workshop CHERNE 2013, Salamanca