The James J. Peters VAMC is currently recruiting for one Therapeutic Radiologic Technologist (Dosimetrist) for the Radiation Oncology Service. The medical dosimetrist is a member of the radiation oncology team who has an in depth knowledge of high dose ionizing radiation and of the overall characteristics and clinical relevance of radiation oncology treatment machines and equipment. The TRT-(Dosimetrist) is cognizant of procedures commonly used in brachytherapy; and has the education and expertise necessary to independently generate radiation dose distributions and dose calculations in collaboration with the medical physicist and radiation oncologist. Employees at this level are fully functional as a dosimetrist with the knowledge and experience to apply an advanced level of treatment planning and dosimetry procedures. Employees will have an in-depth knowledge of computer programs and operations, and methodologies of data transfer and reconstruction. Performs complex 2-D, 3-D, 4-D, IMRT, SRS and SBRT treatment plans and presents to radiation oncologists for review and acceptance. Serves as an integral team member for brachytherapy procedures, utilizing ultrasound to determine volumetric data, positioning of templates for insertion of radioactive sources, and transfer of data from ultrasound equipment to treatment planning computers for generation of dose volume histograms (DVH).The certified medical dosimetrist (CMD) utilizes extensive knowledge and training to produce acceptable treatment plans following the prescription of the radiation oncologist. In the simplest circumstance this will be to interpret defined patient parameters and prescription goals and perform treatment time calculations. In the more complicated scenario, the CMD will create CT based 3-dimensional plans to deliver a prescribed dose of radiation to a malignant site while attempting to preserve the functions of normal surrounding tissues. The CMD will be able to generate these plans with only minimal oversight from the physician or Radiation Physicist. The plans typically recognize the behavior of various tumors types as well as critical structures and their tolerance levels of radiation. The CMD is able to choose radiation beams of different energy levels and modalities and the ability to independently generate multiple treatment plans for all treatment modalities, including, 2-D, 3-D, 4-D, IMRT, SRS and SBRT to present as options to the treating physician. Plans will utilize various combinations of wedges, boluses, and blocking techniques to adequately treat the target volumes while limiting the dose to surrounding structures as much as possible. Extensive knowledge of Eclipse treatment planning system is essential. In addition, the CMD must be familiar with the radiation delivery system. This typically includes the ability to operate the linear accelerator, perform treatment simulations on a CT-simulator and to operate a conventional CT scanner. The CMD must also have extensive knowledge of Aria record-and-verify system that accepts treatment information and uses it to deliver the prescribed plan to the patient on the accelerator. Enters irregular fields, patient contours and other relevant beam data into a treatment planning computer in a timely and accurate manner, utilizes MLC (multi-leaf collimators) and record and verify systems to transfer correctly the treatment methodologies, field orientation, angles, wedges, treatment devices, and any other critical factor which have been developed in the treatment plan. Accurately computes radiation dose to individual treatment fields, tumors, spinal cord and other critical and non-critical body structures to ensure quality treatment to patients, and safety to tissue tolerance. Develops and update dosimetry and department policies. Drafts one or several isocentric plans, as required with emphasis on quality of dose distribution, using dosimetric knowledge and creativity. Submits plan choices to appropriate physician to aid in determining best treatment method for specific patient tumors on an individual basis. Maintains record of upcoming field changes, assuring readiness within prescribed practice and with professional competency so as to cause no delay in patient treatment. Notations on simulation films for proper block mounting are submitted to mold room within appropriate time frame. Promptly schedules CT Scans for patients as required for utilization in treatment planning. Participates in simulation CT scans in a competent and courteous manner, using the scan slices that will be needed. Suggests proper administration of the correct contrast medium to the patient. Work Schedule: Monday through Friday 7:30am -4pm Position Title/Functional Statement #:Therapeutic Radiologic Technologist (Dosimetrist)/PD21Q85O Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact firstname.lastname@example.org, the EDRP Coordinator for questions/assistance Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
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