The Lead Therapeutic Radiologic Technologist (Dosimetrist) is a member of the Radiation Oncology Team and has the knowledge of the overall characteristics and clinical relevance of radiation oncology simulation and treatment equipment, including CT simulator and linear accelerator. He/she is fully functional as a dosimetrist with knowledge and experience to apply advanced level of treatment planning and dosimetry procedures. The major duties of the Lead Therapeutic Radiologic Technologist (Dosimetrist) include, but are not limited to the following: Performs complex D, 3D, and IMRT treatment plans and present to radiation oncologists for review and acceptance. Serves as an integral team member for brachytherapy procedures, utilizing imaging technology to determine volumetric data, positioning of templates for insertion of radioactive sources, and transfer of data from imaging equipment to treatment planning computers for generation of dose volume histograms (DVH and brachytherapy dosimetry. Possesses the education and expertise necessary to generate radiation dose distributions and dose calculations in collaboration with the medical physicist and radiation oncologist. Obtains and synthesizes pertinent clinical data to facilitate the radiation oncology process. Participates in the development of optimal treatment strategies, which includes but is not limited to, the generation of external beam radiation dose distributions and the performance of dose calculations in accordance wit the radiation oncologist's prescription to a defined tumor volume. Considers dose-limiting structures in the design of treatment plans and documents dose in accordance with the radiation oncologist's prescription. Performs, or assists in the planning of, the fabrication of compensation filters, custom shields, wedges, and other beam modifying devices. Performs or assists in the planning of, the production of moulds, casts, and other immobilization devices. Documents treatment parameters associated with the radiation therapy process as necessary. Performs Quality assurance activities based on established protocols and documents findings. Adheres to the established Standards of Medical Dosimetrist Practice and Code Ethics. Knowledge of radiation oncology billing and coding. Demonstrates an understanding of human cross-sectional anatomy, physiology, pathology, pharmacology and medical terminology. Confers with radiation oncologist to determine requirements/parameters for planning of patients enrolled on protocols or studies. Performs reconstructions of CT studies when requested, when part of a standard procedure, or when required for protocol review. Maintains records and files of plans run on patients, including the maintenance of back-up files and editing of patient plans in the radiation treatment planning system. Properly identifies patient images to illeviate the possibility of mistaken identity of patient images occurring. Utilizes electronic and/or radiation treatment cart for set-up instructions, field size, field shaping, SSD, field compensators, and beam restrictions. Practices radiation safety in order to reduce exposure to patients, staff, and self, in compliance with department and VA radiation safety procedures to maintain occupational exposures "as low as reasonable achievable" (ALARA). Notifies physics staff of equipment issues and follows instruction. Provides patients with accurate and compassionate treatment. May instruct therapists or residents and staff on new dosimetry techniques or equipment. Assists with analysis of dosimetry specific data collected for ongoing departmental quality and improvement process. Evaluates new products and equipment to make recommendations to supervisor concerning upgrades or new purchases that would improve operation. Provides oral and/or written instruction for non-routine and complex treatment plans. Performs quality assurance procedures for brachytherapy and participates in brachytherapy planning. Updates policies and procedures for the dosimetry area in conjunction with a medical physicist. Works with medical physicist to perform schedules testing of equipment and other mandated measurements of the treatment machines or CT simulator as directed by medical physicist. Oversees initial set-ups of complex treatment plans, assisting as necessary and modifying as needed prior to treatment delivery with the approval of the radiation oncologist. Work Schedule: Monday - Friday, 8:00am - 4:30pm Compressed/Flexible Schedule: May be offered to highly qualified candidates. Telework: Ad Hoc Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.