1. User Training Prabhakar Tripuraneni, MD, FACR, FASTRO Head, Radiation Oncology Scripps Clinic, La Jolla, CA

2. Conflict of Interest • Chief Medical Officer, Viewray Inc., Oakwood Village, OH • VP, International Business Development, Vantage Oncology, Manhattan Beach, CA • Served on FDA Radiological Devices panel • ASTRO past Chair of BOD • ASTRO IHE-RO task force co chair • ASTRO RadOnc Accreditation program chair

3. CARE BILL • Appropriate training, certification and licensing of all Radiation therapy professionals

4. Question 1 • Yes • Operator specific • Easy to understand common format messages

5. Question 2 • Training should be personnel specific • Therapist will need to understand basics of how it works and thoroughly familiar with operational aspects • Medical Physicist (& Dosimetrist) will need to have thorough understanding of operations and principles • MD familiar with its capabilities

6. Question 3 • At Installation • 1 month after • 3 months after • Periodic refresher • Annually or once in 2 years • Any time that there is any software upgrade with functional enhancement

7. Question 4 • No opinion as I am not qualified to comment

8. Question 5 • Of course, Yes • Standardizing terminology and standardizing design of control panels

9. Question 6 • Simple educational tools • Possibly a self administered quiz • Virtual training (like aircraft simulators)

10. Summary • Appropriate training, certification and licensing of all Radiation therapy professionals • Training: More targeted to the functions of the individual • Periodic refresher • Standardization of terminology and the design of control panels • Easy to read manuals