TRAINING AND CULTURAL PROBLEMS TO BE SOLVED IN THE MEDICAL AREA FOR IMPROVING THE IMPLEMENTATION OF THE ALARA PRINCIPLE
ALARA Risks Benefits
Difficulties implementing ALARA in Medical Areas • The possible acuteness of patients requires very fast decision making regarding the use of radiation. • Rapid change of the radiation technology utilised in hospitals. • The work force dynamics in Hospitals is submitted to frequent changes of destination and activity.
Yearly Use of Radiation in Medical Areas in the World • > 2 billions X ray exams. • > 30 Millions of Nuclear Medicine Procedures. • > 6 Millions of Radiotherapy Actions.
ALARA and the Education and Training in RP ALARA TIME DISTANCE SHIELDING E&T in RP
ALARA RESTS ON E&T • Health Workers E&T • Public • Voluntaries • Medical Physicists
ALARA RESTS ON THE QC OF THE EQUIPMENTS Quality Control • Medical Physicists
Diversity of Health Workers involved in ALARA • Doctors or physicians • Specialist doctors (Radiological, Nuclear Medicine, Radiotherapists physicians) • Nurses • Radiographers, Nuclear Medicine technicians, Radiotherapy technicians. • Service personnel • Administrators • Medical Physicists.
Specialist doctors relevant for ALARA implementation • Cardiologists, traumatologists, urologists, pain doctors, pulmonologists • Specialists in Radiology, Nuclear Medicine or Radiotherapy • Specialists in Vascular or Interventional Radiology or in Cardiac Haemodynamics.
E&T for Health Workers should be: ? • Comprehensible • Practical
E&T to the Public • Radioactive Waste from Hospitals • Inside Hospitals • Voluntaries to exposition for the well-being of patients
ALARA can be implemented easily to patients • Clear Benefits if justification principle is applied • Regardless, dosimetry calculations or measurements are needed Risks Benefits
ALARA and Medical Physicists The qualified medical physicist has a UNIQUE competence and carries a range of responsibilities for equipment, techniques, methods used in the clinical environment and for E&T in big hospitals
DIRECTIVE 97/43 EURATOM (30th june 1997) Experts in Medical Physics have the responsibility to carry out or be in charge of the Radiological Protection of patients …. And Health workers, the public and visitors to big hospitals
TRAINING AND CULTURAL PROBLEMS TO BE SOLVED IN THE MEDICAL AREA FOR IMPROVING THE IMPLEMENTATION OF THE ALARA PRINCIPLE THANK YOU