Any person who acts as an Authorized User for any therapeutic radiation machine subject to Part 24 shall be a physician who has a current active State of Colorado license and:
2K.1 Has provided evidence of current certification in:
2K.1.1 Radiology or therapeutic radiology by the American Board of Radiology; or
2K.1.2 Radiation oncology by the American Osteopathic Board of Radiology; or
2K.1.3 Therapeutic radiology by the Royal College of Physicians and Surgeons of Canada; or
2K.1.4 Radiology, with specialization in radiotherapy, by the British Royal College of Radiology, as a British "Fellow of the Faculty of Radiology" or "Fellow of the Royal College of Radiology"; or
2K.1.5 Radiation therapy by a recognized specialty board that requires each candidate for certification to:
2K.1.5.1 Satisfactorily complete a certification process that includes training equivalent to that required in 2K.2.1 and supervised practical experience equivalent to that required by 2K.2.2; and
2K.1.5.2 Pass an examination, administered by diplomates of the specialty board,
that tests knowledge and competence in radiation safety, treatment planning, quality assurance, and human use of therapeutic radiation machines; or
2K.2 Has satisfied the following criteria:
2K.2.1 Satisfactory completion of 700 hours in basic techniques applicable to the use of a therapeutic radiation machine unit, including:
2K.2.1.1 At least 200 hours of classroom and laboratory training in the following areas:
(1) Radiation physics and instrumentation;
(2) Radiation protection;
(3) Mathematics pertaining to the use and measurement of radioactivity; and
(4) Radiation biology; and
2K.2.1.2 At least 500 hours of work experience, involving:
(1) Reviewing full calibration measurements and periodic quality assurance checks;
(2) Evaluating prepared treatment plans, calculation of treatment times, and patient treatment settings;
(3) Using administrative controls to prevent reportable medical events;
(4) Implementing emergency procedures to be followed in the event of the abnormal operation of a therapeutic radiation machine unit or console; and
(5) Checking and using of radiation survey meters; and
2K.2.2 Completion of 3 years of supervised clinical experience in radiation therapy, including:
2K.2.2.1 An approved formal training program, approved by the Residency
Review Committee of the Accreditation Council for Graduate Medical Education or the Council on Postdoctoral Training of the American Osteopathic Association; and
2K.2.2.2 Supervised clinical experience, under the supervision of an authorized user who meets the requirements of this Appendix 2K, or equivalent requirements, to include:
(1) Examining individuals and reviewing their case histories to determine their suitability for therapeutic radiation machine treatment, and any limitations and/or contraindications;
(2) Selecting proper dose and how it is to be administered;
(3) Calculating the therapeutic radiation machine doses and collaborating with the authorized user in the review of patients' progress and consideration of the need to modify originally prescribed doses and/or treatment plans as warranted by patients' reactions to radiation; and
(4) Post-administration follow-up and review of case histories. 2K.3 Training and experience required by Appendix 2K shall have been obtained:
2K.3.1 Within the 7 years preceding the date of license application; or
2K.3.2 Through documented subsequent continuing education and experience.
6 CCR 1007-1-2-K