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EFOMP-EORTC dosimetry audit survey
Dear Colleague,
we contact you as the President/delegate of your country's Medical Physics Association. In an effort to paint a picture of radiotherapy quality assurance in different countries, EFOMP and EORTC have drafted a questionnaire on local regulations and practices for acceptance tests and periodical QA on radiotherapy machines. The questionnaire contains 10 general questions on QA for acceptance and periodical checks + 3 questions on clinical trials. You do not necessarily have to fill this in yourself, please feel free to forward this to a colleague in your national association if you feel it appropriate. EFOMP and EORTC hope to share informative results of this survey for informative purposes and to help in the harmonization of procedures. If you want the information of your country to remain confidential you can indicate it at the end of the survey. We thank you for your time.
Oscar Casares Magaz, Chair of EFOMP EU Affairs committee (eucommittee@efomp.org)
Enrico Clementel, EORTC RTQA Manager (enrico.clementel@eortc.org)
Completed by (Name):
First
Last
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Do national regulations require regular dosimetry audits to be carried in radiotherapy departments?
Yes
No
If “Yes” please provide a link to the applicable legislation.
Who is required
by law
to perform the audit?
An internal auditor, i.e. the hospital Medical Physics service
An external auditor
Unspecified/anyone with a minimum required certification.
Is the external auditor:
A specific auditing institution, solely authorized to perform such audits in the country
Picked from a list of multiple entities authorized for executing said quality checks
Unspecified, as long as external to the auditee.
Please specify
Please specify
Are there precisely established parameters and procedures to be followed for the audit to be valid?
Yes
No
If yes, established by whom?
National legislation
The national Medical Physics association (or equivalent)
Other (please specify)
Please specify
Is there a separate third entity evaluating or validating the results?
Yes
No, the same entity executing quality checks also produces the analysis and validates/invalidates it.
Please specify
Please describe briefly what basic (reference) dosimetry procedures are mandatory to be credentialed for treating patients, the required frequency and specific instrumentation requirements.
Are advanced procedures or technique-specific procedures are necessary for centers to be credentialed? Please describe briefly including required frequency and specific instrumentation.(eg 'brand' and 'model' of the instrumentation)
Is there a mechanism in place at the country level to ensure the review and, if necessary, the regular update of the existing norms and regulations with technology evolution?
Any other comments
Additional questions - Clinical trials
In case of clinical trials involving a modification of the delivery mode, is a TPS with CEE marked TPS mandatory?
Is a validated dose-engine enough? If so, how is the validation process? Could you also describe briefly commissioning requirements and acceptance criteria?
Are special legal requirements necessary for clinical research in radiotherapy (beam output audits, instrumentation audits etc.)?
Yes
No
If yes, please provide a link to the applicable legislation.
I would like the information concerning my country to be kept confidential and not disclosed with the results of this survey.
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