Certified Medical Dosimetrist

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This is a Stanford Health Care job.

A Brief Overview
Under the general supervision of the Chief Dosimetrist the Clinical Chief Physicist and the DirectorRadiation Oncology Operations the Medical Dosimetrist develops optimal treatment plans for cancer patients that maximize the dose to the tumor while minimizing dose to normal organs under the direction of the radiation oncologist. Also provides support and assistance for other activities related to patient care staff and student (radiology oncology residents) education.

Dosimetrists are members of a radiation oncology treatment team that plays a key role in the management of cancer. They use their knowledge of mathematics medical physics science and critical thinking to measure and generate radiation dose distributions and calculations for patients and are thoroughly familiar with the physical and geometric characteristics of the radiation equipment and radioactive sources commonly employed.

Dosimetrists are responsible for designing a treatment plan and carrying out calculations with mathematical accuracy for the delivery of radiation treatment based on the radiation oncologists prescribed course of radiation therapy. This treatment plan takes into consideration tumor pathology tumor volume and inherent doselimiting structures surrounding the tumor. The treatment plan and radiation fieldplacement techniques are constructed utilizing sophisticated computer equipment and technology. The Dosimetrist along with the Radiation Oncologist and Medical Physicist will work to construct a treatment plan that will meet the prescription written by the oncologist ensuring that the patient will not lose important healthy organ function and that the radiation delivered will not affect healthy surrounding tissue. These treatment plans not only include the use of radiation but in many cases involve the use of radioactive elements during interstitial brachytherapy procedures. Once the treatment plan is complete the Dosimetrist will work closely with the radiation therapists in the implementation of the prescribed plan. The Dosimetrist also advises the radiation therapists during simulation and treatment on optimal patient immobilization and setup reproducibility as well as the correct use of devices and field arrangements.

Level Descriptors

Medical Dosimetrist This is the entry developmental and intermediate working level.
Certified Medical Dosimetrist This is the fully qualified full proficiency and career level.


Locations
Stanford Health Care

What you will do

• Design an optimized patient treatment plan by means of computer and/or manual computation with optimal beam geometry to deliver a prescribed radiation dose and spare critical structures in accordance with the Radiation Oncologists prescription.
• Identify and contour normal and doselimiting structures by utilizing images from one or more data sets. Assumes proficiency in image registration with various image data sets to include CT MRI and PET.
• Create and transfer reference images and localization markers for portal verification and treatment delivery to include DRRs CBCTs and other IGRT methods as specified.
• Supervise perform or assist in simulations and tumor localization using specified imaging devices including but not limited to CT MRI and PET.
• Supervise perform or assist in the planning and implementation of the fabrication of compensation filters custom shields wedges and other beam modifying devices.
• Supervise perform or assist in the planning and implementation of the production of moulds casts and other immobilization devices.
• Communicate with the radiation therapist(s) and assume an advisory role in the implementation of the treatment plan including: the correct use of immobilization devices compensators wedges field arrangement and other treatment or imaging parameters.
• Perform calculations for the accurate delivery of the prescribed dose document all pertinent information in the patient record and verify the mathematical accuracy of all calculations by an approved method.
• Provide assistance and technical support to the Medical Physicist in radiation safety and protection qualitative machine calibrations quality assurance of treatment plans and radiation oncology equipment.
• Operates and performs quality assurance under the direction of the Chief Dosimetrist on the treatment planning computer(s).
• Supervise perform or assist in the application of specific methods of patient and/or beam dosimetry as directed by the Chief Dosimetrist.
• Assist in brachytherapy procedures by performing treatment planning and dose calculations. May perform or assist in the receiving loading and shipping of radioactive materials.
• Utilize radiation monitoring devices to measure radioactivity and perform assays.
• Teach applied aspects of medical dosimetry to students radiation therapists and residents.
• May also be responsible for assisting or providing technical or physics support to the medical physicist. This responsibility may include (but is not limited to) assistance in radiation protection measures equipment calibrations and performance of radiation quality management and quality assurance practices.
• Participate in clinical research.
• Participate in continuing education.
• Participate in quality improvement processes.
• Performs other related and incidental duties as needed or assigned.

Education Qualifications

• Bachelors degree in a related field from an accredited college or university.

Experience Qualifications

• Met by being employed in the classification of Senior Dosimetrist (job title discontinued) with Stanford Health Care as of 08/31/14. or
• Possesses any combination of education training and experience that demonstrates to the satisfaction of the Chief Dosimetrist and Director of Radiation Oncology that he/she meets the specific eligibility criteria of the Medical Dosimetrist Certification Board (www.mdcb) currently in effect to sit for the (CMD) certification examination within two 2 years of appointment.

Required Knowledge Skills and Abilities

• Knowledge of anatomy physiology clinical oncology tumor pathology radiobiology radiation physics and radiation safety.
• Knowledge of medical dosimetry techniques and procedures
• Knowledge of the technical aspects of radiation oncology and medical physics and ability to develop optimal treatment plans and communicate these aspects to the Radiation Oncologist for plan approval and to the Radiation Therapist for plan implementation.
• Knowledge of healthcare informaticsincluding the resources devices and methods to acquire store and retrieve data.
• Knowledge of and proficiency in the use of personal computers and business software applications including those used to develop treatment plans.
• Possess good communication and interpersonal skills to facilitate the exchange of information with patients family members and the radiation oncology treatment team as well as outside entities.
• Possess high level critical thinking and problem solving skills.
• Ability to operate and perform quality assurance on the treatment planning systems.
• Ability to work independently with minimal supervision consulting with the Radiation Oncologist and Medical Physicist as needed/required.
• Knowledge of radiation safety principles and practices as well as current rules and regulations of the Nuclear Regulatory Commission and other regulatory agencies.
• Ability to interpret criteria and develop treatment plans as defined by relevant treatment protocols.
• Possess mathematical skills including algebra trigonometry and introductory calculus.
• Ability to visualize objects in threedimensional concepts to facilitate the treatment planning process.

Licenses and Certifications

• CMD Certified Medical Dosimetrist

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience


Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute CICARE standards for all of patients families and towards each other. CICARE is the foundation of Stanfords patientexperience and represents a framework for patientcentered interactions. Simply put we do what it takes to enable and empower patients and families to focus on health healing and recovery.



You will do this by executing against our three experience pillars from the patient and familys perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

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Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and nondiscrimination inall ofits policies and practices including the area of employment. Accordingly SHC does not discriminate against any person on the basis of race color sex sexual orientation or gender identity and/or expression religion age national or ethnic origin political beliefs marital status medical condition genetic information veteran status or disability or the perception of any of the above. People of all genders members of all racial and ethnic groups people with disabilities and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

The salary of the finalist selected for this role will be set based on a variety of factors including but not limited to internal equity experience education specialty and training. This pay scale is not a promise of a particular wage.