RSNA/AAPM Online Physics Module Author Application

2018 Physics Module Author Application

RSNA and AAPM are currently seeking institutions to 'adopt' and revise one of the physics modules listed below:

1.      Basic Concepts in Radiography
2.      Basic Principles of Nuclear Magnetic Resonance
3.   Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients*

4.      Interactions of Radiation and Tissue
5.      MRI: Image Formation
6.      MRI: Image Artifacts
7.      PET/PET-CT/Image Quality
8.      Radiation Dose and Risk
9.      Ultrasound - Concepts and Transducers

The process for revising the modules will begin in early January 2018 and should conclude by mid-November 2018.

If your institution is interested in revising a module, please complete this online application. Applications are due December 11, 2017.

If you have any questions, please contact Lisa Cohen, Assistant Director, RSNA Education Center at lcohen@rsna.org or 1-630-481-1080.

Thank you,

Robert G. Dixon, MD and Nathan Yanasak, PhD
RSNA/AAPM Physics Task Force Chairmen

*As of 11/29 Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients replaced CT Image Quality and Protocols due to a requested need.

Question Title

* 1. Please rank in order the online Physics Module(s) which your institution is interested in revising/'adopting'

	First Choice	Second Choice	Third Choice	N/A
Basic Concepts in Radiography	Basic Concepts in Radiography First Choice	Basic Concepts in Radiography Second Choice	Basic Concepts in Radiography Third Choice	Basic Concepts in Radiography N/A
Basic Principles of Nuclear Magnetic Resonance	Basic Principles of Nuclear Magnetic Resonance First Choice	Basic Principles of Nuclear Magnetic Resonance Second Choice	Basic Principles of Nuclear Magnetic Resonance Third Choice	Basic Principles of Nuclear Magnetic Resonance N/A
Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients	Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients First Choice	Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients Second Choice	Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients Third Choice	Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients N/A
Interactions of Radiation and Tissue	Interactions of Radiation and Tissue First Choice	Interactions of Radiation and Tissue Second Choice	Interactions of Radiation and Tissue Third Choice	Interactions of Radiation and Tissue N/A
MRI: Image Artifacts	MRI: Image Artifacts First Choice	MRI: Image Artifacts Second Choice	MRI: Image Artifacts Third Choice	MRI: Image Artifacts N/A
MRI: Image Formation	MRI: Image Formation First Choice	MRI: Image Formation Second Choice	MRI: Image Formation Third Choice	MRI: Image Formation N/A
PET/PET-CT/Image Quality	PET/PET-CT/Image Quality First Choice	PET/PET-CT/Image Quality Second Choice	PET/PET-CT/Image Quality Third Choice	PET/PET-CT/Image Quality N/A
Radiation Dose and Risk	Radiation Dose and Risk First Choice	Radiation Dose and Risk Second Choice	Radiation Dose and Risk Third Choice	Radiation Dose and Risk N/A
Ultrasound - Concepts and Transducers	Ultrasound - Concepts and Transducers First Choice	Ultrasound - Concepts and Transducers Second Choice	Ultrasound - Concepts and Transducers Third Choice	Ultrasound - Concepts and Transducers N/A

Question Title

* 2. Name of your institution

Question Title

* 3. Contact Information for your Program Chair

First Name

Last Name

Credential(s)

Email Address

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Assistant's Full Name (write NA if not applicable)

Assistant's Email Address (write NA if not applicable)

Question Title

* 4. Contact Information for Lead Radiologists who will Revise the Module

First Name

Last Name

Credential(s)

RSNA Member ID Number

Email Address

Assistant's Full Name (write NA if not applicable)

Assistant's Email Address (write NA if not applicable)

Please describe your current or past involvement in the RSNA/AAPM Resident Physics Modules

Please describe your current or past involvement with resident physics education

Please describe the extent of your expertise for the Physics Module(s) which you have identified wishing to revise.

Question Title

* 5. Please upload an abbreviated CV for the Lead Radiologist.

Within the CVs please make sure to list the positions you have held, ABR certifications, and all information relevant to the topic of the module(s) selected for revision. Examples include, papers, lectures, review courses, task force groups, committees, award.

PDF, DOCX, DOC file types only.

Choose File

Question Title

* 6. Contact Information for Lead Physicist who will Revise the Module

First Name

Last Name

Credential(s)

AAPM Member ID Number

Email Address

Assistant's Full Name (write NA if not applicable)

Assistant's Email Address (write NA if not applicable)

Please describe your current or past involvement in the RSNA/AAPM Resident Physics Modules

Please describe your current or past involvement with resident physics education

Please describe the extent of your expertise for the Physics Module(s) which you have identified wishing to revise.

Question Title

* 7. Was your institution involved in the original creation of a RSNA/AAPM Physics Module

Yes

I do not know

Question Title

* 8. If yes, which module

Basic Concepts in Radiography

Basic Principles of Nuclear Magnetic Resonance

Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients

Interactions of Radiation and Tissue

MRI: Image Formation

MRI: Image Artifacts

PET/PET-CT/Image Quality

Radiation Dose and Risk

Ultrasound - Concepts and Transducers

Question Title

* 9. Please upload an abbreviated CV for the Lead Physicist.

PDF, DOCX, DOC file types only.

Choose File