2019 RSNA/AAPM Online Physics Module Author Application

2019 Physics Module Author Application

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

1. Gamma Cameras / Image Quality
2. Image Display

3. Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients
4. Interaction of Ultrasound with Tissue, and Doppler Ultrasound
5. MRI: Image Characteristics
6. MRI: Pulse Sequences
7. Radiation Detection Instrumentation in Nuclear Medicine Practice
8. Radiation Dose and Safety in Interventional Radiology
9. Radiation Dose in CT
10. X-Ray Tubes and Spectra

The process for revising the modules will begin in January 2019 and should conclude by mid-November 2019.

If your institution is interested in revising a module, please complete this online application. Applications are due December 19, 2018.

If you have any questions, please contact Debbie Loulousis, Online Education Manager, RSNA Education Center at dloulousis@rsna.org or (630) 590-7747.

Thank you,

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

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
Gamma Cameras / Image Quality	Gamma Cameras / Image Quality First Choice	Gamma Cameras / Image Quality Second Choice	Gamma Cameras / Image Quality Third Choice	Gamma Cameras / Image Quality N/A
Image Display	Image Display First Choice	Image Display Second Choice	Image Display Third Choice	Image Display 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
Interaction of Ultrasound with Tissue, and Doppler Ultrasound	Interaction of Ultrasound with Tissue, and Doppler Ultrasound First Choice	Interaction of Ultrasound with Tissue, and Doppler Ultrasound Second Choice	Interaction of Ultrasound with Tissue, and Doppler Ultrasound Third Choice	Interaction of Ultrasound with Tissue, and Doppler Ultrasound N/A
MRI: Image Characteristics	MRI: Image Characteristics First Choice	MRI: Image Characteristics Second Choice	MRI: Image Characteristics Third Choice	MRI: Image Characteristics N/A
MRI: Pulse Sequences	MRI: Pulse Sequences First Choice	MRI: Pulse Sequences Second Choice	MRI: Pulse Sequences Third Choice	MRI: Pulse Sequences N/A
Radiation Detection Instrumentation in Nuclear Medicine Practice	Radiation Detection Instrumentation in Nuclear Medicine Practice First Choice	Radiation Detection Instrumentation in Nuclear Medicine Practice Second Choice	Radiation Detection Instrumentation in Nuclear Medicine Practice Third Choice	Radiation Detection Instrumentation in Nuclear Medicine Practice N/A
Radiation Dose and Safety in Interventional Radiology	Radiation Dose and Safety in Interventional Radiology First Choice	Radiation Dose and Safety in Interventional Radiology Second Choice	Radiation Dose and Safety in Interventional Radiology Third Choice	Radiation Dose and Safety in Interventional Radiology N/A
Radiation Dose in CT	Radiation Dose in CT First Choice	Radiation Dose in CT Second Choice	Radiation Dose in CT Third Choice	Radiation Dose in CT N/A
X-Ray Tubes and Spectra	X-Ray Tubes and Spectra First Choice	X-Ray Tubes and Spectra Second Choice	X-Ray Tubes and Spectra Third Choice	X-Ray Tubes and Spectra 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

Gamma Cameras / Image Quality

Image Display

Imaging Gently: CT Imaging and Radiation Protection of Pediatric Patients

Interaction of Ultrasound with Tissue, and Doppler Ultrasound

MRI: Image Characteristics

MRI: Pulse Sequences

Radiation Detection Instrumentation in Nuclear Medicine Practice

Radiation Dose and Safety in Interventional Radiology

Radiation Dose in CT

X-Ray Tubes and Spectra

Question Title

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

PDF, DOCX, DOC file types only.

Choose File