The training program is 4 years or 48 months.  The resident will engage in 42 months of clinical rotations at the primary site.  This will meet the minimum 36-month requirement by the ACGME.  There will be a one-month rotation in pediatrics to meet the pediatric requirements, which will occur at St. Jude’s Children’s Research Hospital.  There is a three-month elective block where one of the months during this block is used for the pediatric rotation.  The resident can take any elective they see fit to augment their training at that point.  Elective rotations are approved by the program director no less than three months in advance.  The three-month research block will be done in coordination with our radiobiology faculty.  Clinical research can be completed in this time but sufficient time must be dedicated to understanding bench research as it relates to clinical care.

Minimum numbers of cases simulated and treated are required for graduation. A detailed case log must be maintained by each resident physician through the American Board of Radiology, and will be reviewed with the Program Director in the bi-annual meeting. ACGME requires Radiation Oncology residents to use the ACGME electronic case log system.

ACGME Mandated Patient Case Requirements

External Beam Irradiation Requirements

  • A minimum of 450 over the four years of residency
  • A resident should not treat more than 250 patients with external beam irradiation in any one year.
  • Only cases for which the resident has primary responsibility performing the simulation may be counted. In certain circumstances, the procedures in radiation therapy and patient availabilities justify counting a patient twice for purposes of resident logs.

Brachytherapy Case Requirements

  • Must perform no fewer than five (5) interstitial implants
  • Must perform no fewer than fifteen (15) intracavitary implants.

Radio-immunotherapy and Radiopharmaceuticals Requirements

  • Must participate in the administration of no fewer than six (6) procedures using radio-immunotherapy, other targeted therapeutic radiopharmaceuticals, or unsealed radioactive sources.

Pediatric Case Requirements

  • Must treat at least 12 pediatric patients of whom a minimum of nine (9) have solid tumors.

Stereotactic Radiosurgery

  • Must participate in the treatment planning and administration of stereotactic radiosurgery in at least ten (10) patients.