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Ilona Muoni MDSergei Nazarenko MD, PhD
North‐Estonian Medical CentreRiga, 08.10.2010
Provide a basic knowledge and understanding of Nuclear Medicine (NM) principlesPromote safety, quality assurance, good practical applications within the clinical settingPromote a ‘common basic standard’ of knowledge and practiceAssess understanding and practical skillsDevelop a problem solving attitude
DAT has been developed in Australia in 1992with the support of the International Atomic Energy Agency (IAEA)pilot DAT projects (part 1) were undertaken in
countries of Regional Cooperative Agreement (9 member states, > 300 students) Latin America (12 countries, ~ 90 students)Africa (2 countries, 13 students)
European Association of Nuclear Medicine (EANM) support Eastern European countries to adopt DAT
In Estonia we did not have an official training program for Nuclear Medicine technologists
it will be started in 2011 as specialization program for radiology technologists Tartu Health Care College in collaboration with hospitals2 yearsfirst graduates in 2013
DAT program maintains its significanceentry criteria are different (nurses et al.)extent and depth of studies are different (DAT 800 hrs vs. specialization program 300 hrs)DAT maintains its role for upgradeDAT is accepted for specialization
Recent estimates indicate that in the Asian region ~4000 technologists (~7000 worldwide) have inadequate training¹
¹ http://www.datnmt.org
• To improve the technical knowledge and skills of practising NM technologists with emhpasis on the requirements in a clinical service
• To establish a training system that would form a core for further specialization of NM technologists
• Estonian Nuclear Medicine Society (ENMS) acts as National Responsible Authority
• National Steering Committee (relevant interest groups and stake holders):
Estonian Radiation Protection Center → Environmental BoardTallinn Technical UniversityNM Dept. of Tartu University Hospital NM Dept. of East Tallinn Central Hospital NM Dept. of of North Estonian Medical CentreEstonian Society of Radiographers
North Estonian Medical Centre
Ilona Muoni MD
Malle Paris MD
Support Group of Expert SpecialistsNM physicians with working and teaching experience, act as supervisor of
students trained at their institutions
East Tallinn Central Hospital
Anne Poksi MD, Eve Kelk MD,
Galina Šamarina MD
Tartu University Hospital
Kai Ulst MD
Küllike Hallik MD
North Estonian Medical Centre
• PET/64CT‐camera• SPET/4CT‐camera• gamma probe for intra‐operative use• Other: dose calibrator, well counter, laminary flow cell, designated hot‐lab area, shielded waiting area for patients, nuclear waste storage room, survey meter• regular supply of radiopharmaceuticals, clinical workload and regular rounds with clinical partners
Available facilities - equipmentEast Tallinn Central Hospital
• SPET/6CT‐camera • gamma probe for intra‐operative use•Other: dose calibrator, well counter, laminary flow cell, designated hot‐lab area, shielded therapy rooms, nuclear waste storage room, survey meter• regular supply of radiopharmaceuticals, clinical workload and regular rounds with clinical partners
Tartu University Hospital• SPET‐camera • gamma probe for intra‐operative use• Other: dose calibrator, well counter, laminary flow cell, designated hot‐lab area, shielded therapy rooms, nuclear waste storage room, survey meter • regular supply of radiopharmaceuticals, regular workload and regular rounds with clinical partners
People with a previous diploma/degree: • practising NM technologists who are willing to improve their
knowledge and skills• radiology technologists, radiology nurses, nurses of other
specialities who are aiming on specialization in NM and becoming NM technologists
Part 1 Part 2
Basic Physics, Radiation SafetyRadiopharmacy, Behavioural ScienceRadiation Biology, Radiopharmacy QCInstrumentation, Patient CareThyroid Uptake & Imaging, ComputersImaging Techniques, Liver/spleen ImagingPulmonary V/Q, Bone ImagingCSF/Brain Imaging, Renal, Gastrointestinal, Cardiac‐Gated, Myocardial Imaging, Radioimmunoassay, Liquid ScintillationNon‐Imaging Studies, Paediatric Techniques
Introduction to Human BiologyInfection and TumourSentinel Node DetectionSPET/CTIntroduction to Sectional anatomyBrain and Myocardial SPET/CTParathyroid ImagingRadionuclide Therapy Guidelines
Advanced level
4 modules
Basic level
8 modules
Staticimaging
Dynamicimaging
SPET/CT
PET/CT
Part 1• totally 35 subjects• 40 – 50 hrs of study per each module• a total of 600 hrs of study
Part 2• more specific training modules for PET/CT and SPET/CT
format has work‐integrated learning principles requiring a ‘hands‐on’ approach practical exercises to reinforce the theory(~ 160 practical exercises in part 1)on‐going assignments (workbooks)comprehensive final assessment
we started on 16th October 200930 participants
NM technologists with practical experience of workradiologic technologists (in training)
workshops (~ 3 hrs) every second week on Fridaysworking language is Englishin addition to regular workbooks we have requested every student to make a personal Glossary
terms from the end of every chapter is translated to native language this Glossary is discussed in workshops
October 2009... January 2010 ‐ MODULE 1
January 2010... May 2010 ‐ MODULE 2
In the nearest future we will proceed with MODULE 3 On line (DATOL)
Latvia: Dr Antra Berzina as a local tutor2 participants
Lithuania: Dr Sigitas Tiskevicius as a local tutor7 participants
DAT gives a great opportunity to refresh and get new knowledgedue to practical exercises it`s very effective training programeffective tool for learning professional Englishgood opportunity for Baltic collaborationfeedback from students is great
http://www.datnmt.org