In order to complete the credentialing process the following items must be completed:

• Each Radiation Oncologist must complete and submit online a Knowledge Assessment to the IROC Houston.

In order to complete the IMRT credentialing process the following items must be completed:

• Complete and submit an IMRT Facility Questionnaire to the Advanced Technology Consortium (ATC).

• A successful digital IMRT treatment planning data submission test to the ATC.¹

• Irradiate the IROC Houston's IMRT H&N or pelvic phantom.²  Please fill in the phantom request form online. The "IMRT Benchmark" does not satisfy the credentialing requirements for this protocol.

• A CTSU IRB/Regulatory Approval transmittal sheet should be submitted along with the CTSU IRB Certification Form or its equivalent.

Note:

¹ If you have previously submitted IMRT data to the ITC, you may not be required to repeat this step. If you have submitted digital data for other IMRT protocols you should fill in the Credentialing Status Inquiry Form.

² Irradiation of the pelvic phantom satisfies part of the credentialing requirements for protocol 0249 but does not necessarily satisfy the IMRT phantom irradiation requirements for other protocols. Institutions that are credentialed to participate in other IMRT protocols requiring a phantom irradiation need not repeat the phantom irradiation for credentialing for this protocol. Institutions that are credentialed to participate in other IMRT protocols should fill in the Credentialing Status Inquiry Form.