Issues-of-Impact (IoIs) for the AAPM
by Stephen R. Thomas
Cincinnati, Ohio
Issues-of-Impact (IoIs)
which define the vista ahead
for the AAPM were introduced in my
previous column as key areas of consideration
falling into three principal categories.
As listed in the accompanying table,
these categories include: (1)
the State-of-theMedical Physics Profession, (2)
the AAPM as a National Presence, and (3)
Organizational Aspects of the AAPM. Recognizably,
they have interconnections and ramifications
that continue to evolve. The IoIs as
presented reflect the vision of individuals within
the AAPM leadership who were enlisted
to review my original table. Although intended
to provide a comprehensive perspective,
some issues of significance may have
been overlooked. Comments and additional
suggestions from the membership are
welcomed. I can be reached at president@AAPM.org.
The Qualified Medical Physicist
In this column, I have chosen to address
three IoIs-one from each category. First, I turn
to the issue of the qualified medical physicist
(QMP) within Category 1. If our discipline is
to move forward on an equal professional
footing with our physician colleagues there
must be a recognized definition of what
constitutes the minimum qualifications for an
individual to practice medical physics. For a
long time we were without a definition of a
qualified medical physicist. Now we have
three! Three voices speaking out, even in
partial unison, have collective strength
although there is the possibility of introducing
discord. All three organizations, the AAPM,
ACMP, and ACR define a QMP as an
individual who is competent to practice
independently in one or more sub-fields of
medical physics which include as a minimum,
therapeutic radiological physics, diagnostic
radiological physics, and nuclear medical
physics. Medical health physics is included in
some cases. As Don Tolbert reported in the
previous newsletter, the ACR, at their
September 1996 annual meeting, formally
adopted their definition of a QMP which will
be used to update all of the appropriate ACR
standards. The individual statements from the
three organi zations differ as to what is
specified as evidence of competency with
regard to Board certification in a designated
sub-field. All three recognize the American
Board of Radiology, however, the ACR is the
most reticent in that it does not explicitly
mention any other boards in its statement
concerning the QMP, whereas the AAPM and
the ACMP do. The ACR's position is,
however, that if an individual does not have
ABR board certification, that does not mean
that he or she is not qualified. Nevertheless,
the possibility for ambiguity here underscores
the imperative that a unified Board
certification process be established for medical
physicists. In addition, issues remain to be
addressed regarding evolving CME
requirements for medical physicists. But
clearly, tangible professional gains have been
secured through the consensus which now has
been achieved in defining the qualified
medical physicist.
Resources to Monitor Regulatory Policy
One of my primary goals as President is to
enhance the AAPM's role as a monitor of
regulatory statutes and policy at both the
National and State levels (IoI Category 2).
Under Geoff Ibbott and the Professional
Council, the Committee on Legislation and
Regulation, chaired by Dick Lane, is moving
forward as our vanguard in this area. I have
been in contact with Dick to emphasize the
importance I attach to the activities of this
Committee and to offer support in the
endeavor to promote its presence on the
national scene and as a resource for the
membership. In the accompanying article (see
page 6), Dick has provided a detailed
description of the L&R Committee's activities
over the past year and outlined planned
initiatives for 1997. One example of the
essential ongoing functions is their interaction
with the Conference of Radiation Control
Program Directors (CRCPD). An additional
aspect associated with the goal of providing
effective legislation monitoring, is the ability
to maintain "on-line" expertise for timely
consultation on particular problems or requests
for response in the name of the AAPM.
Currently, I am evaluating the advisability of
appointing an Ad Hoc Committee to develop
recommendations for mechanisms to enhance
AAPM involvement in government affairs. It
is my objective to ensure that the resources of
the L&R Committee are at a level where it can
function truly efficiently in service of the
AAPM membership on matters related to
regulatory activity.
The Electronic Presence
Turning now to IoI Category 3, let me focus
my final comments on the AAPM in the brave
new world of the national/international web.
In terms of the historical turn by the AAPM
toward development in this area, the
recommendations of Rick Morin's Ad Hoc
Committee on Electronic Communications
(1993) lead to the volunteer work of Bruce
Curran and Doug Wagenaar through the
Computer Committee to establish the AAPM.
org. Subcommittee. The Electronic Media
Coordinating Committee (EMCC) was
formally constituted through AAPM Board
action at the 1996 RSNA. EMCC Chair, Dan
Bourland, has described the Committee's
charge and objectives in this issue of the
newsletter (see page 10). Mike Woodward,
our webmaster supreme, has been
coordinating the AAPM node development at
Headquarters in consultation with the EMCC
on matters involving policy. Many benefits are
associated with this endeavor as outlined by
Dan extending from support of chapter home
pages to on-line publication of AAPM reports.
We will be investigating mechanisms for
maintaining the cost effective expansion of
these membership services through various
possibilities for web-based revenue input.
Let me conclude this overview of our
electronic presence with a request. Based on
e-mail addresses provided in the 1997 AAPM
directory, approximately 50% of our
membership is listed as having access to the
Internet. I call for the remaining half of our
members to establish the link. As the AAPM
web site projects surge forward providing
enhanced member services, we want everyone
to be in a position to benefit from the
capabilities available. It is our intention that
AAPM.org functions as an efficient arm of the
Association as it serves the needs of the
membership in this age of electronic communication.
Read a breakdown of the IoIs