The new M4KDK Diamentor (PTW-Freiburg) for measuring the air-kerma-area product (KAP) and air kerma (AK) simultaneously was evaluated. The special design of the Diamentor chamber influences the variation of the calibration factor with respect to the field size somewhat differently to what is the case with the classic Diamentor. It is therefore recommended that calibration be performed for a larger field size. If the M4KDK Diamentor is calibrated for a field size of 3.8 cm x 3.8 cm (at the chamber), an uncertainty in the AK value of better than 15% for a field size larger than the calibration field, can be expected. The influence of backscattered radiation on the calibration factor is equivalent to that for the classic Diamentor chamber. The variation in response in accordance with tube potential, is also comparable with that of the classic Diamentor. Dramatic changes in response have to be expected if additional filters are introduced in close proximity to the Diamentor chamber.
In 1994 and 1998 reports on staffing levels in medical radiation physics for radiation therapy were published by the "Deutsche Gesellschaft für Medizinische Physik" (DGMP, German Society for Medical Physics). Because of the technical and methodological progress, changes in recommended qualifications of staff and new governmental regulations, it was necessary to establish new staffing levels. The data were derived from a new survey in clinics. Some of the previously established results from the old reports were adapted to the new conditions by conversion.The staffing requirements were normalized to main components as in the earlier reports resulting in a simple method for calculation of staffing levels. The results were compared with the requirements in the "Richtlinie Strahlenschutz in der Medizin" (guidelines on radiation protection in medicine) and showed satisfactory agreement.
To get a general idea of the actual staffing situation in medical radiation physics, all active members of the German Society of Medical Physics (DGMP) were surveyed by the task force "staff requirements" ("Personalbedarf") of the DGMP in 1999. Of the 322 forms sent out, 173 could be evaluated. The staff requirements in medical radiation physics were calculated from the major elements of the radiology equipment and from the staff responsibilities as defined in the DGMP Reports 8 and 10, and compared with the actual number of staff members. The data of this spot check were then extrapolated for the entire Federal Republic of Germany. The calculation revealed a deficit of 89% for the entire staff in diagnostic radiology and of 84% for physicists. Considering the age distribution of the DGMP members, a training capacity of about 100 medical physicists per year is needed to eliminate the calculated deficit within the next 10 years.
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