IOMP Specialized Medical Physicists List
As a service to its membership, the IOMP is interested in producing a list of medical physicists who are willing to serve as consultants for specific medical physics assignments, either in their own country or abroad. The consultancies may be an IOMP task or a technical cooperation activity of an organization which has requested the IOMP for names of medical physicists for a specific mission. Should you be interested in potential assignments, please, fill in the form “IOMP Specialist List” and send it to Dr. Michael G. Stabin at michael.g.stabin@Vanderbilt.edu together with a current CV and supporting documentation for your claimed specialization.
Filling the form is voluntary, and it does not imply any commitment from or endorsement by the IOMP. The list is designed for informational purposes only and will be kept for a predetermined time period, usually one year. It will include the names of medical physicists willing to lecture or provide scientific advice in different areas of medical physics. Individuals are welcome to update their information on a regular basis to ensure it is current.
The list does not constitute a list of “experts”, nor does the IOMP claim that it has verified the information provided. The level of expertise required for each particular assignment will be assessed by the requesting organization, upon which rests the burden of ensuring the information provided by the medical physicist is true. The IOMP is not responsible for the actions of any of its members when engaged in an assignment resulting from the use of this list.
IOMP Science Committee, October 2007
IOMP List: Medical Physics Specialty
(Enter below requested information and delete all non-applicable entries)
Name |
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Date Entering Data |
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Mailing Address (indicate) | Professional / Personal |
Employer (if professional) |
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Street |
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City |
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Country |
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Telephone |
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National Medical Physics Society Membership |
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Nationality |
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Education (Field of Study, i.e. physics, engineering, math…) |
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Highest Degree |
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Year Obtained |
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Specialization (Delete all entries on the right except those of your specialty (2 max) Specify subspecialty if applicable (i.e. Within Medical Imaging Physics: CT, Mammography, etc; Within Radiation Oncology Physics: Brachytherapy, IMRT, etc. | General Radiological Physics Diagnostic Imaging Physics Magnetic Resonance Imaging Physics Radiation Oncology Physics Nuclear Medicine Physics Medical Health Physics / Radiological Protection Radiation Biology Radiation Dosimetry (Other)/ Specify |
Governmental Agency, Professional Organization, Certification Board or Equivalent Recognizing Specialty(if not formal, specify) |
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Accreditation or Certification Field (i.e. Hospital Physics) |
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Years of Specialization |
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Current Job |
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Years Held |
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Current Institutional Affiliation |
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Current Faculty Appointment (if any) |
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Job Function | Effort (%) | |
| Clinical Service |
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| Teaching |
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| Research |
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| Administration |
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| Outside Consulting |
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Languages (Technical Knowledge only) |
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Willing to travel and |
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| Teach / Duration
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| Scientific Exchange (Visiting Scientist)/ Duration |
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| Perform Research (Specify) / Duration |
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| Other (Specify) / Duration
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Travel Limitations (List countries not willing /able to travel to) |
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Financial Arrangements (Delete non-applicable entries and specify details) |
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| Willing to subsidize all |
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| Need travel only |
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| Need travel & honoraria |
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| Other (Specify) |
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Comments |
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Attachments:
CV?
Any supporting documentation?