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hi I'm Jeff Siebers I'm the physics
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director at the University of Virginia
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I want to thank you for taking this time
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to watch this short video presentation
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about the medical physics Residency
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program at UVA
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UVA was founded in 1819 by Thomas
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Jefferson it has division one Athletics
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it's consistently ranked as one of the
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top public universities
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in the United States there's an
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undergraduate enrollment of about 15 000
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students and a graduate enrollment of
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about 7 000 students
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it's located in Charlottesville and
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overall Charlottesville is a very great
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place to be
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here's a picture of our physics and
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dosimetry team here at UVA we have eight
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physicists a very great diverse group we
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have Professor Krishni Wijesooriya
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whose expertise is external beam dating
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40 TBI and all kinds of things Dave
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Schlesinger who's our gamma knife
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specialist Victor Alves who has been our
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commissioner lately
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specializing in commissioning a lot of
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our new equipment Wendy who's become our
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brachytherapy expert
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Matt mistro who is one of our MR Linac
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experts Tatiana a former UVA resident
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who is also has expertise across the
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board and has been working a lot with
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the MR linac and upcoming we have Dan
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Pinkham who will be joining us from the
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Yale University
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we have fertile symmetris with Sue gehr
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being our chief dosimetras Kim Forbes
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and David Lane have each been at UVA for
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uh more than 15 years
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acelia lash Gary is a former dosimetry
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student who is whose knowledge of
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working with our dosimetry group and
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Madeleine Booth is our current dosimetry
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student
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um who formerly was a dosimetry
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assistant with us then we have our two
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fantastic residents Bryant Walker our
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senior resident and Damon Sprouts our
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current first year resident here's an
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overall picture of our radiation
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oncology team we have had a physics
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residency since 2007 and we were credit
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have been accredited since 2010. we
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admit one resident per year as already
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mentioned we have eight medical
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physicists 4 dosimetrists in addition
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there's six medical residents and eight
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faculty Physicians two plus cancer
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biologists Rebekah McComb whom you've
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probably been in contact with is a
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residency coordinator currently I am The
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Residency program director Matt Mistro
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is our associate director and our chair
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is Dr Jim Larner a super nice aspect
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about our program is that it's
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administered by The Graduate medical
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education office which then provides our
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residents with the exact same support
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structure and benefits as all of the
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medical residents our major locations
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are at what we call ec4 the Emily
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current clinical Cancer Center which is
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our main campus we have a great
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brachytherapy Suite Siemens dual energy
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CT true Bean
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tomotherapy unit that is going to be
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converted to a true beam in 2024 which
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will give our new residents an
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opportunity to do some commissioning
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work we have a view Ray Mr Linac and we
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have a gamma knife across the street
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we have videos video tours which I hope
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you also have a chance to look at then
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we have our site at Moser in which has a
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brand new true beam in it which was
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commissioned this past fall
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that is the fall of 2022 then we have
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Culpepper Virginia which is about 45
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miles away where there's a Tomo Therapy
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Unit in which we will be commissioning a
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true beam in a new vault in Culpepper
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this spring there is a Siemens CT and an
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ortho voltage treatment unit a great
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advantage of our program is the
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exceptional clinical mix of things that
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we have going on we've got a very strong
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sbrt program a lot of hyper
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fractionation been leaders in palliative
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care including some a technique called
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stat rad which was scan plan and treat
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all in a single day we do total body
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irradiation we do a deeper inspiration
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breath hold we cover the whole gamut of
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activities and external beam radiation
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therapy
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currently we have two variant Linux
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we'll have 4 by 2024 and all of those
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Linux will be being matched so that
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eases the movement of patients from one
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Linux to another currently we have two
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tomotherapy Linux
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one which will be going out of service
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near the end of June of this year and
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the other following about one year later
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we have one view Ray MR linac then we
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have this fantastic brachytherapy
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surgical procedure room which has a CT
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on Rails and we currently have a very
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Source after loader which is being
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upgraded to a braavos this spring we do
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all the planning there in reincivision
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we also have a gamma knife icon which is
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across the street as previously
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mentioned we're very active in clinical
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trials both internally to UVA and those
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which are registered with NIH and other
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entities external rotations are not
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required to cover the gamut of all of
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the things that you would need to cover
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in a residency however if outside
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rotations are of interest for example
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because you want to get a rotation in
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proton therapy our residents
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historically have gone to both domestic
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and international sites to acquire the
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unique skills that can be had we highly
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encourage residents to participate in
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conferences and workshops overall in
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summary you can find what you need to
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succeed here at the University of
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Virginia here's the schedule for our
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current physics residents going from
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General Physics through brachytherapy
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for the second year resident to the
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first year resident covering basic
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physics going through commissioning
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dosimetry and things while we have a
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general template for all the rotations
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which we try to cover we also try to
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ensure that we take advantage of the
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opportunities that are presented during
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the rotation within the department for
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example with our ability to be
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commissioned machines this past fall in
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September and October both Bryant and
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Damon were participating in
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commissioning activities with our new
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linac you can also note that near the
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end of the rotation schedule the
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resident is taking on more and more
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responsibility so that at the completion
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of the rotation they should be ready to
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enter a clinic another strong feature of
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our rotation schedule is that we ensure
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that the residents get involved in
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brachytherapy earlier rather than later
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in the program so that by the completion
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of the program our medical residents are
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authorized medical physicists and we
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make sure that they become authorized
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medical physicists at the University of
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Virginia so that when you move on to
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another institution it's a much easier
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process for you to become an authorized
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medical physicist at those other
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institutions one of the very nice
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aspects of our program is something
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called the physics boot camp the physics
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boot camp occurs in July or August it
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was developed by a collaboration between
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our physicists and Physicians it is
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intended to work with for both medical
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residents and medical physics residents
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to cover the basic workflows that are
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involved in radiation oncology it
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involves both lectures case
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presentations and Hands-On so you will
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actually go from understanding you know
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the linac operations onto actual getting
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a case presentation and planning things
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for that case then actually going to the
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linac setting up a phantom and
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delivering the radiation dose
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to the to the test kit the physics boot
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camp has been very successful I like to
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say that it's directed towards the basic
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understanding required to reduce
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confusion for first-year residents but
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even though it's just we initially
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developed it just for first-year
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residents all the residents typically
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end up participating it because of the
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refresher that it provides them
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furthermore in more recent years it's
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not just been UVA residents that have
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been involved in the boot camp but
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residents from other institutions have
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come to the boot camp because of all the
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great knowledge imparts on them in
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addition to the boot camp we have a
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Physics course which is designed
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primarily for the medical residents that
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goes over all the things that you
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probably have already covered in your
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campep courses nonetheless although you
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may have covered this in your courses
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the medical physics residents are
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encouraged to participate in the physics
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lectures it provides a great opportunity
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for you to interface with the medical
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residents and to both and to also
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refresh your physics understanding and
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skills our physics group has two nihr01
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grants
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Dr Wijesooriya has one that's a really
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cool project which essentially considers
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blood as an organ at risk in treatment
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planning and is looking at trying to
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reduce
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lymphocyte depletion in sbrt treatments
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in addition to the NIH Grant she also
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has a clinical trial active with the NCI
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whereas I have an NIH Grant that's on
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analysis and Mitigation Of The Clinical
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effects of delineation and geometric
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uncertainties that is how accurate do
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Contours need to be for organs at risk
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for the purpose of radiation therapy
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treatment in our department we keep all
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of our policies and procedures on a
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professional level Wiki this permits
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people access very easy access to the
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policies and procedures of the
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department they can be used not just for
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reference in terms of what the policy is
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but also can be used to assist in
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learning that occurs during The
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Residency one of the advantages of it
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being on a Wiki is that people are
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encouraged to actually make comments and
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update procedures as they see fit and we
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always have a history of the policy as
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it's changed throughout time we also
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have a medical physics group Wiki in
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which we keep kind of more detailed
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procedures of how to do things like
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chart checks and things like that or any
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other activities that are of interest to
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the overall physics group of interest to
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you probably is how our former residents
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done this is a list of every resident
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that we've had in our program throughout
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time as you can see many of them went on
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to academic positions several of them
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still are in academic positions others
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have gone into private practice overall
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we have hired one of our residents that
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was last year's resident Tatiana who is
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now a faculty member here at UVA
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Charlottesville is a very beautiful city
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kind of in the foothills of the
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Shenandoah mountains it's a small small
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City that benefits from tourism and the
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university there's a lot of restaurants
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Vineyards breweries and things like that
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in the area there's college level
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Athletics there's amazing relatively
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good music scene there's very ready
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access to go off hiking if that's what
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you like it's a very comfortable place
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for people to come and live
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Charlottesville has a nice kind of
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walkable downtown mall area that has
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stores and restaurants on it to me it
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gives me kind of a little bit of a
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European feel
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and it Charlottesville is known as a
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it's a nice happy place to live in the
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United States here I have a few
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photographs from around the department
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this photograph is a year old where we
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have Bryant Walker and Tatiana when they
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were residents together these are the
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resident offices
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which is kind of just off of a lab area
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this is our chief dosimetrous in her
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cubicle inside of her cubicle she keeps
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all kinds of treats and goodies which
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keeps the medical residents the medical
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physics residents the attendings the
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therapists everyone in the department
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coming back there to steal candy and
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treats throughout the day
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dosimetry is a gathering place for
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people in the department and is a place
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where physicists often are following
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during the day when they're on on
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clinical duties our offices or the
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physics offices and the resident offices
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are actually across the street in
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another building from where the clinic
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is here is my contact information I
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encourage you to contact me or Rebekah
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if you have any further questions about
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the program
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thank you very much for taking the time
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to listen to this