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This document provides details on training and experience related to medical use of radiation, including supervision and qualifications for radioactive materials usage under specific NRC regulations.
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How to fill out Medical Use Training and Experience and Preceptor Attestation

01
Begin by gathering your medical use training certificates and documentation of experience in the relevant field.
02
Clearly list all training courses that you have completed, including dates, institutions, and instructors.
03
Detail your relevant work experience in the medical field, specifying the duration of each role and the responsibilities undertaken.
04
Ensure that your entries are organized chronologically or by relevance, as appropriate.
05
Once all information is compiled, fill out the designated form clearly and accurately.
06
Double-check all entries for accuracy and completeness before submission.
07
Have your preceptor review and sign the attestation section to verify your training and experience.

Who needs Medical Use Training and Experience and Preceptor Attestation?

01
Medical professionals seeking licensure or certification in medical use.
02
Individuals pursuing specific medical positions that require proven training and experience.
03
Healthcare institutions that mandate compliance with training standards for practitioners.
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Medical Use Training and Experience and Preceptor Attestation refers to a formal process where individuals provide documentation of their training and experience in the medical use of controlled substances, along with verification from a preceptor or supervising professional.
Individuals seeking authorization or licensure to practice in fields involving controlled substances, such as medical professionals, pharmacists, or residents in training, are required to file this attestation.
To fill out the attestation, individuals must provide accurate details of their training and experience, including dates, types of training received, relevant coursework, and signatures from preceptors verifying the information.
The purpose of the attestation is to ensure that individuals have received the necessary training in the appropriate and safe use of medical substances and to confirm their competency through professional verification.
The information reported must include the individual's name, qualifications, detailed description of training and experience, preceptor details, and any relevant dates and signatures required for verification.
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