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This document is a training and experience attestation form required for individuals applying to become authorized users of Low Dose Rate Brachytherapy Seeds for localization of non-palpable lesions.
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How to fill out AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION

01
Start by gathering all necessary personal information, including your name, contact information, and professional qualifications.
02
Review the specific training and experience requirements for authorized users in your field.
03
List all relevant training courses you have completed, including dates and details of the training.
04
Document your practical experience in the relevant field, specifying roles, responsibilities, and duration of experience.
05
Identify a qualified preceptor who can attest to your training and experience.
06
Obtain the preceptor's signature and contact information for verification.
07
Double-check all entries for accuracy and completeness before submitting the attestation form.

Who needs AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION?

01
Individuals seeking to become authorized users in specific fields or industries.
02
Medical professionals requiring official acknowledgment of their training and experience.
03
Researchers handling controlled substances or radioactive materials.
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You will have to contact your residency program to ask them to fill out both NRC form 313A (AUT) and form 313A (AUS), complete with preceptor attestations. Once you have the forms, give them to your radiation safety officer and radiation safety committee, and they can add you to the license.
To become an Authorized User, Authorized Medical Physicist, Ophthalmic Physicist, Authorized Pharmacist, Radiation Safety Officer, or an Associate Radiation Safety Officer, qualified individuals need to meet and demonstrate that they have complied with the NRC's training requirements in Title 10 of the Code of Federal
The goal of the ASNC/SNMMI 80 Hour Radionuclide Authorized User Training Course is to train physicians who wish to become Authorized Users on the broad knowledge base necessary to meet the requirements of the US Nuclear Regulatory Commission/Agreement States, to establish a quality-focused safety culture that benefits

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AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION is a formal documentation process that verifies the education, training, and clinical experience of individuals who are authorized to use radioactive materials or devices. It requires affirmation from a preceptor, confirming that the individual has completed the necessary prerequisites to ensure safe and compliant use of radiological technology.
Individuals seeking to become authorized users of radioactive materials or devices typically file the AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION. This often includes medical professionals, radiologists, or other healthcare practitioners who intend to use or supervise the use of radiological materials in their practice.
To fill out AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION, one must complete sections detailing the trainee’s personal information, educational background, relevant training experiences, and clinical practice hours. A preceptor must review the information and provide their endorsement, certifying the individual’s readiness to meet the responsibilities of an authorized user.
The purpose of AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION is to ensure that individuals using radioactive materials have the appropriate training and experience to do so safely and effectively. It safeguards patient health, promotes compliance with regulatory standards, and enhances the overall quality of care in environments that utilize radiological practices.
The information reported on AUTHORIZED USER TRAINING AND EXPERIENCE AND PRECEPTOR ATTESTATION includes the trainee's name, qualifications, specific training courses completed, clinical experience details, hours worked under supervision, and a preceptor’s attestation confirming the trainee's competence and readiness to fulfill the role of an authorized user.
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