6.1 Obtaining Authorization

Authorized User 

Licensed physicians requesting permission to use/prescribe radioactive materials and/or radiation therapy machines for medical use must submit evidence of qualifications of training and experience to the UIHC’s Clinical Staff Office for verification and review and approval by the HRSRG , the Medical Credentials Panel, and the Hospital Advisory Committee prior to assuming clinical responsibility.

Requests for approval as an authorized user must be made in writing.  The request shall include a description of the use(s) for which authorization is being requested and a recommendation from the head of the clinic service in which the approval is sought.  The written request for authorization should be sent to the UIHC’s Clinical Staff Office with the following information:

  1. Curriculum vitae, Iowa Medical Examiners physician credentials, and a copy of specialty board certification in nuclear medicine, diagnostic radiology, radiology, therapeutic radiology and/or radiation oncology; or
  2. Curriculum vitae, Iowa Medical Examiners physician credentials and a preceptor statement identifying the individual as an authorized user on a current Agreement State or NRC license; or
  3. Curriculum vitae, Iowa Medical Examiners physician credentials, a completed copy of the Iowa Department of Public Health’s Medical Use Training and Experience & Preceptor Attestation.  Copies of the IDPH’s training and experience preceptor form are available from EHS website.

Regulations specifying the training and experience standards for authorized users are found in the Iowa Administrative Code (IAC), Section 641, Chapter 41.2 and 41.3.  Copies of the regulations are available for review at the EHS Website.

Upon completion of the HRSRG review the action of the group (i.e., approval or disapproval of the individual as an authorized user) will be communicated to the Clinical Staff Office and the head of the clinic service to which the staff member has been appointed.

Licens​ed Practitioner

Individuals licensed or otherwise authorized by law to practice medicine, osteopathy, chiropractic, podiatry, dentistry, or certified as a physician assistant or advanced registered nurse practitioner requesting permission to use/prescribe diagnostic X-rays for medical use must meet the requirements specified by the UIHC By-Laws.  Contact the UIHC’s Clinical Staff Office for information.

Authorized Nuclear Pharmacist, Radiation Safety Officer, Radiation Therapy Physicist and/or Medical Physicist

Prospective individuals appointed to serve as an authorized nuclear pharmacist, radiation safety officer, radiation therapy physicist or medical physicist use must submit evidence of qualifications of training and experience to the UIHC’s Clinical Staff Office for verification and review and approval by the HRSRG, the Medical Credentials Panel, and the Hospital Advisory Committee prior to assuming responsibility for any of these respective positions.

Requests for approval as an authorized nuclear pharmacist, radiation safety officer, radiation therapy physicist and/or medical physicist must be made in writing.  The request shall include the name of the position for which approval is requested and a recommendation from the head of the department or service in which the approval is sought.  The written request for authorization should be sent to Clinical Staff Office along with the following information:

  1. Curriculum vitae, Iowa Pharmacy Examiners pharmacist credentials if applicable, and applicable board certification; or 
  2. Curriculum vitae, Iowa Pharmacy Examiners pharmacist credentials if applicable, and a preceptor statement identifying the individual as an authorized nuclear pharmacist, radiation safety officer, medical physicist and/or radiation therapy physicist, respectively, on a current Agreement State or NRC license; or 
  3. Curriculum vitae, Iowa Pharmacy Examiners pharmacist credentials if applicable, and a completed copy of the IDPH’s Medical Use Training and Experience & Preceptor Attestation.  Copies of the training and experience preceptor form are available from the EHS Website.

Regulations specifying the training and experience standards for an authorized nuclear pharmacist, radiation safety officer, radiation therapy physicist or medical physicist, respectively, are found in the Iowa Administrative Code (IAC), Section 641, Chapter 41.2 and 41.3.  Copies of the regulations are available for review at the EHS Website.

Upon completion of the HRSRG review, the action of the group (i.e., approval or disapproval of the individual for the position) will be communicated to the Clinical Staff Office and the head of the department or service to which the staff member has been appointed.