Casar Bozidar, Lopes Maria do Carmo, Drljević Advan, Gershkevitsh Eduard, Pesznyak Csilla
Institute of Oncology Ljubljana, Slovenia.
Portuguese Institute of Oncology Coimbra, Portugal.
Radiol Oncol. 2016 Feb 16;50(1):64-72. doi: 10.1515/raon-2016-0004. eCollection 2016 Mar 1.
Medical physics is a health profession where principles of applied physics are mostly directed towards the application of ionizing radiation in medicine. The key role of the medical physics expert in safe and effective use of ionizing radiation in medicine was widely recognized in recent European reference documents like the European Union Council Directive 2013/59/EURATOM (2014), and European Commission Radiation Protection No. 174, European Guidelines on Medical Physics Expert (2014). Also the International Atomic Energy Agency (IAEA) has been outspoken in supporting and fostering the status of medical physics in radiation medicine through multiple initiatives as technical and cooperation projects and important documents like IAEA Human Health Series No. 25, Roles and Responsibilities, and Education and Training Requirements for Clinically Qualified Medical Physicists (2013) and the International Basic Safety Standards, General Safety Requirements Part 3 (2014). The significance of these documents and the recognition of the present insufficient fulfilment of the requirements and recommendations in many European countries have led the IAEA to organize in 2015 the Regional Meeting on Medical Physics in Europe, where major issues in medical physics in Europe were discussed. Most important outcomes of the meeting were the recommendations addressed to European member states and the survey on medical physics status in Europe conducted by the IAEA and European Federation of Organizations for Medical Physics.
Published recommendations of IAEA Regional Meeting on Medical Physics in Europe shall be followed and enforced in all European states. Appropriate qualification framework including education, clinical specialization, certification and registration of medical physicists shall be established and international recommendation regarding staffing levels in the field of medical physics shall be fulfilled in particular. European states have clear legal and moral responsibility to effectively transpose Basic Safety Standards into national legislation in order to ensure high quality and safety in patient healthcare.
医学物理是一门健康专业，应用物理原理主要用于医学中电离辐射的应用。医学物理专家在医学中安全有效地使用电离辐射方面的关键作用在近期的欧洲参考文件中得到广泛认可，如欧盟理事会指令2013/59/EURATOM（2014年）、欧盟委员会辐射防护第174号文件《欧洲医学物理专家指南》（2014年）。此外，国际原子能机构（IAEA）也一直直言支持并提升医学物理在放射医学中的地位，通过多项举措，如技术和合作项目以及重要文件，如国际原子能机构人类健康系列第25号《临床合格医学物理学家的角色与职责以及教育与培训要求》（2013年）和《国际基本安全标准，通用安全要求第3部分》（2014年）。这些文件的重要性以及认识到许多欧洲国家目前对要求和建议的执行不足，促使国际原子能机构在2015年组织了欧洲医学物理区域会议，会上讨论了欧洲医学物理的主要问题。会议最重要的成果是向欧洲成员国提出的建议，以及国际原子能机构和欧洲医学物理组织联合会对欧洲医学物理状况进行的调查。
欧洲所有国家都应遵循并执行国际原子能机构欧洲医学物理区域会议发布的建议。应建立适当的资质框架，包括医学物理学家的教育、临床专业化、认证和注册，尤其应满足医学物理领域人员配备水平的国际建议。欧洲国家有明确的法律和道德责任将基本安全标准有效转化为国家立法，以确保患者医疗保健的高质量和安全性。
