Please fill out the credentialing status inquiry form to let us know that you would like to be credentialed for this protocol.

Institutions that were previously credentialed to participate in another protocol will be notified if any additional credentialing steps are required.

This protocol requires each institution to submit electronic patient data to RTOG using TRIAD. For instructions on TRIAD, click here. Please note, with CTSU integration with TRIAD, IRB approval is required in order to submit credentialing data.

In order to complete the credentialing process the following items must be completed:

• If you plan to treat using HDR brachytherapy, then each radiation oncologist must complete and submit a brachytherapy Knowledge Assessment Form to the IROC Houston.

Note: Once the above is complete, you must submit a completed Protocol Compliance Form for each brachytherapy patient treated to the IROC Houston.

• All participants are asked to update or complete a new IROC Facility Questionnaires

In order to complete the IMRT credentialing process the following items must be completed:

• Irradiate the IROC Houston's IMRT H&N phantom. Please fill in the request form online. The "IMRT Benchmark" does not satisfy any of the credentialing requirements for this protocol.

NOTE: A Rapid Review will be performed on the 1^st case on each arm for a site PRIOR TO DELIVERING ANY PROTOCOL TREATMENT.

 

Note:

Institutions that are credentialed to participate in other RTOG IMRT protocols requiring a phantom irradiation need not repeat the phantom irradiation for credentialing for this protocol.
   If your institution previously completed a pelvic phantom irradiation, that irradiation may satisfy the credentialing requirements for this protocol.