ACRR study materials
ACRR study resources

ACRR study plan

ACRR · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Clinical Patient Care and Safety

  • List the key elements of patient identification and verification protocols before radiopharmaceutical administration

  • Explain the principles of aseptic technique and proper handling of radiopharmaceuticals to minimize infection risk

  • Describe the management of adverse reactions to radiopharmaceuticals, including anaphylaxis

  • Identify common patient safety hazards in nuclear medicine and propose mitigation strategies

Your checkpoint

Create a one-page checklist for patient safety and adverse reaction management in nuclear medicine.

Week 2

Clinical Patient Care and Safety & Radiation Protection and Dosimetry

  • Summarize radiation protection guidelines for patients, staff, and the public (e.g., ALARA, time-distance-shielding)

  • Calculate estimated fetal dose from common radiopharmaceuticals and compare to regulatory limits

  • Explain the rationale for pregnancy screening and breastfeeding interruption recommendations

  • Apply dose reduction techniques for pediatric and pregnant patients in nuclear medicine

Your checkpoint

Develop a patient education handout on radiation safety for breastfeeding mothers.

Week 3

Radiation Protection and Dosimetry

  • Define key dosimetry quantities (absorbed dose, equivalent dose, effective dose) and their units

  • Describe the principles of internal dosimetry using the MIRD schema

  • Calculate radiation dose from external exposure using inverse square law and shielding equations

  • Interpret dosimetry reports and regulatory dose limits for occupational exposure

Your checkpoint

Complete a worksheet of 10 dosimetry calculations with step-by-step solutions.

Week 4

Radiation Physics and Instrumentation

  • Explain the operation and components of gamma cameras and PET scanners

  • Describe the principles of image acquisition, processing, and reconstruction

  • Differentiate between photopeak, Compton scatter, and other spectral features in gamma spectroscopy

  • Troubleshoot common instrumentation issues such as uniformity and sensitivity artifacts

Your checkpoint

Create a troubleshooting flowchart for gamma camera non-uniformity.

Week 5

Radiation Physics and Instrumentation & Radiopharmaceuticals and Quality Control

  • Explain the production of radionuclides via generator systems and cyclotrons

  • Describe the chemistry and preparation of common radiopharmaceuticals (e.g., Tc-99m, F-18, I-131)

  • Identify quality control tests for radiopharmaceuticals (e.g., radiochemical purity, pH, particle size)

  • Interpret QC results and determine acceptability for patient administration

Your checkpoint

Design a QC protocol for a newly received radiopharmaceutical kit.

Week 6

Radiopharmaceuticals and Quality Control

  • Perform calculations for radiopharmaceutical dose preparation and dilution

  • Explain the principles of radiation safety in radiopharmacy (e.g., shielding, contamination control)

  • Describe the regulatory requirements for radiopharmaceutical handling and documentation

  • Evaluate common radiopharmaceutical quality issues and corrective actions

Your checkpoint

Complete a set of 10 radiopharmacy calculation problems with 90% accuracy.

Week 7

Regulatory and Professional Standards

  • Summarize NRC regulations (10 CFR Part 35) and other relevant standards for nuclear medicine

  • Explain the role of accreditation bodies (e.g., ACR, Joint Commission) and their requirements

  • Describe professional ethics and scope of practice for nuclear medicine technologists

  • Identify documentation and reporting requirements for incidents and adverse events

Your checkpoint

Create a summary table of key regulatory requirements and corresponding documentation.

Week 8

Clinical Patient Care and Safety & Radiation Physics and Instrumentation & Radiation Protection and Dosimetry & Radiopharmaceuticals and Quality Control & Regulatory and Professional Standards

  • Review and integrate key concepts from all domains through practice questions

  • Identify and remediate weak areas using targeted review

  • Simulate exam conditions with a timed practice test

  • Develop a strategy for exam day time management and question approach

Your checkpoint

Score at least 80% on a 100-question comprehensive practice exam.

Milestones

Week 4: Complete a 50-question mixed quiz covering Domains 1-3 with a score of 75% or higher.

Week 6: Complete a 50-question quiz covering Domains 2-4 with a score of 75% or higher.

Week 8: Achieve a score of 80% or higher on a full-length practice exam covering all domains.