From:	Pomije, Brian D. (LCDR)
Sent:	Monday, March 21, 2005 8:02 AM
To:	Burke, Gerald; Carter, Darron H., LTjg; Casey, Richard W. LCDR; Clark, Dorothy M. (CIV); Ely, Karen D. (CIV); Giel, Daniel T. (CIV); Hecht, Sheila C , LCDR; Herrera, Mark E; Hope, Lawanda P. HM1; Johnson, Gabrielle M.; Kennemur, Lisa K LCDR; LaFontaine, Richard L CT; Loscocco, Michele F (CDR); McFadden, Anthony E LTJG; Pomije, Brian D. (LCDR); Scott, John H., CIV.; Shumaker, Debbie J. (LCDR); Simays, Andrew E., CDR; Solanki, Haresh P; Swilley, Eugene A. (LT); Torres, Freddy H  LTJG; Tu, Victor LT; Williams, Anthony S. (LCDR); Younes, Georges  E LCDR
Cc:	Pomije, Brian D. (LCDR); Ely, Karen D. (CIV); Clark, Dorothy M. (CIV); Fong, Raynard K. CAPT BUMED; Jerry LCDR' 'Sanders (jerry.sanders@navy.mil); Lino CDR Fragoso (E-mail) (Lino.Fragoso@navy.mil)
Subject:	NRMP - "NRC's Medical Uses Licensee Toolkit"
To all Medical Radiation Safety Officers and NRMP Permittees:

The following information is being sent to you for your information only.  

I highly recommend that everyone access the "Medical Uses Licensee Toolkit" on the NRC's website at http://www.nrc.gov/materials/miau/med-use-toolkit.html, and review the valuable information that has been made available to medical licensees/permittees.  I have copied and pasted some of the information below.

Very Respectfully,

LCDR Pomije

Brian D. Pomije, MS, DABR
Lieutenant Commander, Medical Service Corps, USN
Radiation Health Team Leader
Navy Environmental Health Center
620 John Paul Jones Circle (Suite 1100)
Portsmouth, VA 23708-2103

W: (757) 953-0766; DSN: 377-0766
Cell: (757) 651-2814
Fax: (757) 953-0685

NRC - Medical Uses Licensee Toolkit 
http://www.nrc.gov/materials/miau/med-use-toolkit.html
This toolkit is designed to help licensees find key information easily.
The below information is only a summary (Each Permittee should access the NRC’s webpage at the above link to obtain all the info available):
•	Regulations and Medical Policy Statement 
•	The NRC's regulations are found in Chapter I of Title 10, "Energy," of the Code of Federal Regulations (CFR). Chapter I is divided into Parts 1 through 199. The following parts contain the requirements most relevant to medical use of nuclear materials: 
•	Part 35 – "Medical Use of Byproduct Material" 
•	Final Rule, Extending Expiration Date for 10 CFR Part 35 Subpart J, 69 FR 55736 
•	Medical Policy Statement 
•	Part 40 – "Domestic Licensing of Source Material" 
•	Part 70 – "Domestic Licensing of Special Nuclear Material" 
•	Guidance 
•	Consolidated materials guidance is published in "Consolidated Guidance About Materials Licenses" (NUREG-1556). 
•	Volume 9, Program-Specific Guidance About Medical Use Licenses 
•	Volume 11, Program-Specific Guidance About Licenses of Broad Scope 
•	Other Guidance 
•	Guide for Diagnostic Nuclear Medicine - The American College of Nuclear Physicians (ACNP) and the Society of Nuclear Medicine (SNM) published a "Guide for Diagnostic Nuclear Medicine." This guide provides information that may be useful to nuclear medicine professionals in understanding the applicability of NRC requirements to the medical use of byproduct material in diagnostic settings and provides measures that practitioners may use to facilitate implementation of the revised 10 CFR Part 35. (See also NRC Regulatory Issue Summary 2002-23 , Availability of Guide for Diagnostic Nuclear Medicine.) 
•	Inspection Procedures 
•	NRC’s regional offices (Region I - East, Region II - Southeast, Region III - Midwest, and Region IV - West/Southwest) conduct typically unannounced, periodic inspection of licensed activities using guidance from NRC's Inspection Manual, Chapter 2800 . The frequency of inspection is based on the hazard of materials used. The following address inspections directly related to medical use. 
•	IP 87130 – Nuclear Medicine Programs, Written Directive Not Required 
•	IP 87131 – Nuclear Medicine Programs, Written Directive Required 
•	IP 87132 – Brachytherapy Programs 
•	IP 87133 – Medical Gamma Stereotactic Radiosurgery and Teletherapy Programs 
•	IP 87134 – Medical Broad-Scope Programs 
•	License Types 
•	Forms 
•	The following forms are to be used by medical use licensees. 
•	Reciprocity Form 214 
•	Training and Experience NRC Form 313A 
•	License Application Form 313 
•	Disposition of Materials Form 314 
•	NRC Form 3 
•	NRC Form 4 
•	NRC Form 5