Gregory S. Hodges, Ph.D. DABRABR Certificate Holder's Name: Gregory Scott Hodges, PhD ABR...

CURRICULUM VITAEfor

Gregory S. Hodges, Ph.D. DABR

Personal Information

Contact Information:11325 Random Hills Road, Suite 360Fairfax, VA 22030cell# 540-355-8206fax# [email protected]

Education

Ph.D., University of Toledo, Dec. 2005 (atomic physics, w. concentration in medical physics)

M.S., University of Toledo, May 2001(atomic physics)

B.S., Ohio Northern University, May 1997 (physics/computer science dual major, math minor)

Training/Residencies/Certifications

Radiation Safety Officer at LewisGale Medical Center, Salem VA (RML# 161-126-1)VA RAM License provisions: 12VAC5-481-1900, 1920, 1950, 2010 & 2040(Federal equivalent: 10 CFR 35.100, 200, 300, 400 & 600)

Board Certification: American Board of Radiology (Diagnostic Medical Physics 2012)

Certification for shipping RAM (US-DOT)

State Registered Radiation Expert (Tennessee):X-ray, Shielding Design, Film/Screen Mammography, Digital Mammography

State Registered Radiation Expert (Virginia):X-ray, Shielding Design, Film/Screen Mammography, Digital Mammography

State Registered Radiation Expert (West Virginia):X-ray, Shielding Design, Film/Screen Mammography, Digital Mammography

Diagnostic Medical Physics Residency Program Fellow, July 2006 – July 2008University of Alabama at Birmingham, Department of Radiology(Has since become a CAMPEP-approved residency)

of 4 CV-GSH 9. Jun. 2014

Employment History

Jan. 2014 – current Diagnostic Medical Physicist, Founding Business Member Diagnostic Physics Services LLC

Sept. 2008 – Dec. 2013Consultant Health Physicist/Diagnostic Medical Physicist, Physics Associates, LLC(served as hospital RSO since February 2013)

July 2006 – Aug. 2008 Post-Doc/Physics Fellow, University of Alabama at BirminghamDept. of Radiology (Physics Section)

June 2005 – June 2006 Research Assistant, Medical University of Ohio at Toledo Dept. of Radiology (Medical Physics)

Sept. 2005 – May 2006 Adjunct Faculty, University of Findlay Dept. of Physics

Sept. 2005 – Dec. 2005Adjunct Faculty,University of FindlayDept. of Mathematics

Jan. 1998 – May 2005 Teaching Assistant, University of ToledoDept. of Physics & Astronomy(received Outstanding Teaching Assistant Award)

Jan. 2003 – May 2003 Instructor, Mercy Medical College (taught Radiation Biology for medical technologists)

Sept. 1997 – Nov. 1997Teaching Assistant, Ohio University Dept. of Physics & Astronomy

Sept. 1994 – May 1997 Physics Tutor, Ohio Northern UniversityDept. of Physics

May 1996 – Aug. 1996 Research Assistant, Ohio Northern University Dept. of Mathematics & Computer Science


Honorary & Professional Society Memberships

Society of Nuclear Medicine and Molecular Imaging, 2013

Outstanding Student Honor Society, 2004

Sigma Pi Sigma, University of Toledo Chapter, 2003

American Association of Physicists in Medicine, 2002

Sigma Xi, University of Toledo Chapter, 2000

Society of Physics Students, Ohio Northern University Chapter, 1997 (Charter Member, Vice President)

Skills & Experience

Diagnostic Medical Physics Survey Modalities:Digital (DR/CR) & Screen/Film Radiography, Analog & Digital FluoroscopyDigital & Screen/Film Mammography, Computed Tomography (w. ACR)Linear Tomography, Magnetic Resonance Imaging (ACR testing)Ultrasound (ACR testing), Gamma Cameras (NEMA/ACR testing)

Health Physics:Shielding calculations for diagnostic x-ray and PET facilities,Health Physicist annual & quarterly audits of nuclear medicine facilities,administered over radiation badges/monitors for Radiation Safety,performed annual radiation safety in-services, DOT/Hazmat training,primary lecturer for 45-hour NMTCB preparatory exam course,calculated patient and fetal radiation exposures due to misadministration,performed hot lab decommissions, radioactive material spill cleanup,Iodine-131 patient release calculations, Xenon-133 airflow calculations,dose calibrator, well counter, and thyroid probe QC testing,written amendments and renewals for state & NRC RAM licenses

Computer literacy, in particular: MS-DOS, IRIX, Linux, Mac OS 9/X, UNIX, Windows 3.1/95/2000/XP

Programming experience in the following languages: BASIC, C/C++, COBOL, FORTRAN, Pascal, ML, Prolog

Laboratory systems training, in particular: computer networking, electronics, high voltage safety, ion-beam optics,programming, radiation safety, vacuum systems, machine shop techniques and safety


Publications

G Hodges. “Measurements of Total Cross Sections of the n=2 Excitation of Helium from the Impact of 10-25 keV Protons”. Ph.D. Dissertation. University of Toledo. December 2005.

J Thomas, G Hodges, D Seely, N Moroz, T Kvale. “Performance enhancement study of an electrostatic Faraday cup detector”. Nuclear Instruments and Methods on Physics Research Section A. Volume 536, Issue 1-2, Jan 1, 2005. pages 11-21.

G Hodges. “Measurements of Charge-Changing Cross Sections in Collisions of Protons on Helium”. Master's Thesis. University of Toledo, May 2001.

D Hudak, N Baughman, G Hodges. “Aggregates: using design patterns to create implicitly parallel data structures in C++”. Aerospace & Electronics Conference, 1997. NAECON 1997. Proceedings if the IEEE 1997 National Volume 1, 14-17 July 1997 pages 239-246.

Presentations at Conferences & Symposia

“Dose Reduction in Detection of Pulmonary Thrombotic Embolism with Computed Tomography”. Follow-up investigation and future work prospects. Invited talk at University of Cincinnati. 25 January 2010.

“Dose Reduction in Detection of Pulmonary Thrombotic Embolism with Computed Tomography”. Oral Presentation at AAPM Annual Meeting, 2008.

“Dose Reduction in Detection of Pulmonary Thrombotic Embolism with Computed Tomography”. Preliminary results. Southeast Chapter AAPM Annual Scientific Meeting, 2008.

“Observations of Ipsilateral and Increased Motor Gyrus Activity in Functional MRI Study of Learned Fine Motor Tasks”. 4th Annual Neuroscience Research Day at Medical University of Ohio at Toledo, 2005

“Measurements of Total Cross Sections of the n=2 Excitation of Helium from the Impact of 10-25 keV Protons”. Sigma Xi Student Research Symposium, University of Toledo, 2005 (awarded best presentation in research category)

“Measurements of Total Cross Sections of the n=2 Excitation of Helium from the Impact of 10-25 keV Protons”. Ohio Section of the American Physical Society, Spring Meeting, University of Dayton, 2005 (preliminary data results presented)

“Measurements of Energy Distributions of Secondary Emission Electrons”. Sigma Xi Student Research Symposium, University of Toledo, 2004

“Measurements of Charge-Changing Cross Sections in Collisions of Protons on Helium”. Sigma Xi Student Research Symposium, University of Toledo, 2000


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Letter of Participation in Maintenance of Certification (MOC)

ABR Certificate Holder's Name: Gregory Scott Hodges, PhDABR Certificate Holder's DOB: 01/1974Letter of Participation Created On: 06/09/2014Letter of Participation Valid Through: 03/15/2015

The above-named certificate holder is participating in the American Board of Radiology'sMaintenance of Certification (MOC) Program.

The current certification and MOC public reporting status for Gregory Scott Hodges, PhD is asfollows:

Diagnostic Medical Physics - Certified, Meeting MOC Requirements

The most current certificate and MOC public reporting status information can be accessed at anytime for the above-named ABR diplomate by entering the required information in the 'CheckBoard Certification' search on the ABR website at http://www.theabr.org/.

For questions regarding the ABR MOC Program or its participation requirements, please contactthe MOC Help Desk at (520) 519-2152 or [email protected].

Sincerely,American Board of RadiologyMaintenance of Certification (MOC) Services

http://www.theabr.org/

mailto:[email protected]

Generated by CamScanner

The Radiological Society of North America (RSNA) is accredited by the Accreditation Council for Continuing MedicalEducation (ACCME) to provide continuing medical education for physicians. The RSNA designates this educational activityfor a maximum of 92.75 AMA PRA Category 1 Credits?". Physicians should only claim credit commensurate with the extentof their participation in the activity.

The RSNA certifies that the individual named above has participated in the educational activity titled RSNA 2010 ScientificAssembly and Annual Meeting at Chicago, Illinois on November 28 - December 3,2010. This activity was awarded 29.75continuing education credits.

The Commission on Accreditation of Medical Physics Education Program (CAMPEP) has approved the direct transfer of AMAPRA Category 1Credit'Mto MPCEC on a credit-for-credit basis for medical physicists.

This record confirms that the individual designated attended the RSNA 2010 Scientific Assembly and Annual Meeting andparticipated in the listed activities. Attendance at specific activities of the RSNA 2010 Scientific Assembly and Annual Meetingshould not be construed as training that would constitute competency in the subject matter. This record is the computeraccumulation of vouchers submitted at the RSNA 2010 Scientific Assembly and Annual Meeting and is provided as a help inrecord keeping. It may not reflect the total credits if vouchers have not been appropriately used. If that is the case, it is theresponsibility of the individual to correct his/her own records in accordance with the honor system, which is customarilyobserved in reporting CE credits. This record of attendance is available only to the designated individual and will not besupplied to accrediting agencies and other organizations. The individual is charged with the responsibility of maintaininghis/her own record of accumulated credits.

CME Earned: AMAJPRA Category 1: 29.75

SSG01IA32RC432SH40VB411143RC615SSQ01RC721

820 Jorie Blvd., Oak Brook, Il60523TEL 1-630-571-2670RSNA.org

PERSONALIZED MEDICINE:In PUrsuit of Excellence

NOVEMBER 28· DECEMBER 3 ·1.icCORMICK PLACE, CHICAGO

RECORD OF ATTENDANCERadiological Society of North America

96th Scientific Assembly and Annual Meeting

GREGORY HODGES, PHD5346 PETERS CREEK RDROANOKE, VA 24019

Date: 12104/2010

Badge No.: 2657

Certificate No.: 10338002657(1)

Mark G. WatsonRSNA ExecutiveDirector

ISP: Breast Imaging (Computer Image Analysis)Open-Source Tools for Medical Research and ApplicationsUpdate Course in Diagnostic Radiology Physics: CT and MR Imaging-Advanced ApplicationsDigital Tomosynthesis: Is This an Important New Breast Imaging Technique?Breast Series: Emerging Technologies in Breast ImagingDigital MammographyWorkflow: Standards, Tools and IHE MAMMOHigh-Quality Breast Imaging and AccreditationISP: Breast Imaging (Tomosynthesis and Digital Mammography)Challenges in Breast Imaging

1.501.501.50

1.003.001.501.501.501.50

RSNA2010 820 Jorie Blvd., Oak Brook, IL 60523TEL 1-630-571-2670RSNA.org

PERSONALIZED MEDICINE:In Pursuit of Excellence

NOVEMBER 28 • DECEMBER 3· McCORMICK PLllCE, CHICAGO




Date: 12104/2010

Badge No.: 2657

Certificate No.: 10338002657 (1)

The Radiological Society of North America (RSNA) is accredited by the Accreditation Council for Continuing MedicalEducation (ACCME) to provide continuing medical education for physicians. The RSNA designates this educational activityfor a maximum of 92.75 AMA PRA Category 1 Credits?". Physicians should only claim credit commensurate with the extentof their participation in the activity.

The RSNA certifies that the individual named above has participated in the educational activity titled RSNA 2010 ScientificAssembly and Annual Meeting at Chicago, Illinois on November 28 - December 3,2010. This activity was awarded 29.75continuing education credits.

The Commission on Accreditation of Medical Physics Education Program (CAMPEP) has approved the direct transfer of AMAPRA Category 1Credit™to MPCEC on a credit-for-credit basis for medical physicists.

This record confirms that the individual designated attended the RSNA 2010 Scientific Assembly and Annual Meeting andparticipated in the listed activities. Attendance at specific activities of the RSNA 2010 Scientific Assembly and Annual Meetingshould not be construed as training that would constitute competency in the subject matter. This record is the computeraccumulation of vouchers submitted at the RSNA 2010 Scientific Assembly and Annual Meeting and is provided as a help inrecord keeping. It may not reflect the total credits if vouchers have not been appropriately used. If that is the case, it is theresponsibility of the individual to correct his/her own records in accordance with the honor system, which is customarilyobserved in reporting CE credits. This record of attendance is available only to the designated individual and will not besupplied to accrediting agencies and other organizations. The individual is charged with the responsibility of maintaininghis/her own record of accumulated credits.

MarkG. WatsonRSNAExecutive Director

AMA I PRA Category 1: 29.75

PS10IA11

Opening SessionImageJ: Open Source Imaging Solutions.for RadiologyBR Scientific Poster/EducationExhibit CME: Sunday, BreastNew Trends in Digital MammographyMonitoring Radiation Exposure:Standards, Tools and IHE REMBreast/Nuclear Medicine/Molecular Imaging Series: Breast Imaging in the Era of Molecular MedicineBR Scientific Poster/EducationExhibit CME: Monday, BreastImaging Facility Design in an Age of Diminishing Resources (Sponsored by the Associated SciencesConsortium)Image-guided Drug DeliveryEssentials of Mammography

RC1211112VM21

AS24

SH30ES31

(Continuedon next page)

1.751.50

1.001.501.503.001.00

1.50

1.001.50

Initial Digital Mammography Classes/Training

The R.a.diological Society of .North ~e~ca (RS.NA) is accredited by the Accreditation Council for Continuing MedicalEducatio~ (ACCME) to provide continuing medical education for physicians. The RSNA designates this educational activityfor a ~axl~U!11 0: 92:75 AMA PRA Category 1 Credffs™. Physicians should only claim credit commensurate wtth.the extentof their participation In the activity.

The R§NA certifies that the individual named above has participated in the educational activity titled RSNA 201 a Scientific:~::~~ ~~:nouna~~~~~g at Chicago, Illinois on November 28 - December 3, 2010. This activity was awarded 29.75

The Commission on A~editation of Medical Physics Education Program (CAMPEP) has approved the direct transfer of AMAPRA Category 1 Credit1Jlto MPCEC on a credit-for-credit basis for medical physicists.

Thi~ r~cord ~nfillTl.s that th:: !~dividual designated att~_nded .~~ RSNA 201 0 Scientific Assembly and Annual Meeting andparticipated In the listed activiti.e~. Attendance at sp~mc activities offf:!e RSNA 2010 Scientific Assembly and Annuai Meetingshould no~ be construed as trainIng that would constitute competency In the subject matter. This record is the computeraCCUmulatlo.n of vouchers submitted at the RS~ .2010 Scientific Assembly and Annual Meeting and is provided as 2 help inrecord k~plng. It may ~:rt reflect the total. credits If vouchers have not been appropriately used. [fthat is the case, it is therespons[b~lIty of th~ IndNlduai !D con:ect hrs/her own records in accordance with the honor system, which is customarilyobser:ved In repo~~g CE cre~fts. This record of ~ttendance is available only to the designated individual and will not be~~l~~~!~=~~~=~~I~~~n~r:~~ orgamzations. The individual is charged with the responsibility of maintaining

SSG01IA32RC432

SH40

VB411143

RC615SSQ01RC721

RSNA2010 820 Jorie BlVd., Oak Brook, IL 60523TEL 1-630-571-2670RSNAorg

PERSON~~~

1IOIIEM!SI2·~l·~I'I.AI:aOte.o.Ga




Date: 12/04/2010

Badge No.: 2657

Certificate No.: 10338002657 (1)

Mark G. WatsonRSNA Executive Director

ISP: Breast Imaging (Computer Image Analysis)

open-source Tools for Medical Research and Applications

Update Course in Diagnostic Radiology Physics: CT and MR Imaging-Advanced ApplicationsDigital Tomosynlhesis: Is This an Important New Breast Imaging Technique?Breast Series: Emerging Technologies in Breast Imaging

Digital Mammography Workflow: Standards, Tools and [HE MAMMOHigh..QuaJity Breast Imaging and Accreditation

rsp: Breast Imaging (Tomosynthesis and Digital Mammography)Challenges in Breast Imaging

~HEALTHSYSTEM

Sep. 17, 2009

To Whom It May Concem:

This is to certify mat Gregory Hodges, Ph.D, actively participated in performingcomplete surveys on SIX digI.taimammographic units under my personal and directsupervision, In each case the survey time was at least 4 hours The artici riincluded taking data and analyzing the data. . p crpa on

Sincerely,

~~~Michael Yester, Ph.D., DABR

. . Department of RadiOlogy I The University ofDIVI~lon of Phf$ics ana Engineering Alabama at Birmingham

301 General Services Building Mailing Address:S2119th atrear South GS(3301

205.934.0071 619 19THST SFax 205.975.4679 . BIRM1NGHAM AL 35249-6830

1.501.50

1.501.00

3.001.501.501.50

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~RSNA2010~"' I'ERS0NAli,=~~

oove.ea;;2I·CIEI:8oIaS\3·IIcCIll!I.Qt:KPlACE,C!ICN;;O

820 Jorie Blvd., Oak Brook. IL 60523TEL 1-630-571-2670RSNAorg




Date: 12/04/2010

Badge No.: 2657

Certificate No.: 103380026::.7 (1)

The Radiological Society of North America (RSNA) is accredited by the Accreditation Council for Continuing MedicalEducation (ACCME) to provide continuing medical education for physicians. The RSNA designates this educational ac::tivftyfora maximum of 92.75 AMA PRA Category 1 Credits'IM. Physicians should only claim credit commensurete with the extentof their participation in the activity.

The RSNA certifies that the individual named above has participated in the educational acfivity titled RSNA 2010 ScientificAssembly and Annual Meeting at Chicago, Illinois on November 28 - December 3, 2010. This activity was awarded 29.75continuing education credits.

The Commission on Accreditation of Medical Physics Education Program (CAMPEP) has approved the direct transfer of AMAPRA Category 1 Credit'flIto MPCEC on a credit-for-credit basis for medical physicists.

This record confirms that the individual designated attended the RSNA 201 0 Scientific Assembly and Annual Meeting andparticipated in the listed activities. Attendance at specific activities of the RSNA 2010 Scientific Assembly and Annual Meetingshould not be construed as training that would constitute competency in the subject matter. This record is the computeraccumulation oj vouchers submitted at the RSNA 2010 Scientific Assembly and Annual Meeting and is provided as a help inrecord keeping. It may not reflect the total credits if vouchers have not been appropriately used. If that is the case, it is theresponsibility of the individual to correct hislher own records in accordance with the honor system. whidl is customarilyobserved in reporting CE credits. This record of attendance is available only to the designated individual and will not besupplied to accrediting agencies and other organizations. The Individual is charged with the responsibility of maintaininghislher own record of accumulated credits.

.A1.tvdi.q. Wak,Ol7-

MarkG. Wo!sJn

RSNA_rnr-=dQr

AMA I PRA Category 1: 29.75

PS10 Opening Session

IA11 ImageJ: Open Source Imaging Solutions for RadiologyBR Scientific Poster/Education Exhibit CME: Sunday, Breast

RC121 New Trends in Digital Mammography11)2 Monitoring Radiation Exposure: standards, Tools ancllHE REMVM21 BreastlNudear Medicine/Molecular Imaging Series: Breast Imaging in the Era of Molecular Medicirn!

BR Scientific PosterlEducation Exhibit CME: Monday, Breast

AS24 Imaging Facility Design in an Age of Diminishing Resources (Sponsored by the Associated SciencesConsortium)

SH30 lmage-guided Drug DeliveryES31 Essentials of Mammography

1.75

1.501.001.50

1.503.001.00

1.50

1.001.50

LifaHEALTH-SYSTEM

January 26, 2009

Mr. Stan Orchef Jr.Program SupervisorRadi~logic~l Health ProgramJames Madison Building, 7Cb Floor1?9 Governor St, Room 730Richmond, VA232l9

Dear Mr. Orchel,

I ~m the program director for the cst-d .diagnostic imaging medical Physi~s at ~~ra:fell.owShip/residency program. inGreg Hodges was a fellow in Our program fo~:WCI'Slty of Alab~a in Birmingham. Dr.\eas.t twenty hours of specialized trainin 0" in du y~ars. Punng this time, he received ateqwpment. 0 can ucting SUrveys of rnarnmography

Please feel free to contact me if you . furtb .require _er mfonnation.

Sincerely,

-;-~?~Silaron L. White, PhD

Division ~;.~~~si~;~~~;f~:::~~~:301 Genef<lIServicesBUilding

5~1 19th Street South

205.934.0071Fax205.9i5.4679

I The Unlversi[>! of

Alabama at BirminghamMaUingAdc'ressGSB3Cil .

/

61919THSTS

81RMINGHA.\i AL 35249.6830

MEDiCAL PHYSICIST'S MAMMOGRAPHY QC TEST SUMMARYTrainee or Assistant Log

Initial Digital Mammography Classes/Training

Site M oria1 Ras ital of Marti~s-ri.ll~Ma'l":tinsville VA

x~Ray Unit Manufacturer BennettSupe~ising Medi~1Physicist 'tee anthony.9~·f-p.Trainee or Assistant Greg Bcdges , pn; .

Survey Date r.tse~p~t~em~b,e~r~--rs~":::l~UU~'==~RoomlD ~2

Model .j"~Cion~t~o~ur~l'Ii~~US~~!~==j;':Stgnature .;I.Signature ./'7 '/1. ..;

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RAD Physics, Inc.Ra:diation Survey, Calibration and Quality Assurance Audit

GE Senographe DS Digital Mammography Unit

Facility: ~~g~""~~~-t!~2.~~&n:~h='~J-~H?;;.,~J,~c...e~::;r!~,,,~~~r..~w-~.~R~"';."~C2~1u=,,~3t~;"""~'~·"~7~/..~Q~""'?1,.q.~·=·,-Inspected By: Ga.'l( »)/'0_-=>' f 6!"'7-1jOr;f Hotbr~ Date:. j ::r.a./~~ 2.od~

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Medical Physlclst'sMammoqraphy QC Test Summary

Site: -. Stereo (3.0..-222 )The Kirklin ClinicBirmingham, AL35233

.. X-Ray Unit Mfr: . FischerOcate of1n~~lation: Aug. 2004.Film. Processct Mh'.Medical Physicist: Michael Vester, F'h.O.

Greg Hodges, Ph.D.Robert M~rrill, F'h.D.

Report Date: Aug. 14. 2007Survey Date: Aug. 19, 2007

Model:Room 10:Model: "' ~.Signature: ~~..d 0w~

'J

MammotestStereo

Medical phystclst'a Mammography QC T'est Summary

Report Date:.aurvey Date:

January 11, 2008Jarruary10, 2008

Site: Unita Room #4 (3A-181)The Kirklin ClinicBirmlr:lgham, AL 35233

X-Ray Unit Mfr: Siemens ModetDate of Install~tion: March, 2003. Room 10:Rim Processor Mfr. Kodak Model:Medical Physicist: Xizeng Wu, Ph.D. . Signature::__ ~_-"!i.i;@4--;"'-''''·fP1'=-""""", '--

Greg Hodges, Ph, D.,.Robert Merrill, Ph.D. ~ ~ "

3000 Nova, Feb, 200307748-08'Multiloader 7000

. Medical Physidst's Mammugrapby QC Summary

unittSi~: Unit ;.Koom:t.(3A-174): 1be.lGr.l:iin Clinic·

UJI..BMedical CenterBinningham. Alabama

. Report Date: January 17, 200!Survey Datr.: Jal).u.arY4,2008.

X-Ray Unit Mfr.: SiemensDate of Installation; August. 2001

Film ProcessorMfr:: ~4ak

Medical Pbysicisfs: Sharon· L..Vlhite, Pll.D .• DABR

Model: 3000 Nova, June 2001R~om ID: 07748-06

Model: Multiloader 1000

Signature: ·k~~

Radiation Survey, Calibration, and Quality Assurance AuditGE Seongrapbe DS Digita111ammographic Unit

The Kirklin Clinic Room 8Facility:

7m,2412oo6Date:Michael Yestcr, Ph.D., Gregory Hodges, Ph.D. Inspected by:

~~~-i~:~~hYSiCi~t'S Mammog~aphy ac Test Summary

"Report Date: December 2.7. 2006survey Date: December 8. 2006sue: Unit7 Room:6 (3A-163)

The KirkfinClinicBirmingham, AL 35233 Model:

X.Ray Unit Mfr: Instrumentarium Room 10:Date of Installa~ion: Nov. 2000 Model:Film Processor Mfr. Kodak S· ture:Medical Physicist: Xizeng Wu. Ph.D. tqnature:

. Michael Vester, Ph.D.• Greg Hodg?S, Ph. D,

Performa, sec. 20000774B·07

~MEDiCAL PHYSICIST'S MAMMOGRAPHY QC TEST slTMMARY

Full-Field Digital - General Electric Senographe OS

Ibport Datal-~J~.n",'u="~3"",-,2",OO"' ---jSUNIi!'/ oale'I-~J~.n",u="~<!26",2",O''''' -j

Model'\.....~S~.!!!n-;,=,~e.!h!!..£DS"- --I

acorn'ot='~"~'S.~o~';.~'~'m~2~!B;;E==jSignature "'1IA.~ ~£...

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stte Room 2, North Tower-St.. Vmcent's HosDitalBinninnham, Alabama

X.R.ay Unit M3nufa~turer G.neTlilI c/.ctr;cDate of lm;talLation December 2004Medical Physicist Michael y, Yesler Ph.D,

Gregcwy Hodge~ Ph.u

RAD Physics, Inc.Radiation Survey, Calibration and Quality Assurance Audit

GE Senographe OS Digital Mammography Unit

Facility:. ""'~ 3 /U".Jt. T.-JQ- S'hrJim:.£,.).'r (.b~ ;-t..JJtnspectao Sy: 6"'"'17. ~·.c f{ 6"'14 ~ fI-.17cl" Date: z 26 2=9-

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Fa~fty: .<;.~~~~~~~~N~i~E~~·~j'-~~~er~~.g~~~~~'~~~~~~~~/~~~~"~~~__~~~ __~Inspected By: 6tvv 7i; ~(~ 6f'«~'~~c!ps . Date: ,.::7d.~ ~t{~t) ZOQ:;;:"

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Lorad M-IV Mammography Unit

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1. EquipmentX·Ray Generator/Control

Manuf,acturer. Lorad (Ho/ogic)

Model: M-IVSource Assembly

Manufacturer: iJe--'o-""Model: /-1-1(3

Date of Manufacture: ~e- w!- I Ti -:f-Serial Number. (£:00 'E>=fr ¢S'6~

Date of Manufacture: Au" t.J.si- 1'1'1-:SerialNumber. . ""';6'1 3:3 - '"' V-

Radiation Survey} Calibration, and Quality Assurance-Audit" GE Seongrapfie DS Digital Mammographic Unit·

Facility: .. The Kirklin Clinic Room Room 9 (07748-13)

Michael Yester, Ph.D:, Sharon White, Ph.D. Dati:

Greg Hodges,.Ph.D., Robert Merrill, Ph.D.

MEDICAL PHYSICIST'S MAMMOGRAPHYQC TEST SUMMARYFull-Field Digital - General Electric

GenltfiJl Electric

ReportDate,j- __ -"'5:::-J""n!!:.o"" -IsuNe~~~::I----".JO!oO!!'~!O .•!!.7------j

Room IO'I-_-,O::.;77",48",.:..:1.:..1l!:R",o,,,,m,,,7),,-~

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X-Ray Unit MfrD;;.ie of In$~lIationReview Workstation MfTLaser Film Prjnter~Mfr

Medical PhYSIcist's Name

. GeneralEieetric

Fu'J

Xizeng wu, PI"l.D,Greg .Hodges, Ph.D.,. Hong.Gang Uu, M.S.

Medical Physicisfs Mammography QC Test Summary

~it~~ .Unit9.Hccm 3A-' 77·(Rm ;¥1);" Th"eKirklin Clinic

Birmingham, AL 35233>;-Ray Un'it ~fr:. GEDate' of lrtstalletion: March,2oo3

Report Date:Survey Date:

January s, 2008January 2, 2006

Model:Room1D:

BOOT077411-9

Film 'prccesscr- Mfr.Medical Physicist:

Kodak Model: Multiloader 7000?(izengWu, Ph.D. Signature:: ~-;>~~ ••6>J€i~"'F===_Greg Hodges, Ph.D., Robert Memll, Ph.D. ,.- .l'?..J

Medical Physicl.~t·s Mammography QC'Test Summary

Site: Stereo (3.A-222)The Kirklin ClinicBirmingham. Al35233

X-Ray Unit Mfr: FischerDate of installation: Aug. 2004Film Processor Mfr.Medic~1 Physicist: Michael Yester, Ph,D.

Greg Hodges, Ph.D.

.Report Date: Sep. 9. 2006Survey Date: Sep 7,2006

Model: MammotestRoom IP: StereoModel: .,' I 0Signature: . ~ ~

Medical Physicist's Mammography ac Test Summary

Report Date: January 12, 200iSurvey Date: January 5, 2007

Site: Unjt6Room#4(3A~181)The Kirklin ClinicBIrmingham, AL 35233

X-Ray Unit Mfr: Siemens Model: 3000 Nova, Feb, 2003Dale of tnstanattcn; March,2003 Room 10: 07748-08Fllm Prceeasor Mfr. Kodak Model: Multiloader 7000Medical Physicist: Xizeng Wu, Ph.D. Signature: YV\ H-....J iA~

. Mic~aelYester, Ph.D., Greg Hod~~_~~~~~ .. _ ~~

Radiation Survey, Oalibration, and Quality Assurance Audit" GE SeongrapheDS Digital Mammographic Unit.

Facility: The Kirklin Clinic Room 8 (07748-12)

Inspected by: . Michael Yest.r, Ph.D., Gr.goryHodges, Ph,D Date: 8/16 - 812112007Medical Physicist's Mammography QC Test Summary . -

Site: Uni.t9Room3A-177(Rm#1),The Kirklin Clinic8irmingh~m, AL 35233

X-Ray Unit Mlr: GEOate of lnstallatlcn: March,2oo3

Repo·rt Date: January 11. 2007Survey Date:. December 22, 2006

Model:Room 10:

BOOT0774B·9

Film Processor Mfr.Medical Physicist: .

Kodak Model: Multiloader 7000 ft <f-.

Xlzeng Wu, Ph,D. Signature: __ -l'l!vV:+d~:::"=~' ,-=;"v),l~===-Michael Vester. Ph.D., Greg Hodges, Ph. O. ~

MAP/ONos.

Each medical physicist who provides medicai physics services at ihis facility ml1& Ife,ii'j rlF~t ffley meet frDA rGqF.EiYG,,,efits by completing acopy of Section H.

Please prin~ type or complete this form by computer. To use your computer, double-click the space and type or click your response. Tab tomove to tile next question. Signature dates must be If.!ithin one year from the date of application. Original, electronic or raxed signatures arerequired and considered legally binding for this document. Stamped signatures are not acceptable. Complete al/ sections; gfl if'lcompG~tse;ppff(;ii;i:iofl w!B! d&!&¥ youI' BJccI!'Gdit8'ti(m.

Corle ar\fu-ginia 8'(~1·5fl1.~7

FIRST NAME

Gregory S. Ph.D.t Ns;me: HodgesLAST NAME 10.41 DEGREE

3. irmftt!a~'lilja;H~f1niro~dai~G(earliest date qualified to do mammography physics. Medica! physicists qualifying prior to the MQSA interim Rulesshould check 'prior to October 1, 1994."):

~ prior to October 1, i994 or specify date after October 1, 'i994 -:-::c--0_2__

MO2009

YR

4,. Do you me;etFDA Feoj£.!ireme!1ts for initial qualifications for medic",! physicists? (complete ONLY the column that pertains to you)

II Alternative (nmal Qualiflcauons

Inmal Qualifications Imust hEve met before April 28, 1999

FDA Req~h"ements (liJlaster's degree or higher) (Bacheior's degree)

Quaiified as a medica! physicist under FDA's interim iegulations andD1No 02yes Iretained that qualificstion by maintenance of the active status of Not applicable

licensure, approval, or certification?

Board Certified by either the Board I Year I Bosrd I Year1. American Board of Radiology (A8R) in Diagnostic Radiological

\ \Physics (alone or combined with another sub-specialty), Radiological ABR ABRPhysics, Roentgen Ray or Gamma Ray Phi'sics or X-Ray andRadium Physics, or

I2. American Board of Medics! Physics (ABMP) in Diagnostic Imaging ABMP ABMP

Physics

Siate licensed? I D1No [g'jZyes D1!~0 DZyes

Staie approved? D1No [g'jZyes D11~o DZyes

Meet the following degree requirement in a physical science from an W/aster's degree Of higher Bachelor's ciegree obt8ined beforetraining and initial experiem:e

accredited institution? D1No [g'jZyes D1No DZyes

Have no less man the following semester hours or equivalent of college 20 semester hOllrs or <>qailfafent 10 semester hours or equWalsnt

undergraduate or graduate level physics? D\Jo [g'j2yes DiNo DZyes

Have the following contact hours of documented specialized training in 2(JhoUiS

I4()hours

conducting surveys of mammography facilities? D1No [g'jZyes D1No D2.{es

Have experience conducting surveys of at least one mammography

Ifacility and t'le fo!!owing number of mammography untiE? (NO more

fO!lflits ZO"mitsthan one survey of a specific unit wiillin a period of 60 days may becounted towards the total mammography unit survey requirement. If D1No ~;,~~ UlNa DZyesr ceexperience was acquired after April 28, 1999, it must be under me

Idirect supervision of a qualified medical physicist).

This document is copyrigrJ protected by the American College of P..adiology. Alz} attempt to reproduce, copy, Hwdifj.·, alter or otherwise change or use tlds document without the expresswritten permission of the American College of Radiology is prohibited.

http://ww-..v.acr.orglaccreditatiorJrnam.-nography/mammo_qc_Iorms/personel_formsJFeaturedCategorles/personnel_formslsection_h-persoIL.i.ei-medicat.'physicist..aspx Revised: 1/11/11

Certificate Preview http://www.rn tmi.ne t/we binar/make _cert. ph p?narne=Gregory+ S.+Hodge ...

M''rM':I'~ ~!C<!W ~ ~ ~W ~ ~

Medical TechnologyManagement Institute

THIS CERTIFIES THAT:

Gregory S. HodgesHA Succ SSFULLY COMPLETED THE LIVE WEBINAR ENTITLED:

DIGITAL BREAST TOMOSYNTHESIS{SESSION1)Mar 6,2012

This program has been approved for 2.5 hours of Category A continuing education credit for Radiologic Technologists asrequired by the ARRT and by various states requiring approval.

ASRT# WID0032016 and 2.5MPCECs

.""',£.~~~!,.~:~""'"Program Director

20900 Swenson Drive, Ste 650Waukesha, Wisconsin 53186

(800)765-6864

1 ",f'? ()Q/1 ~/?()1? ()Q'1 Q 1l.1I/f

Certificate Preview http://www.mtmLnet/webinar/make_cert.php?name=Gregory+$.+Hodge ...

M''rM'J:'~ ~~W ~ ~ ~W ~ ~

Medical TechnologyManagement Institute

THIS CERTIFIES THAT:

Gregory S. HodgesHAS SUCCESSFULLY COMPLETED THE LIVE WEBINAR ENTITLED:

DIGITAL BREAST TOMOSYNTHESIS(SESSION2)Mar 8,2012

This program has been approved for 2.5 hours of Category A continuing education credit for Radiologic echnologi trequired by the ARRT and by various states requiring approval.

1 nf' ')

ASRT# WID0032017 and 2MPCECs

"'",£~~!,'?:,~,.'''''Program Director

20900 Swenson Drive, Ste 650Waukesha, Wisconsin 53186

(800)765-6864

Medical TechnologyManaqement Institute

This Certifies iThat:

i» Gregory HodgesRas Successfully Completed The Workshop Entitled:"HANDS-ON DIGITAL BREAST TOMOSYNTHESIS

TRAINING WORKSHOP"March 23,2012

held in Bedford, MA

This activity provides 4.0 hours of continuing education in Digital Breast Tomosynthesis.Approval has been received from CAMPEP for up to 4.0 hours of Medical Physics Continuing Education Credits ( MPCEC'S )

Credits to be awarded by CAMPEP.

cz~~~ 'fA,])~ 7

Co-Directors: J. Ed Barnes, Ph.D., FACR, FACMPJerry Thomas, MS, DABR, CHP, DABSNM

MTMI20900 Swenson Drive Ste 650

Waukesha, WI 53186A continuing education division of

Herzing University

Gregory S. Hodges, Ph.D. DABRABR Certificate Holder's Name: Gregory Scott Hodges, PhD ABR...

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