Onboarding plan

Medical Dosimetrist Onboarding Plan (30-60-90 Days)

A practical, printable plan to take a new medical dosimetrist from first day to full productivity.

Updated By the Career Education Institute Curriculum Team
Medical Dosimetrist onboarding at a glance

Week one covers orientation, safety and shadowing. Days 1–30 build vocabulary and supervised practice on core procedures; days 31–60 move to independent work with competency sign-offs; days 61–90 focus on full productivity, cross-training and a credential plan.

Before day one

  • Confirm start date, schedule, pay and supervisor in writing
  • Verify required credentials: Certified Medical Dosimetrist (CMD), ARRT Radiation Therapy (as applicable)
  • Prepare equipment and access: treatment planning systems; CT and MRI images; dose calculation software; record and verify systems
  • Assign a buddy or preceptor
  • Enroll the new hire in Medical Dosimetrist training so foundations are covered before or during week one

Week one: orient and protect

  • Workplace tour, emergency procedures and incident reporting
  • Double-check prescriptions
  • Follow plan QA procedures
  • Protect patient data
  • Communicate concerns before treatment starts
  • Shadow an experienced medical dosimetrist through a full shift
  • Training modules 1–3: role foundations, a day on the job and essential vocabulary (15 terms)

Days 1–30: learn

Goal: perform core tasks safely under supervision.

  • Supervised practice: create an IMRT plan
  • Supervised practice: review a dose-volume histogram
  • Supervised practice: prepare a plan for physics check
  • Training modules 4–7: duties, step-by-step tasks, tools and safety
  • 30-day check-in: confidence, questions and early wins

Days 31–60: contribute

Goal: handle a regular workload independently.

  • Contour targets and organs on images: independently
  • Design radiation treatment plans: independently
  • Calculate radiation doses: independently
  • Optimize beam arrangements: independently
  • Competency sign-offs completed (see checklist below)
  • Training final knowledge check and certificate of completion
  • 60-day check-in

Days 61–90: own

Goal: full productivity and a growth plan.

  • Meet productivity and quality targets for the role
  • Begin cross-training on a secondary task
  • Agree on a credential goal (for example, Certified Medical Dosimetrist (CMD))
  • Discuss the career path: Radiation Therapist → Medical Dosimetrist → Senior Dosimetrist
  • 90-day review

Competency checklist

Skill or taskTrainedObservedSigned off
Create an IMRT Plan
Review a Dose-Volume Histogram
Prepare a Plan for Physics Check
Treatment planning software
Radiation physics
Anatomy contouring
Dose calculation

How to measure onboarding success

  • Days until the new hire works without a preceptor
  • Competency sign-offs completed on time
  • Documentation or charting error rate
  • 90-day retention

How Medical Dosimetrist training maps to this plan

  1. Introduction to the Medical Dosimetrist Role
  2. A Day on the Job
  3. Essential Medical Dosimetrist Vocabulary
  4. Core Duties and Responsibilities
  5. Common Tasks, Step by Step
  6. Tools, Equipment and Technology
  7. Safety, Compliance and Professional Standards
  8. Skills Employers Look For
  9. Launching Your Medical Dosimetrist Career
  10. Final Knowledge Check
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