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Radiation Therapist — RTT/CMD
Total cost: $150
Yes
License Required
Required
ARRT Required
Associate's+
Degree
Not Required
Fluoroscopy
24 hrs
CE Hours
$150
Total Initial Fees
Degree & Program Requirements
VerifiedDegree Required
Associate's degree or higher from JRCERT-accredited radiation therapy program
Program Length
2-4 years
JRCERT Accreditation
Required
Clinical Hours
Varies
Radiation therapy education programs must be accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT). Programs are available at both the associate's and bachelor's degree levels, with bachelor's degrees increasingly becoming the standard. Curricula include radiation physics, radiobiology, treatment planning, dosimetry, patient care, radiation safety, and clinical rotations in radiation oncology departments. Most programs require 1,000-1,200 hours of supervised clinical training.
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National Certification & State Requirements
VerifiedARRT Certification Required
American Registry of Radiologic Technologists
CMD Certification Accepted
No
Fluoroscopy Permit
Not Required
Certification Details
West Virginia requires licensure for radiation therapists through the West Virginia Radiologic Technology Board of Examiners. Must hold ARRT certification in radiation therapy and apply for state licensure.
ARRT (American Registry of Radiologic Technologists) certification in radiation therapy RT(T) is the primary national credential for radiation therapists. Virtually all states require or strongly recommend ARRT certification for practice. The ARRT examination covers treatment planning and delivery, radiation safety, patient care, dosimetry, and quality assurance. CMD (Certified Medical Dosimetrist) certification through the MDCB is accepted in many states for dosimetry roles. Some states also require a fluoroscopy permit for therapists who perform imaging-guided procedures.
Examination Requirements
VerifiedARRT Certification Exam Required
ARRT Radiation Therapy Examination
Exam Topics
Treatment planning and delivery, radiation safety and protection, patient care and management, clinical dosimetry, quality assurance, radiation physics and radiobiology
Passing Score
75 (scaled score)
No Additional State Exam
State-Specific Examination
The ARRT radiation therapy certification examination is a computer-based test covering treatment planning and delivery, radiation safety and protection, patient care and management, clinical dosimetry, quality assurance procedures, and radiation physics and radiobiology. The exam uses a scaled scoring system with 75 as the minimum passing score. Most states accept the ARRT exam as the sole examination requirement and do not administer a separate state examination.
Overall licensing difficulty: 8/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
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Radiation Therapy Exam Prep
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
Study guides for the ARRT radiation therapy certification exam.
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State Licensing Requirements
VerifiedState License Required
State License Title
Licensed Radiation Therapist
Additional Notes
West Virginia requires licensure under WV Code Article 30-23.
Approximately 37-40 states and the District of Columbia require licensure for radiation therapists. States that do not require licensure still expect ARRT certification, which serves as the de facto standard for practice. Licensing is typically overseen by a state radiation control program, board of radiologic technology, or department of health.
Treatment Delivery & Planning Authority
VerifiedTreatment Delivery
Authorized
Treatment Planning
Authorized
Modalities Permitted
External beam radiation therapy (EBRT), IMRT, IGRT, SRS/SBRT, VMAT, brachytherapy assist, and simulation/treatment planning
Supervision Requirements
Radiation therapists work under the general supervision of a radiation oncologist.
Radiation therapists deliver prescribed doses of ionizing radiation to patients as part of cancer treatment. They operate linear accelerators and other treatment machines to deliver external beam radiation therapy (EBRT), including advanced modalities such as IMRT, IGRT, SRS/SBRT, and VMAT. Radiation therapists also perform treatment simulations, assist with brachytherapy procedures, and verify treatment plans. All treatment delivery must be performed under the general supervision of a radiation oncologist, with treatment plans verified by a qualified medical physicist.
| Fee | Amount |
|---|---|
Application Fee | $75 |
License Fee | $75 |
Renewal Fee | $75 |
Total Initial Fees | $150 |
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Renewal & CE Requirements
Verified2 years
Renewal Period
24 hrs
CE Hours Required
$75
Renewal Fee
CE Details
24 CE hours required per 2-year renewal cycle. West Virginia accepts ARRT CE compliance for state renewal.
Regulatory Board
Radiation therapist licenses must be renewed on schedule with the state licensing authority. ARRT requires 24 structured education credits per biennium for all registered radiation therapists. State requirements typically align with or exceed ARRT standards. CE topics must include radiation safety, treatment planning, patient care, quality assurance, and professional ethics. At least 1 CE credit must be in ethics per ARRT requirements.
Out-of-State Reciprocity
VerifiedEndorsement Available
Yes
Comity Available
No
Reciprocity Requirements
Most states offer reciprocity or endorsement for radiation therapists licensed in other states. Requirements typically include current ARRT certification in radiation therapy, graduation from a JRCERT-accredited program, verification of licensure in good standing from the originating state, and background check clearance. ARRT certification significantly simplifies the reciprocity process as it is recognized nationally.
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West Virginia explicitly defines radiation therapist scope of practice to include evaluating and assessing treatment delivery components, providing treatment delivery services, and evaluating the physical and emotional status of patients. Endorsement licensure requires official transcripts showing both didactic and clinical components.
West Virginia requires licensure under WV Code Article 30-23.
Regulated by the Medical Imaging and Radiation Therapy Technology Board of Examiners.
Scope of practice includes treatment delivery, treatment planning, and patient assessment.
Endorsement licensure available from other states with proper credentials.
Online applications available through the board website.
Radiation Therapist requirements in nearby states
See how West Virginia compares: Radiation Therapist License Fees by State — Cheapest to Most Expensive →
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Radiation Therapist Schools in West Virginia
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West Virginia requires licensing for radiation therapists. ARRT certification is required. Education requirement: Associate's degree or higher from JRCERT-accredited radiation therapy program. All licensing is managed through the West Virginia Radiologic Technology Board of Examiners.
Requirements vary by state. Always verify current requirements with your state licensing authority.