Agents of Opportunity for Terrorism: Toxic Radiological Materials (TRMs) - September 2026
Includes a Live Web Event on 09/09/2026 at 8:50 AM (EDT)
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Register
- Non-member - Tier I - Free!
- Non-member - Tier II - Free!
- Non-member - Tier III - Free!
- Non-member - Tier IV - Free!
- Member - Tier I - Free!
- Member - Tier II - Free!
- Member - Tier III - Free!
- Member - Tier IV - Free!
Overview
The Agents of Opportunity for Terrorism: Toxic Radiological Materials (TRMs) course is an awareness-level training course addressing the medical and psychological impact of radiation.
Target Audience
1-Day Course is Designed for:
- Pre-Hospital First Responders (EMTs and Paramedics)
- Public Health Professionals
- Law Enforcement
- Emergency Providers
Course Objectives:
- Describe the various types of radiation including their potential exposure scenarios
- Discuss Acute Radiation Syndrome (ARS)
- Describe the emergency care of patients contaminated with radioactive material
- Describe the management of cutaneous radiation syndrome
- List resources available to address radiation accidents
- Discuss how interdisciplinary collaboration is necessary when responding to a radiological accident affecting a large population.
Continuing Education: Interprofessional continuing education credits through the CDC will be available.
Agenda | Wednesday, September 9th
8:50 AM - 9:00 AM ET Welcome and Opening Remarks*
CAPT Jill Shugart
Associate Director
Coordinating Office for Environmental Readiness, Response and Recovery (COER3)
National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH/ATSDR)
Centers for Disease Control and Prevention (CDC)
Mark Ervin, MD
Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
9:00 AM - 10:00 AM ET Practical Radiation Physics and Radiation Protection
Diana Kauveiyakul, BS
Health Physicist III, Radiation Emergency Assistance Center/Training Site (REAC/TS)
10:00 AM - 11:00 AM ET Acute Radiation Syndrome
Mark Ervin, MD
Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
11:00 AM - 11:10 AM ET Break*
11:10 AM - 12:00 PM ET Radiation Instrumentation and Early Dose Magnitude Estimation
Diana Kauveiyakul, BS
Health Physicist III, Radiation Emergency Assistance Center/Training Site (REAC/TS)
12:00 PM - 1:00 PM ET Cutaneous Radiation Injuries
Mark Ervin, MD
Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
1:00 PM - 1:30 PM ET Lunch*
1:30 PM - 2:20 PM ET Radiation Emergencies for Healthcare Providers
Hannah Malicoat, MSN, FNP-BC
Nurse Practitioner, Radiation Emergency Assistance Center/Training Site (REAC/TS)
2:20 PM - 3:10 PM ET Common Radiation Sources
Diana Kauveiyakul, BS
Health Physicist III, Radiation Emergency Assistance Center/Training Site (REAC/TS)
3:10 PM - 3:20 PM ET Break*
3:20 PM - 4:10 PM ET Management of Internal Contamination
Mark Ervin, MD
Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
4:10 PM - 5:00 PM ET Donning/Doffing and Decontamination
Hannah Malicoat, MSN, FNP-BC
Nurse Practitioner, Radiation Emergency Assistance Center/Training Site (REAC/TS)
5:00 PM - 5:10 PM ET Closing Remarks/Adjourn*
Mark Ervin, MD
Associate Director, Radiation Emergency Assistance Center/Training Site (REAC/TS)
*Note: CE will not be provided for scheduled breaks or lunch periods.
Mark Ervin, MD (Col, USAF, Retired)
Associate Director
Radiation Emergency Assistance Center/Training Site (REAC/TS)
Dr. Mark D. Ervin is the Associate Director of the Radiation Emergency Assistance Center/Training Site (REAC/TS). He is a 1988 graduate of Duke University and received his medical degree from Emory University in 1992. In 1997, he completed a general surgery residency at Wilford Hall USAF Medical Center in San Antonio. His research areas of interest include: Cutaneous Radiation Injury, Predictive triage, Chronic/Delayed radiation wound therapy, Radiation event response, Radiation medicine in austere environments and Air quality health factors/solutions.
Prior to assuming his position at REAC/TS, Dr. Ervin was the 59 Medical Wing, USAF, Chief of Operational Medicine. He was responsible for oversight of 43 units that modernize and innovate advanced resuscitative, surgical, and critical care wartime solutions for casualty and evacuation care from the point of injury until definitive care. He was also an Air Force Subject Matter Expert on advancing autonomous patient care, evacuation on unmanned vehicles and austere surgical teams supporting special operations. He was a DoD leader in researching, transitioning, and developing new technologies and procedures for use in austere and remote deployed environments. Since joining REAC/TS, Dr. Ervin has worked with the Department of Energy, RITN, Interagency Partners, and International Organizations to innovate and advance solutions for radiation disaster response, readiness, and mass triage/pre-hospital care. As an active General Surgeon, Dr. Ervin provides surgical care in San Antonio. Dr. Ervin has authored/co-authored papers on a variety of topics within the fields of military medicine, biosecurity, and radiation injury.
Diana Kauveiyakul, BS
REAC/TS Health Physicist III
Radiation Emergency Assistance Center/Training Site (REAC/TS)
Diana is a Health Physicist for the Radiation Emergency Assistance Center and Training Site (REAC/TS) in Oak Ridge, Tennessee. She serves as an emergency responder for the Nuclear Emergency Support Team (NEST) as an asset for the National Nuclear Security Association (NNSA) and the Department of Energy (DOE). Prior to her work with REAC/TS, she worked under NNSA and DOE as a scientist for other NEST assets in the Aerial Measuring Systems, Nuclear Search Program and Consequence Management programs at the Remote Sensing Laboratory located on Joint Base Andrews Air Force Base. In addition to working under these national assets serving 24/7 on call, she conducted research for algorithm training and detector modeling, supported preventative radiological/nuclear detection for major public events, supported domestic radiological/nuclear response exercises, and performed domestic and international training under the Nuclear Incident Preparedness and Collaboration (NIPC) program, all of which falls under the Office of Counterterrorism and Counterproliferation. She also worked underground for the Stockpile Experimentation and Operations directorate at the Nevada National Security Site as a diagnostic scientist and supported the research and development of leading diagnostic technology for subcritical experiments. She conducted dose analysis for participants during the nuclear testing time period at the Nuclear Testing Archives, and collaborated with other labs and sites in their dose reconstruction. With a Bachelors of Science in Health Physics from the University of Nevada, Las Vegas, she is currently in pursuit of her Masters of Science in Nuclear Engineering and continues to support NNSA/DOE with REAC/TS.
Hannah Malicoat MSN, FNP-BC
REAC/TS Nurse Practitioner
Radiation Emergency Assistance Center/Training Site (REAC/TS)
Hannah Malicoat is a nurse practitioner with the Radiation Emergency Assistance Center/Training Site (REAC/TS) medical team. She has been in the nursing field since 2020. She started her career at the height of the COVID-19 pandemic at UT Medical Center, the areas level 1 trauma center. After her time at UTMC, she joined the emergency room staff at Roane Medical Center, a rural emergency room. While at RMC, she acted as charge nurse, precepted many students, and participated in county wide mass casualty drills. During this time, she also worked as a home health nurse and case manager. She earned her bachelor’s degree from Lincoln Memorial University. In August of 2025, she obtained her master’s degree from Carson Newman University in Family Nurse Practitioner.
Hannah joined the REAC/TS team in September 2025.
Registration Rates
ACMT Member | Free |
Non-member | Free |
Registration will include:
- Access to the on-demand recordings of all lectures for two years
- Continuing Education (provided at no cost through CDC via TRAIN) - PENDING.
- Downloadable Attendance Certificate
Please note that for proprietary reasons, PDFs of the presentation slides will not be available for download. You will have access to an on-demand recording of the course for two years from the event date.
Interested in becoming an ACMT Member? Contact our Membership Manager at [email protected]. Learn more at: www.acmt.net/membership
First time attending an ACMT Course?
We're happy to have you!
Please use the following link to create an ACMT non-member account to register for this course.
Continuing Education
Objectives
1. Describe the various types of radiation including their potential exposure scenarios
2. Discuss Acute Radiation Syndrome (ARS)
3. Describe the emergency care of patients contaminated with radioactive material
4. Describe the management of cutaneous radiation syndrome
5. List resources available to address radiation accidents
6. Discuss how interdisciplinary collaboration is necessary when responding to a radiological accident affecting a large population.
Available CE Categories
CME: The Centers for Disease Control and Prevention designates this live activity for a maximum of 7.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CNE: The Centers for Disease Control and Prevention designates this activity for 7.25 nursing contact hours.
CPE: The Centers for Disease Control and Prevention designated this (Knowledge-based) event for pharmacists to receive 0.725 CEUs in pharmacy education. The Universal Activity Number is currently pending.
Once credit is claimed, an unofficial statement of credit is immediately available on CDC TRAIN. Official credit will be uploaded within 60 days on the NABP/CPE Monitor.
CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 0.7 CEU's for this program.
CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designed for Certified Health Education Specialists (CHES®) and/or Master Certified Health Education Specialists (MCHES®) to receive up to 7 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 7. Continuing Competency credits available are 7. CDC provider number 98614.
CPH: The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 8.0 CPH recertification credits for this program.
Instructions for Obtaining CE
To receive continuing education (CE) for WC4897-AGENTS OF OPPORTUNITY FOR TERRORISM: TOXIC RADIOLOGICAL MATERIALS (TRMS), please visit CDC TRAIN and search for the course in the Course Catalog using [WC4897]. Follow the steps below by 10/09/2026.
1. Register for and complete the course.
The registration code is acmt1.
2. Pass the post-assessment at 76%.
All CDC continuing education courses allow two attempts to pass the post-assessment. If you do not pass on the first attempt, you have 30 days to retake it. Failing both attempts will result in a failed course status, and the course cannot be retaken during the current accreditation period. Please refer to the course description page for specific start and end dates.
3. Complete the evaluation.
4. Visit Your Learning to access your certificates and transcript.
Hardware/Software Requirements
Computer or Other Internet-Enabled Device; Internet Connection; Browser or Zoom Application.
Materials
None.
Prerequisites
None.
Format
This activity is Web-based/Web on Demand.
Fees
There are no fees for CE.
Accreditation Statements
In support of improving patient care, this activity has been planned and implemented by Centers for Disease Control and Prevention, American College of Medical Toxicology (ACMT), and Radiation Emergency Assistance Center / Training Site (REAC/TS). The Centers for Disease Control and Prevention is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Disclosure
In compliance with continuing education requirements, all planners and presenters/moderators must disclose all financial relationships, in any amount, with ineligible companies over the previous 24 months as well as any use of unlabeled product(s) or products under investigational use.
CDC, our planners, and presenters/moderators wish to disclose they have no financial relationship(s) with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
CDC did not accept financial or in-kind support from ineligible companies for this continuing education activity.
The Centers for Disease Control and Prevention (CDC) complies with applicable Federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, religion, or sex. To learn more visit: https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html.
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