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Page 1: 1 CAREERS IN RADIOLOGIC TECHNOLOGY (FINAL) RADIOLOGIC TECHNOLOGIST –RADIOGRAPHER –X-RAY TECHNOLOGIST “ TECHNICIAN” –Limited License RADIOLOGIST –Medical

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CAREERS IN RADIOLOGIC TECHNOLOGY (FINAL)

• RADIOLOGIC TECHNOLOGIST– RADIOGRAPHER– X-RAY

TECHNOLOGIST

• “ TECHNICIAN”– Limited License

• RADIOLOGIST– Medical doctor

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What does a Radiologic Technologist

do?

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A “Radiologic Technologist” (or Radiographer)

• Medical Professional

– In a challenging field

• Safely uses x-rays to image anatomy – Positions– Using sophisticated technology– Practices radiation protection

• Provides quality-diagnostic images– Assists DR – Communicates with patient– Practices patient privacy

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Registered Technologist

R.T.• Dawn Charman, M.Ed., RT (R)(M), CRT(R)(F)• Kelly Clark, M.S.R.T. RT (R)(CT), CRT(R)(F)• Mina Colunga, B.S.R.T. RT (R), CRT(R)(F)

ARRT – R.T.State of California– C.R.T.

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Radiologic Technologist

• ECC program is for an entry level into the profession

• Radiation Therapy and Nuclear Medicine would require additional education

Certification/licenses• ARRT- American Registry of Radiologic

Technologies– Provides national certification

• CRT-- California Registered Technologist– After completing ARRT exam you pay a fee and get your

California license to practice– A separate test is taken for fluoroscopy

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Certification vs. License• ARRT

– National certification• R.T.

– Must take an exam• Pass with 75%

– Can take this after completing program

• CRT– State Licensing– Must pass ARRT

exam to get this– Pay fee to get

radiography license (R)

– Take fluoroscopy exam and pay a fee for (F) license

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All types of EXAMS & PEOPLE

• Infants• Elderly• All classes• All ethnicity• All backgrounds

• Head to toes• Trauma• Special procedures• Critical patients• Walk ins• Surgery

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8 FIG. 4–2 Radiologic science professionals must use advanced critical thinking skills when handling all patient care situations.

Elsevier items and derived items © 2007, 2003 by Saunders, an imprint of Elsevier Inc.

Radiologic Technologist

•Must be able to communicate effectively with:

•Patients, staff, & peers

•Must use:

•good judgment

•Critical thinking skills

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Critical Thinking

• Involves sound, professional judgment

• Applied with high ethical standard

• And integrity

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Critical Thinking

• Analysis

• Synthesis

• Evaluation

• Critique

• Achieved through– Role Playing– Lab experiments– Case Studies

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Patient Communication

• Interacting with the patient

• Interacting with family and friends

• Methods of Effective Communication

• Age as a factor in Patient Interactions

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Communication & Adaptingto Special Condition Patients

• Traumatized Patients

• Visually Impaired Patients

• Speech and Hearing Impaired Patients

• Non-English Speaking Patients

• Mentally Impaired Patients

• Substance Abusers

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Education in the Radiologic Sciences at ECC

• Didactic Curriculum (lecture)– Specifically describes the objectives – What the students will learn– How they will learn (instructional activities)

• Clinical– Hospital training– Apply didactic principals to clinical setting

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14FIG. 5–1 The articulation of didactic, laboratory, and clinical instruction.

(From Ford C, ed: Clinical education for the allied health professions, St Louis, 1978, Mosby.)

RT ProgramsDidactic and Clinical Education

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Types of Diagnostic Exams

• Chest

• Extremities

• Skull/ Facial

• Spine

• Gastrointestinal

• Interventional

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LEARNING

• COGNITIVE – – thought / knowledge

• PSYCHOMOTOR –– physical actions

• AFFECTIVE – – guided by feelings

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Some studies of spinal trauma have recorded a missed injury rate as high as 33%.

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Comminuted Open

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ELDERLY

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INFANTS & CHILDREN

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SURGERY

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Fluoroscopy

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TECHNOLOGIST

• FLUOROSCOPY

• Dawn Charman RT (R), (F)

• CONTRAST MEDIA (X-RAY DYE)

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ARRT Standards Accrediting Agencies

• Joint Review Committee on Educational Programs in Nuclear Medicine Technology (JRCNMT)

• Committee on Accreditation of Allied Health Education Programs (CAAHEP)  in collaboration with the Joint Review Committee on Education in Diagnostic Medical Sonography (JRC-DMS)

• Regional Institutional Accrediting Agencies (degree-granting divisions) WSAC

• Conjoint Accreditation Services of the Canadian Medical Association

• Australian Institute of Radiography

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Accrediting Agencies

• SCHOOLS/PROGRAMS

• JRCERT: Joint Review Committee on Education in Radiologic Technology

• HOSPITAL ACCREDITATION

• JCAHO :Joint Commission on Accreditation of Healthcare (Hospital) Organizations

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“Alphabet Soup”NATIONAL & STATE LICENSES

ARRT = (R.T.)American Registry of Radiologic TechnologyR.T. – Certification in Radiologic Technology

CRT – Certified Radiologic Technology State of California, Dept of Health - Radiation Health Branch– Licensing to practice in California

C.R.T. (R) (F) (M)Radiography, Fluoroscopy, Mammography

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5 Primary Exams

•  Radiography (R)

• Nuclear Medicine Technology (NM)

• Radiation Therapy (T)

• Sonography (US) (RDMS)

• Magnetic Resonance Imaging (MR)

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Post Primary

• Cardiovascular-Interventional Radiography (CVIT)– Note: No longer available for

new candidates

• Mammography (M)

• Computed Tomography(CT)

• Magnetic Resonance Imaging (MR) or (MRI)– Note: Both a primary and post-

primary track

• Quality Management (QM)

• Sonography (US) or (RDMS)– Note: Both a primary and post-

primary track

• Bone Densitometry (BD) • Vascular Sonography• • Cardiac-Interventional

Radiography (CI)

• Vascular-Interventional Radiography (VI)

• Breast Sonography

• Registered Radiologist Assistant (RA)

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“Alphabet Soup”KNOW THESE!

J.R.C.E.R.T - Joint Review Committee on Education in

Radiologic Technology

J.C.A.H.O – Joint Commission of Accreditation of

Healthcare Organizations

A.R.R.T-American Registry of Radiologic Technologists

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Beyond Diagnostic Radiography

Advanced Modalities

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ADVANCED SKILL LEVELS• CAT SCAN (CT) • MRI (MR)• ANGIOGRAPHY (CIT) (CV)• RADIATION THERAPY (T)• MAMMOGRAPHY (M)• Bone Densitometry (BD)• ULTRASOUND (RDMS)• NUCLEAR MEDICINE(NM)

– PET– SPECT

• MANAGEMENT (BS)• EDUCATION (BS,MEd, PhD EDD)

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MAMMOGRAPHY

Dawn Charman, RT (M)

RADIOGRAPHIC IMAGING OF THE

BREAST Diagnostic for breast cancer

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Bone Densitometry

“low dose

Radiation”

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BONE DENSITOMETRY

• JOE RUIZ, RT (R) (BD)

• POST PRIMARY EXAM BEGAN IN JANUARY 2001

• ??? May also have certification w/o RT ????

• MEASURING MINERAL CONTENT AND DENSITY OF BONES

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38FIG. 1–7 A nuclear medicine technologist performs procedures requiring the use of radioactive substances.

(Courtesy of Philips Medical Systems.)

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CAT SCAN & MRI

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Computed Tomography

• Kelly Clark, RT (R) (CT)

• 1995 began post primary exam

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41FIG. 1–9 A computed tomographic technologist uses a computerized x-ray system to produce sectional anatomic images of the body.

(Courtesy of Philips Medical Systems.)

CT SCANNER

• USES• RADIATION – AND A

COMPUTER • TO RECONSTRUCT• IMAGES

• 3-D

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C T SCANNER

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Electron Beam Tomography

EBT

WHOLE BODY

SCANNER

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Risk factor

• HIGH DOSES ?

• WHAT YOU DON’T• KNOW …….

• ‘FALSE POSITIVE’S”• NOW THAT YOU KNOW – WHAT ARE

YOU GOING TO DO ABOUT IT? =

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Radiation Dose

• EBT scans expose the patient to about 1/5th the radiation of a multi-slice CT scanner.

• OR so they tell you..• $$$$$$$$

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Magnetic Resonance Imaging

• RT (R) (MRI) or

• RT (T) (MRI) or (N) (MRI)

• 1995 ARRT began post primary exams

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MRI SIGNAL PRODUCTION

• Images are crated by interaction of Magnet field, radio waves with tissue

• Atoms – Nucleus – Electrons

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MRI SAFETY

USE NON MAGNETIC MATERIALS

CAN CAUSE HARM TO PATIENT & PERSONELL

1 REPORTED DEATH FROM O2 TANK & 6YO PATIENT

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MRI

• NOT IONIZING RADIATION

• USES MAGENTIC RESONANCE

• (RADIO WAVES)

• Jane Schultz, R.T. (MR)

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RADIOGRAPHY VS MRI

BONE vs. Soft Tissue

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PET Scan & SPECT Scan

• PET = Positron Emission Tomography

• Single Photon Emission Computed Tomography

• X-rays/MRI with Radioisotopes

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• PET Scan showing diffuse spread of prostate cancer to bone. PET has the advantage over traditional bone scanning in its ability to differentiate active from dormant disease.

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ANGIOGRAPHY/ CARDIOVASCULAR INTERVENTIONAL

TECHNOLOGY

is a specialized radiographic examination where the images of the blood vessels of the body are demonstrated by injection of contrast media.

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CARDIAC-INTERVENTIONAL RADIOGRAPHY

• Mike Smith, RT (R) (CI)

• POST PRIMARY EXAM BEGAN IN JANUARY 2003

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INTERVENTIONALRADIOGRAPHY

• ANGIOGRAPHY

• CARDIAC CATH

• + MANY OTHERS

• RT (CV) (CIT) (CVIT)

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ANGIOGRAPHY is a specialized radiographic examination where the images of the blood

vessels of the body are demonstrated by injection

of contrast media

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Cardiovascular Interventional Radiography

• Jane Smith, RT (R) (CVI)

• Angiography

• 1991 began post primary exam for CVIT Radiographers

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Angiography of Heart vessels

• http://images.google.com/imgres?imgurl=http://http://images.google.com/imgres?imgurl=http://www.nhlbi.nih.gov/health/dci/images/www.nhlbi.nih.gov/health/dci/images/stent_restenosis.gif&imgrefurl=http://stent_restenosis.gif&imgrefurl=http://www.nhlbi.nih.gov/health/dci/Diseases/stents/www.nhlbi.nih.gov/health/dci/Diseases/stents/stents_all.html&usg=__xDlbsaX9JhuYbpVojLcz19stents_all.html&usg=__xDlbsaX9JhuYbpVojLcz19apr-apr-I=&h=513&w=450&sz=59&hl=en&start=20&tbnid=I=&h=513&w=450&sz=59&hl=en&start=20&tbnid=vWwqaG-RNW7M-vWwqaG-RNW7M-M:&tbnh=131&tbnw=115&prev=/images%3FqM:&tbnh=131&tbnw=115&prev=/images%3Fq%3Dabdominal%2Bstents%26gbv%3D2%26hl%3Dabdominal%2Bstents%26gbv%3D2%26hl%3Den%3Den

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Angiography

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VASCULAR-INTERVENTIONAL RADIOGRAPHY

• JOE CAR, RT (R) (VI)

• POST PRIMARY EXAM BEGAN IN JANUARY 2003

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717171

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NUCLEAR

MEDICINE

use radioactive isotopes to make images

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Nuclear Medicine

• RT (NM)

• ARRT or NMTCB

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NM – Images collected afterinjections of a RADIOISOTOPE

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The tracer travels into the blood vessels until it arrives to the

bone

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PET Scan & SPECT Scan

• PET = Positron Emission Tomography

• Single Photon Emission Computed Tomography

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Prostate cancer metastasized in bones

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PET NUCLEAR MED + CT or MRI- co-registration

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RADIATION THERAPY

R.T.(T)• 2 YRS ADDITIONAL EDUCATION

• CITY OF HOPE

• LLU

• CAL STATE LONG BEACH

• The branch of Radiology that involves the treatment of disease by means of high energy x-rays or radioactive substances

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RADIATION THERAPY

• branch of Radiology that involves the treatment of disease by means of high energy x-rays (GAMMA) or radioactive substances

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Radiation Therapy

• RT (T) = Registered technologist in radiation therapy technology

• Medical dosimetrists are involved in treatment planning and dose calculations

• 1-4 year program

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ULTRASOUND

uses a technique similar to Navy SONAR to produce diagnostic images.

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ULTRASOUNDCypress CollegeOrange Coast

LLU1 – 2 years

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Diagnostic Medical Sonographers

• RT (R) (S) or RT (S) or (RDMS)

• American Registry of Diagnostic Medical Sonographers

• ARRT in 1999 began post primary exam

• ARRT in 2005 began primary exam

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Ultrasound beam is transmitted and reflected – as special crystal at the end of the transducer candetermine the type of tissue

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Uses SOUND WAVES (NOT X-RAYS)

“real time” images

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19 Week fetus

• http://images.google.com/imgres?imgurl=http://embryology.med.unsw.edu.au/movies/usound/19weeklabel2.jpg&imgrefurl=http://embryology.med.unsw.edu.au/movies/usound/Hum19w4D.htm&usg=__EfDiZ2qdLFEQ_ZGPy9YS628QyPI=&h=379&w=358&sz=11&hl=en&start=71&tbnid=QqSTbyckVI-jYM:&tbnh=123&tbnw=116&prev=/images%3Fq%3Dfetal%2Bultrasound%26gbv%3D2%26ndsp%3D20%26hl%3Den%26sa%3DN%26start%3D60

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2D vs. 3D/4D

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U/S & the “real thing”

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VASCULAR ULTRASOUND

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New - RA• Radiology Assistant (Like PA)

• Weber State (On line – Utah)

• LLU

• 3 others in US (2007 – more)

• $$$$ NEW GRADS = 100 K/YEAR (?)

• PART OF RADIOLOGIST GROUP

• As of 2007 – NOT APPROVED BY STATE to Work as RA in California

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Additional Opportunities

• Education

• Administration

• Management (QM)

• Commercial

• Radiologist Assistant = RA

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RADIOLOGY ASSISTANT RA

• LLU • 2 YRS RT• BA DEGREE

• WEBER STATE• 6YR RT

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OTHER PATHWAYS

• SALES

• APPLICATIONS SPECIALIST

• INDUSTRIAL X-RAY

• MANAGEMENT (DEGREE)

• EDUCATON

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TRAVELING TECHNOLOGIST = SEE THE WORLD AND GET $$$

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Other working opportunities…

• Registry (local)

• Registry (out of state)

• X rays taken around the world !!

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Variety of Work Settings• physicians offices,• • clinical outpatient facilities,

• free standing imaging centers,

• mobile imaging centers

• portable services to rehabs

• Mammo’s to under privileged areas

• Urgent care

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SALARY RANGES RT’s

• NEW R.T. = $ 25 -$38 PER HOUR• ON-CALL + O.T. $45,000 – $60,000 YR

• ADVANCE SPECIALTIES• $ 30 - $50 PER HOUR

• A GREAT SHORTAGE IN ALL HEALTH CARE – A GREAT NEED TO AQUIRE NEW TECHNOLOGIST TO THIS AREA

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Professional Organizations

• ASRT – American Society of Radiologic Technologist

• CSRT – California SocietySociety of Radiologic Technologists

• RTEC – Radiologic Technology Educators of California

• International Societies, other state societies, other modalities