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Montgomery College Takoma Park Campus Radiology Technology Program Syllabus RT 101 Fall 2012 Course Title : Radiologic Technology I Credit Hours : 4 Pre/co-requisite : Mathematics foundation Instructor : Rose Aehle, MS RT(R,M) Office# (240)567-5564 Fax# (240)567-5561 [email protected] Office hours: M,W 12:00-1:00 Web:www.montgomerycollege.edu/rt- Lecture notes/homework assignments located here Make sure and check Blackboard and your MC e-mail regularly Class Hours: Lecture CRN 20579 M,W 1:00 pm to 2:15 pm Lab- CRN 20578 M 2:16 pm to 3:55 pm Lab CRN 20580 W 2:16 pm to 3:55 pm Texts : Radiologic Science for Technologists, Physics, Biology and Protection 10 th Edition, Bushong, Mosby, (Text and Workbook) Radiographic Imaging and Exposure 1

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Montgomery College                     Takoma Park Campus

                  Radiology Technology Program                       Syllabus RT 101

                  Fall 2012  

Course Title:   Radiologic Technology I                 Credit Hours:    4  Pre/co-requisite:  Mathematics foundation         Instructor:  Rose Aehle, MS RT(R,M)                                                                                Office# (240)567-5564 

Fax# (240)567-5561                                                                                 [email protected]                                                                                Office hours: M,W 12:00-1:00                                                                        Web:www.montgomerycollege.edu/rt- Lecture notes/homework assignments located here

Make sure and check Blackboard and your MC e-mail regularly

 Class Hours:   Lecture   CRN  20579  M,W       1:00 pm to 2:15 pm                         Lab-        CRN  20578  M          2:16 pm to 3:55 pm                        Lab          CRN  20580   W           2:16 pm to 3:55 pm                                                      Texts:  Radiologic Science for Technologists, Physics, Biology and Protection 10th                Edition, Bushong, Mosby,            (Text and Workbook)             Radiographic Imaging and Exposure             Terri Fauber   Digital Radiography and PACS 3 rd edition Christi Carter             Course Description: An introductory course to the science of medical radiographic exposure techniques. Topics such as X-ray formation, X-ray interaction with matter, components necessary for image formation, automatic processing, densitometry, radiation protection, scatter radiation, factors controlling scatter radiation, digital/computed radiology and mobile radiography will be covered. In addition, basic atomic structure and fundamental physics will be covered at the start of the course to ensure the student has a basic foundation upon which to build. As part of this course, radiation protection concepts including but not limited to ALARA principles will be incorporated into this course. (CE) PREREQUISITE: Admission to the RT program or permission of the department. PRE- or COREQUISITE: Mathematics foundation. Assessment levels: EN 101/101A, RD 120. Three hours lecture, two hours laboratory each week. 

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Course Outcomes: (Objectives based on required texts)The student will be able to(History)1.  Identify the difference between matter and energy2.  Define electromagnetic radiation and specifically, ionizing radiation.3.  Explain how x-rays were discovered accidentally.4.  Discuss human injury caused by radiation.5.  List basic radiation protection equipment.6.  Describe a brief history of modern radiography (to include DR and CR) and discuss what behaviors are required of a radiographer.7.      Discuss time, distance and shielding in reference to radiation protection.

(Radiographic units) 

1. List and define units of radiation measurement and absorbed dose

( Foundational physics) 1.  Discuss the derivation of scientific systems of measurement2.  List the three systems of measurements.3.  Identify nine categories of mechanics4.  Relate the history of the atom .5.  Identify the structure of the atom.6.  Describe electron shells and instability within atomic structure.7.  Discuss radioactivity and the characteristics of alpha and beta particles that can ionize matter. 8.  Explain the difference between particulate and electromagnetic ionizing radiation. (Electromagnetic Radiation)

1)      Define and identify photons and their relationship to electromagnetic radiation2)      Compare wavelength, frequency and amplitude as it relates to the electromagnetic spectrum3)      Identify the properties of the electromagnetic spectrum4)      Discuss the concepts of wave-particle duality, visible wave properties and radiation attenuation.5)        Calculate the inverse square law 6)      Devine the properties of matter and energy 

(X-ray room and tube components)1.  Identify the components of the console or control panel.2.  Explain the operation of the high-voltage generator, including the autotransformer, the filament transformer and the rectifiers.3.  Relate the major differences between single and three phase power, including voltage ripple.

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4.  Define the power rating unit.5.  Describe the six support designs for the x-ray tube.6  List the parts of the housing that protects the x-ray tube.7.  Identify the components for the glass or metal envelope that make up the x-ray tube.8.  Discuss the cathode and filament currents.9.  Describe the parts of the anode and the induction motor.10.  Define the line focus principle and the heel effect.11  Identify the three causes of  x-ray tube failure.12.  Explain the use of tube rating charts to prevent tube failure. (Radiation production and interactions)1.  Discuss the interactions between electrons and the x-ray target.2.  Identify the graphs depicting the x-ray emission spectra for characteristic and Bremsstrahlung radiation.3.  Explain how mAs, kVp, added filtration, target material and voltage ripple affect x-ray emission spectra.  4.  Describe each of the five x-ray interactions with matter.5.  Define and compare differential absorption and attenuation.6.  Explain the effect of atomic number and mass density of tissue on the differential absorption of the x-ray beam.7.  Discuss why radiologic contrast agents are used to highlight soft tissue structures and organs in the human body. (Quantity and Quality)1.  Define radiation quantity in relation to intensity in roentgens.2.  Define radiation quantity in relation to mAs.3.  List and discuss the factors affecting the quantity of x-rays in the beam4.  Explain x-ray quality or penetrability.5.  List and discuss the factors affecting the quality of the x-ray beam (Radiographic Image production and processing)

Filmless systems

1. Discuss the implications differences and functions of CR systems and DR systems2. Recognize, define and apply common terminology specific to digital systems3.  Describe the steps of image production in a CR system4. Describe the steps of image production in a DR system5. Discuss post processing options6. Recognize the importance of exposure level numbers and its relationship to exposure7. Evaluate and contrast how the image is captured in CR and in DR8 Discuss image receptors in CR. Identify the construction of a image receptor in CR9. Describe PACs and its value in a filmless system10  Define quantum mottle and it’s association with filmless systems

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Conventional Film systems   1.  List and define the characteristics of x-ray film.2.  Identify the types of film used in diagnostic imaging departments.3.  Explain proper film storage and handling procedures.4 Discuss the historical development from hand processing to automatic processing.5   Explain the systems of the automatic processor, including the transport system,

the temperature- control system, the circulation system, the replenishment system, the dryer system, and the electrical system.

6.  List and describe the layers that make up an intensifying screen.7.  Identify the screen characteristics of x-ray absorption, the x-ray to light conversion efficiency, and the speed of screens.8.  Discuss film-screen combinations, including calcium-tungstate and rare-earth systems.9. Describe the handling and cleaning of intensifying screens.  (Scatter Production and Grids/Beam restriction)1.  Identify two kinds of x-rays that are responsible for remnant radiation.2.  List three factors that contribute to scatter radiation.3.  Discuss three devices developed to minimize scatter radiation.4. Recognize the relationship between scatter radiation and image contrast.5.  Explain the components of grid construction.6. Calculate grid ratio, grid frequency, contrast improvement factor, Bucky factor and selectivity7.  Describe eight different types of grids.8.  Discuss the five common errors using grids.9.  Evaluate the circumstances for proper grid selection. 10.  Discuss the advantages and disadvantages of the use of grids in relation to patient radiation exposure. (Technique, patient factors)1.  List the four prime exposure factors.2.  Discuss the relationship between  mAs and kVp in relation to beam quality and quantity.3.  Describe equipment characteristics that are secondary factors in changing the quantity and quality of the x-ray beam.4.  List the four patient factors and explain their affects on radiographic technique.5.  Discuss the four image quality factors of optical density, contrast, image detail, and distortion and how they are used to describe the characteristics of a radiograph.6.  Identify the three types of technique charts.7. Explain the three types of automatic-exposure controls.    

  

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 GENERAL SYLLABUS INFORMATION

Classroom Behavior:Each and every student is expected to behave in ways, which promote a teaching and learning atmosphere. Students have the right to learn; however, they do not have the right to interfere with the freedom of the faculty to teach or the rights of other students to learn. Students will be treated respectfully in return for respectful behavior.

All in-class discussions should be carried out in a way that keeps the classroom environment respectful of the rights of others. This means that, for example, students should not interrupt someone else who is talking regardless of whether that person is the instructor or another student. Students should not monopolize class time by repeatedly interrupting and asking questions in a manner in which hinders the learning process of others. Students are also expected to conduct themselves in ways which created a safe learning and teaching environment that is free from such things as violence, intimidation, sexual harassment or any other form of harassment. Should a student be disruptive in class, then he/she will be asked to leave. The instructor reserves the right to have the student removed by Security if refusal occurs. Please refer to this link regarding Montgomery College’s student code of conduct http://cms.montgomerycollege.edu/pnp/#Chapter_4.

Cell phones and pagers should be kept on vibrate mode and students who must speak on a cell phone, must do so outside of the classroom to prevent disruption to the rest of the class. 

Academic Dishonesty and Misconduct

Students are expected to maintain the integrity of the test-taking environment by doing their own work and not allowing others to copy one’s work. Taking and referring to texts are strictly prohibited during an examination. Non-compliance to these standards may result in a failing grade of the examination.

Please refer to this link regarding Montgomery College’s student code of conduct http://cms.montgomerycollege.edu/pnp/#Chapter_4 Please refer also to the Radiology Technology Student Handbook and Clinical Education Plan.

Student e-mailIt is recommended that you check his or her account routinely for official communication or as directed by your instructor(s). Some items you may find there are: course announcements, invoices, important admission/registration information, waitlist status. To check your e-mail, log into your MyMC online account and locate the e-mail icon in the upper right hand corner of the page.”

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 For this class, e-mail will be sent via Blackboard. Assignments not already indicated in this syllabus and other than homework assignments which are listed on the RT web page under the current course link will be attached to BB. Students will be informed either in class or via e-mail for any additional assignments.

Tobacco Free Policy at Montgomery College 

On August 1, 2008, Montgomery College implemented a Smoke and Tobacco Free Policy which prohibits smoking or the use of other tobacco products on any of its campuses or other property.  Students who smoke or use tobacco products will be considered in violation of the student conduct code and their behavior will be reported to the Dean of Student Development’s office for the appropriate disciplinary action including probation, suspension, or dismissal.  If you have any questions about this new policy, please contact the Vice President and Provost’s Office, the Office of the Dean of Student Development or the Campus Security Office

Attendance(See page 9 of this syllabus for more attendance requirements specific to this course)

Students are expected to attend all class sessions. In cases involving excessive absences from class, the instructor may drop the student from the class. An excessive absence is defined as one more absence than the number of classes per week during a fall or spring semester; the number of absences is prorated for accelerated sessions.

Students are also expected to be on time for class. Excessive lateness will result in a counseling session with the instructor and persistent lateness may result in unsuccessful completion of the course.  

Withdrawal and Refund DatesIt is the student’s responsibility to drop a course. Non-attendance of classes or failure to pay does not constitute official withdrawal. To view specific drop deadlines, log into your MyMC account: 1) Click on “My Class Schedule” under Student Quick Links2) Select the current term3) Click on “View Drop Deadline Dates” at the bottom of the page”

Audit Policy All students registered for audit are required to consult with the instructor before or during the first class session in which they are in audit status, and students are required to participate in all course activities unless otherwise agreed upon by the student and instructor at the time of consultation. Failure to consult with the instructor or to so par-ticipate may result in the grade of “W” being awarded. This action may be taken by the instructor by changing the “AU” to “W” before the drop with “W” date.

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Disability Support ServicesDisability Support Services recommends the following language: “Any student who needs an accommodation due to a disability should make an appointment to see me during my office hours. In order to receive accommodations, a letter from Disability Support Services (G-SA 189; R-CB 122; or TP/SS-ST 122) will be needed. Any student who may need assistance in the event of an emergency evacuation must identify to the Disability Support Services Office; guidelines for emergency evacuations for individuals with disabilities are found at: www.montgomerycollege.edu/dss.”

Veteran’s ServicesRecommended language for this section includes: “If you are a veteran or on active or reserve status and you are interested in information regarding opportunities, programs and/or services, please visit the Combat2College Website at www.montgomerycollege.edu/combat2college.

Delayed Opening or Closing of the CollegeBecause of inclement weather or utility failure or for other reasons, it may be necessary to delay opening or suspend all operations of the College or an individual campus.

Montgomery College will always operate on its regular schedule unless otherwise announced. Depending on the nature of the incident, notifications of emergencies and changes to the College’s operational status will be communicated through one or more of the following means:

• College emergency responders: Security Officers, Campus Response and/or Support Teams• Montgomery College ALERT. Registered users receive text and e-mail messages. Registration information at www.montgomerycollege.edu/emergency• Montgomery College Emergency Desktop Notification. Scrolling messages are broadcast on College computers • Montgomery College Website at www.montgomerycollege.edu• MyMC Website at https://mymcprod.montgomerycollege.edu/cp/home/displaylogin.• MyMC student e-mail system • Montgomery College employee voice mail. From off-site, dial 240-567-1701• Montgomery College employee e-mail. From off-site, http://mcmail.montgomerycollege.edu• Montgomery College main phone number at 240-567-5000• Montgomery College cable channel 10 in Montgomery County• Commercial radio and TV stations including:TelevisionChannel 5 WTTGChannel 7 WJLA Channel 9 WUSANews Channel 8

Radio

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WFRE (99.5 FM) – FrederickWAMU (88.5 FM)WFMD (930 AM) – FrederickWMAL (630 AM)

All inquiries from the news media regarding an emergency event should be directed to the College’s Office of Communications.

How Closing and Delays Impact ClassesIf a class can meet for 50% or more of its regularly scheduled meeting time OR if the class can meet for 50 minutes or more, it will meet. Montgomery College will always operate on its regular schedule unless otherwise announced. Depending on the nature of the incident, notifications of emergencies and changes to the College’s operational status will be communicated through one or more communication methods including the College’s website www.montgomerycollege.edu. For the most up-to-date information regarding College openings, closings, or emergencies, all students, faculty, and staff are encouraged to sign up for email and text alerts via Montgomery College ALERT. Registration information is available at www.montgomerycollege.edu/emergency.

PRINTING AT MONTGOMERY COLLEGEStudents will now be charged for printing any document at Montgomery CollegePlease refer to this link for more information:

http://cms.montgomerycollege.edu/edu/department.aspx?id=27707

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Electronic Devices

Use of recording devices and laptops are permitted for lecture and labs. During lecture and labs, beepers and  cell phones need to be set on silent or vibrate mode. If a student must respond to a cell phone call during class time, they must leave the classroom or lab to do so. Extended absence from the lecture or lab to return a call may be recorded as an unexcused absence and this may impact the student’s ability to continue in the lab or lecture that day. Students are urged to use discretion in returning calls during class time. NO CELL PHONES OR LAP TOPS MAY USED DURING AN EXAMINATION. ALL CELL PHONES MUST BE TURNED OFF PRIOR TO THE BEGINNING OF EXAMINATIONS. NO LAP TOPS WILL BE ALLOWED OUT OF THEIR CASES DURING EXAMINATIONS  

Grading: 

93-100             A                        Any student receiving a grade below “C” in this 86-92              B                        course must repeat it satisfactorily before taking 78-85               C                        successive courses.77 and below   F          .

Grades will be determined by:             Attendance                                           5%            Assignments 15% (Workbook Assignments/Critical Thinking Assignments)             Exams  (3)                                                       45%            Cumulative Final Exam                                                 35%                                                                                   100% Grades will be posted on Blackboard so students can track their progress

Attendance: (5%)

The attendance policy for this course is the same as that stated in the Montgomery College Catalog. Unexcused and excessive absences may result in an administrative drop from the course.

Every absence, lateness to class or lab, leaving early or lack of participation in class will result in a 10 point deduction per infraction.

A student may NOT attend a lab that they are not enrolled in. Excessive infractions will result in a coaching/counseling process which result in

grade deductions or unsuccessful completion of course.

The student is urged to review the last sentence concerning unexcused absences and administrative drop from the course. If a student cannot make class, it is their responsibility to call the College and relay that message to the faculty.

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Assignments (15%)

Workbook Assignments 1.  These will be posted on the RT 101 link of the Radiologic Technology Web page. 2.  Workbooks with completed assignments are to be handed in to the instructor on

examination days. Assignments covering the objectives for each examination should be completed

3. The instructor does not check for accuracy of answers as an answer key is within the workbook and it is the student’s responsibility to check the answers.

4. If the assignment is not complete by the start of a scheduled exam day, the assignment grade will be calculated based on the number of assignments completed divided by the number of assignments required. For example if three worksheets were required to be completed by an examination date and only 2 were completed, the student’s grade would be a 66%.

5. If the student forgets to bring in the workbook on the day of examination, the student will not receive any credit for the assignments.

Critical Thinking Assignment-Journal articles  The ability to critically think is essential for the successful completion of the Radiologic Technology program. Critical thinking concepts such as self assessment, evaluation, problem solving, deductive reasoning are but a few strategies employed in the diagnostic imaging environment. Use of these and other critical thinking strategies assist in the application of the book knowledge to the clinical setting. To this end throughout the two years in the program students will be required to complete specific didactic and clinical assignments used to assess critical thinking in the classroom and in the clinical rotations. In addition to critical thinking questions imbedded into each didactic exam, a percentage of the final grade for each class (including the clinical courses) will include the grade(s) from each critical thinking assignment. Students are encouraged to maintain a critical thinking folder to assess their progress in using critical thinking skills.

RT 101 Critical thinking assignment

Journal article Assignment Three journal article assignments related to the field radiology from the current Radiology periodicals found in the classroom, media center or other sources or from the Internet will be due this semester. One Journal must be from a current Radiology Periodical (these are located in the back of the classroom in HC 423 in the black cabinet) Journal assignments may be on any topic as it relates to radiology.  Date for submission of these assignments are noted in the course outline.  Printed copies of article from periodicals and from the Internet must accompany the assignment. If a copy of the article does not accompany the review, the assignment will be given a grade of a zero. Students are reminded that this is an individual project.  Review of the

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plagiarism policy signed by the student is suggested. To receive credit for this assignment the assignment must be turned in at the start of class. Late assignments (after the start of class) will not be accepted and a grade of zero will be recorded.  Guidelines for the assignment are as follows:             Assignment must be typed with a 12 font only            Assignments should be a minimum of 3 pages long            A copy of the article must be attached.  If the publication date is not printed on the             article, this should be submitted in bibliography style.            Assignments should briefly review the article submitted and students are            to submit their opinions or any other points of interest as part of the             assignment. (See last page for the grading rubric)

 Examinations (45%)

A minimum of three examinations will be given to assess student comprehension of presented materials. The dates and objectives covered in examination form are noted in the class schedule in this syllabus. Examinations will include multiple choice questions and may include matching, sequencing, true or false, fill in the blank and/or short essay questions. The point value is indicated on the examination. Multiple choice, true or false, matching questions are worth one point. Grades are calculated based on the number of points earned divided by greatest possible points. For example if the test has a total of 89 points and a student earns 79 possible points (79/89) the student’s score would be 88.7% which will be rounded up to an 89%. Examinations whose questions are to be answered on a scantron will be graded based on the answers recorded on the scantron only. All examinations are reviewed in class after graded and open for discussion of content only. Concerns about calculation of grade or possible misgrading may be addressed individually with the instructor after class. Tests are kept in the student file. Students are not given them to keep.

Comprehensive Final Examination (35%)

The final examination is given on the date as dictated by the collegewide final schedule found in each semester’s Montgomery College Credit Course Schedule and noted in the class schedule. The examination covers all material reviewed in the semester. Questions are primarily designed in multiple choice fashion although some other forms of questions may be designed.

 

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Chapters marked with an asterick indicate only portions of the chapter will be discussed. Students are encouraged to refer to the Radiologic Web page for the outline of chapters that will be covered in each class and are indicated in the table of contents. These outlines are of the power points presented for each class.

   Tentative Course   Outline                                                      Week (2012)                                   Lecture           Lab   Week 1Wed . 9/5               Review What’s inside? 2:15-3:00

Introductions, Paperwork, Syllabus  Time Management 3:00 Aehle/Ottinger  

COMPONENTS OF X-RAY ROOM OVERVIEW/INTRO TO RADIOGRAPHIC PHYSICS

Week 2 Mon 9/10    Chptrs. 5/6/15 pg 291-292 Bushong*      What’s inside? 2:15-3:00    

Chptrs 1/4/5    Fauber* Time Management 3:00 Chtptr 5 Carter pgs 80-82 Aehle/ Ottinger

Wed 9/ 12                Ch. 1 Bushong           Exposure labs

RADIOGRAPHIC PHYSICS

Week 3 Mon 9/17 Ch 2 Bushong Exposure labs Wed 9/19                  Ch 3 Bushong                                       Exposure Practice JOURNAL ARTICLE #1 DUE  

 BASIC RADIOGRAPHIC PHYSICS/X-RAY IMAGING SYSTEM

Week 4                                                                 Mon  9/24                    Ch 3 Bushong/ Ch 1 Fauber                   Exposure Practice  Wed  9/ 26                   Ch 5* Bushong                         NO LAB                                    Ch  6 Bushong                                    Ch 2* and 11*  Fauber   

EXAM/X-RAY PRODUCTIONWeek 5      Mon  10/1                   Test (Chapters 1,2,3, 5,6)            NO LAB

Fauber 1,4,5 /11Workbook assignments due                                 

Wed  10/3                 CH 7 (Bushong)  Educate the eyes                                                         Ch  2 (Fauber) Film Critique

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X-RAY PRODUCTION/INTERACTION WITH MATTERWeek 6   Mon  10/8              CH 7 (Bushong)  Educate the eyes                                                            Ch  2 (FAuber) Film CritiqueWed 10/10 Ch 8 Bushong                Missing Factors

INTERACTION WITH MATTER/EMISSION CONCEPTS

Week 7 Mon 10/15                Ch 8-intro to chpt 9 Bushong                Missing Factors Wed    10/17                    Exam (Chpts 7,8,9,10-Bushong)  NO LAB          

     (Chpts 2,11 Fauber) (missing factors)

Workbook assignments due  JOURNAL ARTICLE #2 DUE 

EMISSION CONCEPTS/SCATTERWeek 8 Mon 10/22                    Chapter 9 Student CompsWed    10/24                  Chapter 6 Fauber Student Comps

IMAGE CAPTURE-FILM/CR/DR CONCEPTSWeek 9 Mon 10/29                  Ch 7 Fauber       Ch 1,4,6 Carter Wed   10/31                 Ch 7-8 Fauber   Ch 1,4,6 Carter

Week 10 Mon   11/5                 Ch 7-8 Fauber, ODIA Wed    11/7                  Ch 8 Fauber Ch 4-5 Carter ODIA

Week 11 Mon  11/12                 National Rad Tech Week celebration! Luncheon with second year students 12:00-1:15 Wed 11/14 EXAM   (Chpts 6,7,8 Fauber 1,4,5,6 Carter)

Workbook assignments due  NO LAB

JOURNAL ARTICLE #3 DUE

Week 12

Mon   11/19                 TBA/ NO LABWed   11/23           No Classes/Thanksgiving Holiday

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DIGITAL RESOLUTION             

Week 13

Mon 11/26 Chapter 7 Carter/Chapter 17 Bushong                                   TBA   Wed 11/28 Chapter 7 Carter/Chapter 17 Bushong                                   TBA     

TECHNIQUE

Week 14Mon   12/3                   Ch 13, Bushong Designing a technique chart/

Ch 10 Fauber Proportional Anatomy               Wed   12/5          Ch 13 Bushong Designing a technique chart/                                     Ch 10 Fauber                                      Proportional Anatomy

FINAL REVIEW WEEK

        Mon 12/10 ReviewWed. 12/12 Review  Finals: To include Chapter 7 (Carter) and Chapter 15 Bushong, Chapter 10 Fauber

FINAL: Wednesday, December 19th  12:30-2:30  .    Faculty reserves the right to modify course content and evaluation procedures as deemed necessary. 

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RT 101 Critical Thinking Assignment-Journal Article Grading Rubric

Please note that if the assignment is handed in without the a copy of the article attached an automatic grade of zero will be assigned and the rubric below will not be considered for the review.)

Met Not met-20

Comments

Used correct size of font

Three pages in length Spelling/ neatness

Met Partially Met-1 to 10

Not met-10 to -20

Reviewed all main points of the article Main points reviewed were writtenin the student’s own wordsIf quoting from article, appropriateusage of quotations and notation ofauthor was usedStudent evaluated and analyzed the articleby drawing conclusions, theorizingand/or assessing content to their currentlevel of education in the fieldof radiography

,

  

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