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DIAGNOSTIC MEDICAL IMAGING PROGRAM

2019 For admission consideration into the

Spring and Fall 2020 semesters.

Applications must be postmarked between August 1st to August 10th, 2019.

Information and

Application Packet

Radiologic Sciences Department

TABLE OF CONTENTS2019 Information and Application Packet

City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program 50 Phelan Ave. Box S68 San Francisco, CA 94112 Email: [email protected]

PROGRAMInformation Packet and Application 2009For admission consideration into the Spring and Fall 2010 semesters

DIAGNOSTIC MEDICAL IMAGING

PROGRAMInformation Packet and Application 2009For admission consideration into the Spring and Fall 2010 semesters

INTRODUCTION....................................................................................................................................................................2

PROGRAM OVERVIEW.........................................................................................................................................................3

PHYSICAL EXAMINATION, VACCINATIONS/TITERS, BACKGROUND CHECK & DRUG SCREENING.....................................3

PROGRAM EXPENSES...........................................................................................................................................................4

TRANSFER AND ADVANCED PLACEMENT...........................................................................................................................4

SEQUENCE OF COURSES – FALL START..............................................................................................................................5

PHYSICAL REQUIREMENTS FOR CLINICAL PLACEMENT.....................................................................................................7

PREREQUISITE COURSE INFORMATION...............................................................................................................................8

PREREQUISITE COURSE GUIDELINES...................................................................................................................................8

PREREQUISITE COURSE DESCRIPTION.................................................................................................................................9

PREREQUISITE GPA CALCULATION..................................................................................................................................11

PREREQUISITE PLACEMENT TESTING................................................................................................................................12

TRANSCRIPTS....................................................................................................................................................................12

40 HOUR VOLUNTEERING REQUIREMENT.........................................................................................................................13

VOLUNTEERING GUIDELINES............................................................................................................................................13

VOLUNTEER HOSPITAL SUGGESTIONS..............................................................................................................................14

VOLUNTEER HOURS VERIFICATION FORM.......................................................................................................................15

OBJECTIVES FOR VOLUNTEERING.....................................................................................................................................16

APPLICATION SUBMISSION AND SCREENING PROCEDURE................................................................................................18

APPLICATION PACKET INFORMATION...............................................................................................................................19

APPLICATION PACKET DELIVERY.....................................................................................................................................19

APPLICATION.....................................................................................................................................................................20

INTRODUCTION

Thank you for taking the time to read this information and application packet. This packet contains all the information you need to apply to the Diagnostic Medical Imaging (DMI) program at City College of San Francisco. We hope it answers all of your questions but if it does not, feel free to email us at [email protected].

The first step is to learn the proper name of the profession you want to enter. We are called Radiographers and we are also known as Radiologic Technologists. Radiographers are highly skilled members of the healthcare team with

2019 Information and Application PacketCity College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program

50 Phelan Ave. Box S68 San Francisco, CA 94112 Email: [email protected]

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responsibilities that include assisting physicians to perform complicated and difficult procedures. These professionals also work with surgeons during surgical procedures in the operating room. Radiographers also have continuous contact with patients. They educate patients about the examination, give injections of contrast material when needed and also give emotional support. Radiographers monitor each patient as they perform the examinations and react to emergency situations as a first responder. This profession encompasses far more than simply radiographing the skeleton.

Successful Radiographers are detail oriented, interested in science and math, comfortable with computers, empathetic towards patients, customer service oriented, know how to prioritize based upon the needs of patients and physicians, and have EXCELLENT communication skills. They also possess critical thinking skills which enable them to adjust to complicated situations.

This DMI Program is a rigorous, demanding, full-time program making outside employment difficult if not impossible. Candidates are strongly urged to evaluate their financial status prior to application and plan for expenses including: tuition, fees, books, uniforms, shoes and transportation. It is also strongly recommended that applicants complete their General Education (GE) courses required for the Associate of Science degree prior to entering the DMI program.

Students are encouraged to visit the counseling departments at CCSF regarding questions about transferability of prerequisites and graduation requirements. Please note that the faculty are not qualified to evaluate transcripts.

Enrollment procedures:1. Become an official student at CCSF (if not already a CCSF student)2. Complete all DMI prerequisites with a 2.5 GPA and all other coursework with at least a 2.0 GPA.3. Submit the DMI Application with all required documentation as described in this packet.4. A Random Selection Process for qualified applicants will be held to select our students.5. If selected, the student must complete and pass health requirements, background check, & drug screening.6. All selected students must attend a mandatory new student orientation.

Application instructions must be followed CAREFULLY in order for your application to be considered. 1. The application period is from August 1st through August 10th of the current year.2. Only those applications mailed according to the instructions in this packet will be considered. 3. All application packets must contain the official forms found within this packet and will not be accepted if

hand delivered, mailed in early, or mailed after the deadline.4. Applicants, who have submitted an application in previous years and wish to re-apply, must submit a new

application with all supporting documentation included. 5. Students with any prerequisites in progress will be disqualified from admission.6. All communication regarding application status can be made by e-mail to [email protected]. Successful applicants will be placed in either the Spring or Fall semesters as determined by the random

selection process.8. Approximately 15 students are admitted into the DMI program each semester.9. Applicants will be notified by CCSF email of acceptance or non-acceptance into the program.10. Please keep a copy of your application material. All applications and associated material become the

property of the DMI program and will not be returned.11. No waiting list is maintained.

Disclaimer:At the time this application went to print, all information within was current, true and correct. Every effort has been made to ensure that this application packet is free from content, spelling, and typographical errors.

PROGRAM OVERVIEW

The DMI program has a rich history starting in the 1950’s at City College of San Francisco. This program enjoys long-term relationships with major San Francisco Bay Area hospitals where students conduct their clinical laboratory education. The DMI program has achieved prestigious accreditation by the Joint Review Committee on Education in Radiologic Technology (www.jrcert.org) ۰ 20 North Wacker Dr., Suite 2850 ۰ Chicago, IL 60606-3182.



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mailto:[email protected]

The goal of this department is to prepare its students to function competently in an entry-level position as a Radiologic Technologist. The DMI Program is an integral part of this community college and combines general education and radiology courses to accomplish that goal. The DMI program is full-time, thirty (30) months in length and leads to national certification and state licensure.

All successful program students must graduate with an associate degree with a major in Diagnostic Medical Imaging (DMI) upon program completion. Those students who already possess an A.A., A.S. or higher degree must matriculate through the college and meet all CCSF graduation requirements to complete the DMI program major. Upon completion of the DMI courses, and having met the CCSF requirements for graduation, the student is eligible to apply for the nationally recognized American Registry of Radiologic Technologists (ARRT) certification examination in Radiography, and upon passing, will be eligible to apply for the California Certified Radiologic Technologist (CRT) license and California’s Fluoroscopy Permit.

DMI program contact:Radiologic Sciences Department

50 Phelan Ave. San Francisco, CA 94112Email: [email protected]

PHYSICAL EXAMINATION, VACCINATIONS/TITERS, BACKGROUND CHECK & DRUG SCREENING

Upon acceptance into the DMI program the following must be completed:1. Physical examination by a physician to determine the physical health of the student.2. Vaccinations and positive titers* against certain diseases.3. Negative background check for any previous felony or misdemeanor convictions.4. Negative drug screening.

Any misdemeanor, felony conviction, or positive drug finding may impact the applicant’s ability to attend the clinical education component, complete program requirements and/or obtain eligibility for certification. If the applicant has ANY previous convictions of a misdemeanor or felony, please contact the American Registry of Radiologic Technologists (ARRT) at www.ARRT.org ethics department or call (651) 687-0048 BEFORE starting the program in order to establish eligibility for certification.

NOTE: Background checks, drug screening, physical examinations and vaccinations/titers are required to attend the clinical portion of the program. A positive result of a conviction or positive drug finding or failure to comply with vaccinations and titers may be grounds for program dismissal due to lack of clinical placement. The cost of these requirements is the responsibility of the student.

* Titer = the antibody titer test detects the presence and measures the number of antibodies within the blood. It's an indicator of the strength of the body's immune response.

PROGRAM EXPENSES

Tuition, health fees and other general information for CCSF may be obtained from the Registrar’s Office and at www.ccsf.edu.

The estimated costs of attending the program are as follows and may change without notice.

Expense Approximate Cost



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Books and other teaching/study materials required $2000.00Uniforms, Lab Coats, Shoes, Radiology Markers, etc. $500.00Radiation Monitoring Device $200.00/yearBackground and Drug Screening and Health Records $200.00Health Fitness Verification and immunization titers Cost dependent upon student’s health insuranceHospital Competency Tracking $200.00Board Exams at end of program $500.00Tuition at CCSF $46.00/ unit or free for SF residentsTotal DMI program costs with tuition: Between $6000 - $7000Total DMI program costs for SF residents: Approximately: $3600.00

Transportation Students are responsible for providing their own transportation and any related expenses to and from the campus and clinical education centers. Student placement in the clinical facilities is determined by the program officials and not the student. Transportation issues are not considered in clinical placement assignments.

Housing Students are responsible for their own room, board, and other living expenses. Campus housing is not available.

TRANSFER AND ADVANCED PLACEMENT

Transfer and Advanced Placement Advanced placement in the DMI program is not granted to students transferring from other radiology/medical programs, international graduates, students who were dismissed and reapply, or due to loss of a CRT licensure or ARRT certification. All accepted students must start the program from the beginning.

International Radiographer Training The City College of San Francisco does not have a curriculum for Radiographers educated in other countries to achieve credentialing in the United States. If you would like information about the programs of this nature, please refer to the American Registry of Radiologic Technologists website, www.ARRT.org

SEQUENCE OF COURSES – FALL START DIAGNOSTIC MEDICAL IMAGING PROGRAM The Diagnostic Medical Imaging Program is a degree program.

The following course sequence does not include AS degree graduation requirements.All current general education graduation requirements are mandatory and must be completed prior to starting DMI 68 & 69.

Students should consult with a counselor to ensure all graduation requirements are being met.



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COURSE UNITS COURSE UNITS1 ST SEMESTER (Fall) 4 th SEMESTER (Fall) *DMI 49 Intro to Radiologic Technology(HIT 50A is a pre/co-requisite of this course)

3 DMI 55 Skull Radiology 2

DMI 50A Intro to Med. Radiography(Lecture & Lab)

3 DMI 56 Pathology 3

DMI 52 Patient Care & Staff Relations 3 DMI 63 Intermediate Imaging Procedures 2

Total not including additional GE courses 9 DMI 64 Clinical Education (16 hrs/wk) 5

Additional required GE courses in 1st semesterif not taken previously

Total 12

*EMT 14 2

*CMST 1A or ESL 79 (Gen Ed. Area A) CMST 6 or 20 are not equivalent courses

3 5 th SEMESTER (Spring)

*PSYC 1 (Gen Ed. Area D) 3 DMI 57 Multiplanar Imaging 3

Total not including additional GE courses 9 DMI 54 Interventional Radiology 2

*Total including GE courses listed above 17 DMI 65 Advanced Imaging Procedures 2

DMI 66 Clinical Education (16 hrs/wk) 52 nd SEMESTER (Spring) DMI 70 Radiation Protection 2

DMI 50B Radiographic Physics & Equip. 2.5 Total 14

DMI 51A Radiographic Anatomy & Positioning 7

DMI 51B Radiographic Exposure Factors 2 All General Education (GE) coursework must be completed prior to entering Internship.

Total 11.5 6 th & 7 th SEMESTER (Su-F) Internship

DMI 69 Clinical Education (40 hrs/wk) 6.5

3 rd SEMESTER (Summer- 7 wks Full-Time) DMI 68 Clinical Education (40 hrs/wk) 13

DMI 62 Clinical Education (40 hrs/wk) 5 DMI 100 Registry Exam & Career Prep 1

Total 5 Total 20.5*This course is recommended to be taken prior to acceptance into the DMI program.

DMI Program units = 72 + 12 additional General Education courses = 84 total program units with an AS Degree in DMIThe extra 12 GE courses required are from Areas B, E, F, and H (see college catalogue). Prerequisite courses cover Area C.

SEQUENCE OF COURSES – SPRING START DIAGNOSTIC MEDICAL IMAGING PROGRAM

The Diagnostic Medical Imaging Program is a degree major program.The following course sequence does not include AS degree graduation requirements.

All current general education graduation requirements are mandatory and must be completed prior to DMI 68 & 69.Students should consult with a counselor to ensure all graduation requirements are being met.

COURSE UNITS COURSE UNITS1 ST SEMESTER (Spring) 4 th SEMESTER (Summer- 7 wks Full-Time) *DMI 49 Intro to Radiologic Technology(HIT 50A is a pre/co-requisite of this course)

3 DMI 64 Clinical Education (40 hrs/wk) 5



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DMI 50A Intro to Med. Radiography(Lecture & Lab)

3 Total 5

DMI 52 Patient Care & Staff Relations 3

Total not including additional GE courses 9 5 th SEMESTER (Fall)

Additional required GE courses for the 1st semesterif not taken and passed previously.

DMI 56 Pathology 3

*EMT 14 – CPR certification must be current 2 DMI 54 Interventional Radiology 2

*CMST 1A or ESL 79 (Gen Ed. Area A) CMST 6 or 20 are not equivalent courses

3 DMI 65 Advanced Imaging Procedures 2

*PSYC 1 or 26 (Gen Ed. Area D) 3 DMI 66 Clinical Education (16 hrs/wk) 5

Total not including additional GE courses 9 DMI 70 Radiation Protection 2

*Total including GE courses listed above 17 Total 13.5

SUMMER SESSION NO DMI COURSESTake GE courses if they are not completed for graduation.

All General Education (GE) coursework must be completed prior to entering Internship.

2 nd SEMESTER (Fall) 6 th & 7 th SEMESTER (Summer – Fall)

26 week Internship Full-TimeDMI 50B Radiographic Physics & Equip. 2.5 DMI 68 Clinical Education IV (40 hrs/wk) 13

DMI 51A Radiographic Anatomy & Positioning 7 DMI 69 Clinical Education Summer Bridge (40 hrs/wk)

6.5

DMI 51B Radiographic Exposure Factors 2 DMI 100 Registry Exam & Career Prep 1

Total 20.5Total not including additional GE courses 11.5

3 rd SEMESTER (Spring) DMI 55 Skull Radiology 2DMI 57 Multiplanar Imaging 3DMI 63 Intermediate Imaging Procedures 2

DMI 62 Clinical Education (16 hrs/wk) 5

Total 11.5*This course is recommended to be taken prior to acceptance into the DMI program.

DMI Program units = 72 + 12 additional General Education courses = 84 total program units with an AS Degree in DMIThe extra 12 GE courses required are from Areas B, E, F, and H (see college catalogue). Prerequisite courses cover Area C.

PHYSICAL REQUIREMENTS FOR CLINICAL PLACEMENT

Physical Requirements - The student technologist must be capable of meeting the physical demands of the job, which are in the job descriptions of all employers.

General Physical Demand Characteristics of the Profession:1. Assists in lifting patients up to 400+ lbs. 2. Walks and/or stands most of the day. Bends and stoops frequently.3. Pulls/pushes, reaches/lifts equipment/carts etc., on a regular basis.4. Normal hearing, or corrected hearing within normal ranges.



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Motor Function:1. The student must be able to stand unassisted for long periods of time.2. The student must be able to lift patients on and off the radiographic table independently 80% of the time as

well as in and out of hospital beds, stretchers, and wheelchairs.3. The student must be able to lift and handle radiographic accessories and equipment of at least 30 lbs. above

head4. The student must be able to manipulate stationary and mobile radiographic equipment.5. The student must be able to assist personnel and patients in emergency situations.

Visual Observation:1. 20/100 vision, correctable to 20/30 in one eye or 20/100 vision correctable to 20/40 in both eyes.2. Students must be able to observe and evaluate the patient's condition using signs and symptoms.3. Students must be able to interpret instrument control panels, technique charts, and other materials for

appropriate operation of equipment and patient care.4. Students must be able to view and critique radiographs, interpret quality factors, identify anatomy and list

technical and procedural components.

Hearing Ability:1. The student must have normal hearing or have hearing corrected to within normal range when facing patients

or with back turned toward patient.2. Hear in situations when not able to see lips (i.e., when masks are worn)3. Hear auditory alarms (i.e. monitors, fire alarms)

Tactile:1. Feel vibrations (e.g., palpate pulses)2. Detect temperature (e.g., skin and/or solutions, etc.)3. Feel differences in surface characteristics (e.g., skin, rashes)

Communication Skills:1. The student must be able to transfer information by verbal and non-verbal means to personnel and patients.2. The student must be able to receive and interpret communication from personnel and patients and adhere to

appropriate Health Insurance Portability and Accountability Act (HIPAA) confidentiality laws.3. The student must be able to read and write at college level to communicate appropriately with patients, staff,

and other medical personal.4. The student must be computer literate and able to operate a variety of computer programs, instructions, and

compile data on a routine basis.

Behavioral and Social Skills:1. The student's behavioral and social skills must be considered acceptable within the college and clinical

locations.2. Students must be able to work in a stressful environment with much noise and possible extreme emergencies

while keeping calm.

PREREQUISITES ALTERNATIVES NOTES

1. 40 Hours of Radiology VolunteeringMust be completed in a hospital radiology department observing technologists at work in a general radiology department.

None

It is strongly recommended that the applicant complete this prerequisite as soon as possible as volunteer placement may be difficult to arrange.

2. Elementary Algebra Math 40 at CCSF or equivalent No placement A statistics course is not a



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at another college

Note: Taking Math 46 meets our prerequisite and CCSF graduation requirement.

test available at CCSF – Not offered after Oct. 15, 2018

substitute for Algebra. Note: Math 46 or 60 is required for an A.S., DMI Degree at CCSF and must be completed prior to Internship.

3. Chemistry with a Lab Chem 32 (medical chemistry) at CCSF or equivalent at another college

No placement test available at CCSF

Chem 32 or Chem 101 is a prerequisite of BIO 112 which is a program pre-requisite

4. Physics Lecture Physics 10 at CCSF or equivalent at another college


If taken at another college, physics must include a lab section.

5. Physics Lab Physics 10L at CCSF or equivalent at another college


6. Human Anatomy with a Lab BIO 108 (formerly ANAT 25) at CCSF or equivalent with a lab at another college


Combination courses of Anat/Physio will not be accepted unless they are equivalent to BIO 108 and BIO 112 at CCSF and at least 4 units per semester.

7. Physiology with a Lab BIO 112 (formerly PHYSIO 12) at CCSF or equivalent with a lab at another college


Chem 32 is a prerequisite of Physio 12 at CCSF.

8. English Engl 88A (formerly ENG 93)OrESL 160

Engl placement score into Engl 1A

Note: English 1A is required for an A.S., DMI Degree at CCSF and must be completed prior to Internship.

PREREQUISITE COURSE INFORMATIONPREREQUISITE COURSE GUIDELINES

1. Prerequisite courses and placement test scores must be completed within the past seven years prior to submitting an application, with the exception of English.

a. Courses may be taken at any accredited college, but they must be the EXACT equivalent of those offered at CCSF. b. Equivalency is to be determined by the student with the help from counselors and/or the Dept. Chair of each course

department.c. Math and science prerequisite courses must be passed with a collective GPA of 2.5. Please refer to GPA Prerequisite

Calculation form included in this packet. Grades lower than “C” are not acceptable in the prerequisite courses for the program.

2. An overall grade point average (GPA) of 2.0 is required of all college courses already attempted and listed on your official transcripts. Please refer to the CCSF college catalog for determining your grade point average.

a. Academic history of more than four (4) incomplete grades, withdrawals, repetition of prerequisite courses, due to failures, academic probation, etc., may cause your application to be disqualified. More than four is considered excessive by the DMI program and an indication of academic problems.

b. If you have this type of academic problem, an essay explaining the reasons for your academic history may be included with your application. However, this essay is not a guarantee of admission but will be taken into consideration.

c. Failed prerequisites courses may only be repeated one time for a passing grade. Multiple repeated attempts to pass a prerequisite will disqualify you from admission to the DMI program. You may also write an essay explaining why you needed to repeat a prerequisite course to pass. However, this essay is not a guarantee of admission but will be taken into consideration.

3. No credit is given for high school courses. 4. Pre-requisite courses in progress will not be considered

PREREQUISITE COURSE DESCRIPTIONAlgebraMATH 40 Elementary Algebra (5 units) Prereq for Math 40: MATH E1 or E3 or MATH 35 or MATH 30Operations on real numbers; evaluating, combining, and simplifying polynomials, rational expressions, integer-exponent expressions, and square root expressions; solving linear and quadratic equations, linear inequalities, and systems of linear equations; graphing lines; and applications. Attention to developing proficiency in communication of mathematics, problem solving, and effective learning skills.



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Important: Statistics is not accepted as a valid substitute for Math 40 (elementary algebra). If an Algebra placement test was taken at CCSF after Jan. 1, 2012, it will be accepted.

As of Oct. 15, 2018 the Algebra placement test is no longer offered at CCSF.

AnatomyBIO 108, (formally ANAT 25) “General Human Anatomy” (4 units, includes a lab)ADVISE: ENGL 93 or ENGL 88A or ENGL 88 or ESL 150 or ESL 186 or placement in ENGL 88B or ESL 160 or ESL 188Study of the gross and microscopic structure of the human body.UC/CSU

Important: BIO 106 (formally ANAT 14), “Introduction to Human Anatomy and Physiology”, a 4 unit course, does not qualify for the prerequisite because the combined course does not go into enough depth in either anatomy or physiology of the human body to prepare students for this program.

PhysiologyBIO 112. (formally PHYSIO 12) Introduction to Human Physiology (4 units) PREREQ.: CHEM 32 or CHEM 101A ADVISE: ENGL 93 or ENGL 95 or ENGL 88 or ENGL 88AA course in general human physiology which stresses the analysis of normal function of the human body, including the physiology of cells, muscles, the nervous system, sensation, digestion, circulation, respiration, metabolism, excretion, endocrines, and reproduction. This course is intended for students entering allied health professions.UC/CSU

ChemistryCHEM 32, “Introduction to Medical Chemistry” (4 units, includes a lab) Basic concepts of inorganic and organic chemistry, biochemistry, and physics as they apply to the chemistry and physics of the human body.UC/CSUOpen to all students. No previous chemistry or physics required. Satisfies the requirements of nursing and related majors that require one semester of chemistry

Important: If a Chemistry placement test is submitted in place of CHEM 32, it must be within 7 years of applying to the DMI program.

PhysicsPHYC 10 Conceptual Physics (3 units) ADVISE: MATH 40An overview of physics. Content is taught at a conceptual level using basic math such as ratios, square roots, scientific notation, graph interpretation, slope and simple algebra. Topics include mechanics, properties of matter, heat, sound, electricity, magnetism, light, and nuclear physics.UC/CSU

AND

PHYC 10L (1 unit)PREREQ.: Completion of or concurrent enrollment in: PHYC 10Laboratory course covering basic concepts in physics. Core topics include mechanics, energy, heat, sound, electricity, magnetism, light, and nuclear physics.UC/CSURequired for students enrolled in the curriculum in DMI

EnglishENGL 88A (formally ENGL 93). Introduction to Academic Writing and Reading (3 units) PREREQ.: ENGL 86 or ESL 160 or placement in English 88This course offers initial training in academic essay writing and analytical reading. The emphasis is on reading multiple academic texts, synthesizing ideas, and developing and revising text-based, thesis-driven essay at the pre-collegiate level.English 88A is the first half of a two-course equivalent of English 88. ENGL 88A + 88B = ENGL 88 ORESL 160. High-Advanced Academic ESL (4 units)



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PREREQ: ESL 150 or placement in ESL 160Advanced academic reading skills and strategies. Practice in various forms of composition and research necessary for college academic work. High-advanced level vocabulary and grammar study. Language skills integrated on the basis of academic tasks and content.UC/CSU

***If an English placement test was taken, it must have been after Jan. 1, 2012. This placement test is no longer available at CCSF after Oct. 15, 2018.

IMPORTANT ADDITIONAL INFORAMTION ABOUT PREREQUITES:

All prerequisites (except English) and placement tests must have been completed within the past seven (7) years to be acceptable. See application for actual date.

Math waivers are not accepted. High school course work is not accepted. If higher level courses are taken, please check with the Department Chair of that particular

department at CCSF to determine equivalency. The DMI program officials cannot make this determination.

Higher level courses are not a guarantee that the same information as required by our program was taught to the student.Examples:

o Statistics is not an acceptable substitute for Math 40 or Math 46 (elementary algebra)o A higher level Physics or Chemistry course without a lab section is not always a valid

substitute for Physics 10/10L or Chem 32.



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PREREQUISITE GPA CALCULATIONInclude this form in your application packet with your transcripts.

Name: ______________________________________________________________Prerequisite G.P.A. Worksheet (See the example below)Step 1: Assign grade points – 4 grade points for an A; 3 for a B; 2 for a CStep 2: Add up the unitsStep 3: Add up the grade pointsStep 4: Divide grade points by units to find the G. P. A. for the prerequisite courses.Note: Placement test scores cannot be included. In this case, eliminate that prerequisite line.

ExampleCourse Units Grade Grade Points

A = 4, B = 3, C = 2Total Grade Points

BIO 108 4 C 2 8

BIO 112 4 C 2 8

Physics 10 3 B 3 9

Physics 10L 1 C 2 2

Chem 32 4 B 3 12

Math 40 or higher 4 A 4 16

TOTAL 20 55

Total Grade Points: 55 divided by Total Units: 20 = 2.75 G.P.A._______________________________________________________________________________________________

Include this table in your application packet with your transcripts.If a placement score was used, eliminate the units when calculating the GPACourse Units Grade Grade Points

A = 4, B = 3, C = 2Do not include placement test scores.

Total Grade Points

BIO 108 4

BIO 112 4

Physics 10 3

Physics 10L 1

Chem 32 4

Math 40 or higher 4

TOTAL

Total Grade Points ___________ divided by Total Units _____________ = ______________G.P.A



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PREREQUISITE PLACEMENT TESTING

Placement Testing Office: 415-239-3124Placement testing is no longer available for Algebra and English.

Waivers: 1. Math waivers are not accepted.2. Only courses completed within the specified seven year period for prerequisites are applicable. 3. Any prerequisite course completed beyond seven years cannot be waived. 4. Placement test scores, official transcripts, and some waivers from the Matriculation Department must be

included in the application packet when applying to the DMI program.

TRANSCRIPTS

1. Only official transcripts received in their original, sealed envelopes will be accepted2. High School courses, domestic or international, will NOT be accepted as meeting a prerequisite

requirement. 3. The DMI program does not have access to the applicant’s CCSF transcripts.4. CCSF transcripts may be obtained from the Transcript Department, Conlan Hall, Rm. E107.

International Student Transcripts:Transcripts must be translated and the evaluation must be a “detailed” or “comprehensive” report that includes a course-by-course review with unit value, grade, and lower/upper division breakdown.

FOREIGN CREDENTIAL EVALUATION SERVICES

COMPANY NAME WEB ADDRESS* FEE FOR DETAILED REPORT**

TURN AROUND TIME REQUIRED DOCUMENTS***

International Education Research Foundation, Inc. (IERF)

www.ierf.org $185.00 15 business days Certified photocopies; originals from some countries; English translations

World Education Service (WES)

www.wes.org $150.00 7 business days Originals from most countries; English translations

Academic Credentials Evaluation Institute (ACEI)

www.aceil.com $160.00 10 business days Certified photocopies; English translations

* On-line application is highly recommended ** Fees are subject to change without notice. *** Please refer to the company’s website for special document requirements for specific countries.

Prerequisites Taken at Other Colleges:Course equivalency must be determined by the appropriate Department Chair at CCSF. The applicant must submit the “Evaluation of Course Equivalency” form signed by the appropriate Department Chair of the course in question. This form is located in Conlan Hall, E107 or on the DMI program website: www.ccsf.edu/dmi.



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40 HOUR VOLUNTEERING REQUIREMENT

PurposeThe purpose of the 40 hour volunteer requirement is to expose a prospective applicant to the work environment of a hospital and the duties, tasks and skills required of a Radiographer. When a student is considering the investment of the time, effort, and resources to learning a new profession; it is imperative to invest substantial effort to research the field to determine whether it is a suitable career choice. To that end, prospective applicants are required to experience some time in a radiology department to observe Radiographers at work performing general radiographic procedures.

VOLUNTEERING GUIDELINES All applicants and hospitals must adhere to the following guidelines or the applicant will be disqualified:

1. Observe both patients and radiographers during general radiographic procedures for a minimum of 40 hours.2. This experience must take place in an acute care setting (hospital), and not at an ambulatory care setting (clinic) or

doctor’s office. a. Hours spent volunteering in healthcare settings other than in a hospital will not be credited towards the

prerequisite. b. The experience must be verifiable by completing the appropriate form provided in this packet.c. If the hours are not verifiable or total less than 40, the hours will not be accepted and will cause the

applicant to be disqualified.3. 40 hours of volunteering in a hospital-based radiology department observing technologists working with patients

performing general radiology examinations is required. a. Some hospitals may require students to complete 100 hours of volunteering. All hours beyond the 40 in

radiology can be done anywhere within the hospital system.b. Volunteering more than 40 hours in a radiology department will not improve an applicant’s chances of

admission to the program. 4. The seven-year time limit also applies to volunteering. All applicants must complete and submit either the official

forms contained in this packet or those from a prior application period. Objectives must be from current application year to be accepted.

a. The applicant must have the opportunity to observe Radiologic Technologists performing general radiologic examinations for at least 30 of the 40 hours required. However, the applicant may do all 40 hours in general radiography. General radiography areas include:

i. General Radiology (Skeletal Radiography, Chest X-Rays, etc.)ii. Fluoroscopy (Barium Studies, HSG, VCUG, RUG, Aspirations, Biopsies, etc.)

iii. Surgery (any surgical procedure)b. If the applicant wishes to also volunteer in a special modality other than general x-ray, they shall not

exceed 10 hours combined of the total. Exceeding 10 hours in a special modality will not be accepted as part of the total 40 hours required.Specialty modalities include:

i. Computed Tomography (CT)ii. Magnetic Resonance Imaging (MRI)

iii. Ultrasound (US)iv. Mammographyv. Bone Densitometry (Dexa)

vi. Interventional Radiography (IR)



13

VOLUNTEER HOSPITAL SUGGESTIONS

To begin the 40-hour volunteer prerequisite, contact the volunteer services department of any hospital. It is the applicant’s responsibility to contact the site, schedule the hours, and complete the requirement. The DMI Program is not responsible for placing prospective applicants in a clinical site to fulfill this requirement. The waiting list for volunteering may be up to one year or more at these hospitals.

If you live out of the area, any hospital will be accepted if the hospital can adhere to the guidelines found in this packet. Be sure the contact information is clearly written so the selection committee can verify your hours.Any unverifiable hours may disqualify the applicant.

Suggested hospitals in San Francisco:

1. University of California, San Francisco505 Parnassus Ave. San Francisco, CA 94143Contact: David Poon, Supervisor email: [email protected] Requirement: UCSF requires Anatomy and Physiology courses prior to volunteering. You must supply a copy of your unofficial transcripts showing proof of having passed these courses.

2. California Pacific Medical CenterVolunteer Services Website: www.cpmc.org Contact: Genie Gee, Volunteer Administrative AssistantT: 415-600-0374CPMC will require the student to volunteer for a minimum of 100 hours. If you cannot commit to these hours, please do not use this hospital.

3. Zuckerberg San Francisco General Hospital 1001 Potrero St., San Francisco

Contact: Harold Santos E-mail: [email protected] or [email protected]

4. Veteran’s Administration Medical Center 4150 Clement Street, 2nd Fl., San Francisco Contact: Tim Li T: 415-750-2039; E-mail: [email protected]

Or any hospital in any area that will adhere to the guidelines contained in this document.



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http://www.cpmc.org/


DIAGNOSTIC MEDICAL IMAGING PROGRAMVOLUNTEER HOURS VERIFICATION FORMMissing information may be cause for disqualification.

1. Include this official documentation with your application.2. Make additional copies of this form as needed.3. All signatures and phone numbers must be verifiable.4. Be sure to break down the hours between general x-ray and the modalities. 5. If you observe more than one modality in a day, separate the hours for verification purposes.6. The supervising technologist must initial the form and the initials must match those provided on the list below.7. Any missing information may be cause for disqualification.

Applicant Name: ______________________________________________Date___________________ Please Print

Hospital

Name, Address, Phone # of each hospital radiology dept. you volunteered in for this experience. If multiple hospitals, use a new form for each hospital.

Technologistdetails for verification purposes

1. Print the name of each technologist observed. 2. Include the work phone number and shift of each technologist and attach any verification received from the hospital.3. List each technologist’s email address or the email address of their supervisor.4. Have the technologist(s) initial this form for verification purposes.

1. Technologist Name (Print) 2. Wk Phone Shift 3. Email (Print each letter or symbol clearly) 4.Tech Initials

DATE(MM/DD/YY)

HOURS(8 to 4 = 8 hrs)

MODALITY (Gen. X-Ray, CT, MRI, US, IR, Mammo, Dexa)

Initials of Technologist

DATE(MM/DD/YY)

HOURS(8 to 4 = 8 hrs)

MODALITY (Gen. X-Ray, CT, MRI, US, IR, Mammo, Dexa)

Initials of Technologist

Total for Gen. X-ray=

Gen. X-ray=

Total of other modalities=

Modalities=

Grand Total Hours=

Grand Total

Use another page if more space is required. See #4 under “Volunteering Guidelines” for list of general x-ray and modalities.



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OBJECTIVES FOR VOLUNTEERINGInstructions

1. Please provide a brief answer to each of the following questions. Cutting and pasting your answers from the internet is not acceptable unless APA style of footnoting us utilized and a reference list is included.

2. The responses must be typed. These questions may be copied on another page for that purpose. Hand-written responses will not be accepted and will be cause for disqualification. Please follow this direction.

3. Your written communication skills are expected to be at college level. This includes sentence syntax, grammar and punctuation.

4. Yes or No responses are not acceptable, be specific or the question will be marked as wrong.5. Note that application screening includes the quality of answers, which indicate your research into

radiography. 6. Two or more incorrect or poorly answered questions are grounds for disqualification due to lack of research

and interest in radiography.

ObjectivesType your answers in the boxes provided. These pages must be included in your application packet.1. Describe and identify the educational background and job description of the following professions:

a. Radiologic Technologist b. X-ray Technicianc. Radiologist

Answer:a. Radiologic Technologist:

b. X-Ray Technician:

c. Radiologist:

2. During volunteering you have witnessed much communication between the technologist, the patient, co-workers, and physicians. Explain in detail how your communication skills (spoken and written) are at the appropriate level for this profession. Answer:

1. 3. List 10 of the examinations you observed that were performed by the radiographers and the type of patients that required these exams? i.e.: Age, gender, disease process, etc.

Answer:Type of exam Age Gender Disease or Accident

1.2.3.4.5.6.7.8.9.10.

2. 4. What type of radiation protection devices did you see the technologists use? (Give names of the types you witnessed.) What areas of the body were protected with each type and why?

Answer:

2019 Information and Application PacketCity College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program 16


3. 5. Does radiation remain in the room or the patient after the exposure has been made? If yes, for how long. If no, where does it go?

Answer:

4. 6. Are radiographers ever exposed to radiation? If yes, give examples. If no, explain thoroughly.

Answer:

5. 7. Is there anything radioactive within the diagnostic x-ray tube? If yes, what type of radiation? If no, how is the radiation created?

Answer:

8. During your research and observations about radiologic technology, is this profession stressful? Did you witness any stressful situations?

Explain in detail.Answer:

9. Describe how volunteering has enhanced your knowledge of radiologic technology.

10.Answer:



17

APPLICATION SUBMISSION AND SCREENING PROCEDURE

Important Considerations1. Applying to the program and/or completion of prerequisite courses does not guarantee admission into

the program.2. Candidates are selected by a random selection process for admission in the first available semester.3. The DMI program does not maintain a waiting list. Applicants not accepted may reapply the following

year.Application Pre-Submission Checklist

1. The application form must be complete.2. All prerequisite courses, except for English must have been completed after January 1st, 2012.3. The applicant must have an overall GPA of 2.0 or higher.4. All math and science prerequisite courses must have been completed with a collective GPA of 2.5 or

higher. 5. Prerequisite courses in progress will result in the disqualification of the application. 6. Official transcripts must be included for all prerequisite courses in the original sealed envelope including

those from CCSF.7. The 40 hours of volunteer service must be completed, and all official supporting documents must be

included with the application. 8. Any patterns of excessive withdrawals, incomplete, failing grades or repeated prerequisites may be

explained in an essay. (Excessive means four (4) or more incomplete courses, W’s, D’s, or F’s.) Writing an essay is not a guarantee the patterns/reason will be accepted.

9. Once submitted, applications, and all other materials become the property of the Radiologic Sciences Department and will not be returned. Please make copies of all documents for your reference.

Application Submission 1. All applications should be mailed using United States Postal Service certified or registered mail and must

be postmarked between August 1st and August 10th of the current application year. 2. Applications postmarked before August 1st or after August 10th of the current application year will be

disqualified. 3. All applications and supporting documents become the property of the Radiologic Sciences Department

and will not be returned. Please make copies of all documents for your reference.Screening

1. Application screening will begin after August 10th and last through the end of November of the current application year.

2. Faculty or office staff will not prescreen applications.3. There will be no discussion of application status until the random selection process has been conducted. 4. Applicants will be notified of their status by CCSF email once the committee has completed the

screening process.Admission

1. The applicant will receive notification utilizing their CCSF email address.2. The applicant must notify us of any change of mailing address, email address, or phone number. 3. All accepted students are required to attend a mandatory orientation meeting prior to the start of the DMI

program. Failure to attend the mandatory orientation meeting will be cause for dismissal.4. Admission to the DMI program is contingent upon successfully completing all health requirements,

background check, drug/alcohol screening, and attending the mandatory orientation meeting.Disclaimer: The DMI program is not responsible for notices not received.

Declined Admission 1. If a student is disqualified, to apply again the student must rectify all issues that caused the

disqualification. 2. If a student is qualified but not selected, to reapply during the next application period, the student must

submit a new application and other documentation except for volunteer verification which can be a copy from the previous application. However, volunteering objectives must also be from the current application period and not from previous years.



18

3. If a student is selected to begin the program during the random selection process, but decides to give up their spot, the individual must reapply to the program in another application year and begin the process over again. Application and documentation are the same as in #2 above.

4. For all re-applicants, the seven-year time limit on all prerequisites will apply to the new application date.

APPLICATION PACKET INFORMATION

All application packets must be submitted in the following order:

1. APPLICATION & disqualification statement if needed

2. COMPLETED PREREQUISITE GPA CALCULATION

3. 40 HOUR VOLUNTEER HOURS VERIFICATION FORM

4. OBJECTIVES FOR VOLUNTEERING

5. ALL TRANSCRIPTS IN THE ORIGINAL SEALED ENVELOPE. (including CCSF)

6. ANY PLACEMENT TEST WAIVERS, PLACEMENT TEST RESULTS, OR COURSE EQUIVALENCY FORMS

7. ESSAY (necessary if you need to explain problems with transcripts)

8. OTHER PERTINENT INFORMATION

9. MAKE A COPY OF ALL APPLICATION MATERIALS. THEY WILL NOT BE RETURNED.

APPLICATION PACKET DELIVERY

1. Applications should be mailed to the address shown below by U.S. Postal Service Certified or Registered Mail.

2. Be sure to use the post office online “Track and Confirm Products and Services”. This is the only receipt you will receive of your application being received by the Radiologic Sciences Department.

3. All application packets must be postmarked between August 1st and August 10th of the current year.

4. Applications and all documents must be included with the application at the time of delivery.

5. No documents may be added to the application once it has been delivered.

6. Make a copy of all documents for your files. All material becomes the property of the Radiologic Sciences Department office and will not be returned.

Delivery Address

Radiologic Sciences DepartmentDiagnostic Medical Imaging Program



19

City College of San Francisco50 Phelan Ave., Box S-68San Francisco, CA 94112



20

DIAGNOSTIC MEDICAL IMAGING PROGRAMAPPLICATION

PLEASE PRINT OR TYPE CLEARLYAll applicants must meet all CCSF entrance requirements and be at least 18 years of age.All prerequisites must have been completed after Jan. 1, 2012 to be accepted with the exception of English, which has no time limit. Applicants must complete and submit the official forms contained in this application packet. All contents of the application become the property of the Radiologic Sciences Dept. and will not be returned. All information must be complete for this application to be valid.

Have you applied before? Yes No Year(s) _____________________________

Were you qualified in the past? Yes No Were you disqualified/dismissed in the past? Yes NoIf you were disqualified or dismissed from the DMI program in the past, please include a written statement regarding how you improved to meet qualifications for this application that are documented and verifiable. (Please type response on another sheet of paper and include it attached to this application.)

1. Name _______________________________ ____________________________ ________ LAST FIRST MI

2. Address ______________________________________________________________________ STREET

__________________________________________________ _____ ___________CITY STATE ZIP CODE

3. Phone _________________________ _______________________ ____________________

HOME CELL WORK

4. CCSF Email Address (Required) ______________________________________________________ Student will be disqualified if CCSF address is not included. PLEASE PRINT CLEARLY

ALL APPLICANTS WILL BE CONTACTED BY CCSF EMAIL.

Alternate Email Address (Optional) ___________________________________________________ 5. Total number of college units completed to date: ______________

6. What is your overall college G.P.A.? ______________ If submitting multiple transcripts, provide the average GPA for all college work.

7. CCSF Student Identification Number: __________________________________________ (Required)You must be a registered student of CCSF to apply to the DMI program. If not currently registered, go to www.ccsf.edu (no cost)Student will be disqualified if the CCSF student ID number is not included.

8. Were you referred to us by anyone? Yes___ No___ _____________________________________ NAME OF REFERRAL PERSON

9. Have you ever been convicted of a misdemeanor or felony? No _____ Yes _____

If you answered yes to the above question read this section carefully: Before considering this program, it is imperative for you to contact The American Registry of Radiologic Technologists www.ARRT.org to determine eligibility for certification to practice radiology. In order to meet national certification requirements, disclosure of all misdemeanor and felony convictions must be made for the following reasons:

All affiliated hospitals require background checks prior to clinical placement. Clinical placement can be denied by hospitals if there is a positive screening result.

A positive result may be grounds for DMI program dismissal.

10. Do you have any physical, emotional, or medical conditions past or present which might interfere with your participation in this physically demanding and stressful profession? No _____ Yes _____

If yes, please explain: (Use another sheet of paper if necessary and attach to application)11. Previous Education: Include all colleges attended.



21

http://www.ARRT.org/

Name of School City State

Units complete

d

Degree

College:

College:

College:

College:

12. Prerequisites:

Requirement All prerequisites must have been completed after Jan. 1, 2012 to be accepted except for English, which has no time limit.

40 Hour Volunteering in a Radiology Dept.

Check if included in the application packet:

_____Volunteer Hours Verification Form

_____Objectives for Volunteering

Prerequisite Course

Note if you are submitting placement score or course equivalency form. **

Give the final grade or

Level of course you placed into based

upon placement test score.

College Name if taken at

another college

Course Number if taken at another college

Year and SemesterMust be

completed after 1.1.11

Elementary Algebra (Math 40 if taken at CCSF)___Algebra Placement Test score* placing into Math 60 or higher ___course equivalency form** Chemistry (Chemistry 32 if taken at CCSF) ___Chemistry Placement Test score placing above Chem 32 ___course equivalency form** Physics Lecture (Physics 10 if taken at CCSF) ___course equivalency form**

Physics Lab (Physics 10L if taken at CCSF) ___course equivalency form**

Human Anatomy (Anatomy 25 or BIO 108 if taken at CCSF)___course equivalency form**Human Physiology with a lab (Phys 12 or BIO 112 if taken at CCSF) ___course equivalency form**English (ENGL 93, 88A, 88 or ESL 160 if taken at CCSF) ___placement into ENGL 96 or 88B or ESL 170 or higher*___course equivalency form**

* Must provide evidence of placement test score.** Must provide course equivalency form(s) signed by appropriate Dept. Chair at CCSF

13. Though it is not a required prerequisite, have you completed DMI 49?

Semester: ___________ Final Grade ______ Not yet completed ______To the best of my knowledge, the information contained in this application is a true and correct representation of my qualifications. Not valid without signature. _________________________________________________________ ____________________

Signature of Applicant Date



22

City College of San FranciscoRadiologic Sciences Department

Diagnostic Medical Imaging Program50 Phelan Ave. Box: S68San Francisco, CA 94112

Email: [email protected]/dmi

2019 Information and Application PacketCity College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program 23


http://www.ccsf.edu/dmi

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