The Evolution of Education in Radiologic Sciences The

The Evolution of Education in Radiologic Sciences: The impact of the 21 st century Sandra W. Beliveau, B. S. , R. T. R Clinical Coordinator NHTI – Concord’s Community College

Objectives • Understand compliance regulations with JRC accreditation agency • Identify technological changes occurring in curriculum • Visualize and discuss the benefits of electronic system used in imaging programs • Recognize societal changes of the imaging student and the impact of social media • Project the future of Radiologic Sciences

Overview of programs • Rad Tech program (AS Degree) – 1970 -12 Students - 7 hospital sites – 2014 - 64 students - 22 hospital sites and 6 clinics • Ultrasound program (Certificate) – 1988 - 10 students - 17 hospital sites – 2014 – 8 students – 20 hospital sites – Addition of Clinical Coordinator and Academic Adjunct • Radiation Therapy program (AS Degree /Certificate) – 2003 -14 Students – 7 hospital sites – 2014 – 14 Students – 7 hospital sites • Ortho technologist program (AS Degree /Certificate) -2008 -20 students – 10 hospital sites -2014 – 27 students – 20 hospital sites -Addition of a Academic Adjunct

History of NHTI 1970 – 1 st classroom/lab 1995 - 2 nd lab

The 1 st modality 1988 - Ultrasound lab

Joint Review Committee • Radiology accreditation • 2004 – 10 year maximum status • Strengths – Faculty – Diverse clinical facilities – Curriculum – Established college

Compliance with Standards • Standard 1 - The program demonstrates integrity in the following: – Representation to communities and the public – Pursuit of fair and equitable practices – Treatment of, and respect for, students, faculty, and staff. • Standard 2 -The program has sufficient resources to support the quality and effectiveness of the educational process • Standard 3 - The program’s curriculum and academic practices prepare students for professional practice • Standard 4 -The program’s policies and procedures promote the health, safety, and optimal use of radiation for students, patients, and the general public • Standard 5 - The program develops and implements a system of planning and evaluation of student learning and program effectiveness outcomes in support of its mission • Standard 6 - The program complies with JRCERT policies, procedures, and standards to achieve and maintain specialized accreditation

Curriculum • Computed and Digital Technology – Change/adapt/modify positioning patients – Exposure factors are more abstract – Radiation protection “over-exposing” • Positioning – Addition of computed and digital didactic information and removal of film/screen technology – Gallbladder and Biliary duct – T-tube cholangiograms and ERCP’s – Mastoids and petrous pyramids

Curriculum • • Film Tomography Dexa and Mammo Didactic CT CT rotation Clinical hours Variety/Volume/1: 1 capacity

Curriculum • Repeat Policy – The presence of a qualified radiographer during the repeat of an unsatisfactory image assures patient safety and proper educational practices. A qualified radiographer must be physically present during the conduct of a repeat image and must approve the student’s procedure prior to re-exposure. • Indirect/Direct Policy – Students must be under direct supervision while achieving competence. Direct supervision is defined as the registered radiographer must review the request for examination in relation to the student achievement, review the condition of patient in relationship to student’s knowledge, be present during the examination and review and approve the radiographs. Once competency has been achieved, the student will be under indirect supervision. Indirect supervision is defined as the radiographer must review, evaluate and approve procedure and is IMMEDIATELY available

Clinical Electronic System • Trajecsys – Online Time Records, Evaluations, Skill Check-offs and Activity Logs for Educational Programs • • Efficient – eliminates 2 inch binder of paperwork Statistics – time, procedures, performance level Immediate viewing- off-site review User friendly – easy to utilize

Time entry • 2/13/2013 CMC 7: 54 CMC 4: 02 wpis-243 -23 -1234 Carol Greenwood A • 2/14/2013 • 2/14/2014 CMC 8: 00 CMC 4: 00 tpid-123 -65 -5478 wpis-243 -23 -1234 Carol Greenwood U Carol Greenwood • 2/15/2014 CMC sick tpid-123 -65 -5478 Carol Greenwood A

Documents • Syllabi • Clinical Manual • Student/Clinical Supervisor email addresses • Evaluation forms

Announcements STUDENTS • Wednesday March 10 – Attention Seniors – No clinic on Thursday due to impending weather. Submitted by Sandy • Tuesday March 4 – Attention Freshmen – Clinical Conferences will be held this week after lab. Submitted by Sandy SUPERVISORS • Monday Jan. 23 – Please review the hospital orientation sheet located in the students books by weeks end. Submitted by Sandy • Friday Feb. 18 – Mid semester evals are due by March 3. Submitted by Sandy

Faculty reports SUPERVISOR FEEDBACK: (Adjunct visit 10/13/13) Reported by Adjunct Sarah Marsh Louise is pleased with Kayla’s clinical performance to date. She reports that she takes initiative and leads exams. She has been able to gain ortho experience on Wednesdays. STUDENT FEEDBACK: Kayla is confident with her overall clinical progress. She is looking forward to doing her senior presentation this week at school She wants to get into the OR and get more familiar with the Carm and cases. NEW GOALS: 1. Review Carm with supervisor until you are competent and can demonstrate that you are familiar with all movements and options. 2. Focus on completing remaining comps. If you have not completed by 11/2/13, simulate with supervisor and document on COE. 3. Review pedi chest criteria OVERALL IMPRESSION: We reviewed L-spine and Ribs today. Kayla is performing at a level appropriate for her level of education. She has completed 25 mandatory and 14 elective comps. Kayla continues to work toward clinical excellence. Thank you Sarah for your visit today! I will heed your advice and focus on the exams that I have left. Your support always gives my confidence a boost and I know that my hard work has paid off. I will work on my goals and complete my comps within the next few weeks. KAYLA JONES.

Procedures and Skill level STUDENT 1 • Exam Observed Assisted Chest 3 6 Abdomen 2 10 T-spine 5 3 TOTAL EXAMS TO DATE: 23 Performed 10 5 8 Total exams performed: Date tested 3/10/14 2/13/14 1/15/14 Repeats 4 0 2 23 Student 1 (this log sheet) 35 Student 2 (other log sheet) 50 Student 3 (other log sheet)

Societal changes • Students – Most hold 1 -2 jobs/Overnight shifts/3 -4 days – 50% families to support • Spouse/children/extended family – 3 year track – General studies – Age 18 -55

Social Media • Facebook – Communication tool for students – Trade study material – Discussion of leadership activities – Moral support – Messages for absent students • I-phones • Communication tool with Instructors

Future of Radiologic Science • BS degree – World cultures – Academic writing – Didactic training in MRI/CT/QA • Stringent Continuing education • Core competencies – Critical thinking/problem solving – Flexibility – CT mandatory – Writing skills – Mindful communications • Multi-modality • Didactic training for technologists

Faculty Kevin Barry Dept. Head Sandy Beliveau Clinical Coordinator Patty Lenza Academic Faculty Lori Hine Clinical Faculty Stacie Mc. Allister Clinical Faculty Nancy Moffett Academic Faculty

Future Faculty Program Director Academic faculty Clinical Coordinator