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COURSE SYLLABUS

1. TITLE OF COURSE: RADIOGRAPHIC INTERNSHIP III
PREFIX/NUMBER: RTE 183 CREDIT HOURS: 7
2. PREREQUISITE: RTE 182
3. RESOURCES NEEDED:

TEXT:

 Ballinger and Franks, Merrill's Atlas of Radiographic Positions and  Radiologic Procedures, Mosby, 1999

Record of Clinical Exams, 6"x9" Journal

Competency Based Clinical Education for Student Radiographers

SUPPLIES:

 Film Badge, Lead Markers, Name Tag, wrist watch with a second hand, liability insurance, and protective eye wear.
4. COURSE DESCRIPTION: PRQ: RTE 182. Reinforces the basic concepts of Clinical Internships I and II.
5. COURSE GOAL: This course is a continuation of supervised clinical education in general roentgenographic and fluoroscopic procedures. Students gain experience in advanced techniques and are able to accomplish the department's standard procedures under limited supervision. Included is two hours a week of film critique, provided by the clinical instructor. Students are required to work as scheduled in approved clinical affiliates. Schedules include evening and week-end work. No alterations or changes will be made without prior permission by the clinical instructor. No clinical credit will be given for unscheduled hours.
6. COURSE OBJECTIVES:

The student will be able to:

A. Produce, under direct supervision of a Registered Radiologic Technologist and/or Board Certified or board Eligible Radiologist, general radiographs of the appendicular and axial skeleton, thoracic contents and abdominal viscera, and skull.
B. Process the resulting radiographs .
C. Participate with an R.T. and/or Radiologist in evaluating the radiographs quality and positional correction of the resulting radiographs when possible.
D. Transport patients when necessary.
E. Assist Radiologist during fluoroscopy.
F. Develop competency in simulated situation in procedures of the appendicular and axial skeleton, skull, chest, abdomen and contrast studies.
7. EVALUATION PROCEDURES:
A. Attendance 20%
B. Evaluations 20%
C. Clinical Final 20%
D. Clinical Exam Book & Journal 20%
E. 90% Radiographic Film Examination 20%
Grading Scale
Raw Score Range		 Letter Grade
93 to 100 A
85 to 92 B
77 to 84 C
69 to 76 D
0 to 68 F
Special Remarks:
A. Attendance in clinical area:
A very important part of the student's success in radiology, both before and after graduation, concerns his or her ability to assume responsibility for appearing promptly at the correct time, day and place to perform clinical duties. This area will be watched closely by your clinical instructor, using your time card for accurate evaluation.
A minimum of 315 clinical hours  are required.
Points:

100%

 = 0 days absence

92%

 = 1 day absence (unexcused)

84%

 = 2 days absence (unexcused)

76%

 = 3 days absence (unexcused)

0%

 = 4 days absence (unexcused)-suspension from the clinic
On the fourth day of absence the student will be suspended from the clinic. If the student wishes to be reinstated a petition must be examined as to his/her clinical competency by means of written and practical test in clinical procedures.
Suspension from the clinic will result in an "F" grade for clinical attendance. Upon reinstatement, the review committee will determine the percentage score for attendance not to exceed 60%.
Tardiness in excess of two times per semester will result in your clinical attendance grade average being lowered by 1 point, plus 1 point for each additional two tardies.
ABSENCES: All absences must be reported fifteen minutes prior to start of shift at the affiliate where the student is assigned. All absences will be made up as scheduled by the clinical instructor.
Any absence not reported will be considered as an additional absence and an additional make up.
No Clinical credit will be given for unscheduled hours.
NOTE: Excused absences are those in which the student provides an authorized written excuse to the instructor no later than one week after the absence. After that time period it will not be accepted. (i.e., physician, court appearance, car towing bill, car repair bill, etc.)
St. Mary Corwin Hospital 560-5060
Parkview Episcopal Hospital 584-4550
B Evaluation by R.T. or Clinical Instructor

POINTS

RANGE

4

-

A

3.5

-

4.0

=

A

93

-

100%

3

-

B

2.5

-

3.4

=

B

85

-

92%

2

-

C

1.5

-

2.4

=

C

77

-

84%

1

-

D

.5

-

1.4

=

D

70

-

76%

0

-

F

0

-

.4

=

F

69

-

Below
A minimum of four (4) satisfactory evaluation of performance by clinical instructor or R.T. are required.
C. Knowledge of clinical area:
A final exam will be given based on the knowledge accumulated during your clinical assignments.
POINTS AWARDED
93 -

100%

 = A
85 -

92%

 = B
77 -

84%

 = C
70 -

76%

 = D
69

& Below

 = F
D. A.S.R.T. Record of Clinical Experience Book:
4.0

A

 Completion of 50 exams

+

 20 competencies =

100%

3.0

B

 Completion of 40 exams

+

 20 competencies =

92%

Completion of 20 exams

+

 Less than 20 competencies

=

Incomplete

2.0

C

 Completion of 30 exams

+

 20 competencies

=

85%

Completion of 30 exams

+

 Less than 20 competencies

=

Incomplete

1.0

D

 Completion of 20 exams + 20 competencies =

70%

Completion of 20 exams + Less than 20 competencies =

Incomplete

0 F Completion of 10 exams

0%

Both requirements must be met for grade qualification.
NOTE: A student who does not complete 20 competencies will get an Incomplete grade for the semester. The grade will be changed the following semester whenever the student completes the 20 competencies. Students must be aware of the fact that an Incomplete grade may affect their GPA necessary for scholarships, grants, financial aid, etc.
E. 90% Radiographic Film Examination:
Three Radiographic Film evaluations are required, any less number of exams will result in an "F" grade.
The exam presented must be passed with 90% accuracy or the exam will be disqualified.
The three grades will be averaged for a final grade in this area.
No more than two (2) exams in one body area to include: upper extremity, lower extremity, spine, skull, contrast studies.
The student and the instructor will critique the "90%" radiographic film examination.
A minimum acceptable grade for a course in your major is a "C".
Any student reporting to the clinical affiliate who is not dressed according to the student dress code will be sent home immediately. The time missed must be made up. On the third occurrence the student will be suspended form the clinic until the student can prove that he/she can follow the dress code.
CLINICAL COMPETENCY OF EXAMS
Students are required to perform exams and these exams are to be evaluated on request of the student by a technologist or clinical instructor. The student must perform the exam and set the technical factors in order to prove competency (phototiming is acceptable). At any time during the exam if a technologist or clinical instructor observes the student doing something that will cause the exam to be repeated, the evaluation is terminated. (i.e., Setting a technique of 10 mAs instead of 1 mAs for a finger, forgetting to center the bucky tray to the CR, angling cephalic instead of caudal.)
No set number of exams are required for this semester; however, the student understands that the clinical competency book must be completed by the end of the program in order to fulfill graduation requirements. (Projections that no longer are performed will be excluded.)
If exams are not available in the x-ray department, the student will be able to simulate the exam in the clinic. The clinical instructor will evaluate the exam and the estimated technique to be used. NO MORE THAN 6 EXAMS CAN BE SIMULATED. The student must make every effort to check off competencies on patients.
The exams must be passed with a minimum of 75% accuracy and in a reasonable amount of time (not to exceed 2.5 minutes per projection) to prove competency.

CLINICAL EDUCATION

Objectives for Clinical Competency
The student’s clinical education begins in the classroom where the theory for each clinical objective is taught utilizing audio-visuals and appropriate teaching aids. The laboratory experience accompanies the classroom theory. In the laboratory the student learns to put the theory into practice.
Laboratory classes are taught in both positioning and principles of technical exposure. These are evaluated by manipulative performance evaluations using the same evaluating tool that is used at the clinical sites in actual practice. New procedures are first taught in the classroom, demonstrated and practiced in the energized laboratory when practical, and then evaluated by the laboratory instructor. After the student has been proven competent to perform a procedure in the laboratory, the student is allowed to perform this procedure at the clinical site on patients.
At the clinical site, the student performs the procedure under the direct supervision of a Registered Technologist. The parameters of direct supervision are:
1. A qualified radiographer reviews the request for examination in relation to student achievement.
2. A qualified radiographer evaluates the condition of the patient in relation to the student's knowledge.
3. A qualified radiographer is present during the conduct of the examination.
4. A qualified radiographer reviews and approves the radiographs.
5. Unsatisfactory radiographs will be repeated only in the presence of a qualified radiographer regardless of the student's level of competency.
When the student feels confident in performing the procedure, he/she requests an evaluation. The clinical instructor then evaluates the student performing the procedure on a patient. (See the following sample evaluation tool.)
If the student is proven competent on this evaluation, he/she will be allowed to perform this procedure on patients at the clinical site with a minimum of direct supervision. After performing this procedure with minimum supervision, the student requests a final competency evaluation.
Upon passing this evaluation, using the same tool, the student will be deemed competent for the procedure. (All evaluations must be 75% or above to be passing.)
A student who is deemed competent for a particular procedure will continue to practice the procedure under the indirect supervision of an immediately available qualified radiographer. Once the student has obtained abilities adequate to perform the exam, the student's goal will be one of developing proficiency with continued practice of the procedure.
8. METHODS OF INSTRUCTION:
To be successful in this course, students are expected to participate in discussions, readings, in-class writing, and peer review activities. The instructor may assign point values to such activities.
9. ACADEMIC INTEGRITY:
The very nature of higher education requires that students adhere to accepted standards of academic integrity. Therefore, Pueblo Community College has adopted a policy of academic conduct as described in the Student Handbook. Violation of academic integrity may be defined to include the following: cheating, plagiarism, falsification and fabrication, abuse of academic materials, complicity in academic dishonesty, and personal misrepresentation. It is the student’s responsibility to be aware of the behaviors that constitute academic dishonesty. Sanctions for violating the standards of academic integrity may include warning, probation, suspension, and/or failure of the course or assignment at the discretion of the instructor. 
10. ADA NOTICE:

Students who have a documented disability may be eligible to receive accommodations for this class. Please contact the Disability Resources Center at 549-3446 for further information.