Working With Mayo Clinic Radiology Students

1. Working With Mayo Clinic Radiology Students

2. Objectives • Understanding the clinical rotation • Evaluate the tech’s role in student learning • Review the rules for completing the student competency forms • Recognize the importance of the student appraisal

3. Why Rules? • The Joint Review Committee on Education in Radiologic Technology promotes excellence in education and enhances quality and safety of patient care through the accreditation of educational programs. • Check out their website for more information. http://www.jrcert.org

4. Why Rules? • The radiography program has full accreditation (8 years) and will be re-evaluated in the fall of 2013. • Accreditation offers value to: • Students – knowledge, skills, and values to perform as a professional • Patients – assures patients that students have appropriate supervision during the educational process • Educators – assures that programs keep pace with the profession • Profession – provides consistent minimum education in the profession

5. Student Clinical Schedule • Semester 2 January – May (16 weeks) • 8 – Noon, Monday thru Friday • Semester 3-May – August (16 weeks) • 8 – Noon, Monday, Wednesday, Friday • 8 – 3:00 PM, Tuesday, Thursday • Semester 4-August – December (16 weeks) • 8 – Noon, Monday, Wednesday, Friday • 8 – 3:00 PM, Tuesday, Thursday

6. Student Clinical Schedule • Semester 5-January - May (16 weeks) • 8 – 3:00 PM, Monday, Wednesday, Friday • 8 – Noon, Tuesday, Thursday • Semester 6-May – July (12 weeks) • Schedule to be announced • Evening, Weekend, Night, & Elective rotations • Registry Review

7. What to Expect • Semester 2- observation, begin checklists, patient interaction, equipment set up, measuring, positioning Chest Examinations, Upper Extremity • Semester 3- begin mastering competency, Upper Extremity, Lower Extremity ,Chest Examinations, Abdomen • Semester 4- continue mastering competency, begin CT & Gastrointestinal/Genitourinary training • Semester 5- Gastrointestinal competency, continue CT • Semester 6- Completion of all competency exams, elective rotations, evening, night, and weekend rotations

8. Where do I Find the Students’ Clinical Objectives? The clinical objectives can be found in two places: In the students’ handbooks • On the program website at: http://mcjweb.mayo.edu/Education/Radiography/index.shtml or

9. Staff RT’s Responsibility • Ensure that the student acquires both the technical and professional skills of a radiographer without compromising the needs of the patient or the radiologist - Explain and demonstrate - Confirm student learning by providing feedback - Involve students through hands on experiences and practice - Challenge students’ critical thinking skills through questioning - Respect students opinions, value their input, and allow them some independence - Model professional behavior

10. Supervision • Until a student completes a competency on an exam, the student must be directlysupervised when performing that exam. • Direct Supervision requires the RT(R) to be physically present in the exam room during the entire exam.

11. Supervision • After a student completes a competency on an exam, the student can be indirectlysupervised when performing that exam. • IndirectSupervision requires the RT(R) to be immediately available to assist the student regardless of the level of student achievement. The RT (R) must be adjacent to the room or location where the radiographic procedure is being performed.

12. How Much In-Direct/Direct Supervision is needed? An RT(R) must always: • Review the request • Evaluate the condition of the patient in relation to the student's knowledge and experience. • Determine the level of supervision required based on time in the program and competency • Review and approve the radiographs

13. Portables, Surgical, Special Procedures • Portable, Surgical, and Special exams patients MUST ALWAYS be performed with direct supervision throughout the entire program.

14. Indirect Supervision • After demonstration of competency on an exam, a student may perform that exam with indirectsupervision. • Indirect Supervision requires the RT(R) to remain in an area physically adjacent to the exam room in order to be immediately accessible to a student who needs

15. How do I know if the Student has Competed an Exam Competency? • Link to competency Master • Program Staff • Look in the students clinical instruction handbook

16. Repeats, Repeats, Repeats • All repeated exposures must be performed under direct supervision, even if the student did not make the initial exposure Repeats

17. Procedure and Equipment Checklist • Purpose of Equipment & Procedure Checklists • To ensure students become familiar with the equipment and common procedures in each area • It is advantageous for students to complete Equipment & Procedure Checklists as soon as possible so they can apply that knowledge throughout the entire rotation.

18. Competency When can a Student Attempt to Demonstrate Exam Competency? After they have: • Studied the anatomy and positioning in the classroom • Mastered the practical and written exam for the exam • Observed the exam procedure in the clinical area • Performed the exam in the clinical area • Declares his/her readiness

19. Who can determine that a student is competent? The individual must be an RT(R) • Clinical Instructor • Staff Radiographer (after training session) • Supervisor/Lead Radiographer A training session on how to perform a competency for students is on the Internal Program web site under Technologists and then staff training: http://mcjweb.mayo.edu/Education/Radiography/index.shtml

20. Competencies with More Than One Projection • Example – the lumbar spine competency includes the AP, lateral, and spot radiographs. • All 3 radiographs must be completed satisfactorily in the first attempt in order for the competency to be completed. • And, all three radiographs must be completed on the same patient.

21. Automatic Failed Competency Student did not: • Verify : ID, Exam, or Pregnancy status • Foam in and out • Correctly position • Have a Visible RT or LT marker • Correct alignment of Central ray and patient • Correct alignment of tube and image receptor • Accurate measurement and technique selection

22. What if a Student Fails a Competency? • It is considered an attempted competency Attempted competencies do not negatively affect the student’s grade, but provide a record of their effort. A competency form must be completed for all attempted competencies

23. Appraisals • Completed Weekly by technologist the student was with the most • Completed Weekly by Image control if student has been under indirect supervision • Spend a few minutes with the students discussing a goal and an achievement • The appraisal is part of the clinical grade

24. How Should Staff Address an Concern? Ways to communicate with the program • Written on the appraisal form • Telephone Stan Olejniczak, MS., RT ( R ) 3-8663 Sharon Jacoby, RT ( R ) 3-7698 • E-mail

25. Take the Test

26. Test 1.The students must have a RT or LT pre exposure marker visible on the image to pass the competency? Yes> N

27. Test 2. Students can perform repeat radiographs if they did not make the error? Yes No >

28. Test 3. Students can do a portable exam if they have mastered competency? Yes No >

29. Test 4. The appraisal is a part of the students clinical grade? Yes > No