Radiologic Technology Advisory Committee Agenda March 23, pm 67A-123

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Industry Representatives/Company Name Mt. SAC Faculty, Deans, and Staff Monique, Program Director Stanley Mbuthi, Counseling Liason Matthew Valencia, 2 nd year Student Rep Paulette Engisch, Clinical Coordinator Paul Harryman, CI Mat Chakerian, 1 st year Student Rep David, McLaughlin, Faculty Cristina Lopez, CI Carlo Dinglasan, CI Jemma Blake-Judd, Division Dean Danielle Bogle, CI Raymond Medina, CI Mark Mathews, Kaiser Supervisor Janet Rios, CI Hera Nal, CI Welcome and Introductions Division Dean/Associate Dean New Faculty & CI s Purpose of Advisory Approval of Minutes Mandatory McLaughlin Review of Fall 2014 minutes, questions (see attachment) Minutes approved with no revisions Advisory-Driven Program Improvements to date Curriculum Modifications: Recap of advisory driven improvements to curriculum to since the last meeting Advisory supported RT degree modification effective Summer 2016 o All AS degree requirements & science prerequisites (PHYS1, ANAT10A, ANAT10B, MEDI90) need to be completed prior to admission o Challenges 1

Donations Supplies o Kaiser book donation in Fall 2015 Equipment o Advisory supported seeking funds o Rayence DR system installed Spring 2015 Funded by State Instructional Equipment funds Grant Funds Advisory supported program is seeking funds Title V money funding 3 professional experts and 2 program tutors o Provide increased access to lab o Tailored one on one academic & remediation support Student survey data indicates o 100% of the students surveyed (20) reported that the open lab helped them prepare for their tests. o 90% of the 20 students agreed that they would have been less successful in the course without the tutors. Increased retention rate from 51% for Class of 2014 to 79% for Class of 2015 2

Program Effectiveness Data See Attachments Clinical Orientation Requirement Added JRCERT requirement (standard 4.8) This was also a 2 nd year student request in Fall 2014 Revision of Clinical Attendance Policy New policy allows up to 1 hour adjustment Request from Kaiser & other sites in Fall 2014 to allow for more flexibility in sending students to OR 2015 2014 2013 Program Completion Rate (Degrees) 79% 51% 90% Although the program benchmark of 75% has been met, the program continues to seek methods to increase this rate. See attachment for attrition reasons- : Program is open entry, first come- first served. Possibility of college supporting implementing point system for selection of students, merit based system. Will discuss again as more information is provided. PCR increased after adding additional learning resources (open lab & tutoring). Shared Title V survey data. Will continue to monitor use of 3

resources. Revision of program admission requirements will also impact PCR. All general ed must be completed prior to program admission and Phys I is now a science pre-req. Will observe effect of physics being a prerequisite. Counseling is advising students to complete study skills course. Program is making the same recommendation on website and program publications. Not sure if students are actually taking the courses. Credentialing Exam Pass Rate 2015 2014 2013 89% 89% 83% ARRT National Average 88.4% 88.9% 89.6% Program 5 year average is 90%. Although 5 year avg benchmark of 75% has been met, the program is working on increasing this rate. : Instructional interventions in relevant courses for section C of ARRT exam. Purchased additional learning resources- ASRT digital imaging modules Reorganization of program review course. Stan will provide Monique with a survey to assess program students. Need to find out if students are taking the recommended study courses. If students are taking the courses, we need to know if the courses are helping them feel better prepared and helping them succeed. 4

Moving digital course later in program course sequence. See ARRT Reports & National Comparison Chart Data discussed 2015 2014 2013 Job Placement X 92% 100% Rate Program 5 year average is 86%. Although 5 year avg benchmark of 75% has been met, the program would like to see this rate continue to increase. Challenges in collecting data 1 yr postgraduation. Low return rate. Many employers & alumni reaching out to program staff seeking graduates for referral. Survey being revised Kaiser- Discussed program s role in preparing students for job seeking (interviewing, resume building, networking, etc) o Discussed the importance of graduates knowing their audience and the culture of the facility prior to the interview. o David does work on resume and cover letter in RAD64 o Resources are available on campus to help with job placement and career prep o Infrastructure is in place within the Monique will connect with Jemma and/or Rachael to coordinate access of the college career resources/prep for 5

college- we just need to access it 2015 2014 2013 Graduate Satisfaction 93% 96% 97% Graduates continue to be satisfied with program Will establish a program benchmark of a minimum 5 year average of 90% Survey being revised Discussed weaknesses identified by students. No major areas of concern program grads. Will include selfmarketing strategies. 2015 2014 2013 Employer X 96% 89% Satisfaction : Employers continue to be satisfied with entry level skills of program graduates. See attachment for comments on strengths and weaknesses- discussed o No major areas of concern o Graduates complain too much was only repeated weakness o Need to continue emphasizing to students that clinical rotation is an Will share strengths and weaknesses with current program students. Reviewing this data may be helpful in communicating to grads what employers like and what they don t like 6

Program Assessment Process/ Program & Student Learning Outcomes McLaughlin Program Assessment Plan Review extended interview. Need to make a good impression and have good work ethic Will establish a program benchmark of a minimum 5 year average of 90% Survey being revised 2015 Course & Program student learning outcomes Share and discuss 2014-2015 findings/analysis Discussed the importance of accurate student evaluation Data from evaluations is used to assess student learning outcomes and to asses course/program effectiveness. o Program needs accurate assessment of students to implement appropriate changes No further input provided by advisory Will be modifying per feedback from JRCERT 2014 Self Study Discussed plant to establish new program assessment plan moving forward Working on cleaning up our goals, student learning outcomes, and correlating measurement tools, benchmarks and timeframes to the student learning outcome. Will assure assessment measures are adequate in measuring student learning outcomes. Monique will email revised program assessment Advisory strongly supports establishing new program assessment plan based on the program current mission statement, revised goals, and revised SLO s. All revisions approved by 7

plan when complete o Need advisory input and approval to revise assessment plan Mission Review/discuss mission statement No changes proposed by program faculty or committee Agreed that program s mission statement is consistent with the College s mission & clearly defines the purpose or intent toward which the program s efforts are directed. No revisions will be made Goals & Student Learning Outcomes (see attachment for proposed revisions) JRCERT- Develops an assessment plan that, at a minimum, measures the program s student learning outcomes in relation to the following goals: clinical competence, critical thinking, professionalism, and communication skills. Review goals & SLOs o Changes made to all 5 goals, added SLO #4 to goal one, added SLO #3 to goal three, and added SLO#3 to goal four committee today. Monique will email completed plan to all advisory member once complete CA Department of Public Health- Update on 2015 State inspection 8

Radiologic Health Branch McLaughlin Summary of Current and Projected Employment Outlook Targeted report provided by Center of Excellence Director, Lori Sanchez Some sites did not have pregnancy policy with desired wording. All affected sites corrected policy on the spot Radiation protection plan- program did not have designated Radiation Safety Officer or alternate RSO with responsibilities clearly delineated at the time of inspection. Labor Market Information (LMI) Data The Labor Market Information Division (LMID) is the official source for California Labor Market Information. The LMID promotes California's economic health by providing information to help people understand California's economy and make informed labor market choices Current Job Openings All issues have been corrected SOC Occupation 2015 Jobs 2020 Jobs 5-Year Change* 5-Year % Change Annual Openings Openings** Median Hourly Earnings Typical Entry Level Education 29-2034 Radiologic Technologists 4,999 5,448 449 9% 165 823 $34.02 Associate degree *Job growth or job loss **Openings = new jobs created + job openings due to separations Region: Los Angeles County, CA 9

SOC Occupation 2015 Jobs 2020 Jobs 5-Year Change* 5-Year % Change Annual Openings Openings** Median Hourly Earnings Typical Entry Level Education 29-2034 Radiologic Technologists 7,107 7,802 695 10% 246 1,229 $33.33 Associate degree *Job growth or job loss **Openings = new jobs created + job openings due to separations Regions: Los Angeles + San Bernardino + Orange Datarun: 2015-2020 Source: 2015.4 QCEW Employees, Non-QCEW Employees, and Self-Employed Alumni Input Survey results Employment status o Class of 2013-100% o Class of 2014-92% o Class of 2015- TBA Completer satisfaction with the program o Class of 2013-97% o Class of 2014-96% o Class of 2015-93% Valuable suggestions for improvement- no recent alumni present as those who were 10

Student Representatives contacted were all working and unavailable. That is good! Matt Valencia (2 nd yr) o Going in blind to surgery Monique made recommendation to have RT communicate to the student what the expectation is prior to entering OR o Some facilities are not providing students with more than the minimum number of sign offs required to pass the course This seems to be an issue at one particular facility. Students are then forced to catch up at other facilities. Paulette and Monique clarified with CI s that are present the program requirement for sign offs. CI s will inform students of expectations prior to entering OR Clinical Coordinator will meet with the facility to clarify clinical sign off requirements Mat Chakerian (1 st year) o First year students are having the same issue with the sign-offs as second year students o Issue of not having any breaks on 8 hour days Kaiser follows letter of the law Other facilities break students, CI s will clarify with students what the policy or process is at the facility for breaks Clinical Coordinator will communicate 11

Advisory Input Changes in Technology: None identified some consider down time their break, USC is too busy to break them Clarified with sites that students are supposed to get a break. The manner in which breaks are provided is up to the site Hiring Preferences and Practices: What are the characteristics/skills sought in new hires? What skills are lacking in current applicants? How can we better prepare students for employment? on the following: o More interview preparation o Issues with HIPAA, correct patient, correct exam Program addresses this topic in the beginning of the program and at the end in the program in the review course. This issue is also addressed continuously in clinical training Matt Chakerian- Suggested having an RT teach the nursing procedures course (RAD91) rather to CI s not present that student need clarification on break policy/process Both student representatives will report back to their class with a summary of today s meeting and response to their questions/concern. 12

than an RN. Students want to know the RT s point of view and what the RT s role is in nursing procedures. o The idea of shared teaching was discussed to include the RNs point of view and the RTs point of view o Or maybe a Rad RN to teach Matt Valencia o HR director to speak to class to inform grads of some strategies o This would be very helpful External Factors impacting the industry: ARRT structured education requirements for advanced modalities o Program is offering programs to meet the educational needs of RT s pursuing CT & Mammo Program curriculum ensures techniques and procedures are reflected The program will continue to discuss options here. Clinical Coordinator Update Engisch Clinical Instructor Handbooks Revised (see CI handbook) o Added the following policies: MRI safety policy Competency based clinical education policy 13

o Revised the following policies: Student injury policy Drug testing policy Medical marijuana cards or prescription, leads to positive test, program will leave it up to the facility to decide if the student can train there Direct & Indirect Supervision Policy Revised Competency Ruler (see attachment) o Reflects new ARRT clinical competency requirements Revised General Patient Care Evaluation (see attachment) o Reflects new ARRT clinical competency requirements o Patient care competencies should be performed manually. Can be simulatedsee simulation guidelines. New RT Clinical Affiliations o CHOC (Aug 2016) Will implement use of the new ruler and general patient care evaluation now ASRT Clinical Instructor Academy (8 cat A credits) Standard 3.8 Documents that the responsibilities Paulette will contact all CI s when course arrives. Once course is 14

Surveys Engisch of faculty and clinical staff are delineated and performed. o Clinical Instructor(s): Is knowledgeable of program goals, Understands the clinical objectives and clinical evaluation system, Understands the sequencing of didactic instruction and clinical education, Provides students with clinical instruction and supervision, Evaluates students clinical competence, Maintains competency in the professional discipline and instructional and evaluative techniques through continuing professional development, and Maintains current knowledge of program policies, procedures, and student progress. Student Evaluation of Clinical Instructors & Student Evaluation of Clinical Facility and Staff Discussed the following: o Repeated weakness/comments: completed, CI s will update their CV s or resumes and send to Paulette Monique will update CV s or resumes with the JRCERT 15

2 year Requisite Review- Mandatory (1/2 of courses must be reviewed each year- Program due for all Course Title Compliance with direct and/or indirect supervision. o Students are responsible for complying with the policy regardless of the situation. Students not complying with policy will be placed on probation or dismissed from the program. o Reiterated supervision policy and definitions of direct and indirect supervision with committee. o We need staff and CI s to support the policy at all times. This is a JRCERT standard and state regulation. o Ensure all students are held to the same standard for procedure evals/sign offs. o Review revised surveys (see attachments) Recommendation for improvement? Any additional data CIs would like to collect? Current Pre-requisite (PR), Co-requisite (CR), Advisory (A) Appropriate Requisite Y/N CI s will review surveys and will let Monique know if any revisions are requested Advisory Comments/Recommendations: Sample: ELEC 51 (A) Y Samples: Advisory pre-req is appropriate/ Maintain 16

courses) Due date: May 15 See Attachment ELEC 12 current advisory prereq for ELEC 12 Curriculum Review -Mandatory Due Date: 4 year review & Modifications May 15 Course Title 4 Year Review Y/N Modification Y/N Advisory comments Recommendations See Attachment ARRT All No courses due for 4 year review ARRT Changes to Radiography Content Specifications & Clinical Requirements Will make changes to course topical outlines and course measurable objectives to comply with March 2016 changes to ARRT content specifications, and didactic & clinical competency requirements. (See ARRT attachment ) Advisory approves Advisory approved of all curriculum changes to comply with ARRT content 17

Revised documents provided Discussed summary of changes and how they will affect program courses Need advisory approval to modify program courses to comply with changes specifications and clinical requirements Community Education Courses McLaughlin Computed Tomography (CT) Registry Exam Prep 1/16 & 1/17, 2016 Sat, Sun 8:00 AM - 5:00 PM ASRT approved for 16 CEU s Tuition: $249.00 Mammography Initial Training Course $950 ASRT approved for 46.75 CEU s Instructor- Diane Hockett Scheduled for 3/7/16-4/20/16, M & W 6pm- 8:30pm 17 students enrolled Clinical training at Alinea, ICMC & Kaiser JRCERT McLaughlin JRCERT Fall 2014 Self Study Report JRCERT Site Visit Schedule for May 12-13, 2016 o No agenda received from JRCERT yet Sites to be visited 18

Mammography Program See Attachment Kaiser Permanente Hospital-Baldwin Park - Baldwin Park, CA Keck Hospital of USC - Los Angeles, CA Methodist Hospital of Southern California - Arcadia, CA CI s to be present on campus Citrus Valley Medical Center - Inter- Community Campus - Covina, CA Citrus Valley Medical Center - Queen of the Valley Campus - West Covina, CA Garfield Medical Center - Monterey Park, CA Montclair Hospital Medical Center - Montclair, CA Monterey Park Hospital - Monterey Park, CA San Gabriel Valley Medical Center - San Gabriel, CA Site Visit Preparation Checklist (see attachment) Potential interview questions emailed to all CIs & Students on March 13, 2016 (see attachment) Begins Spring 2017 (22 weeks) One 3 unit didactic course Clinical training during RAD3C and RAD4 Program includes: Open to current RT program students only Need to hire a Mammography instructor 19

MQSA and RHB 40 hours of documented training specific to mammography requirement ARRT 16 hour structured education requirement & content specifications for the mammography examination ARRT clinical experience requirements 8 hours of digital mammography training MQSA hands-on clinical experience requirement (25 supervised mammograms) Course work in breast anatomy/physiology, patient care, mammography procedures, positioning, compression, interventional procedures, imaging of patients with breast implants, pathology, image evaluation, instrumentation, technique, physics, and quality assurance/quality control Website will be developed over Summer 2016 Additional program details to come CT Program See Attachment Begins Winter 2017 (22 weeks) 3 didactic courses Winter- one 2 unit course Spring- two 3 unit courses 2 clinical courses Winter 2 units (18 arranged hours) 20

Documentation of Program Needs-Mandatory Spring 7 units (24 arranged hours) Program includes: ARRT clinical experience requirements and content specifications ARRT 16 hour structured education requirement Course work in cross sectional anatomy, pathology, patient care and safety, CT procedures, equipment, image evaluation, instrumentation, technique, physics, and quality assurance/quality control. Website will be developed over Summer 2016 Additional program details to come Current Program Needs Equipment- none Staffing- Mammography instructor Professional Development- purchased for CI s by the program We need Clinical Affiliations for Mammography and CT programs o At the moment we only have clinical placement to train 10 CT students Additional needs identified through advisory input Equipment- none CIs will let Monique know if sites would like to train in CT or Mammography programs 21

Donations Engisch Staffing- none Professional Development- none Kaiser Textbook donation for incoming RT students Graduate Luncheon Engisch Tour of Facilities June 24, 2016 @ 1pm Pappachinos in Chino Future Meetings Spring 2017 22