COURSE OUTLINE Course Number RAD216 Lecture Hours 3 Laboratory Hours 0 Course Title Advanced Imaging Modalities Prerequisites: RAD205 Co-Requisites: RAD227 Credits 3 UCatalog Description (2011-2013)U: Presents the principles of fluoroscopy and tomography, with an overview of special radiographic procedures and advanced imaging techniques including computerized tomography and magnetic resonance imaging. (Fall offering) URequired Texts/Other MaterialsU: Title: Author: Publisher: Edition: Title: Author: Publisher: Edition: Title: Author: Publisher: Edition: Textbook of Radiographic Positioning and Related Anatomy K. Bontrager Mosby 7 th Radiologic Science for Technologists S. Bushong Mosby 9 th Fundamentals of Special Radiographic Procedures A.M. Snopek Saunders 5 th Recommended Texts: Title: Author: Publisher: Edition: Title: Author: Publisher: Edition: Essentials of Radiographic Physics & Imaging J. Johnston Elsevier 1 st Principles of Radiographic Imaging R. Carlton; A. Adler Delmar 5 th
URevision Date U UCourse Summer 2012 Coordinator U: William Petrosky Voice: 609.570.3341; E-mail: HUpetroskw@mccc.edu UH 2
UCourse Competencies/GoalsU: At the completion of the course, the student should be able to: 1. Identify the various kinds of equipment used during specialized radiologic procedures. 2. Describe the functions and principles of operation of advanced imaging systems, including image intensification, conventional tomography and computer-enhanced imaging. 3. Identify the various kinds of advanced imaging modalities found in medical imaging. 4. Explain the function and principles of operation of at least four advanced imaging modalities. 5. Identify specialized procedures involving the use of contrast media. 6. Identify the contrast media used during specialized procedures, including indications and contraindications. 7. Explain the technical and positioning considerations in performing the specialized radiographic procedures. 8. Demonstrate knowledge of sterile technique employed during special radiographic procedures. 9. Identify the anatomy demonstrated in radiographs and other images obtained during special radiographic procedures. 10. Identify major elements of human circulatory anatomy on radiographs and other imaging media. UCourse-specific General Education Goals and Core SkillsU: General Education Knowledge Goals: Goal 1. Communication. Students will communicate effectively in both speech and writing. Goal 2. Mathematics. Students will use appropriate mathematical and statistical concepts and operations to interpret data and to solve problems. Goal 3. Science. Students will use the scientific method of inquiry, through the acquisition of scientific knowledge. 3
Goal 4. Technology. Students will use computer systems or other appropriate forms of technology to achieve educational and personal goals. Goal 5. History. Students will understand historical events and movements in World, Western, non-western or American societies and assess their subsequent significance Goal 6. Ethical Reasoning and Action. Students will understand ethical issues and situations. MCCC Core Skills Goal A. Written and Oral Communication in English. Students will communicate effectively in speech and writing, and demonstrate proficiency in reading. Goal B. Critical Thinking and Problem-solving. Students will use critical thinking and problem solving skills in analyzing information. Goal C. Ethical Decision-Making. Students will recognize, analyze and assess ethical issues and situations. Goal D. Information Literacy. Students will recognize when information is needed and have the knowledge and skills to locate, evaluate, and effectively use information for college level work. Goal E. Computer Literacy. Students will use computers to access, analyze or present information, solve problems, and communicate with others. Goal F. Collaboration and Cooperation. Students will develop the interpersonal skills required for effective performance in group situations. Goal G. Intra-Cultural and Inter-Cultural Responsibility. Students will demonstrate an awareness of the responsibilities of intelligent citizenship in a diverse and pluralistic society, and will demonstrate cultural, global, and environmental awareness. Units of Study in DetailU: Upon completion of this lecture course and clinical observation course, the student will be able to: Adapt to changes and varying clinical situations. (Goal B) Describe the role of health care team members in responding/reacting to a local or national emergency. Integrate the use of appropriate and effective written, oral and nonverbal communication with patients, the public and members of the health care team in the clinical setting. (Goal 1, Goal A) Integrate appropriate personal and professional values into clinical practice. (Goal 6, Goal C) Recognize the influence of professional values on patient care. (Goal 6, Goal C) 4
Adapt procedures to meet age-specific, disease-specific and cultural needs of patients. (Goal 6, Goal C) Assess the patient and record clinical history. Apply standard and transmission-based precautions. Apply the appropriate medical asepsis and sterile technique. Demonstrate competency in the principles of radiation protection standards. Apply the principles of total quality management. Report equipment malfunctions. Examine procedure orders for accuracy and make corrective actions when applicable. Demonstrate safe, ethical and legal practices. Integrate the radiographer s practice standards into clinical practice setting. (Goal 6, Goal C) Comply with departmental and institutional response to emergencies, disasters and accidents. Differentiate between emergency and non-emergency procedures. Adhere to national, institutional and departmental standards, policies and procedures regarding care of patients, providing radiologic procedures and reducing medical errors. Critique images for appropriate anatomy, image quality and patient identification. (Goal 4, Goals B & E) Determine corrective measures to improve inadequate images. (Goal B) UTopical OutlineU: The general plan for the fifteen-week semester course identifies the topics to be covered: UWeek # UTopic 1 Introduction/Sterile Asepsis/Arthrography 2 Myelography & Sialography 3 Hysterosalpingography & ERCP 4 Mammography, Parts I & II 5 Mammography, Part III 6 Midterm Examination 7 Image Instensification & TV Imaging Systems 8 Recording Media & Equipment 9 Computer Concepts & Digital Imaging 10 Photographic & Digital Subtraction Techniques 11 Introduction to Crossectional Anatomy 5
12 Introduction to Computed Tomography 13 Introduction to Magnetic Resonance Imaging 14 Overview of Vascular Special Procedures 15 Selected Vascular & Non-Vascular Procedures 16 Final Examination UTentative Lecture Schedule U: Tuesdays: 9:00 to 11:50 A.M. Week Topic Number 1 Overview of Objectives OR Orientation Arthrography 2 Test #1: Arthrography Myelography Sialography 3 Test #2: Myelography & Sialogaphy Hysterosalpingography ERCP 4 Test #3: HSG & ERCP Mammography Mammography, part 2 5 Mammography, part 3 Bone Densitometry Review for Midterm Exam 6 Midterm Exam (including Mammography and Bone Densitometry) 7 Review Midterm Exam Results Image Intensification TV Imaging Systems Basic Tomographic Concepts 8 Test #4: Image Intensification/Vidicon Tubes Non-Film Recording Media 9 Test #5: Basic Tomography & Recording Media Computer Concepts Digital Radiography Reading Assignment Snopek pp 424-434 Bontrager pp 217-218; 750-754 Snopek pp 394-412 Bontrager pp 761-765 Snopek pp 414-422 Bontrager pp 766-768 Snopek pp 381-393 Bontrager p 758-760 Bontrager p 756 Bontrager pp 563-580 Carlton Ch 38 Bushong Ch 19 On-line Handouts Bontrager pp 581-587 Carlton Ch 39 Carlton Ch 36 (Fluoro); Bushong Ch 21 (Fluoro) Johnston Ch 14 (Fluoro) Carlton Ch 37 (Tomog); Bushong 265-270 (Tomog); Bontrager pp 773-776 (Tomog) Carlton Ch 37 Bushong Ch 25 Bushong Ch 24 Bushong Ch 26 6
10 Test #6: Digital Imaging/Computer Concepts Photographic and Digital Subtraction Introduction to Crossectional Anatomy Bushong pp 443-447 Bontrager pp 696-697; Bontrager pp 728-742 11 Test #7: Subtraction Techniques (Photog. & Digital) Computed Tomography 12 Test #8: Computed Tomography Magnetic Resonance Imaging, parts 1 and 2 Test #9: Magnetic Resonance Imaging (Take-Home) 13* No Class 14 Catheterization Lab Personnel, Equipment and General Procedures 15 Catheterization Methods & Selected Vascular and Non-Vascular Procedures Snopek pp 145-164 Carlton Ch. 41 Bontrager pp 723-728 Bushong Ch 23 Snopek Ch 9 Bontrager pp 789-802 Carlton Ch. 42 Snopek Chapters 3 and 4 Snopek Ch 17 Bontrager pp 698-710 *Tuesday follows Thursday schedule 4BAdvanced Imaging Modalities Essay Students taking RAD 216 will have an opportunity to observe two advanced imaging modalities of their choice during the fall semester at Princeton Radiology Associates, P.A. Each observation will be for one day (8:00 a.m. to 4:00 p.m.) unless otherwise instructed. In order to make each visit meaningful, students are expected to meet certain objectives. Accordingly, designated clinical supervisors will evaluate each student at the conclusion of each observation. A clinical evaluation form is utilized for this purpose. It is the student s responsibility to return each completed evaluation form to the course instructor in order to verify attendance at the clinical facility. Failure to return each completed evaluation form will result in a reduction in the clinical attendance grade. This could adversely impact that student s RAD 228 clinical grade. Dosimeters are to be worn at the Princeton Radiology Associates office visited. The supervisors are instructed to turn away any student who is not wearing a dosimeter, even if the assignment is in diagnostic medical sonography or magnetic resonance imaging. 7
It is suggested that students prepare for each observation by reading literature related to the modality. No student is expected to become an overnight expert, but it will hurt to know a few things in advance. With adequate preparation, students will be able to ask relevant questions and enhance their understanding of what is observed. As a capstone of the observation experience, each student shall prepare a four to five-page essay, not including title page. Note: students should begin their essays soon after completing the observation of their choice. The deadline for submission is 4 weeks following the last clinical observation (see PRA rotation list). Those whose writing ability is weak should seek immediate assistance from the Learning Center (http://www.mccc.edu/student_services_learncenter_ww_writing.s html) on the second floor of the Library Building. The essay should contain the following elements: 1. A brief introduction to your observation 2. The type of modality observed 3. General principles of operation 4. The kinds of procedures performed 5. Contraindications if any 6. Safety considerations for patient and staff 7. A detailed description of an observed procedure 8. Education and training needed to work in the modality 9. Why you would (would not) pursue the modality as a career 10. A brief conclusion A grading rubric will be distributed in order to guide the satisfactory completion of the essay and will be the basis for grading the assignment. The essay must be typewritten and double-spaced using 12-point Courier font. The grade for the essay will be determined on the basis of satisfying the written criteria which shall be distributed on the first day of class. 8
UEvaluation of Student Learning U: A grade of C (75%) or higher must be achieved in the course in order to continue taking radiography courses the next semester. There will be a minimum of five tests, one midterm examination and a final examination. A term project involving an advanced modality is also required. The course instructor will provide details of testing formats, test dates and term project deadlines. The grading is as follows: Tests 20% Midterm Examination 30% Final Examination 30% Written Report (essay) 20% NOTE: Students will be assigned to Princeton Radiology Associates to observe a number of advanced imaging modalities. Attendance on the assigned days is mandatory. Failure to fulfill the observations will be reflected in the student s clinical attendance evaluation in RAD 228. UClinical Education PoliciesU: The student should refer to the clinical education handbook for the pertinent policies regarding attendance, punctuality, the clinical competency process, etc. UAttendance Policy U: 1. Students are expected to be in attendance at the scheduled start time of all class and laboratory sessions; late arrival is disruptive to the class and instructor. Attendance will be taken for all lecture and lab sessions. The following grading system will be recorded for late arrival and absences: A. Lecture: 1. Three points will be deducted from the final lecture grade for each late arrival to a scheduled lecture. 2. Five points will be deducted from the final lecture grade for each absence from a scheduled lecture. B. Laboratory (not applicable to this course): 1. Three points will be deducted from the final lab grade for each late arrival to a scheduled laboratory. 2. A total of five (5) points will be deducted from the final laboratory grade for each lab test not taken on schedule. (Refer to item # 3-4 below) 9
2. Cell phones must be turned off upon entering the classroom. Receiving phone calls in tone or vibration mode are distracting to other students. Calls may not be made on personal cell phones during class time. Students may not charge their personal cell phone in the radiography classroom MS 314. 3. All students are required to attend every lab session. Students must be present for the entire period actively engaged in radiographic positioning, assisting classmates, and image evaluation. In case of emergency or illness, exceptions may be made if the student contacts the course instructor prior to the lab session. If the instructor is not available, a message must be transmitted by e-mail or voice mail before the lab session begins. A valid, documented excuse (i.e. doctor s note, vehicular repair) must be presented the next class session. It will be the instructor s prerogative to decide whether or not the excuse is valid. If deemed valid, a make-up session would be conducted in the college lab according to a schedule arranged by the instructor. Students may not lab test until the lab session has been completed. If a student misses more than one lab session clinical education progression may be jeopardized, leading to course failure. 4. Students who miss a laboratory test will be rescheduled according to a schedule arranged by the instructor. Students may not progress with the clinical competency process on the missed lab procedure; this may jeopardize completion of clinical education requirements. A total of five (5) points will be deducted from the final laboratory grade for each lab test not taken on schedule. 5. Make-up written exams are not permitted. Students must contact the instructor directly, leave a voice or e-mail message prior to the time of the scheduled exam. Students who miss an examination must provide a valid, documented excuse i.e. doctors note, vehicular repair by the next class session. If determined valid by the instructor, the comprehensive mid-term and/or final exam will be calculated with an additional weight equal to the missed examination. This will serve as verification of material comprehension covered on the missed examination. 10
Princeton Radiology Associates Clinical Observation Schedule Student Modality Date Day Location Essay Due Arold, Marianna MR 9/5/12 W J Boncheck, Rachelle MR 9/5/12 W P Bhalla, Bindu NM 9/5/12 W J Meehan, Melinda US 9/5/12 W J Ryan Ross US 9/5/12 W P Bhalla, Bindu MR 9/7/12 F J Garofalo, Barbara MR 9/7/12 F P Boncheck, Rachelle NM 9/7/12 F J Arold, Marianna US 9/7/12 F J Savino, Sheri US 9/7/12 F P Macknin, Alan MR 9/12/12 W J McCleish, Maureen MR 9/12/12 W P Garofalo, Barbara NM 9/12/12 W J Barone, Michele US 9/12/12 W J Cherry, Jacob US 9/12/12 W P Meehan, Melinda MR 9/14/12 F J Tereschuk, Jaroslava MR 9/14/12 F P Macknin, Alan NM 9/14/12 F J Gonzalez, Pedro US 9/14/12 F J Sokoloski, Amy US 9/14/12 F P Ryan Ross MR 9/19/12 W J Tomsho, Corrine MR 9/19/12 W P McCleish, Maureen NM 9/19/12 W J Vagnozzi, Gary US 9/19/12 W J Yuen,Matthew MR 9/21/12 F J Zielinska, Marta MR 9/21/12 F P Savino, Sheri NM 9/21/12 F J Barone, Michele MR 9/26/12 W J Cherry, Jacob MR 9/26/12 W P Tereshuk, Jaroslava NM 9/26/12 W J Gonzalez, Pedro MR 9/28/12 F J Sokoloski, Amy MR 9/28/12 F P Tomsho, Corrine NM 9/28/12 F J Vagnozzi, Gary MR 10/3/12 W J Nakalema, Sophie MR 10/3/12 W P Yuen, Matthew NM 10/3/12 W J Zielinska, Marta NM 10/5/12 F J Nakalema, Sophie NM 10/10/12 W J Zelinska, Marta 10/6/12 Arold, Marianna 10/9/12 Bhalla, Bindu 10/9/12 Boncheck, Rachelle 10/9/12 Garofalo, Barbara 10/16/12 Macknin, Alan 10/16/12 Meehan, Melinda 10/16/12 Barone, Michele 10/23/12 McCleish, Maureen 10/23/12 Ross, Ryan 10/23/12 11
Savino, Sheri 10/23/12 Cherry, Jacob 10/30/12 Gonzalez, Pedro 10/30/12 Sokoloski, Amy 10/30/12 Tereshuk, Jaroslava 10/30/12 Tomsho, Corrine 10/30/12 Nakalema, Sophie 11/6/12 Vagnozzi, Gary 11/6/12 Yuen, Matthew 11/6/12 Nakalema, Sophie 11/13/12 Location: P=Princeton Office; J=Jamesburg (Forsgate) Office 12
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Academic Integrity Policy StatementU: Mercer County Community College is committed to Academic Integrity -- the honest, fair and continuing pursuit of knowledge, free from fraud or deception. Academic Integrity is violated whenever a student: A. Uses or obtains unauthorized assistance in any academic work. B. Gives fraudulent assistance to another student. C. Knowingly represents the work of others as his/her own, or represents previously completed academic work as current. D. Fabricates data in support of an academic assignment. E. Inappropriately or unethically uses technological means to gain academic advantage. In all cases, the instructor shall notify the Chair of the Academic Integrity Committee of the violation. Students should refer to the MCCC Student Handbook for the complete policy and the Radiography Clinical Education Student Handbook for additional information regarding reporting of sanctions to the American Registry of Radiologic Technologists. 15