Download CAREERS IN RADIOLOGIC TECHNOLOGY (FINAL) • RADIOLOGIC

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CAREERS IN RADIOLOGIC TECHNOLOGY (FINAL)
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RADIOLOGIC TECHNOLOGIST
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RADIOGRAPHER
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X-RAY TECHNOLOGIST
“ TECHNICIAN”
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Limited License
RADIOLOGIST
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Medical doctor
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What does a
Radiologic
Technologist
do?
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A “Radiologic Technologist”
(or Radiographer)
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Medical Professional
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In a challenging field
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Safely uses x-rays to image anatomy
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Positions
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Using sophisticated technology
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Practices radiation protection
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Provides quality-diagnostic images
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Assists DR
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Communicates with patient
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Practices patient privacy
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Registered Technologist
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Dawn Charman, M.Ed., RT (R)(M), CRT(R)(F)
R.T.
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Kelly Clark, M.S.R.T. RT (R)(CT), CRT(R)(F)
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Mina Colunga, B.S.R.T. RT (R), CRT(R)(F)
ARRT – R.T.
State of California– C.R.T.
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Radiologic Technologist
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ECC program is for an entry level into the profession
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Radiation Therapy and Nuclear Medicine would require additional education
Certification/licenses
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ARRT- American Registry of Radiologic Technologies
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Provides national certification
CRT-- California Registered Technologist
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After completing ARRT exam you pay a fee and get your California license to practice
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A separate test is taken for fluoroscopy
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Certification vs. License
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ARRT
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National certification
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Must take an exam
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R.T.
Pass with 75%
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Can take this after completing program
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State Licensing
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Must pass ARRT exam to get this
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Pay fee to get radiography license (R)
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Take fluoroscopy exam and pay a fee for (F) license
CRT
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EXAMS
&
All types of
PEOPLE
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Infants
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Elderly
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All classes
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All ethnicity
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All backgrounds
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Head to toes
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Trauma
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Special procedures
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Critical patients
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Walk ins
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Surgery
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Critical Thinking
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Involves sound, professional judgment
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Applied with high ethical standard
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And integrity
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Critical Thinking
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Analysis
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Synthesis
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Evaluation
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Critique
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Achieved through
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Role Playing
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Lab experiments
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Case Studies
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Patient Communication
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Interacting with the patient
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Interacting with family and friends
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Methods of Effective Communication
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Age as a factor in Patient Interactions
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Communication & Adapting
to Special Condition Patients
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Traumatized Patients
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Visually Impaired Patients
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Speech and Hearing Impaired Patients
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Non-English Speaking Patients
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Mentally Impaired Patients
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Substance Abusers
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Education in the Radiologic Sciences at ECC
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Didactic Curriculum (lecture)
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Specifically describes the objectives
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What the students will learn
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How they will learn (instructional activities)
Clinical
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Hospital training
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Apply didactic principals to clinical setting
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RT Programs
Didactic and Clinical Education
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Types of
Diagnostic Exams
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Chest
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Extremities
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Skull/ Facial
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Spine
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Gastrointestinal
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Interventional
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LEARNING
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COGNITIVE –
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thought / knowledge
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PSYCHOMOTOR –
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physical actions
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AFFECTIVE –
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guided by feelings
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Comminuted
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ELDERLY
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INFANTS &
CHILDREN
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Fluoroscopy
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TECHNOLOGIST
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FLUOROSCOPY
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Dawn Charman RT (R), (F)
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CONTRAST MEDIA (X-RAY DYE)
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ARRT Standards
Accrediting Agencies
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Joint Review Committee on Educational Programs in Nuclear Medicine Technology (JRCNMT)
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Committee on Accreditation of Allied Health Education Programs (CAAHEP) in collaboration
with the Joint Review Committee on Education in Diagnostic Medical Sonography (JRC-DMS)
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Regional Institutional Accrediting Agencies (degree-granting divisions) WSAC
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Conjoint Accreditation Services of the Canadian Medical Association
Open
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Australian Institute of Radiography
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Accrediting Agencies
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SCHOOLS/PROGRAMS
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JRCERT: Joint Review Committee on Education in Radiologic Technology
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HOSPITAL ACCREDITATION
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JCAHO :Joint Commission on Accreditation of Healthcare (Hospital) Organizations
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“Alphabet Soup”
NATIONAL & STATE LICENSES
ARRT = (R.T.)
American Registry of Radiologic Technology
R.T. – Certification in Radiologic Technology
CRT – Certified Radiologic Technology
State of California, Dept of Health - Radiation Health Branch
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Licensing to practice in California
C.R.T. (R) (F) (M)
Radiography, Fluoroscopy, Mammography
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5 Primary Exams
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Radiography (R)
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Nuclear Medicine Technology (NM)
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Radiation Therapy (T)
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Sonography (US) (RDMS)
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Magnetic Resonance Imaging (MR)
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Post Primary
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Cardiovascular-Interventional Radiography (CVIT)
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Note: No longer available for new candidates
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Mammography (M)
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Computed Tomography(CT)
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Magnetic Resonance Imaging (MR) or (MRI)
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Note: Both a primary and post-primary track
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Quality Management (QM)
Sonography (US) or (RDMS)
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Note: Both a primary and post-primary track
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Bone Densitometry (BD)
Vascular Sonography
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Cardiac-Interventional Radiography (CI)
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Vascular-Interventional Radiography (VI)
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Breast Sonography
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Registered Radiologist Assistant (RA)
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“Alphabet Soup”
KNOW THESE!
J.R.C.E.R.T Joint Review Committee on Education in Radiologic Technology
J.C.A.H.O –
Joint Commission of Accreditation of Healthcare Organizations
A.R.R.TAmerican Registry of Radiologic Technologists
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Beyond Diagnostic Radiography
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Advanced Modalities
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ADVANCED SKILL LEVELS
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CAT SCAN (CT)
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MRI (MR)
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ANGIOGRAPHY (CIT) (CV)
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RADIATION THERAPY (T)
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MAMMOGRAPHY (M)
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Bone Densitometry (BD)
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ULTRASOUND (RDMS)
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NUCLEAR MEDICINE(NM)
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PET
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SPECT
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MANAGEMENT (BS)
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EDUCATION (BS,MEd, PhD EDD)
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MAMMOGRAPHY
Dawn Charman, RT (M)
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RADIOGRAPHIC IMAGING OF THE BREAST
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Diagnostic for breast cancer
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Bone Densitometry
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BONE DENSITOMETRY
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JOE RUIZ, RT (R) (BD)
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POST PRIMARY EXAM BEGAN IN JANUARY 2001
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??? May also have certification w/o RT ????
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MEASURING MINERAL CONTENT AND DENSITY OF BONES
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Computed Tomography
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Kelly Clark, RT (R) (CT)
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1995 began post primary exam
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CT SCANNER
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USES
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RADIATION – AND A COMPUTER
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TO RECONSTRUCT
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IMAGES
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3-D
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C T SCANNER
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Electron Beam Tomography
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Risk factor
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HIGH DOSES ?
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WHAT YOU DON’T
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KNOW …….
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‘FALSE POSITIVE’S”
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NOW THAT YOU KNOW – WHAT ARE YOU GOING TO DO ABOUT IT? =
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Radiation Dose
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EBT scans expose the patient to about 1/5th the radiation of a multi-slice CT scanner.
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OR so they tell you..
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$$$$$$$$
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Magnetic Resonance Imaging
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RT (R) (MRI) or
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RT (T) (MRI) or (N) (MRI)
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1995 ARRT began post primary exams
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MRI SIGNAL PRODUCTION
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Images are crated by interaction of Magnet field, radio waves with tissue
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Atoms – Nucleus – Electrons
MRI SAFETY
USE NON MAGNETIC MATERIALS
CAN CAUSE HARM TO PATIENT & PERSONELL
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MRI
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NOT IONIZING RADIATION
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USES MAGENTIC RESONANCE
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(RADIO WAVES)
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Jane Schultz, R.T. (MR)
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PET Scan & SPECT Scan
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PET = Positron Emission Tomography
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Single Photon Emission Computed Tomography
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X-rays/MRI with Radioisotopes
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PET Scan showing diffuse spread of prostate cancer to bone. PET has the advantage over
traditional bone scanning in its ability to differentiate active from dormant disease.
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ANGIOGRAPHY/ CARDIOVASCULAR INTERVENTIONAL TECHNOLOGY
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CARDIAC-INTERVENTIONAL RADIOGRAPHY
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Mike Smith, RT (R) (CI)
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POST PRIMARY EXAM BEGAN IN JANUARY 2003
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INTERVENTIONAL
RADIOGRAPHY
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ANGIOGRAPHY
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CARDIAC CATH
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+ MANY OTHERS
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RT (CV) (CIT) (CVIT)
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ANGIOGRAPHY is a specialized radiographic examination where the images of the blood vessels
of the body are demonstrated by injection of contrast media
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Cardiovascular Interventional Radiography
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Jane Smith, RT (R) (CVI)
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Angiography
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1991 began post primary exam for CVIT Radiographers
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Angiography of Heart vessels
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estenosis.gif&imgrefurl=http://www.nhlbi.nih.gov/health/dci/Diseases/stents/stents_all.html&
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en
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Angiography
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VASCULAR-INTERVENTIONAL RADIOGRAPHY
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JOE CAR, RT (R) (VI)
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POST PRIMARY EXAM BEGAN IN JANUARY 2003
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Nuclear Medicine
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RT (NM)
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ARRT or NMTCB
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NM – Images collected after
injections of a RADIOISOTOPE
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The tracer travels into the blood vessels until it arrives to the bone
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PET Scan & SPECT Scan
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PET = Positron Emission Tomography
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Single Photon Emission Computed Tomography
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Prostate cancer metastasized in bones
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RADIATION
THERAPY
R.T.(T)
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2 YRS ADDITIONAL EDUCATION
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CITY OF HOPE
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LLU
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CAL STATE LONG BEACH
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The branch of Radiology that involves the treatment of disease by means of high energy x-rays
or radioactive substances
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RADIATION THERAPY
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branch of Radiology that involves the treatment of disease by means of high energy x-rays
(GAMMA) or radioactive substances
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Radiation Therapy
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RT (T) = Registered technologist in radiation therapy technology
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Medical dosimetrists are involved in treatment planning and dose calculations
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1-4 year program
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ULTRASOUND
Cypress College
Orange Coast
LLU
1 – 2 years
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Diagnostic Medical Sonographers
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RT (R) (S) or RT (S) or (RDMS)
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American Registry of Diagnostic Medical Sonographers
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ARRT in 1999 began post primary exam
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ARRT in 2005 began primary exam
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ULTRASOUND
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19 Week fetus
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/19weeklabel2.jpg&imgrefurl=http://embryology.med.unsw.edu.au/movies/usound/Hum19w4
D.htm&usg=__EfDiZ2qdLFEQ_ZGPy9YS628QyPI=&h=379&w=358&sz=11&hl=en&start=71&tbnid
=QqSTbyckVIjYM:&tbnh=123&tbnw=116&prev=/images%3Fq%3Dfetal%2Bultrasound%26gbv%3D2%26ndsp
%3D20%26hl%3Den%26sa%3DN%26start%3D60
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2D vs. 3D/4D
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U/S & the “real thing”
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Breast Sonography
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Post Primary Exam
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Valuable for Technologists that specialize in Mammography
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VASCULAR ULTRASOUND
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New - RA
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Radiology Assistant (Like PA)
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Weber State (On line – Utah)
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LLU
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3 others in US (2007 – more)
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$$$$ NEW GRADS = 100 K/YEAR (?)
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PART OF RADIOLOGIST GROUP
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As of 2007 – NOT APPROVED BY STATE to Work as RA in California
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Additional Opportunities
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Education
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Administration
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Management (QM)
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Commercial
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Radiologist Assistant = RA
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RADIOLOGY ASSISTANT RA
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LLU
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2 YRS RT
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BA DEGREE
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WEBER STATE
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6YR RT
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OTHER PATHWAYS
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SALES
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APPLICATIONS SPECIALIST
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INDUSTRIAL X-RAY
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MANAGEMENT (DEGREE)
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EDUCATON
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Other working opportunities…
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Registry (local)
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Registry (out of state)
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X rays taken around the world !!
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Variety of Work Settings
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physicians offices,
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clinical outpatient facilities,
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free standing imaging centers,
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mobile imaging centers
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portable services to rehabs
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Mammo’s to under privileged areas
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Urgent care
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SALARY RANGES RT’s
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NEW R.T. = $ 25 -$38 PER HOUR
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ON-CALL + O.T. $45,000 – $60,000 YR
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ADVANCE SPECIALTIES
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$ 30 - $50 PER HOUR
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A GREAT SHORTAGE IN ALL HEALTH CARE – A GREAT NEED TO AQUIRE NEW TECHNOLOGIST
TO THIS AREA
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Professional Organizations
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ASRT – American Society of Radiologic Technologist
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CSRT – California Society
Society of Radiologic Technologists
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RTEC – Radiologic Technology Educators of California
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International Societies, other state societies, other modalities