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Transcript
FORM 310
PROFESSIONAL BOARD FOR RADIOGRAPHY AND CLINICAL TECHNOLOGY
GUIDELINES FOR EXAMINATIONS OF FOREIGN QUALIFIED TECHNOLOGISTS IN
CLINICAL TECHNOLOGY (CATEGORY: CARDIOLOGY)
A. INTRODUCTION
All individuals who practice any of the health care professions incorporated in the scope
of the HPCSA are obliged by the Health Professions Act, 1974, to register with the
HPCSA, such that failure to do so constitutes a criminal offense.
In terms of the policy of the Professional Board for Radiography and Clinical
Technology all foreign qualified candidates are required to challenge the entry
examination in order to determine their registrability with HPCSA. Registration with
HPCSA does not imply that employment is guaranteed. The onus for finding
employment rests with the candidate.
B. ADMISSION CRITERIA
1. Only candidates who are registrable, if applicable, in the country where they
have obtained their qualification will be allowed to sit for the examination.
2. Basic schooling of at least twelve (12) years must precede the training.
3. The duration of the training should have been at least three (3) years. Should the
duration of the training be less than three (3) years, the candidate should be
referred to a training institution to apply to upgrade their training.
4. The training should be of an academic acceptable standard and the candidate
should have had adequate clinical training in line with the South African
requirement.
C. APPLICATION AND EXAMINATION PROCESS
Candidate contacts the HPCSA
↓
The Administration of the Professional Board for Radiography and Clinical Technology
sends Form 177 to the candidate.
↓
All duly completed forms and relevant information are returned to the Administration of
the Board at least two (2) months before set date of examination.
↓
The application then serves before the Education Committee (which sits twice a year) of
the Board who verifies the applicant’s eligibility to sit for the examination.
↓
The Examiner and Moderator are appointed by the Education Committee of the Board.
↓
The Administration notifies the candidate of his/her eligibility to undertake the
examination and is sent the most recent information about the examination i.e. dates of
examinations, examination fees, clinical venue etc.
↓
The Theoretical and Clinical Examinations are conducted as per the guiedelines.
↓
The Examiner and Moderator compile final results and recommendations for ratification
by the Board.
↓
The Administration communicates the final results to candidates at least four (4) weeks
after the last examination had taken place.
↓
Successful candidates register with HPCSA.
D. PURPOSE OF EXAMINATION
The purpose of the examination is to establish that all foreign qualified Technologists
applying to work in South Africa as a Clinical Technologist in Cardiology are able to:
- Apply knowledge and skills to perform and adapt techniques applicable to the
clinical condition of the patient.
- Care for the patient responsibly and efficiently to ensure that the welfare and safety
of the patient is maintained.
- Apply appropriate health and safety regulations, ethical principles and codes of
practice in performance of techniques.
- Demonstrate competency in the execution of techniques.
-Display knowledge and understanding of equipment used.
- Operate equipment effectively and competently.
- Express an understanding of the principles and techniques of procedures
performed.
- Display knowledge of Quality Assurance and Quality Control with regards to quality
of procedures performed and equipment function.
Exhibit a level of insight and ability to apply skills and techniques within the context
of Clinical Technology service delivery.
- Display an awareness and understanding of the South African health care system.
E. ADMISSION TO THE EXAMINATION
1. Approval to sit for the examination must be granted by the Education Committee of
the Board.
2. A duly completed Form 177 B with relevant documentation must be submitted two
(2) months prior to the set date of the examination.
3. A non-refundable examination fee has to be paid to HPCSA four (4) weeks prior to
the set date of the examination.
F. VENUE OF EXAMINATION
1. The examination will be conducted at a venue approved by the Professional Board
for Radiography and Clinical Technology.
2. Candidates are responsible for their own traveling and accommodation costs.
G. FORMAT OF EXAMINATION
The examination is held twice a year in April and September of each year.
Part 1: Theoretical Examination
This examination consists of a three (3) hour paper that is set at the third year level.
This examination covers the integration of the following:
anatomy and physiology, pathophysiology, clinical practice, biomedical
apparatus,
pharmacology, safety and quality assurance applicable to
Cardiology.
Part 2: Clinical Examination
1.
The venue for the clinical examination is approved by the Education Committee
of the Board.
3. During this examination, candidates are required to perform one (1) or two (2) full
sets of clinical procedures on patients.
4. The assessment criteria for the clinical examination will include the following:
Equipment preparation
Patient preparation
Patient care and communication
Technique employed
Safety and quality assurance including trouble-shooting
Use of equipment and accessories
Protocol followed
Knowledge of anatomy, pathology, pharmacology etc.
H. CALCULATION OF FINAL MARK
A pass mark of 60% for the clinical examination and 40% for the theory examination
must be obtained as a final mark.
I. FULLFILLMENT FOR REGISTRATION
A pass mark of 60% must be obtained in the clinical assessment and a pass mark of
40% must be obtained in the theoretical assessment in order to register with HPCSA.
A candidate will only be allowed to sit twice for the examination.
J. BRIEF OVERVIEW OF 3rd YEAR SYLLABI
Anatomy and Physiology
1. Normal anatomy
1.1 Embryology
1.2 Anatomy of the normal heart
2. Normal physiology
2.1 Organization of the Cardiovascular System
2.2 Haemodynamics: Basic Principles
2.3 Structural, Physiologic and Metabolic Organisation of the Heart
2.4 Mechanical Changes in the Heart: Heart Valves, Heart Sounds and Heart Murmurs
2.5 Electrophysiology and Electrocardiography
2.6 Pumpfunction of the Heart: Control and Measurement
3. Abnormal anatomy
3.1 Anatomy of the abnormal heart
4. Abnormal physiology
4.1 Blood pressure and blood circulation: arterial and venous bloodflow
4.2 Control of the circulation
4.3 Coronary Circulation
4.4 Lung circulation and gas transport to the tissues
4.5 Haemostasis
4.6 Autonomic Nervous System
Pathophysiology
1. Rheumatic Heart Disease
2. Ischaemic Heart Disease
3. The Cardiomyopathies
4. Infective Endocarditis
5. Pericardial Disease
6. Cor Pulmonale
7. Pathophysiology of Rhythm Abnormality
8. Congenital Heart Disease
9. Traumatic injuries to the heart
10. Disease of the Aorta
11. Hypertensive Heart Disease
12. Pathophysiology of Cardiac Symptoms
Biomedical Apparatus
1. Haemodynamics monitoring techniques and specialized equipment
2. Blood gas analysis equipment
3. Arrhythmia monitoring apparatus
4. Intra-aortic balloon pump
5. Vector Cardiography
6. Echocardiography
7. Exercise Stress Test electrocardiography
8. Phonocardiography
9. Nuclear Cardiology
10. Pericardiocentesis
Clinical Practice
1. The Electrocardiogram
2. Vector Cardiography
3. Cardiovascular Resuscitation
4. Intra-Aorta Balloonpump
5. The temporary peacemaker
6. The permanent pacemaker
7. Electrophysiological Studies
8. Pericardiocentesis
9. Cardioversion
10. Cardiac cathterisation
11. Exercise stress test electrocardiography
12. Echocardiography
13. Arrhythmia monitoring techniques
14. Phonocardiography
15. Nuclear Cardiology
Clinical Competencies
1. Perform and interpret a 12 lead ECG
2. Perform and interpret a stress exercise test
3. Perform and interpret a 24 hour ambulatory Holter
4. Assist with right and left heart catherization in cardiac catherization laboratory
[record ECG and arterial and venous pressures and determination of oxygen
saturation (SaO2) and cardiac output (CO) during cardiac catherization]
5. Assist with placement of temporary and permanent pacemakers
6. Set up an aortic balloon pump
7. Perform CPR
8. Assist with cardioversion and defibrillation
9. Recognise standard echocardiography views
K. SUGGESTED READING LIST
Title
Author/s
-Cardiology for the House
Officer
Joel, W Heger , James T,
-Comprehensive Intra-aortic
Niemaan and J. Michael
Balloon Counterpulsation; 2nd
Criley
edition
Susan J Quaal
-Interpreting the
Electrocardiogram
James S Flemming
-Ambulatory
Susan L Horner
Electrocardiography Applications and Techniques
James V Tolano and Julius
-Text-book of Two-Dimensional
M Gardin
Echocardiography
Heartware
-Troubleshooting Leads
Resource Guide
K Steinbach, D Glogar, A
-Cardiac Pacing
Laszkovics, W Scheibelhofer
Publisher
and H Wober
Lesile Cromwell, Fred J
-Biomedical Instrumentation and
Weibell and Erich A Pfeiffer
Measurements
Ronald E Vliestra and David
PTCA - Percutaneous
R Holmes, Jr
Transluminal Angioplasty
Joseph J Carr and Harry E
- Introduction to Biomedical
Thomas
Equipment Technology
D G Julian
-Cardiology
Kenneth A Ellenbogen
-Cardiac Pacing, 2nd edition
Michael Kirsheaum D. O
- A manual for the House Staff
on Cardiology Service, 5th
Paul A Levine M D and
edition
Robert C Mace
-Pacing Therapy - a Guide to
cardiac paicng for optimum
Derek J Rowlands
hemodynamic benefit
-Understanding the
Medtronic
Electrocardiogram
Kurt J G Schmailzl and Oliver
-Hemodynamics of cardica
Ormeorod
pacing
GP Medical Services
London;New York:
-Ultra-sound in Cardiology
Robert h Anderson…(et al)
Churchill Livingstone;
2002
Troubleshooting Pacing
Problems
Paedriatic cardiology
L. REMARKING OF SCRIPTS
Only candidates who had obtained a pass rate of 35% - 39% in the theoretical
examination may apply for their scripts to be remarked.
The Committee Coordinator may be contacted for information about the fee involved
and procedure to follow.
A remarking fee of 50% of the examination fee will be charged for a re-mark.
Should a candidate fail any part of the examination, no re-assessment will be allowed.
The candidate will be expected to reregister with full costs and sit for the next
examinations.
M. ADDITIONAL INFORMATION
For further enquiry contact:
The Committee CoordinatorHPCSA
Professional Board for Radiography and Clinical Technology
P.O. Box 205
PRETORIA
0001
Tel: 012 3389403
Fax: 012 328 4863