MEDI12003 - Imaging Procedures 1
Term 1 - 2017


All details in this unit profile for MEDI12003 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

On completion of this unit, you should be able to demonstrate the radiographic and clinical skills and knowledge required to perform routine radiographic images of the appendicular musculoskeletal system on ambulant adults to include the shoulder & pelvic girdle. Basic radiographic examinations of the chest and abdomen will also be included and gastro intestinal studies will be introduced. High levels of patient care and safety will be explored and good radiographic practice identified and consolidated. The principles of evidence based practice will be introduced. You will develop skills to effectively evaluate radiographs with regard to image quality and determine if an image is diagnostic. The principles of image interpretation will be introduced and common trauma/disease processes of the chest, abdomen and musculoskeletal system explored. There will be a large practical and simulated experiential learning element of this unit performed in the digital radiological laboratories and imaging workstations to help develop and reinforce knowledge, understanding, basic clinical skills and a solid foundation of patient care. This unit will prepare you for your first formal clinical placement.

Details

Career Level Undergraduate
Unit Level Level 2
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Corequisites:

  • MEDI12001 Radiation Science, and
  • MEDI12002 Science and Instrumentation 1

Pre-requisites:

  • BMSC11001 Human Body Systems 1, and
  • BMSC11002 Human Body Systems 2, and
  • ESSC11004 Study and Research Skills for Health Sciences, and
  • MEDI11001 Fundamentals of Imaging Professions, and
  • MEDI11003 Relational Anatomy, and
  • MEDI11004 Professional Practice, and
  • MEDI11005 Patient Care in the Allied Health Professions

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Mackay

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Practical Assessment Pass/Fail
2. Practical Assessment Pass/Fail
3. In-class Test(s) Pass/Fail
4. Practical Assessment Pass/Fail

This is a pass/fail (non-graded) unit. To pass the unit, you must pass all of the individual assessment tasks shown in the table above.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
The mix of lecture, lab and tutorial assisted student understanding and consolidated learning Conversations with students and Course Evaluation Maintain the variety of learning opportunities to suit different learning styles.
Lab availability was a source of stress approaching assessment time Conversations with students and Course Evaluation The Medical Imaging teaching team is considering how to structure lab availability for independent practice
More structure is needed around lab activities to ensure that all students have the same opportunities Coordinator reflection and observation Change lab guides to include structured learning activities and ensure equitable access.
Assessments for this unit and others in the term close together Course Evaluation The Medical Imaging teaching team worked closely together to ensure that assessments were scheduled to give students time between assessments, as far as was able within the constraints of available time. At present the teaching team is considering all assessment items and these may change for future offerings.
On successful completion of this unit, you will be able to:
  1. Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.
  2. Demonstrate patient care and professional behaviours in the simulated clinical environment.
  3. Assess radiographs for technical sufficiency and identification of radiographic pathology.
  4. Discuss methods to modify a radiographic procedure to improve technical sufficiency and/or better demonstrate required anatomy.
  5. Discuss techniques, patient care and safety issues surrounding radiographic gastro-intestinal imaging.

Medical Radiation Practice Board of Australia (MRPBA) Professional Capabilities for Medical Radiation Practice

Domains 1.1, 1.2, 1.4, 2.1, 3.1, 3.2, 4.1, 4.2, 4.4, 5.1-5.6, 5a1

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5
1 - Practical Assessment      
2 - Practical Assessment  
3 - In-class Test(s)  
4 - Practical Assessment        

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4 5
1. Communication
2. Problem Solving    
3. Critical Thinking        
4. Information Literacy  
5. Team Work        
6. Information Technology Competence      
7. Cross Cultural Competence      
8. Ethical practice    

Alignment of Assessment Tasks to Graduate Attributes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8
1 - Practical Assessment      
2 - Practical Assessment  
3 - In-class Test(s)    
4 - Practical Assessment      

Prescribed Textbooks

Merrill's Atlas of Radiogaphic Positioning and Procedures
Author/s: Frank, E., Long, B., Smith, B. Year: 2012
Edition: 13th edition Publisher: Elsevier
City: St. Louis State: Missouri
Country: USA
Accident and Emergency Radiology: A Survival Guide
Author/s: Raby, Berman, De Lacey Year: 2005
Edition: 3rd edition Publisher: Elsevier
City: London
Country: UK
View textbooks at the CQUniversity Bookshop

Other Resources

These are not compulsory, but may assist you:
Clark's Pocket Handbook for Radiographers
Author/s: Sloane, Whitley, Anderson, Holmes Year: 2010
Edition: 1st edition Publisher: CRC Press
City: London
Country: UK
Other resources may be available at CQUniversity Library. Note:

There is significant variation in radiographic technique and it is sensible for students to have access to more than one positioning text. A pocket text is also particularly useful to take with you during clinical placement as a quick reference source. Clark's is a good resource that I would recommended as a supplementary text but there are also many others.

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • CQUniversity PACS
All submissions for this unit must use the Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorHazel Harries-Jones (h.harries-jones@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

Introduction to radiographic technique and radiography of the hand

Merrill's Vol 1 Chapters 1 and 3

Berman chapter 1

Week 2 13-03-2017

Radiography of the digits & wrist

Merrill's Vol 1 Chapter 4

Berman chapters 6 & 7

Week 3 20-03-2017

Radiography of the elbow & forearm

Merrill's Vol 1 Chapter 4

Berman chapter 9

Week 4 27-03-2017

Radiography of the shoulder girdle & humerus

Merrill's Vol 1 Chapter 4 & 5

Berman chapter 4

Week 5 03-04-2017

Review of the upper limb

Practical Assessment 1

Vacation Week 10-04-2017

VACATION WEEK

Week 6 17-04-2017

Radiography of the foot, toes & calcaneus

Merrill's Vol 1 Chapter 6

Berman chapters 13 & 14

Week 7 24-04-2017

Radiography of the ankle & tibia/fibula

Merrill's Vol 1 Chapter 6

Berman chapter 13

Week 8 01-05-2017

Radiography of the knee & femur

Merrill's Vol 1 Chapter 6

Berman chapter 12

Week 9 08-05-2017

Radiography of the pelvis

Merrill's Vol 1 Chapter 7

Berman chapters 10 & 11

Week 10 15-05-2017

Radiography of the abdomen & introduction to GI studies

Merrill's Vol. 2 chapter 16

Berman chapter 16

Week 11 22-05-2017

Radiography of the chest

Merrill's Vol 1 Chapters 9 & 10

Berman chapter 15

Week 12 29-05-2017

Consolidation & clinical preparation

Review/Exam Week 05-06-2017

OSCE

Exam Week 12-06-2017

In Class Test

This is a lab intensive unit. You should plan to attend all lectures (2 hr/wk), labs (3 hr/wk) and tutorials (1 hr/wk) as this will be integral to the development of knowledge and skills required for the assessments of the unit. You are expected to practice their positioning techniques during the timetabled practice sessions that are timed between the first and second lab class each week. The pace of class lab activities has been set with this expectation of practice and corresponding skill development.

This unit is designed to run concurrently with MEDI12001 Radiation Science and MEDI12002 Science & Instrumentation 1. You are expected to apply your knowledge and skills from those two units to both learning activities and assessments in this unit.

Please note this important information from the University’s Assessment Procedures: This is a non-graded (pass/fail) unit. A student who fails any assessment in a pass/fail unit will be deemed to have failed that unit. Each assessment task in a pass/fail unit must be completed by the specified due date. See the Assessment Task details for further information.

1 Practical Assessment

Assessment Title Practical Assessment One - Simulated radiography of the upper extremity
Task Description

You will perform a simulation of a one-projection radiographic examination on an ambulant patient. This examination could be any one of the upper limb or shoulder girdle projections covered in Weeks 1 – 4.

You will carry out all of the tasks that would be part of a radiographic examination other than actually irradiating your patient. This assessment will focus on your patient care, safe practice, use of equipment, radiographic technique and management of the examination.

You will have 15 minutes to complete all tasks required for the simulated radiographic examination.

Please note:

  • You must present for your individual practical assessment dressed as you would present to the clinical environment. Any student not adhering to the dress code may be excluded from the assessment.
  • The examination is timed; You will have 15 minutes to complete the practical elements of the task. If the practical element of the examination is not completed within the allocated 15 minutes, the practical element will be stopped and you will be marked based on your performance to that point
  • Clinical staff may be present as part of the examining panel as well as academic members of the team
  • This assessment task may be recorded using a video camera to enable moderation

Please note the following advice from the University Assessment procedures:

In non-graded (pass-fail) units, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded unit will be deemed to have failed that unit.

This assessment task must be completed on the specified day and time. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five per cent per day.

Assessment Due Date Week 5 during scheduled lab time. Date and time to be posted on the unit Moodle site
Return Date to Students General feedback will be given after completion of assessment. Confirmation of grade within 3 working days.
Weighting Pass/Fail
Assessment Criteria

Asessment 1: Simulated radiographic examination

Assessment areas:

  • Interpretation of clinical request
  • Preparation of x-ray room and ancillary equipment
  • Positive identification of patient and introduction
  • Verification of anatomical area and relevant clinical history
  • Determining pregnancy status
  • Gaining informed consent
  • Projection performed effectively
  • Use of primary anatomical markers
  • Correct application of appropriate radiation shielding
  • Use of equipment in a safe manner
  • Appropriate debrief and dismiss of patient
  • Infection control
  • Communication Skills
  • Professionalism

Detailed assessment criteria and a scoring rubric will be available on Moodle. Minimum acceptable scores in order to Pass will be shown. Note: If you do not achieve the minimum score, you will be given one additional opportunity to perform the assessment. This will be scheduled within a week of the original test date.




Conditions Minimum mark or grade - Pass
Referencing Style Harvard (author-date)
Submission Hard copy

Practical Assessment in the X-ray Laboratory

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.

2. Demonstrate patient care and professional behaviours in the simulated clinical environment.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice



2 Practical Assessment

Assessment Title Practical Assessment Two - Objective Structured Clinical Exam (OSCE)
Task Description

Clinical radiography comprises many facets, all of which must be mastered. The objective structured clinical exam (OSCE) is made up of two individual assessments which reflect various aspects of clinical diagnostic radiography. These assessments are:

Station 1: Simulated radiography in the x-ray suite

An individual 15 minute practical assessment

Practical assessment one will focus on your patient care, examination justification, safe practice, positioning and management of the radiographic procedure

You will be required to perform one radiographic series of two projections for an x-ray examination that you have learned in this unit

Station 2: Radiography of an anthropomorphic phantom in the x-ray suite

An individual 20 minute practical assessment in the x-ray suite (15 min image acquisition plus 5 min questions)

This assessment focuses specifically on the technical aspects of your radiographic technique

You will be required to perform one conventional radiography projection that you have learned during this unit on an anthropomorphic x-ray phantom

Please note:

  • You must present for your individual practical assessments dressed as you would present to the clinical environment. Any student not adhering to the dress code may be excluded from the assessment
  • Each assessment is timed. You will have a set time to complete the practical elements of each task. There will be 5 minutes at the end of the imaging assessment for you to answer questions and justify your technique. If the practical element of the assessment is not completed within the allocated time, the assessment will be stopped and you will be marked based on your performance to that point
  • Clinical staff may be present as part of the examining panel as well as academic members of the team
  • This assessment task may be recorded using a video camera to enable moderation

Please note the following advice from the University Assessment of Coursework Procedures:

In non-graded (pass-fail) units, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded unit will be deemed to have failed that unit.

This assessment task must be completed on the specified day and time. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five per cent per day.

Assessment Due Date Timetabled class/lab times time in week 13
Return Date to Students General feedback will be given at the time of the assessment. Confirmation of grade within 3 working days
Weighting Pass/Fail
Assessment Criteria

Station 1: Simulated radiographic examination

Assessment areas:

  • Interpretation of clinical request
  • Preparation of x-ray room and ancillary equipment
  • Positive identification of patient and introduction
  • Verification of anatomical area and relevant clinical history
  • Determining pregnancy status
  • Gaining informed consent
  • Projections performed effectively
  • Use of primary anatomical markers
  • Correct application of appropriate radiation shielding
  • Use of equipment in a safe manner
  • Appropriate debrief and dismiss of patient
  • Infection control
  • Communication Skills
  • Professionalism

Station 2 : Radiography of the anthropomorphic phantom

Assessment areas:

  • Patient position
  • Image receptor position
  • Tube position
  • SID
  • Control panel set-up
  • Focal spot size
  • Collimation
  • Secondary shielding
  • Accessories
  • Assessment of resultant image
  • Production of a diagnostic image

Detailed assessment criteria and a scoring rubric will be available on Moodle. Minimum acceptable scores are shown. You will receive a score (Pass/Fail) for each station. If for any station you do not attain a Pass on the first attempt, you will be given one additional opportunity to perform the assessment. This will be scheduled within one week of the original test date. No retests will be done on the date of the original test.

In order to get a Pass in this assessment, you must attain a Pass score in both of these stations.


Conditions Minimum mark or grade - Pass
Referencing Style Harvard (author-date)
Submission Hard copy

Practical assessment in X-ray laboratory

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.

2. Demonstrate patient care and professional behaviours in the simulated clinical environment.

3. Assess radiographs for technical sufficiency and identification of radiographic pathology.

4. Discuss methods to modify a radiographic procedure to improve technical sufficiency and/or better demonstrate required anatomy.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice



3 In-class Test(s)

Assessment Title In-class Test(s)
Task Description

A 2 hour written in class test.

As health care professionals, radiographers must consider many variables during the radiographic imaging process. This in-class test offers images in the form of photographs, radiographic images or line drawings. These images are used as a basis for a series of questions related to that image. Subjects covered may be patient positioning, image quality and improvement, anatomy, radiographic pathology and patient care amongst others. You are required to review all of the images offered and to answer all of the questions related to each of the images.

The images offered may be of the following examination categories:

  • Thorax
  • Abdomen
  • Gastrointestinal studies
  • Upper extremity
  • Lower extremity
  • Pelvis and hips

Please note the following advice from the University Assessment of Coursework procedures:

In non-graded (pass-fail) units, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded unit will be deemed to have failed that unit.

This assessment task must be completed on the specified day and time. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five per cent per day.
Assessment Due Date Week 14. Specific time and date to be confirmed via Moodle
Return Date to Students Within 2 weeks of completion.
Weighting Pass/Fail
Assessment Criteria

Assessment on:

  • Identification of normal anatomy
  • Identification of abnormalities on x-ray images
  • Scientific description of technical sufficiency of images
  • Accurate description of patient positioning
  • Application of knowledge to correct positioning errors
  • Application of knowledge to correct technical insufficiency of images
Conditions Minimum mark or grade - Pass (Minimum grade 50%). Closed book. No texts, electronic devices or other reference materials to be brought into the class.
Referencing Style Harvard (author-date)
Submission Hard copy

Written answer sheets to be handed in to the unit coordinator or delegated supervisor at the end of the test.

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.

3. Assess radiographs for technical sufficiency and identification of radiographic pathology.

4. Discuss methods to modify a radiographic procedure to improve technical sufficiency and/or better demonstrate required anatomy.

5. Discuss techniques, patient care and safety issues surrounding radiographic gastro-intestinal imaging.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

7. Cross Cultural Competence

8. Ethical practice



4 Practical Assessment

Assessment Title Professional Behaviours
Task Description

Professional behaviour is a vital component of your competencies as a health care professional. You will be expected to demonstrate this consistently whilst working in the simulated clinical environment of the imaging labs.

A professional behaviours assessment form is available on the unit Moodle site. You must bring it with you to each of your scheduled labs. This form details the standards of behaviours required. Your lab tutor will assess your performance relative to the stated standards. One demerit point will apply for any category where you have not demonstrated the behaviour to the standard required. Your lab tutor will complete and sign the form every session. If you fail to bring your form to your scheduled lab session you will be awarded one demerit. Once completed this form must be uploaded via the unit Moodle site for review by the unit coordinator.

Please note the following advice from the University Assessment of Coursework procedures:

In non-graded (pass-fail) unit, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded course will be deemed to have failed that unit.

Assessment Due Date Within 3 working days of the final lab
Return Date to Students Confirmation of grade within 2 weeks of final lab
Weighting Pass/Fail
Assessment Criteria

Assessed upon:

  • Adherence to dress code
  • Punctuality
  • Use of materials
  • Use of class time
  • Professional behaviour
  • Acceptance of feedback

Detailed assessment criteria and a marking rubric are available on the unit Moodle site.

In order to pass this assessment you must receive less than six (6) demerits if all laboratory sessions are attended. Maximum demerits will be calculated on a pro-rata basis for students not attending all scheduled lab sessions.

Conditions Minimum mark or grade - Pass
Referencing Style Harvard (author-date)
Submission Online

Form to be uploaded via the unit Moodle site within 3 working days after the last lab has taken place

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Demonstrate patient care and professional behaviours in the simulated clinical environment.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

5. Team Work

7. Cross Cultural Competence

8. Ethical practice



Engagement

This unit teaches communication, cognitive and technical skills as required for the profession. This will ensure students are able to communicate and engage with patients and staff in the clinical environment.

Graduate Attributes

Communication, technical, safety and behavioural skills appropriate to a clinical environment.

Indigenisation of Curriculum

Holistic and cultural considerations in a health care environment are considered.

Internationalisation of Curriculum

The unit will draw on a evidence base of best practice form international sources to underpin student knowledge.

Sustainability

Unit material will ensure advancements in health and medical imaging are addressed. The approach will ensure consideration of the health and safety both for self, staff and patients in the clinical environment.

Work Related Learning

Lab work will simulate a clinical environment and theoretical knowledge gained during the course will be put into practice. Professional behaviour, technical skills, problem solving, evaluation and evidence based practice is a focus.


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