Sun 1st Sep 2013
Session 1 / Talk 2
09:30 – 09:55
HEAPHY 1 & 2
DIAGNOSTIC
Jennifer de RIDDER
ABSTRACT
The NZ Medical Radiation Technologists Board (MRTB) protects and promotes the health
and safety of New Zealanders by ensuring Medical Radiation Technologists are competent
and fit to practice.
The Board wishes to take this opportunity to present information on its key functions of
- Setting the standard for registration in NZ
- Monitoring of degrees & post-graduate diplomas in NZ
- Registration of new graduates
- Registration of overseas qualified MRTs
- Issuing of annual practising certificates (APCs)
- Ensuring every registered MRT is competent to practise within their scope of practice (SOP)
- Disciplinary and complaints investigations
This will include the outcomes of the 2012 Practitioner Audit, an update of the scope of
practice review and proposed changes in the regulatory authorities’ secretariats that support
the Boards functions.
Medical Radiation
Technologists Board
Protecting and promoting the health
of New Zealanders by ensuring
Medical Radiation Technologists
are competent and fit to practise
Jennifer de Ridder
Registration authority in NZ
Medical Radiation
Technologists
(Including Mammographers)
Nuclear
Medicine
Technologists
Sonographers
Radiation
Therapists
MRI
Technologists
The Health Practitioners Competence Assurance
(HPCA) Act 2003
Regulates 16 health professions (16 Responsible Authorities)
Board Members
•
•
•
•
•
•
•
•
•
Jennifer de Ridder Chair
Julia Metcalfe
Deputy Chair
Julia Andrews
Beryl Kelly
Prue Lamerton
Shelley Park
Sue McKenzie
Megan Campbell
Roseanne Hawarden
MRT - RT
MRT - US
MRT - DI
MRT - DI
MRT - NM
MRT - MRI
Lay Person
Lay Person
Lay person
MRTB responsibilities
 The MRTB has an appointed Registrar, and may appoint
deputy Registrars.
 The MRTB meets 4 times a year in Wellington.
Subcommittees of the Board may meet more frequently.
 The following MRTB subcommittees have been
appointed:
• Registration, Registration Examination (REA) and
Recertification Committee
• Education Committee
• Professional Standards Committee
• Communications Committee
• Finance, Audit and Risk Committee
MRTB Responsibilities
•
•
•
•
•
•
•
Sets the standard for registration in New Zealand,
Monitors degree programmes in New Zealand,
Registration of new graduates,
Registration of overseas qualified MRT’s,
Issuing Annual Practising Certificates,
Ensuring every registered MRT is competent to
practise within their scope of practice,
Competence, conduct, and health investigations.
Practitioner Responsibilities
Keeping the Board Informed
• Once you are on the register you are obliged under the
HPCA Act to keep the MRTB updated on your contact
details (even if you are not practising),
• Up-to-date email address is essential for you to be able
to access your online login profile,
• You can update your contact details through your My
Profile login on the MRTB website:
www.mrtboard.org.nz
MRTB - Registrations
• Practitioner qualified with NZ recognised qualification must be
registered with MRTB under HPCA Act 2003 to practice.
• Need to provide MRTB with criminal history record (apply through
Dept. of Justice) www.justice.govt.nz
• Processing an application will depend on MRTB receiving evidence
of the criminal convictions notice.
• Education provider will notify MRTB as soon as you qualify
• Apply for registration online through MRTB website
• MRTB will register you as soon as you apply for registration (incl.
fee payment) and has notification of your pass from the education
provider
• Must not practise until registered
Registrations Approved for the
2012/2013 Year
Overseas
Trained
NZ
Graduates
DI Gen
MRI
NM
RT
US
Training
MRI
Training
NM
Training
US
31
22
2
12
14
6
1
20
109
11
0
25
11
7
0
8
MRTB - Recertification's
Applying for an Annual Practicing Certificate (APC)
• Complied with the requirements for continuing
competency
• A criminal convictions statement
• A physical/mental health statement
• APC will state your scope of practice (SOP) and any
conditions that are attached to your SOP
• MRTB can with-hold your APC if you don’t comply
• APC fee is $275.00 – cannot be paid in bulk by your
employer
• Reduced APC fee for first APC Dec-March
2012/2013 APC’s Issued
APC with
conditions
Full APC
DI Gen
MRI
NM
RT
US
Training
MRI
Training
NM
Training
US
53
0
2
3
23
1
0
8
1686
169
54
348
390
50
4
72
One CPD programme
can cover multiple
SOP’s
CPD programme
relevant to your SOP
and cover all aspects
of your SOP (s)
Continuing
Professional
Development (CPD)
CPD programmes
must be approved by
the MRTB
Approved programs
are listed on the
MRTB website at
www.mrtb.org.nz
Board Approved CPD Providers
• New Zealand Institute of Medical Radiation
Technology (NZIMRT),
• Christchurch Radiology,
• Australian Institute of Radiography (AIR),
• Australasian Society for Ultrasound in Medicine - MOSSIP
(ASUM),
• Australasian Sonographer Accreditation Registry (ASAR),
• Australian and New Zealand Society of Nuclear Medicine
Technologists (ANZSNM),
• American Society of Radiologic Technologists (ASRT)
• Australian Sonographers Association (ASA).
Criteria for on-going Competency
• Minimum of 800 hours over 3 years (360
patient contact hours)
• Satisfactory annual performance review,
demonstrating competency
• Active participation in an MRTB approved
CPD programme
• Comply with MRTB code of ethics
• Personal medical and physical ability
statement
MRTB Audits
Audit process of APC applications:
• 10% of MRT’s are audited annually to ensure compliance
with on-going competency requirements.
• Range of scopes of practice and CPD programs.
• Audit is conducted 3 - 6 months prior to the APC renewal
round
• MRTB-appointed auditors covering all SOP
• Failure to pass audit – Practitioner is given an opportunity
to reach competency standard prior to APC date
• All APC renewals are checked to ensure compliance.
• There may also be audit requirements from your CPD
programme provider
MRTB Audits
If you are Audited you will have to supply evidence of:
• Your hours signed off by your team leader/manager,
• Evidence of satisfactory current performance appraisal
stating you are a safe practitioner,
• Your CPD portfolio with all CPD information,
• Your physical, mental and competency statement
countersigned by your team leader/manager,
• A statement from your team leader/manager stating that
you comply with the MRTB code of ethics.
MRTB Audits Results 2010 - 2012
2010
2011
2012
Called for Audit
223
227
257
Audited
220
215
240
Passed
210
212
234
Failed
10
3
6
Professional Standards
The Board has a Professional Standards Committee
that investigates:
• Competence issues where there may be a risk of
harm to the public;
• Health issues for practitioners where they may not
be able to carry out the functions of their profession
due to a physical or mental health condition;
• Conduct and discipline issues that may be referred
to the Health Practitioners Disciplinary Tribunal.
Professional Standards
Notifications for the past 3 years
Competence,
7
Conduct, 5
Health, 10
Return to Work Guidelines
Not Practised 3-5 years:
• Required to be supervised, and maintain
logbooks
Not Practised 5-10 years:
• Offer REA
Not practised more than 10 years:
• Recommend retraining or cross crediting
to an educational provider
MRTB Projects
Contact Details
Physical Address:
Level 10
ASB House
101-103 The Terrace
Wellington
Postal Address:
The Registrar
Medical Radiation Technologists Board
PO Box 11 905
Wellington 6142
Telephone:
+64 4 801 6250
Fax:
Email:
mrtboard@medsci.co.nz
Website:
www.mrtboard.org.nz
+64 4 381 0270
Scopes of Practice
• The Professions of Medical Radiation
Technology
•
Medical radiation technology is a patient centred
profession that encompasses the practices of medical
imaging and radiation therapy. Medical imaging
practitioners use different technologies to create images
of the human body for diagnosis and the staging and
management of disease. Radiation therapy practitioners
use technology to create and evaluate images and data
related to the localisation, planning and delivery of
radiation treatments
SoP – Medical Imaging
Technologist
• Medical Imaging Technologists are responsible for the outcome of
the diagnostic imaging examination. The outcome of the
examination is recorded electronically to allow for consultation with
other health and medical practitioners.
• Medical Imaging Technologists produce high quality diagnostic
radiographs or carry out diagnostic procedures using ionising
radiation. With appropriate training, Medical Imaging Technologists
may practise computed tomography (CT), mammography, and
angiography. Medical Imaging Technologists evaluate the diagnostic
quality of images and take corrective measures as required.
• Medical Imaging Technologists competencies include, but are not
limited to patient care, patient positioning, imaging physics and
technology, anatomy and physiology identification and assessment,
bioeffects and radiation safety, clinical and organisational
responsibility for the examination, and quality assurance.
SoP – Radiation Therapist
• Radiation Therapists are responsible for the planning and delivery of
radiation treatment, primarily for people diagnosed with cancer.
Radiation Therapists create and evaluate images for the
localisation, planning and delivery of radiation treatment according
to the prescription of the Radiation Oncologist.
• Radiation Therapists provide specific care to patients throughout the
course of their treatment and educate patients on the management
of any treatment related side-effects.
• Radiation Therapists' competencies include but are not limited to
patient care, treatment design and delivery, radiation safety, clinical
and organisational responsibility for the planning and treatment, and
quality assurance.
• Nuclear Medicine Technologists are responsible for the outcome of
the nuclear medicine examination. The outcome of the examination
is recorded electronically to allow for consultation with other health
and medical practitioners.
• Nuclear Medicine Technologists are involved in the preparation,
administration, imaging and quantification of diagnostic
pharmaceuticals to demonstrate organ and molecular function as
well as the delivery of therapeutic radiopharmaceuticals to treat a
number of pathologies.
• Nuclear Medicine Technologists operate gamma camera systems
(SPECT) and PET imaging systems with or without sealed sources
of radioactive materials or x-ray tubes for attenuation correction,
anatomical fusion, transmission imaging or, subsequent to a Boardapproved training programme, diagnostic CT.
• Nuclear Medicine Technologists' competencies include but are not
limited to patient care, patient positioning, preparation and
administration of radiopharmaceuticals, radionuclide and radiation
safety, in vitro diagnostic testing, radionuclide therapy, clinical and
organisational responsibility for the examination, and
quality assurance
Magnetic Resonance Imaging (MRI)
Technologist
• Magnetic Resonance Imaging (MRI) Technologists are responsible
for the outcome of the MRI examination. The outcome of the
examination is recorded electronically to allow for consultation with
other health and medical practitioners.
• MRI Technologists produce high quality diagnostic images using a
powerful magnetic field. MRI Technologists may at their discretion
(and in the accordance with clinical and workplace guidelines)
extend the examination to include relevant regions and/or
sequences not suggested in the referral or protocol.
• MRI Technologists' competencies include but are not limited to
patient care, patient positioning, use of magnetic resonance imaging
physics and technology, bioeffects and magnetic resonance safety,
clinical and organisational responsibility for the examination, and
quality assurance.
Sonographer
• Sonographers are responsible for the outcome of the diagnostic
ultrasound examination. The outcome of the examination is
recorded electronically to allow for consultation with other health and
medical practitioners.
• Sonographers perform a wide range of real-time diagnostic
examinations and may at their discretion (and in accordance with
clinical and workplace guidelines) extend the examination to include
relevant regions and/or sequences not suggested in the referral.
• Sonographers' competencies include but are not limited to patient
care, ultrasound physics and technology, anatomy and physiology
identification and assessment, diagnostic interpretation of the
ultrasound findings, bioeffects and the use of ultrasound technology,
clinical and organisational responsibility for the examination and
quality assurance.