New Zealand Medical Radiation Technologists Board Te Poari Ringa Hangarua Iraruke Guide for Registered Medical Imaging and Radiation Therapy Practitioners www.mrtboard.org.nz Guide for Registered Medical Imaging and Radiation Therapy Practitioners © This publication is copyright to the New Zealand Medical Radiation Technologists Board July 2014 THE MEDICAL RADIATION TECHNOLOGISTS BOARD IS RESPONSIBLE TO THE MINISTER OF HEALTH FOR ADMINISTRATION OF THE HEALTH PRACTITIONERS COMPETENCE ASSURANCE ACT 2003 IN RESPECT OF THE PROFESSION OF MEDICAL RADIATION TECHNOLOGY (MEDICAL IMAGING AND RADIATION THERAPY). THE PRIMARY RESPONSIBILITY OF THE BOARD IS TO PROTECT THE HEALTH AND SAFETY OF THE NEW ZEALAND PUBLIC BY ENSURING PRACTITIONERS REGISTERED IN THE PROFESSION OF MEDICAL RADIATION TECHNOLOGY (MEDICAL IMAGING AND RADIATION THERAPY) ARE COMPETENT AND FIT TO PRACTISE. PO Box 11-905, Wellington 6142 F: +64 4 381 0270 www.mrtboard.org.nz E: mrt@medsci.co.nz What is Covered in this Booklet About the Board 4 The Board’s Functions 5 Code of Ethics 6 Registrations 7 Scopes of Practice 8 Keeping the Board Informed 9 Annual Practising Certificates Clinical Practice Hours Practising Without an APC Declarations Continuing Professional Development What is CPD? The Value of CPD CPD and the APC CPD Providers Practitioner Audits Board Audits: What Happens Your Responsibility What Would be Required? Exemption from Audits 10 10 11 11 12 12 12 12 13 14 14 14 15 16 Changing your Scope of Practise 17 Training Scopes of Practice: Clinical Hours Requirement Adding a Scope of Practice: How to Apply for Registration in Another Scope of Practice 17 18 18 18 Supervision 19 Professional Standards 20 Competency to Practise Making a Notification Competence Review Process Professional Conduct A Mental or Physical Health Condition What Happens if the Board Decides to do a Health Review? Ceasing to Practise and Returning to Practise Ceasing to Practise Returning to Practice Absence of Less than 3 Years Frequently Asked Questions 20 20 21 22 22 23 24 24 24 24 26 About the Board The Medical Radiation Technologists Board (The Board) is one of sixteen New Zealand health regulatory authorities appointed by the Minister of Health under the Health Practitioners Competence Assurance Act 2003 (the Act). The Board is responsible for the administration of the Act in respect of the profession of medical radiation technology (encompassing the practices of medical imaging and radiation therapy). The primary responsibility of the Board is to protect the health and safety of the New Zealand public by ensuring practitioners registered in the profession of medical imaging and radiation therapy are competent and fit to practise. Values Consultation Fairness Consistency Honesty Approachability Impartiality Natural Justice Vision Mission Enable the implementation of the HPCA Act 2003 and so mitigate the risk to the public, the Board, and the profession within a social, ethical, and financially viable framework To protect the health and safety of the New Zealand public, by ensuring practitioners are competent and fit to practise. Page 2 of 24 Medical Radiation Technologists Board The Board’s Functions In accordance with Section 118 of the Health Practitioners Competence Assurance Act 2003, the Board is responsible for fulfilling a number of functions: 1 2 3 4 5 6 7 8 9 10 11 12 Guide for Registered Practitioners Page 3 of 24 Code of Ethics This Code of Ethics is to act as a guide to any medical radiation technologist (medical imaging and radiation therapy) practitioners registered with the Medical Radiation Technologists Board. It is to assist practitioners working in all modalities of medical radiation technology in maintaining a high level of ethical conduct. Medical Radiation Technology Practitioners will: • Act in such a manner to justify public trust and confidence. This will be achieved through high standards of professional competency as well as through professional conduct and appearance. • Demonstrate commitment to the provision of the best possible service to patients. • Maintain a working knowledge of all legislation pertinent to their practise and operate within such legislation. • Ensure they operate within their scope of practice, delivering only those services for which they are registered and competent to do so. • Demonstrate commitment to keeping the radiation dose as low as reasonably achievable to produce diagnostic results or for treatment needs. • Provide services in such a manner as to show respect for each individual. • Act in the best interests of each patient and will maintain their standards of practice for all patients. • Have regard for a patient’s religious and political beliefs, gender, sexual orientation, race/ethnicity, nationality, social or economical status, and the nature of the person’s health problems. 5 • Protect the patient’s right to privacy and keep all patient information in the strictest confidence. 6 • Continually strive to improve their knowledge and skills of their profession. 7 • Be respectful of fellow workers and work in a professional and co-operative manner with other health care workers. 8 • Be responsible for reporting any unethical conduct, unsafe practise, or illegal professional activities to the appropriate bodies. 9 • Be accountable for their clinical decision making. 1 2 3 4 Page 4 of 24 Medical Radiation Technologists Board Registrations Under the Health Practitioners Competence Assurance Act 2003 (HPCA Act 2003), the Board is required to maintain a register of the practitioners it regulates. The register is accessible to the public and employers. Registration with the Medical Radiation Technologists Board is a one off process. You will remain on the register for life unless you request to be removed or are removed for disciplinary reasons. You can be registered in more than one scope of practice providing you meet the requirements of registration in each scope. Periodically the Board will conduct a review of the register, and will contact practitioners who have not held an APC for five consecutive years asking if they wish to remain on the register. Now that you have been registered your name has been entered into the register and can be found on the Boards website: www.mrtboard.org.nz/the-register. Now that you have been registered you will need to apply for an annual practising certificate before you commence practising. To do so, go to the website and click on apply for APC: www.mrtboard.org.nz Within a scope of practice, a practitioner may have a condition that restricts them to working within a particular area of work, for example a Medical Imaging Technologist may have a condition restricting their practice to mammography; a Medical Radiation Technologist—Medical Imaging Technologist (Mammography only). If you intend to practise in New Zealand, you must hold a current annual practising certificate. It is illegal to practise as a Medical Radiation Technologist (Medical Imaging and Radiation Therapy) without an APC Guide for Registered Practitioners Page 5 of 24 Scopes of Practice The Medical Radiation Technologists Board has specified eight scopes of practice within the profession of medical radiation technology: Medical Imaging Technologist: 1 2 Is responsible for the outcome of the diagnostic imaging examination. The outcome of the evaluation is recorded electronically to allow for consultation with other health and medical practitioners. Radiation Therapist: Is responsible for the planning and delivery of radiation treatment. Creates and evaluates images for the localisation, planning and delivery of radiation treatment. Nuclear Medicine Technologist: 3 Is 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. Sonographer: 4 Is 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 Magnetic Resonance Imaging Technologist: 5 6 7 8 Page 6 of 24 Is 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. Trainee Nuclear Medicine Technologist: A trainee nuclear medicine technologist undertakes training in an approved medical radiation technology programme in nuclear medicine imaging. Trainee Sonographer: A trainee sonographer undertakes postgraduate training in an approved medical radiation technology programme in ultrasound. Trainee Magnetic Resonance Imaging Technologist: A trainee magnetic resonance imaging technologist undertakes postgraduate training in an approved medical radiation technology programme in magnetic resonance imaging. Medical Radiation Technologists Board Keeping the Board Informed You are required to notify the Board of any changes to your residential, postal or work address within one month of the change. You can do this by logging into “ My Profile ” on the website. Please note: email address changes cannot be altered using the “ My Profile ” portal and must be emailed to mrt@medsci.co.nz MRTB registered practitioner booklet Page 7 of 24 Annual Practising Certificates If you wish to work in New Zealand as a Medical Radiation Technologist practitioner you must hold a current annual practising certificate (APC). An APC is valid for a maximum of twelve-months between 1st April of one year and 31st March of the next year. An APC may be issued for part of the relevant twelve-month period. You can apply for an APC in either one or multiple scopes of practice, provided you are registered in each of those scopes and meet the Board's criteria for clinical practise hours. Clinical Practise Hours If you apply for an APC in one scope of practice you must have completed, within the three-years prior to your application, a minimum of 800 clinical hours with at least 360 of those involving patient contact. Should you wish to apply for an APC in more than one scope of practice you must have completed, within the three-years prior to your application, at least 360 hours of patient contact for each scope of practice and an additional 440 clinical hours across any of the scopes of practice that you hold an APC for. This balance of 440 hours may include any combination of: • Patient contact; • Direct supervision of staff in clinical practise; • Delivery of educational activities; • Quality assurance directly related to the delivery of medical radiation technology/ radiation therapy; • Research activities which inform practice. New Graduates If you are a newly graduated practitioner, you will not have completed the required clinical hours, and therefore need to answer the question in the declaration section truthfully. You will need to state your recent graduation status within the comment box provided on the APC application screen before the Board can issue you with an APC. The Board only accepts APC applications through its on-line system. Go to the Board’s website and click on the “Apply for APC” button and follow the instructions provided on the screen. Page 8 of 24 Medical Radiation Technologists Board Practising Without an APC As a registered Medical Imaging Practitioner or Radiation Therapist (any scope of practice) you are responsible for ensuring you are issued an APC, and work within the scope of that APC, and an application renewal is submitted to the Board for each year you intend to work in a New Zealand medical imaging industry; accompanied by the appropriate payment. It is illegal to practise without an APC and you could be fined up to $10,000, should the Board have it confirmed that you have been working without a current APC. Declarations When you apply for an APC you are required to make a number of declarations including that you : • Receive a satisfactory performance evaluation during the previous twelvemonths; and • Meet the requirements for clinical work experience; and • Are enrolled in a Board-approved recertification programme; and • Have no criminal convictions recorded against your name and/or no criminal charges pending that are punishable by imprisonment for a term of 3 months or longer*; and • Are competent and fit to practise, and have no mental or physical or conditions that may compromise your competency. Please note : Declarations must be truthful. The Board may take action under section 172 of the Act if it discovers any declarations are false. *This may include convictions that have not resulted in an imprisonment term, but could have been; for example a Guide for Registered Practitioners Page 9 of 24 Continuing Professional Development Active engagement in continuing professional development (CPD) is a way for you to demonstrate your on-going competence to be re-issued with an APC. Each year you must declare your enrollment in a Board-approved CPD programme. What is CPD? The ultimate purpose of CPD is to contribute to high-quality patient care. While the definitions of CPD are many they tend to be based on a number of common themes. “Continuing professional development is a range of learning activities through which health professionals maintain and develop throughout their career to ensure they retain their capacity to practise safely, effectively and legally within their evolving scope of practice” Health Professions Council (United Kingdom) The Value of CPD CPD will help you to maintain high levels of professional competence through continually upgrading your skills and knowledge. CPD: • Ultimately benefits patients as it should lead to improved services • Gives the Board, the public, and the health sector confidence that you are continuously improving your skills, knowledge and expertise • Allows for you to take responsibility for your lifelong learning • Helps you to be accountable for remaining current in your practise CPD and the APC CPD is the term used for the process through which you demonstrate your competence to practise, and for the Board to issue you with an APC. Before the Board issues you with an APC, you must be able to demonstrate that you are participating in CPD. Page 10 of 24 Medical Radiation Technologists Board CPD Providers The Board has approved the following eight providers of CPD programmes for medical radiation technologists, (medical imaging and radiation therapy): Provider Programme Scope of Practice New Zealand Institute of Medical Radiation technology (NZIMRT) Continuing Professional Development Programme All Australia & New Zealand Society of Nuclear Medicine (ANZSNM Continuing Professional Development Programme Sonography Australasian Society for Ultrasound in Medicine (ASUM) MOSSIP Continuing Professional Development Programme All American Society of Radiologic Technologists (ASRT) Continuing Education Programme All Christchurch Radiology Continuing Professional Development Programme All Australian Institute of Radiography (AIR) Continuing Professional Development Programme All Continuing Professional Development Programme Sonography Continuing Professional Development Programme Sonography Australian Sonographers Association (ASA) Australian Sonographer Accreditation registry (ASAR) Continuing professional development should be: • Continuous - professionals should always be looking for ways to improve performance; • The responsibility of the individual to own and manage; • Driven by the learning needs and development of the individual; • Evaluative rather than descriptive of what has taken place; • An essential component of professional life, never an optional extra. Chartered Institute of Personnel and Development (United Kingdom) Guide for Registered Practitioners Page 11 of 24 Practitioner Audits An essential component of the Board’s CPD framework is an audit of practitioners compliance with the Boards requirements for holding an APC. Audits provides the Board and members of the public with reassurance that practising medical imaging and radiation practitioners are engaging in an on-going process to maintain their competence within their relevant scope of practice. Board Audits: What Happens The Board undertakes an annual audit of approximately 10% of registrants who hold a current practising certificate to assess the level and quality of their CPD. Audit participants maybe selected randomly or be called for audit for a specific purpose. If you have been audited within the previous three-year period and passed all of the audit requirements, with no issue for remediation, your name will not be included in the current audit. However if you were exempted or failed the previous audit, you can expect to be included in the next audit. You will be notified by email if your name has been selected for audit. You are given 7-8 weeks within which to provide the Board with all requested documentation in regard to the CPD programme you are enrolled in, and verification by yourself and employer of your APC declarations. The audit is carried out by Board members and practitioners nominated by invited organisations (e.g. CPD programme providers), all of whom are registered medical imaging and radiation practitioners. All documentation is evaluated against a standard set of criteria. Your Responsibility It is your responsibility as a medical imaging or radiation therapy practitioner to maintain a complete and accurate record of your CPD activities for three-years. A copy of these records will be required should you be called up for an audit. The MRTB audit is separate from any audit process undertaken by the CPD programme provider. Page 12 of 24 Medical Radiation Technologists Board What Would be Required? If you are selected for an audit, you must be able to provide complete and accurate information pertaining to your last three years of CPD activities. The document's required include but are not limited to: • Certificate of CPD enrollment • CPD activity • Certificate of previous CPD cycle completion • Evidence of attendance of CPD events • Evaluations or reflections of CPD events • Declaration verification An unsuccessful audit may result in your next APC not being issued Guide for Registered Practitioners Page 13 of 24 Exemption from Audits You may be exempted from a Board audit if you are currently: • On maternity leave for greater than three-months; • Working overseas; • On long-term sick leave (i.e. more than three-months) and provide a medical certificate; • Experiencing a family bereavement that results in non-practice for a period of greater than three-months. You may also be exempted from an audit if you provide proof that you are currently, or have within six-months prior to the Board audit, being/been audited by your CPD provider. All requests to be exempted from an audit must be forwarded in writing to the Board within 14 working days of your having received notification that you have been selected Failure to respond to the audit could result in your next application for an APC being declined until you meet the requirements of the audit Page 14 of 24 Medical Radiation Technologists Board Changing your Scope of Practise Once you have gained the relevant qualification, and required clinical experience you may apply for registration in another scope of practice. The Board has defined eight scopes of practice for registration in the profession of medical radiation technology (medical imaging and radiation therapy): • Medical Imaging Technologist • Radiation Therapist • Nuclear Medicine Technologist • Magnetic Resonance Imaging Technologist •Sonographer • Trainee Nuclear Medicine Technologist • Trainee Magnetic Resonance Imaging Technologist • Trainee Sonographer Training Scopes of Practice: Suitably qualified registered health practitioners can apply for registration in a trainee scope of practice. You will be required to undertake a course of study as approved by the Board and complete a minimum number of supervised practise hours in a clinical setting. Upon completion of the relevant training programme, and meeting the requirements for demonstrating clinical competence, you are eligible to apply for registration in that scope of practice. Alternatively, if you are not registered in the profession of medical radiation technology but hold either an undergraduate degree in an appropriate health science as approved by the Board, and/or are registered with another New Zealand health registration authority, you may apply for a training scope of practice. Practitioners registered in a training scope of practice must work under supervision for the duration of their training. The Board must be advised of: • the name of the clinical site where you will be working while undertaking the training programme; and • the name of the registered medical radiation technologist who will supervise you throughout your training period. Your supervisor must hold a current practising certificate in the scope of practice for which you are seeking registration. Guide for Registered Practitioners Page 15 of 24 Clinical Hours Requirement If your qualification did not include an assessment of your clinical competence you will need to provide evidence you have completed 3360 clinical hours of practical clinical experience in the relevant scope of practice. You will also be required to undergo an Registration Examination Assessment (REA) at your own cost. Adding a Scope of Practice: After gaining your postgraduate qualification in Nuclear Medicine, Sonography, or Magnetic Resonance Imaging, and completing the required number of clinical hours, you may apply to the Board for registration in the relevant scope of practice. Remember; if your qualification did not include an assessment of your clinical competence you will need to provide evidence you have completed 3360 clinical hours of practical clinical experience in the relevant scope of practice. You will be required to undergo an Registration Examination Assessment (REA) at your own cost. You are not permitted to practise in an additional scope of practice until registration in that specific scope of practice has been approved, and an APC has been issued. However once you have completed your training you must apply for the Board to have the trainee condition removed from your APC. How to Apply for Registration in Another Scope of Practice To apply for a training scope of practice or to add another scope of practice, you must log onto “My Profile” and click on ‘Add Scope’ button and follow the prompts. More information regarding training scopes of practice is available on the website: www.mrtboard.org.nz Page 16 of 24 Medical Radiation Technologists Board Supervision Under Section 22 (3) of the Act the Council can place a condition on a practitioner’s scope of practice to ensure the competent practise of the applicant to protect the safety and well-being of the New Zealand public. This can include: A condition that the applicant practise subject to the supervision of one or more nominated health practitioners or health practitioners of a stated class (Section 22 [3] [a]) The Board has a separate booklet called “ Working Under Supervision ”, that can be found on the Board’s website, or requested by emailing: mrt@medsci.co.nz Guide for Registered Practitioners Page 17 of 24 Professional Standards As a registered health professional you have a responsibility to notify the Board if you have any concerns about either your own or another practitioner’s: • Competence to practise; and/or • Professional conduct; and/or • A mental or physical health condition When concerns are raised about a registered health practitioner's standards of professional practise, the Board is required, under the Health Practitioners Competence Assurance Act 2003 to respond to such concerns, and at times will refer notifications to the Board’s Professional Conduct Committee. Competency to Practise If concerns are raised about your competence as a registered medical radiation technologist, the Board is compelled to make enquiries and consider whether a review of your competence is necessary. A competence review is not disciplinary in nature. Rather, it is designed to protect the public by making an assessment in a collegial manner and to be educative with a focus on assisting you to improve your standard of practise. Competence reviews undertaken by the Board will be fair, constructive, supportive and educative. Making a Notification A notification is a formal written complaint made against a practitioner registered with the Board. The Board may review the competence of a practitioner if there is reason to believe that they have not maintained the required standard of competence, and/or there is evidence to suggest they pose a risk of harm to the public • An employer must notify the Board when a practitioner has resigned or been dismissed for reasons relating to competence; • Any health professional may notify the Board of a competence issue; • Professional Conduct Committees appointed by the Board may also recommend a competence review. The notification is to be in writing to the Registrar and include the reasons why the person making the notification believes that the practitioner may pose a risk of harm to the public by practising below the required standard of competence. Page 18 of 24 Medical Radiation Technologists Board Competence Review Process The Board will inform the practitioner of the notification and make further inquiries before deciding if a review is required. The Board may choose to make further inquiries through: • Interviews with the practitioner concerned, colleagues, employers or patients; and/or • Observations of the practitioner concerned. Competence reviews are undertaken by a Board-appointed panel of at least two people, one of whom is a registered medical imaging or radiation therapy practitioner who holds a current practising certificate in the same scope of practice under review. It is important to note that competence reviews are rehabilitative in nature; that is, they are aimed at working together with the practitioner to find ways to assist them to bring their standards of practise in line with the Board’s competencies required for the particular scope of practice. Competency review panels are provided with a detailed terms of references within which the review is to be conducted and the practitioner under review has an opportunity to comment on both the membership of the competence review panel and the terms of reference. Following a review, the panel may make one or more of the following recommendations to the Board: • A competence programme designed to assist the practitioner to address the areas identified; and/or • A referal to the Health Practitioners Disciplinary Tribunal; and/or • An alteration on the practitioners scope of practice by including: • Conditions on their practise; and/or • Changing the health services a practitioner may perform; or • The practitioner be suspended. The practitioner will have an opportunity to respond to any order proposed by the Board following its consideration of the panel’s recommendations, and prior to any order being put into effect. Guide for Registered Practitioners Page 19 of 24 Professional Conduct Should the Board receive a complaint alleging that a practitioner’s practise or conduct as a registered medical radiation technologist may pose a risk of harm or serious harm to the public, the Act enables the Board to appoint a professional conduct committee (PCC) to investigate that complaint, who will conduct its investigation independently to the Board. Should the Board be notified that a practitioner, having been convicted in a New Zealand Court of an offence punishable by imprisonment for a term of three-months or longer or any other offence as per section 67 of the Act, they will immediately refer them for investigation by a PCC. For example a drink driving conviction, even though it may not be imposed, can result in three-months imprisonment. A Mental or Physical Health Condition If a registered practitioner cannot make safe judgments, demonstrate acceptable levels of competence or behave appropriately in accordance with ethical, legal and practise guidelines because of a mental or physical condition, they can expect to be investigated by the Board. In determining if an investigation into a practitioner’s health is appropriate, the Board’s Professional Standards Committee may consider the following factors as increasing the likelihood for a health review to be undertaken: • An incident directly involving the use or misuse of drugs and/or alcohol; • Evidence of stress factors in the practitioner’s personal and/or work environments; • Evidence of physical or mental illness; • Evidence of a previous mental or physical episode which adversely affected the practitioner’s practise Page 20 of 24 Medical Radiation Technologists Board What Happens if the Board Decides to do a Health Review? You will be invited to comment on the health concern that was brought to the Board’s attention including whether there are factors that may adversely affect your ability to practise. If you acknowledge that your practise is affected by a health condition, the Board may discuss an option for you to voluntarily either limit your practise or cease practising while the situation is investigated further. The focus will be on assisting you to address any mental or physical health issues which may be affecting your practise. You may be asked to surrender your annual practising certificate or to put into effect any agreed limitation on practise. (If appropriate a replacement annual practising certificate with conditions will be issued at a later point at no extra cost to you.) If satisfied that it is appropriate to investigate the matter as a health issue, the Board will require you to undergo a medical examination by a medical practitioner approved by the Board. You will be able to have a support person of your choosing attend the examination as an observer. Following the examination, the medical practitioner is required to advise the Board in writing: • The existence of the alleged condition; • The results of all tests carried out as part of the examination; • The extent to which they believe any condition found to exist affects your ability to practise the functions of your profession safely and competently; • Any recommendations for on going monitoring. Following receipt of all relevant information and hearing the response of the practitioner, the Professional Standards Committee prepares a recommendation report for consideration by the Board. If the Board finds you are suffering from a mental or physical condition that affects your ability to practise, they may impose one of the following: • Suspension or conditions on practise; • Variation of conditions on practise; • Monitoring The Board may revoke conditions placed on an APC under s51 of the Act if the Board is satisfied you are again able to practise at a satisfactory standard. Guide for Registered Practitioners Page 21 of 24 Ceasing to Practise and Returning to Practise Ceasing to Practise If you intend to stop practising you are not required to hold an APC; however you must contact the Board to advise the date you intend to stop practising, and whether you wish your name to remain on the register. Returning to Practise If you are registered but have not held an APC for the last three-years, you will be required to demonstrate to the Board that you are competent and fit to practise before being issued with an APC. The Board uses a number of mechanisms to ensure you are competent and fit to practise depending on the number of years you have been absent from the profession. Please note the following mechanisms are guidelines only and each application is considered on an individual basis. Absence of Less than Three-Years If you have not practised for less than three-years immediately prior, you can log into your profile on the Boards website and apply for your APC. Absence of Between Three to Five Years: If you have not practised medical radiation technology for the last three to five years you may be required to work under the supervision of another registered medical radiation technologist. The period of supervision allows you to update your knowledge and skills in the relevant scope of practice. Throughout the period of supervision you will be required to maintain a logbook to be submitted at the completion of the supervision period. Page 22 of 24 Medical Radiation Technologists Board Absence of Between Five to Ten Years: If you have not practised in New Zealand for the last five to ten years, the Board may offer you the opportunity to sit a registration examination assessment (REA) to evaluate your competence in the relevant scope of practice. Absence of Over Ten Years: If you have not practised as a medical radiation technologist for more than ten-years, the Board may recommend you undertake re-training. Currently Practising in one Scope but have not Practised in Another Scope for Over Ten Years If you are currently registered and practising in one scope of practice and wish to apply for an APC in another scope of practice for which you hold registration but have not practised for more than ten years, the Board will consider your application on a case-by-case basis. You must hold an APC before you commence working. Guide for Registered Practitioners Page 23 of 24 Frequently Asked Questions Q. What does APC stand for? A. APC is an abbreviation commonly used amongst all health regulation authorities. It stands for Annual Practising Certificate Q. Does an APC have any time limitations A. Yes. An APC is issued for up to a maximum of twelve-months, and is valid from 1 April (or application date) to 31 March of the following calendar year. Q. What’s the difference between registration and an APC? A. Once you are registered with the Medical Radiation Technologists Board, you do not have to re-apply for future registration in that scope. An APC allows you to practise in your registered scope of practice in New Zealand. For each year you want to practise you will need to hold a current APC. Q. Can I be registered and not hold an APC? A. Yes. You can be registered without having to hold an APC. However, as soon as you want to practise in a New Zealand, you must hold an APC. Q. I’m currently overseas. Do I have to apply for an APC once I’m registered? A. No. You may be registered with the Medical Radiation Technologists Board while living outside of New Zealand. However, an APC is only issued if you are resident in New Zealand. The Council may issue you with an APC in anticipation of your moving to New Zealand on the proviso of receiving appropriate supporting documentation. Q. Can I refuse to have my name published on the register? A. No. The HPCA Act 2003 requires the Board to publish and maintain a public register of all practitioners registered with the Medical Radiation Technologists Board. Page 24 of 24 New Zealand Medical Radiation Technologists Board