H-Sun-1-3- Law - New Zealand Institute of Medical Radiation

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Sun 1 st Sep 2013

Session 1 / Talk 3

09:55 –10:15

HEAPHY 1 & 2

DIAGNOSTIC

Maria LAW

ABSTRACT

Maria LAW Vice-President for Asia Australasia, ISRRT. Consultant (MI & RT), Hong Kong Sanatorium and Hospital, Professor

(Hon.), Tung Wah College, Hong Kong.

Among all activities of the ISRRT, education and training are highly regarded by the Board. With it’s limited resources, What can be done? In recent years the ISRRT focussed more on providing workshops for developing countries. However at the same time, some countries are calling for accreditation of education programme by ISRRT. With such background, the ISRRT is charged with the mission of looking into the matter. While a lot of researching has been dome on the way that standardization of training is done among different professions, a preliminary survey was also conducted among the Asian-

Australasian (A/A) countries in January 2013 to seek opinions and needs from this part of the world. In the survey, most A/A countries expressed such as a need and the results of the survey would be discussed.

As countries vary much in the practice of radiological technology, the setting of one standard is not without difficulties. While standardization of training would remain voluntary, it was felt that a mechanism must be provided for programs to be benchmarked against or invalidated at an internationally recognized standard. At the same time it should be cross referenced against the scope of practice in individual countries as well as the country-specific competency profiles of the profession.

Further discussion resulted in three ways to approach this issue: 1. the provision of a universal guideline, 2. documentation approval of training programme, and 3. accreditation of the training programme. The role and the possible method of each approach would be discussed.

Role of ISRRT in the Global Accreditation of

Radiography Education

Maria Law (Ph.D.)

Vice President (A/A), ISRRT

Consultant, Hong Kong Sanatorium and Hospital

President, Hong Kong College of Radiographers and Radiation Therapists

NZIMRT Conference 2013 29 Aug – 1 Sep, 2013, Hamilton, New Zealand

Greetings from Board of ISRRT

2010 - 2014

Content

1. Introduction to ISRRT and its activities

2. Accreditation of radiography education globally?

3. Results of survey in early 2013

4. Preliminary recommendations

5. Discussion

6. Conclusion

1. Introduction to ISRRT and its activities

ISRRT

Our Mission:

• To improve the delivery of healthcare…to people around the world…promoting:

– quality patient care,

– education and

– research...

in medical imaging and radiation therapy

ISRRT

Activities

1. Newsletter

– News and Views from around the World

2. Professional activities

– World Congress

– Radiography Day

– Collaboration with e.g.

WHO, IAEA, ICR, RSNA etc

– Radiation Protection

– Code of ethics

3. Education & research

ISRRT World Congress 2012,

Toronto, Canada

2. Accreditation of radiography education globally?

A global standard for

Radiography education?

A global standard for

Radiography education?

Within a country e.g. USA

What is everybody having for entry requirements?

• On-the-job training

• Certificate entry

• Dipoma entry

• Bacalaureate degree

A global standard for

Radiography education?

India

What are the different grades of practitioners?

• Technologists

• Technicians

• X-ray assistants

What do we require from each grade?

A global standard for

Radiography education?

Diversity of culture in the world

Which culture to base on?

Accreditation of radiography education globally

Does ISRRT play a role?

What role?

3. Results of survey in early 2013

Survey

Researching

• Director of Education looked into different radiography programs worldwide

• Also cross-referenced with similar professions e.g.

World Federation of

Occupational Therapists

• Questionnaire set to seek the views of countries

Questionnaire

• Sought opinions from different countries through the respective Education Coordinators of the different regions

• One questionnaire done at the AACRT in

Chiangmai, Thailand in January 2013.

Hong

Kong

21 st Asian Australasian Conference of

Radiological Technologists

16-18 January 2013

Chiangmai, Thailand

Sri

Lanka

Korea

Bangladesh

Taiwan

Philippines

Japan

China

Korea

Taiwan Thailand

Hong

Kong

USA

Thailand UK

Malaysia

Japan

Nepal

Macau

Vietnam

Singapore

India

Bhutan

Mongolia r

Myanma

Australia

The Questionnaire

1. Should this be a single global profile or reflective of each country’s needs?

R: Global 3 Country Specific 15

2. If the latter, does your country have such a document?

R: No 7 Yes 8 Not understood 2

3. The document should be developed by the professional body. If you do not have such a document would you be willing to create one?

R: Yes 14 No 1 N/A 2

The Questionnaire (cont’d)

4. Accreditation or Approval can be Compulsory or

Voluntary, which would you prefer?

R: Voluntary Accred. 6 Compulsory Accred. 10

5. Site visits are expensive and could not be financially managed by the ISRRT. If we had a system in place would your institution or your government be willing to finance the site visit component?

R: No 7 yes 11

The Questionnaire (cont’d)

6. We are currently looking at models of radiography accreditation used in UK, USA, Canada, Australia, proposed model for Europe (EFRS), the current

ISRRT Guidelines and the World Federation of

Occupational Therapists which has an existing international model, do you have any others you

could recommend?

R: Yes 1 No 11 Not sure 2

4. Preliminary recommendations

A Committee meeting was held on 9 April 2013 to draft recommendations to the ISRRT

Board for discussion

The Radiography Education

Standards Project

Thailand

Australia

Hong Kong

Greece

The document

The Document developed can be used …

• As a Benchmarking Tool

• As an Approval Document

• As an Accreditation document when used with Site visit tool and Visit itself (funded by requester)

24

Preliminary Recommendations (1)

1. The Accreditation or approval mechanism –

Voluntary

2. A method to determine quality or relevance but

NOT to confirm reciprocity between countries.

Preliminary Recommendations (2)

3. Responsibility of the program to produce the appropriate materials

4. Contain a comprehensive glossary of terms

5. The document should be out-come based.

Result-oriented

Preliminary Recommendations (3)

6. Focuses only on baccalaureate degree programs

7. Should be cross referenced against the ISRRT Role or Scope of Practice document and also country specific competency profiles

Preliminary Recommendations (4)

8. Expert advice to improve credibility to the document

9. A draft document should be sent out to all ISRRT members for their feedback

Preliminary Recommendations (5)

10. Implementation procedures and budgetting

11. Any accreditation system or approval system through ISRRT can only include a site visit if the institution pays

Main requirements in document

1. The Profession

2. The Education

3. The Student

4. The Resources

5. Work Integrated Learning (Clinical)

6. Management

7. Quality Assurance

5. Discussion

Discussion

• Scope of current project:

– Baccalaureate degree, what if countries do not offer degree programmes?

– Diagnostic radiography only, how can we benchmark those programmes that graduate radiographers in all disciplines (prevalent in Asia)

• Scope of practice:

– Do we want a global standard or a standard based on the scope of practice of an individual country?

5. Conclusion

Conclusion

• Is global accreditation of education programme the role of ISRRT?

• Many countries have been craving for such a standard document, both developed and developing countries

• If ISRRT does not take up this role, who else would do it?

12-15 June 2014

Congratulations to the Korea for being selected to host the ISRRT World Congress in 2016 !!

Thank you

References

• WHO 2011. Transformative Scale- up of Health professional education. Geneva: WHO.

• WORLD FEDERATION OF MEDICAL EDUCATION. Quality Improvement in Basic Medical Education. 2001

Denmark: University of Copenhagen. WFME.

• WHO 1993. Increasing the relevance of education for health professionals: Report of a WHO study group on problem-solving education for the health professions. Geneva: WHO.

• AIR. 2012. Accreditation of professional entry programs in Medical Imaging and Radiation Therapy

[Online]. Available: http://www.air.asn.au/cms_files/05_Accreditation/Accreditation_ProEntry_Guidelines_new.pdf

[Accessed

15/12/12.

• AQF. 2011. Australian Qualifications Framework [Online]. Available: http://www.aqf.edu.au/ .

• ASRT. 2012. The Radiologist Assistant [Online]. Available: http://www.asrt.org/main/careers/radiologistassistant [Accessed 15/12/12.

• BAIRD, M. A. 2008. Towards the development of a reflective practitioner: challenges and constraints.

Biomedical Imaging and InterventionJournal, 4, e9.

• CONJOINT ACCREDITATION SERVICES 2007. Requirements for accreditation. In: ASSOCIATION, C. M. (ed.).

Ottawa, Canada: CMA.

• COWLING C 2008. A global overview of the changing roles of radiographers. Radiography, 14, e28-e32.

• EATON, J. S. 2010. Accreditation and the Federal Future of Higher Education. Academe, 96, 21-25.

• EATON, J. S. 2012. The Future of Accreditation. Planning for Higher Education, 40, 8-15.

• EDUCATION OF HEALTH PROFESSIONALS FOR THE 21ST CENTURY; A GLOBAL INDEPENDENT COMMISSION

2010. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376, 1923-1958.

• EFRS. 2012. European Qualification Framework (6) Benchmark [Online]. European Federation of

Radiographic Societies. Available: http://www.efrs.eu/news/efrs/news-detail-efrs/?newsId=b3eb90ccc4ba-4784-9374-b96537eaf2d0

• EUROPEAN COMMISSION. 2008. The European Qualifications Framework [Online]. Available: http://ec.europa.eu/education/lifelong-learning-policy/eqf_en.htm

.

References

• FREEMAN CHRISTINA 2012. Scope of Practice Survey 2012 (members only). Society and College of

Radiographers.

• HCPC. 2012. Approval and Monitoring processes [Online]. Health and Care Professions Council. Available: http://www.hpc-uk.org/education/processes/ .

• IAEA. 1996. International Basic Safety Standards for Protection against Ionizing Radiation and for Safety of

Radiation Sources [Online]. International Atomic Energy Agency. Available: wwwpub.iaea.org/mtcd/publications/pdf/ss.../pub996_web-1a.pdf.

• INTERNATIONAL LABOUR ORGANIZATION. 2012. International Standard Clarification of Occupations

[Online]. Geneva: ILO. Available: http://www.ilo.org/global/standards/lang--en/index.htm

[Accessed

10/12/12.

• JRCERT. 2012. Joint Review Committee on Education in Radiologic Technology. Accreditation process

[Online]. JRCERT. Available: http://www.jrcert.org/accreditation-process/ .

• KARLE, H. 2006. Global standards and accreditation in medical education: a view from the WFME. Acad.

Med., 81, S 43-48.

• OTTENBACHER, K. 1990. Occupational Therapy curricula and practice. Skill based or knowledge based.

Occupational therapy Journal Res, 10, 7-11.

• PATIL , A. & CODNER, G. 2007. Accreditation of engineering education: review,observsations and proposal for global accreditation. European Journal of Engineering Education, 32, 639-651.

• ROONEY, A. L. & VAN OSTENBURG, P. R. 1999. Licensure, Accreditation and Certification: Approches to

Health Services Quality. Quality Assurance Project. Bethseda USA.

• SOCIETY &COLLEGE OF RADIOGRAPHERS. 2008. Approval and Accreditation Board.

• UNESCO. World Declaration on Higher education for the Twenty First Century :Vision and Action. World

Conference on Higher Education, 1998 Paris.

• VAN DEN BURGHE, W. 1997. Application of ISO 9000 Standards in Education and Training. Interpretation and Guidelines in a European Perspective. European Journal Vocational Training, 15, 20-27.

• WFOT 2002. Minimum Standards for the Education of Occupational Therapists. Australia: World

Federation of Occupational Therapists.

• 1999. Bologna Declaration. Joint Declaration of the European Ministers of Education. 1999.

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