University of the West of England
Faculty of Health and Life Sciences
Module Handbook
Module Title: Foundation Diagnostic Imaging Practice
Code: UZYS6J-20-1
Cohort: 2012
Course Dates: 17 September 2012 - 19 July 2013
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Contents
Contact Details
Introduction
General Overview of Module Timetable
Module Specification
Module Reading Strategy
Assessment Guidelines
Guidelines on citations and references
Submissions
Re-Enrolment
Additional Information
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Contact Details
Module Leader Name : MRS A BAILEY
Module Leader Room : 2K07
Module Leader Telephone : 0117 3288623
Module Leader Email : Angela.Bailey@uwe.ac.uk
Module Team :
Angela Bailey
Karen Dunmall
Stuart Grange
Fiona Chamberlain
Rob Stewart
Gary Dawson
Julie Woodley
Contributes to:
BSc (Hon) Diagnostic Imaging
Introduction to module
Aims:
This module is primarily concerned with the practical application of professional and
technical skills involved in imaging:
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Axial and appendicular skeleton
Thoracic and abdominal cavities
Respiratory and cardiovascular systems.
This module will be taught in tandem with the Principles of Diagnostic Imaging module
to integrate the theory and practice. It is essential that students take active participation
in both modules to enable them to progress to clinical proficiency.
Learning approaches used:
A variety of approaches will be used to teach this module during the weeks prior to
clinical placement. These will include key lectures, assessing of images and small
group supervised practical’s.
The assessment of this module is by weekly reflective diary, clinical competency
appraisals, modality objectives and clinical case studies, to be submitted at the end of
the clinical placement. The clinical documentation detailed in this handbook will be
distributed during clinical skills week.
Handbooks
This handbook should be read in conjunction with other appropriate handbooks:
http://hsc.uwe.ac.uk/student/
Module Specification
University of the West of England
Module Specification
Revised November 2008
4
Title
Foundation Diagnostic Imaging Practice
New Code
UZYS6J-20-1
Version
1
Versions
Last Updated
9/27/2006 12:00:00 AM
Level
1
UWE Credit Rating
20
ECTS Credit Rating
10
Module Type
Professional Practice
Module Leader
BAILEY, A
Module Leaders Additional
There are no additional module leaders
Owning Faculty
Faculty of Health and Life Sciences.
Faculty Committee
approval
HSC Quality and Standards Committee
Faculty Committee
approval Date
Approved for Delivery by
Field
Allied Health Professions
Field Leader
Marc Griffiths
Valid From
9/1/2005 12:00:00 AM
Discontinued From
Pre-requisites
Co-requisites
UZYS6K-20-1 Principles of Diagnostic Imaging
Entry requirements:
Excluded combinations
UZYRJ4-40-1 Foundation Radiographic Studies
UZYRSH-60-1 Foundation Skills in Diagnostic Imaging
Learning Outcomes
Knowledge and Understanding



Recognize and describe the principle anatomical features including normal pathology, normal
variants demonstrated on skeletal, chest and abdominal images and assessing the resultant
radiographic appearances.
Demonstrate an understanding of the concepts of image quality and their relationship with
exposure selection, image manipulation, viewing and processing.
Apply the principles of the imaging process to the production, storage, viewing, manipulation
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and transfer of images.
Intellectual skills

Begin the process of independent learning and reflection.
Subject/Professional and Practical skills





Apply principles of the use, maintenance and quality control procedures for radiographic
equipment.
Demonstrate an understanding of the radiation dose received and their implications to the
patient when utilizing protocols.
Demonstrate an awareness of personal responsibility in achieving the standards of professional
behaviour as expressed in the Code of Professional Conduct (College of Radiographers 1994).
Describe and undertake routine techniques and protocols, without contrast media, for the
demonstration of the skeletal system, respiratory tract and abdomen.
Demonstrate clinical proficiency equitable to the clinical objectives and clinical assessments
under the directions of a state registered practitioner.
Transferable skills




Demonstrate an awareness of the ethical, legal and caring responsibilities related to
professional practice within a multicultural society.
Demonstrate an understanding of and compliance with site protocols regarding Health and
Safety procedures, ionizing radiation regulations, cross infection and manual handling.
Develop a personal and professional portfolio.
Reflect on their own health and well being.
Syllabus Outline
Study Skills
How to study for this module, guidelines on note taking, student centred-learning, case studies and
student seminars.
Professional Skills
Practical application of :
Radiographic technique and protocols including the qualitative assessment of the resulting radiographic
appearances for:
Axial and appendicular skeleton;
Thoracic and abdominal cavities;
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Respiratory and cardiovascular systems;
Patient preparation and care prior to, during and after specific imaging procedures;
Management of electronic and non-electronic patient data
Radiation Protection
Practical methods of dose measurements, dose reduction and the radiation dose received from specific
examinations.
Applied radiation protection to incorporate; Core of knowledge, Schemes of work and local rules.
Health & Safety at Work Act, to include COSHH legislation and professional codes of conduct, basic life
skills and manual handling.
Radiographic Imaging
Practical application of :
The imaging process and methods of producing, manipulation and viewing images in analogue and
digital formats.
Storage and transferral of images.
Interpretation of the quality of radiographic images.
Departmental routine
Overview of the main areas in a diagnostic department.
Clinical placement practice in General radiography, Accident and Emergency, Fluoroscopy,
Experiential learning of the process for the management and care of patients in a radiography
department.
Teaching and Learning Methods
A variety of approaches will be used which may include lectures on core topics. Small group teaching
including supervised practicals, structured observation, demonstration, objective-led competencies,
supervised practice within the clinical practice environment, learning contracts and development of
personal and professional portfolios. E-Learning.
Reading Strategy
Students will be directed to reading which is either available electronically or provided
for them in a printed study pack. They will also be expected to read more widely by
identifying relevant material using the Module Handbook, the Library Catalogue and
resources such as those listed below:
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Websites
http://www.hpa.org.uk/radiation
www.nrpb.org.uk
www.xray2000.co.uk
www.medical-devices.gov.uk
www.sor.org
www.legislation.hmso.gov.uk/si/si1999/19993232
www.legislation.hmso.gov.uk/si/si2000/20001059
Databases
CINAHL
MEDLINE
EMBASE
Science Direct
Springer LINK
Assessment
Where necessary, and appropriate, an alternative medium of assessment may be
negotiated.
Attempt 1
First Assessment Opportunity
Component A
Element Description
1
Element Weighting
Clinical portfolio to include clinical appraisals Pass/fail
Second Assessment Opportunity
Attendance at taught sessions is not required. Practice attendance requirement is at
the discretion of the award board.
Component A
Element Description
1
Element Weighting
At the discretion of the Award Board Pass/fail
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Module Reading Strategy
Carver E & Carver B (2012) Medical Imaging Techniques, Reflection & Evaluation.
Edinburgh. Churchill Livingstone
Suzanne Easton (2009) An Introduction to Radiography, Churchill Livingstone
Bontrager (2010) Textbook of Radiographic Positioning and Related Anatomy 7th
edition. Elsevier Science.
Sutherland R (2007) Pocketbook of Radiographic Positioning, Churchill Livingstone
Assessment Guidelines
The assessment of this module is by weekly reflective diary, log book, clinical
competency appraisals, modality objectives and clinical case studies, to be submitted
at the end of the clinical placement, details on page 21.
Guidelines on citations and references
In the course of your studies you will be expected to acknowledge books, journal
articles, web sites etc, used in the preparation of assignments, projects, essays, and
dissertations by producing a list of references and/or a bibliography with each one.
The reference list gives details of sources you have referred to (cited) within your
text; the bibliography lists sources you have used but not referred to directly.
References (citations) within the body of an assignment should be linked to the
reference list using the Harvard system of referral. This requires the authors’
surname and the year of publication to be inserted at every point in the text where
reference is made to a particular document.
Why reference ?
There are a number of reasons why you should provide references:

to demonstrate that you have considered other people's opinions and read
around your subject;
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




to acknowledge other people's work and/or ideas - and thus avoid accusations
of plagiarism (plagiarism: is the act of presenting the ideas or discoveries of
another as one's own);
to provide evidence for a statement;
to illustrate a point or offer support for an argument/idea you want to make;
to enable readers of your work to find the source material, e.g. for a particular
methodology you have used; and
to direct readers to further information sources.
When preparing reports, essays, etc. for assignments at UWE, if you wish to refer to
something you have read you MUST give a reference for this material.
Referencing styles
There are a number of different referencing systems in use. Each one has been
developed to suit the particular needs of specific users.
One system used commonly is the ‘Harvard system’. This is the referencing system
used within the Faculty of Health and Life Sciences.
UWE Library Services have undertaken an extensive review and provide UWEapproved guidance on what is expected by all UWE Faculties that use the Harvard
style.
For details of how to reference according to the UWE-approved Harvard referencing
style, please visit the Referencing section of UWE Library Services’ iSkillZone
(http://iskillzone.uwe.ac.uk/). You can also download a pdf booklet from the site and
during autumn term 2012 obtain a printed quick-reference handbook on referencing
from your campus library, for a small fee.
You will find advice on how to list references within the body of the text, as well as
how to present the reference list. Examples and guidance on over 60 different types
of resources are given to assist you.
If you require further assistance with referencing, visit the Library Services web site:
http://www.uwe.ac.uk/library/
Submissions
Please refer to School Student Handbook for details of processes relating to
submissions, Late Work, Extenuating Circumstances, Field and Award Board details,
resubmission, and the publication of results.
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Re-Enrolment
Students who have completed an attempt at the module MUST contact the module
leader and are required to complete a re-enrolment form.
Please refer to the HSC Undergraduate/Postgraduate Modular Programme Student
Handbooks.
Additional Information
SUGGESTED
TECHNIQUE
LEARNING
STRATEGY
FOR
EACH
AREA
OF
RADIOGRAPHIC
It is suggested that radiographic technique can be learned with the following format in mind.
As you can see this also contains elements of the appraisal form and has been shown to be
a good memory aid to many students in the past.
Each area should be divided into the following sections:
1.
Preparation of the Patient
2.
Equipment and accessories
3.
Radiation protection
4.
Projections
5.
Patient positioning
6.
Centering point
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Exposure factors
8.
Image quality
9.
Radiographic evaluation
10.
Common pathology
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CLINICAL EDUCATION
Demonstration of clinical proficiency by the student on completion of the award route is
one of the primary aims of the programme. Thus the clinical component, constituting a
fundamental and integral part of the student's education, is consolidated within the
Professional Studies modules over the three years of the programme.
The learning outcomes of the Professional Studies modules are designed to ensure
that the student is able to develop the clinical skills, knowledge, application and critical
awareness required in a practising radiographer.
YEAR 1
FOUNDATION DIAGNOSTIC IMAGING PRACTICE PLACEMENT
Following an academic block, the students are required to undertake a 14-week
practice placement in order to assist in the integration of their knowledge with the
practical clinical experience.
In year one the 14-week practice placement commences on Monday 15th April
to Friday 19th July 2013 .
During the placement the student will undertake the following placements:
1 week in a chest room
1 week in a fluoroscopy suite (for procedure experience)
1 week of contrast studies (IVU,CT, Angiography)
2 weeks on mobiles/theatres
4 weeks in general rooms (to include clerical and departmental clinical skills)
4 weeks in A+ E rooms
1 week to include 1 day’s experience in each of the following: RNI, U/S, MRI and 2 days in CT.
It is recognised that some departments may not have dedicated rooms or may wish to
give the other experiences in 1-2 day blocks over the course of the placement. This is
acceptable providing that the overall time spent in the area is equivalent to that shown
above i.e. 5 days for each week.
The students' individual rota is compiled by the clinical co-ordinator at the School of
Radiography (with, in some cases the assistance of the clinical departments
themselves). Circumstances such as equipment breakdown or illness may force
alterations to become necessary. The clinical co-ordinator at the School would be
grateful if they could be notified if this situation arises.
During this 14 week placement the students will undertake various forms of
assessment that will be outlined in another section of this document.
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Hours of attendance
All students will be working a 37.5 hr. week in line with departmental hours,
normally between the hours of 9.00am - 5.00pm Monday to Friday.
However some Departments operate different start and finish times, with some units
operating a shift system. As you will become a member of the radiographic team
you will be expected to participate in the normal working practice of the Department
to which you have been allocated.
Half day study per week
Students will be entitled to 1 study session per week for academic study (half
day per week) during the 14 weeks. The timings of these study sessions must be
agreed with the placement and cannot be accumulated.
Please note that during weeks when there is a Bank Holiday then there will be
no allocated half day study that week.
Sickness reporting:
If for any reason you are unable to attend your placement you MUST inform the
Department you are working in on the number provided with your clinical
documentation before 9.00 a.m. on the morning you are off and every morning until
you return. You should also ring/email your link lecturer or clinical coordinator at
UWE; details on the information handout you were given prior to placement.
Holidays:
You must not arrange to take holiday inside the dates given for your
placement.
Unauthorised absence or extended periods of sickness may seriously affect your
ability to meet the requirements of the clinical learning objectives and assessment of
practice and thus progress on the award. If you are experiencing any difficulties
please talk to your Appraisers, the Clinical Liaison/Link lecturer or the Clinical
Co-ordinator as soon as possible.
Attendance records.
The CoR regards an attendance of 90%in the planned clinical practice
component of the course as being the desirable minimum. This is to enable
students to meet professional requirements satisfactorily.
There is a register in the Clinical Objective Handbook which should be initialled daily
by a member of staff. This assists the clinical co-ordinator in the assessment of your
clinical placement experience.
Any absence that is not reported as sickness or approved leave will be recorded as
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unauthorised - you are advised that this may be detrimental to your employment
reference.
If there is a personal situation that requires you to seek compassionate leave please
discuss with the Clinical Coordinator or Personal Tutor or Link Lecturer.
Radiography Placement Locations for year one:The following Hospitals provide the clinical experience for students on the Award:
 North Bristol Healthcare Trust (Frenchay ,Southmead, Cossham Hospitals and
Yate Health Centre)
 Cheltenham General Hospital ( including Cirencester)
 Gloucestershire Royal Hospital (including Stroud, Berkeley and Dilke)
 United Bristol Healthcare Trust (Bristol Royal Infirmary, South Bristol Community
Hospital, Bristol Haematology and Oncology Centre (BHOC) and Bristol Children’s
Hospital (BCH)
 Weston General Hospital
 Great Western Hospital, Swindon.
 Royal United Hospital, Bath (including The Royal Mineral Hospital and Paulton).
 Salisbury
As you will remember you have signed an agreement to be flexible with respect to
the location of your placement. You are reminded therefore that we can make no
guarantee that you will be placed in any specific location during any of your
placement periods. The clinical Co-ordinator must have the flexibility to organise
rotas which will make best use of available resources and provide the optimal and
comparable experience for all students.
The rotas are designed to ensure you receive the appropriate experience to meet
the learning outcomes of the programme. However as you will be working in an ever
changing, high technology environment sometimes flexibility is required to take
account of the unexpected!
Your placements are determined by a placement officer: - Beverley Mead
tel. 01173281179, (Beverley.Mead@uwe.ac.uc) any issues with the placement prior
to commencement should be addressed with Beverley in the first instance.
SUPPORT WHILST ON PLACEMENT
Within Clinical Departments:
All clinical and ancillary staff have a role in teaching and supporting students during
practice placement periods.
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APPRAISERS
However at each of the placement locations there are a number of clinical staff who
have been trained to act as APPRAISERS. These radiographers perform an
essential role within the programme, as they are responsible for:





ensuring that students gain the appropriate clinical experience
monitoring students’ progress throughout the placement periods
conducting appraisals of clinical skills
providing support and guidance to students whilst on placement
liaising with the academic centre via the Clinical Liaison/Link lecturer and Clinical
Co-ordinator
Each Department operates in slightly different ways - on a day-to-day basis you may
or may not be working in a team where there is an Appraiser. The Appraisers should
be your initial point of contact if you have any concerns regarding your clinical
education or of a personal nature that cannot be addressed by the other staff with
whom you are working. There may be a named Appraiser who acts as the coordinator of your placement experience at the specific location- you will be
introduced to this radiographer during the Induction period. This person is known as
the KEY APPRAISER.
CLINICAL LIAISON/LINK LECTURERS
The Radiography lecturers act as a clinical liaison/link lecturer for specific hospital
locations. Their role is to visit you when on practice placement to provide support
and to monitor your progress in developing your clinical skills
Please remember the clinical liaison/link lecturer provides an additional point of
contact for students, providing help with any academic, clinical or personal issues
you may have.
A list of the link lecturers and contact details will be distributed with your clinical
documentation.
CLINICAL CO-ORDINATOR
There is a named person in the School who has the responsibility for organising and
monitoring your placement experience. The Co-ordinator communicates with
Clinical Managers, Appraisers, Liaison Lecturers and the Faculty’s Placement Unit to
ensure you receive the appropriate clinical education over the three years of the
programme.
If you have any issues/difficulties related to your placement experience you should
discuss these with the Clinical Co-ordinator.
Clinical Co-ordinator: Angela Bailey
Tel: 0117 3288623 e-mail: Angela.Bailey@uwe.ac.uk
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CLINICAL PLACEMENT
OBJECTIVES
WEEKLY
REPORTS,
CASE
STUDIES
AND
It is important to note that there are 14 weekly report forms relating to each week of
the placement and these form an integral part of the overall assessment. The form
should act as a negotiated statement of the student’s experience during the week. All
boxes (attendance and competencies) need to be initialled by an appropriately
qualified member of staff.
For a pass to be achieved, the student must demonstrate satisfactory progress. In
the event of an area being identified as “below the required standard” and scored as
a 1, an ACTION PLAN needs to be produced.
The Action Plan

This plan will be negotiated between the student and the clinical supervisor and
will aim to redress the identified shortcoming.

If this is not achieved within the agreed time frame, the link lecturer will intervene.

If a ‘1’ is received in a clinical competency in the last 2 weeks of placement
the student may fail the clinical placement.
ASSESSMENT
The Foundation Diagnostic Imaging Practice module is assessed by employing the
following methods:
 Clinical based evidence, which consists of a log book/ case study
element, appraisals, objectives and a written reflective section.
Students will have to successfully complete all clinical documentation including
appraisals, log book, objectives and case studies to the required standard before they
are deemed to have passed the module.
The clinical assessments (appraisals) are subject to the University of the West of
England's assessment regulations and as such should be conducted in a fair and just
manner in accordance with these guidelines. Any breach in procedure could result in
an appeals procedure and action taken against those who are deemed to be at fault.
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Clinical Case Studies
Students will be required to complete four clinical case studies during their clinical
placement; these case studies are pre-requisite to the clinical appraisals. The
guide lines for the completion of the clinical case studies can be found in the front of the
Clinical Objective Handbook.
Please note that you are given a half day study per week in which to complete
written case studies, modality objectives and weekly reflective logs.
Modality Objectives and Clinical Skills Competency
Students will be required to complete the four Modality Objectives and the Clinical
Skills Competencies during their clinical placement. The guidelines for the completion
of the Modality Objectives can be found in the front of the Clinical Objective Handbook.
The Clinical Appraisal Scheme.
During the 14-week placement each student will be required to complete the following
appraisals:
1 upper/ lower extremity joint (main joints only e.g. wrist, elbow, ankle, knee)
1 abdomen (plain)
1 chest
1 Spine
The timing of these appraisals should be spread as evenly as is possible throughout
the placement. It will obviously be governed by factors such as suitability of workload
and availability of appraisers. The onus is on the student to negotiate with the appraiser
in order to complete all the appraisals in the 14 week period. Ideally, these appraisals
should take place during the allotted time in the relevant area e.g. Chest appraisal chest room,
There are pre-requisites for the appraisals: 1. The completion of a minimum of 5 unassisted examinations pertaining
to the appraisal (See table 1, appendix 2)
2. The completion and signing off of the clinical case study pertaining to
the appraisal. (See table1,appendix 2)
Students are only allowed one assessment opportunity for each appraisal, a second
opportunity may be granted (subject to award board approval) if the first assessment
has been failed and NOT as a means of bettering the mark received. The first
assessment opportunity of the appraisal must be taken by the end of the 14 week
placement period otherwise it is deemed to have been taken and further opportunities
may be granted at the Award board if supported by extenuating circumstances.
Any time lost from placement due to illness or extenuating circumstances must be
supported by the submission of evidence and an EC1 form from the one stop shop.
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IF THE STUDENT FAILS ON THE FIRST ASSESSMENT OPPORTUNITY WITHIN
THE 14 WEEK PLACEMENT PERIOD THERE IS NO AUTOMATIC RIGHT TO
FURTHER OPPORTUNITIES/ATTEMPTS AT PROFESSIONAL PRACTICE
MODULES. THE MARKS WILL GO INTO THE PORTFOLIO FOR CONSIDERATION
AT THE AWARD BOARD.
The appraisals should be conducted using the approved clinical appraisal form (see
Appendix 3).
APPRAISERS ARE REMINDED THAT THE FORMS CARRY A UWE COPYRIGHT
LOGO AND AS SUCH ARE REGARDED AS PROPERTY OF THE UNIVERSITY
AND SHOULD NOT BE GIVEN TO OTHER PARTIES WITHOUT WRITTEN
PERMISSION.
The students have been provided with 5 forms. ALL forms must be submitted as part
of the completed portfolio. Should anymore appraisal forms be required because of
loss or damage contact the Clinical Coordinator for a replacement.
If a student carries out an examination that has more than two projections then a
supplementary page can be used from within the extra copies provided.
Each sheet is constructed so that the form is in triplicate. Once completed the sheets
should be separated and then filed in the appropriate place i.e.:
WHITE - copy to student to be submitted with your clinical portfolio.
YELLOW - copy to be forwarded to the School of Radiography or collected by
link tutor
PINK - copy to be kept by the appraiser.
The Appraisal form (Appendix 3)
All sections of the form should be completed. Once complete both the student's and the
appraiser's signatures are also required.
The choice of a suitable patient should be left to the discretion of the appraiser. (It is
however envisaged that, in level 1, any examination carried out should not require too
much adaptation of basic technique).
The patient should always be asked by the appraiser for their consent prior to
the appraisal.
Once the appraisal begins the appraiser can answer any questions the student asks
and can give assistance if required this however will be regarded as prompting and will
be marked accordingly.
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Marking guide
Before an appraisal is considered the pre-requisite conditions should have been met
and approved by the appraiser. It is not counted as an assessment opportunity until the
appraisal is commenced.
The front sheet should be answered with either a "yes" or "no" response as indicated. A
"no" response is regarded as an automatic failure and the appraisal should be
terminated at this point.
During the appraisal if at any time the appraiser feels the student's actions could
be regarded as being dangerous then the appraisal should be terminated and
recorded as a failure.
All other sections are marked using the following criteria:
F-Non-completion of task and deemed a dangerous act and is an
automatic failure of this assessment opportunity
0-Did not perform task.
1-Required assistance /prompting (see log book definition of assisted).
2-Works unassisted but lacks proficiency (see log book definition of unassisted).
3-Worked proficiently
An allocation of 0 for any task should be used to indicate that a student was unable to
perform that task without the appraiser giving direct supervision and instruction.
Proficiency is regarded as the student’s performance being proficient for the
level of training i.e. year 1. This criterion is also helpful in that it can be used to
introduce a time element. Students that correctly carry out the task but take a lot
longer should receive a lower mark than they would have been given if they had
carried out the examination correctly and at a reasonable pace.
Each section is marked using these criteria and a total can be calculated after any
deductions have been taken into consideration.
If the examination requires more than two projections then a further copy of page 2
should be used and then the mark should be averaged. (When averaging the projection
marks the score for the first attempt and not the repeat should be used to calculate the
average projection mark).
Once completed the marks should be totalled and any deductions made from this total
as indicated on the form.
The total marks available are 87. The pass mark is 70%; that is, achieving more
than 61 marks out of 87.
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The Log Book element (Appendix 4)
Student radiographers must be supervised by a qualified radiographer at all times
whilst undertaking radiographic examinations. The degree of supervision will of course
range from direct within the first few weeks to a more remote level once competency
has been achieved.
The minimum number of examinations is approximately 1000 over 3 years. At least half
of these should be carried out unassisted under supervision. All entries are to be
signed by a supervising radiographer at the time of completion of the examination and
entered in the log book (an example section of which is included in appendix 4).
Initial assisted examinations must be entered in the logbook together with unassisted
ones. It is important for the clinical co-ordinator to see the range of patients
encountered by the student during their placement. If examinations in a specialist area
are observed then this should be indicated in the log book also.
The minimum numbers (see table 2, appendix 5) for each placement covers areas
taught within the academic element of the relevant Professional practice module. The
recommended numbers of examinations are set to ensure that there will be a breadth
of techniques covered each year. This will help to ensure that new techniques are
practised and skills already acquired are maintained and developed.
It is the responsibility of the student to negotiate time in which they should fill in their
logbook. They are advised to get them signed at the time of examination.
Radiographers are under no obligation to sign entries that have been carried out a long
time beforehand.
Minimum numbers should be exceeded by the end of the placement or you
may risk your portfolio being considered incomplete and below the required
standard to progress. These numbers will be reviewed intermittently and records
kept of the student’s progress throughout the course. In addition to the minimum,
students should continue to record all examinations they perform.
Please note that when working in modality areas (MRI, US, RNI and CT) it is a
requirement that you record the observed/assisted examinations. A minimum of 5
observed/assisted examinations are required in each of these areas.
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PORTFOLIO COMPLETION AND SUBMISSION DATE
 All the completed clinical documentation must be submitted BY 2.00PM
on 22/07/13 to Denise Curtis in 2B24.
 ALL THE SIGNATURES REQUIRED IN THE PORTFOLIO (SUPERVISOR
AND STUDENT) MUST BE OBTAINED PRIOR TO SUBMISSION. You are
reminded that forgery of any signatures of staff is an assessment offence
which can result in the requirement to withdraw from the programme.
 Failure to submit a completed portfolio will result in failure of this
assessment and you may only be granted a second opportunity at the
discretion of the Award Board. Failure of this module has a direct effect
on your progression to year 2.
PORTFOLIO RE-SUBMISSION DATE
Students who are granted a second opportunity by the award board
must submit their completed portfolios by 2.00PM on 6/1/14 to Angela
Bailey in 2K07.
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Appendix 1
Extra Preparation/Submission Time for Disabled Students
Every disabled student who registers with the FHLSC is invited to have his or
her academic needs reviewed by a student advisor. Where a student has been
assessed as having a disability, then the student advisor maintains a record of
any additional time or support required and passes those needs onto the
examinations officer and the module leader(s) concerned.
The following refers to those students who have been confirmed by a student
advisor as being eligible for extra time in examinations and assessments.
1. A standard 25% extra time in any written assessment that is sat under
examination conditions.
2. Where information for an examination or assessment under timed conditions
is given out in advance, a 25% time addition will be added to the normal
advance time period – where the assessment date is 4 weeks or less from the
pre-information date.
3. A standard extension of 7 days to the normal advance time period will be
given where the examination date is over 4 but fewer than 8 weeks from the
normal date of publication of pre-information.
4. For coursework, an extension of 25% of the time between the assessment
notification date to the submission date will be given – where the submission
date is 4 weeks or less from the notification date.
5. Where the submission date for coursework is over 4 but fewer than 8 weeks
from the assessment notification date, a standard extension of 7 days will be
given.
Further information or advice can be sought from the student advisors.
22
Appendix 2
Table 1: - Pre-requisite examinations and clinical case studies for the clinical
appraisal
If there are insufficient patient numbers requiring, for example, a thoracic spine*, it is at
the appraiser’s discretion to continue with the appraisal if all other criteria have been
met.
However, the student should reach the minimum number by the end of the placement.
Any problems regarding the minimum numbers required should be addressed to the
clinical co-ordinator or clinical link lecturer.
Appraisal
Region
Upper/
Lower Limb
Pre-requisite clinical case studies Pre-requisite unassisted examination
Abdomen
Abdomen
Spine
Spine
Chest
Chest
Upper/lower limb
20 upper limb examinations to include:5 hands and wrists
5 Feet (should include knowledge of
technique for toes)
5 Ankles
5 knees
5 Abdomens (Diaphragm to pubis),
5 pelvis (Iliac Crest to greater trochanter
or low centered pelvis for hips)
5 C.spine
5 T.spine
5 L.Spine See above *
5 Chests.
Lateral chests should not be included in
the above number, but can used in the
final required total.
23
CLINICAL APPRAISAL LEVEL ONE
Name of Hospital……………………………………………………………………………..
Name of Appraiser .………………………………………………………………………….
Name of Student……………………………………………………………………………...
Examination Assessed………………………………….. Date…………………………
-----------------------------------------------------------------------------------------------------------------Do not proceed with the appraisal if the following pre-requisites have not been met.
1. Has the student completed the minimum number of unassisted
examinations that are pre-requisite for this appraisal? (The log- book
should be signed by the appraiser to indicate this has been checked.)
2. Has the pre-requisite clinical case study been completed and signed off?
(The completed case study should be initialled by the appraiser to
indicate this has been checked.)
------------------------------------------------------------------------------------------------------------------
NB The appraisal can be halted and an automatic failure recorded if:-
 The appraiser deems that the student is committing a dangerous act.
 If the answer to any question marked * is “NO”
1.
*The student has considered the possibility of patient
YES
(1Mark)
NO
pregnancy.
2.
*The student has checked that the request form was
completed in accordance with departmental protocol
(E.g. verified by signature)
3.
* The student has obtained a positive identity check
4.
*The student has justified the examination with regards to
IRMER.
5.
*The student has correctly identified which projections they will
take.
SUB-TOTAL
CA /L1/1
White copy to student, yellow copy to UWE, pink copy to appraiser.
24
The student has considered viewing previous radiographs or reports (even when films/reports
are not available).
Y N
YES=1 mark, NO= -3 marks.
The student has understood and explained the medical terms stated on the request form.
No Partial YES
(0)
(2)
(1)
MARKING GUIDE (Using the log book definitions of assisted and unassisted):
F. NON COMPLETION OF THIS TASK* IS DEEMED A DANGEROUS ACT AND IS AN
AUTOMATIC FAILURE OF THIS ASSESSMENT OPPORTUNITY
0. Not completed
1. Required assistance
2. Worked unassisted but lacked proficiency
3. Worked proficiently
1. PRIOR TO THE PROCEDURE
Did the student correctly prepare the: -
0
1
2
3
a) Room?
b) Equipment?
c)
Patient?
d)
Wash/gel hands
2.
F
DURING THE PROCEDURE
Projection 1
Projection 2
Did the Student
0
Correctly position the patient? *
Correctly position the image receptor?
F
F
F
F
F
F
F
F
F
F
F
F
Correctly position and manipulate the equipment?
*
Accurately locate the centring point?*
Collimate the beam appropriately prior to the
exposure?
Correctly select markers/legends?
Correctly adjust all control/console settings?*
Communicate clearly and appropriately with the
patient?*
Give full consideration to the correct care of patient?*
Record exposure factors and/or DAP meter reading?
1
2 3
TOTAL – average score if more than 1 projection
CA /L1/2 White copy to student, yellow copy to UWE, pink copy to appraiser.
25
0
1
2 3
3. AFTER THE PROCEDURE
Did the student: a) Communicate the correct information to the patient?
*
b) Deliver the after-care relevant to the patients needs?
*
0
1
2
F
F
4. STUDENT’S CHECKING OF THE RADIOGRAPH
The appraiser is checking that the student has inspected the radiograph for each item and that the student’s assessments are
correct and at the appropriate level for the stage of training.
The student’s assessment of the following was
complete and correct :Patient identification (personal and anatomical)
Projection 1
0 1 2 3
Projection 2
0 1
2 3
Relevant area under examination
Correct patient position
Image quality relevant to image capture system
Kvp selection (penetration)
Exposure indicators
sharpness
Collimation of the beam to the area of interest
Anatomical features
Pathology
Artefacts
TOTAL
Average score
Did the student recognise the need for supplementary or repeat
projections ? YES=1 mark, NO= -3 marks.
PASS MARK 70%= 61/ 87
SCORE
TOTAL
MARKS
AVAILABLE
%
Total
87 x 100
87
CA /L1/3
White copy to student, yellow copy to UWE, pink copy to appraiser.
26
YES
N
O
3
Evaluation and Feedback
Student’s reflection
What do I feel I did well during this examination?
What would I do differently in the future and why?
Student’s
signature…………………………………Date………………………………..
CA /L1/4
White copy to student, yellow copy to UWE, pink copy to appraiser.
27
Evaluation and Feedback
Appraiser’s feedback on student’s overall performance (including areas for
development)
Appraiser’s Name …………………………………………….
Appraiser’s signature………………………………………….
Date………………………………..
CA /L1/5
White copy to student, yellow copy to UWE, pink copy to appraiser
28
Appendix 4
Clinical Practice
1: - Fingers, Thumbs and Hands
Date
Patient ID
Clinical indication
Definitions
Assisted [A] - If the student/trainee requires physical intervention
by Radiographer / clinical tutor during the procedure e.g. altering
parameters, position or exposure or requires constant verbal
re-assurance at every stage this will be classed as Assisted.
Unassisted [U] -If the student/trainee carries out the procedure
with very limited requirement for verbal re-assurance
e.g. ‘is this okay’, this will be classed as Unassisted.
Fingers, Thumb and Hand
Wrist/ Forearm
Elbow/ Humerus
Shoulder Girdle
Foot and Toes
Ankle and Calcaneum
Tibia and Fibula
Knee/ Femur
Hip/ Pelvis
Chest and Thoracic contents
Abdomen and pelvic contents
Cervical Spine
Thoracic Spine
Skull
Ward/ Portable radiography
Theatre radiography
Fluoroscopy.
Angio /Venography
Contrast Studies
Dental
Mammography
Paediatrics
M.R.I.
C.T.
R.N.I.
Ultrasound
Lumbar Spine/ coccyx
Miscellaneous
29
Total
Assessor’s
Initials
Assessor’s
Initials
A
U
Appendix 5
Table 2: - Minimum numbers of unassisted examinations required by the end of year 1
clinical placement.
Region
Fingers, Thumb
and Hand
Wrist/ Forearm
Elbow/ Humerus
Shoulder Girdle
Foot and Toes
Ankle and
Calcaneum
Tibia and Fibula
Knee/ Femur
Hip/ Pelvis
Chest and
Thoracic
contents
Abdomen and
pelvic contents
Cervical Spine
Thoracic Spine
Lumbar Spine/
coccyx
TOTAL
Minimum
Unassisted numbers by
the end of year 1
placement
10
Required numbers of observed,
unassisted/assisted examinations in
brackets
Skull (5)
10
10
10
10
10
Ward/ Portable radiography (5)
Theatre radiography (5)
Fluoroscopy. (5)
Angio /Venography (5)
Contrast study (5)
5
10
10
30
Dental (5)
Mammography
Paediatrics (5)
M.R.I. (5)
10
C.T.(5)
10
R.N.I.(5)
5
Ultrasound (5)
10
Miscellaneous
150
60
The student MUST total the unassisted and assisted numbers and complete the table of
similar format to that above which is in the front of the logbook BEFORE submitting it as
part of their portfolio.
30