DIAGNOSTIC
MEDICAL
IMAGING
PROGRAM
2015
For admission consideration into the Spring and Fall 2016 semesters.
Applications must be postmarked between August 1st - August 10th, 2015.
Information
and
Application
Packet
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
Table of Contents
1. Introduction
2. Program Overview
3. Physical Examinations, Immunizations, Background Checks &
Drug Screening
4. Program Expenses
5. Transfer and Advanced Placement
6. Sequence of Courses
7. Physical Requirements for Clinical Placement
8. Prerequisite Course Information
9. 40 Hour Volunteer Requirement and Guidelines
10. Volunteer Hospital Suggestions for 2015
11. Volunteer Hours Verification Form
12. Objectives for Volunteering
13. Application Submission and Screening Procedure
14. Application for Admission to DMI Program
Page
2
3
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5-6
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8-12
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19-21
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
1
INTRODUCTION
Thank you for taking the time to read this information and application packet. This packet contains all the information
you need to apply to the Diagnostic Medical Imaging program at City College of San Francisco. We hope it answers
all of your questions but if it does not, feel free to email us at DMI@mail.ccsf.edu.
The first step is to learn the proper name of the profession you want to enter. We are called radiographers and we are
also known as radiologic technologists. A radiographer produces radiographs or uses other equipment to get a
diagnostic image of parts of a patient's body. Radiographers are highly skilled members of the healthcare team with
responsibilities that include assisting Radiologists (the physician) to perform complicated and difficult procedures such
as biopsies, aspirations and vascular studies. They also work with surgeons during surgical procedures in the
operating room. Radiographers also have continuous contact with patients during procedures. They educate patients
about the examination, give injections of contrast material when needed and also give emotional support.
Radiographers monitor each patient as they perform the examinations and react to emergency situations as a first
responder. This profession encompasses far more than simply radiographing the skeleton.
Successful Radiographers are detail oriented, interested in science and math, comfortable with computers, empathetic
towards patients, customer service oriented, know how to prioritize based upon the needs of patients and physicians,
and have EXCELLENT communication skills.
This DMI Program is a rigorous, demanding, full-time program making outside employment difficult if not
impossible. Candidates are strongly urged to evaluate their financial status prior to application and plan for expenses
including: tuition, fees, texts, uniforms, shoes and transportation. It is also strongly recommended that applicants
complete the General Education courses required for the Associate of Science degree prior to entering the DMI
program.
Students are encouraged to visit the counseling departments at CCSF regarding questions about transferability of
prerequisites and graduation requirements. General questions about prerequisite courses or volunteer
requirement may be directed to any of the DMI Program faculty members.
Enrollment procedures:
1. Become an official student at CCSF (if not already a CCSF student)
2. Complete all DMI prerequisites with a 2.5 GPA and all other coursework with a 2.0 GPA.
3. Submit the DMI Application with all required documentation as described in this packet.
4. A Random Selection Process for qualified applicants will be held to select our qualified students.
5. If selected, the student must complete the Health Screening, Background Check, Drug/Alcohol Screening.
6. All selected students must attend all mandatory new student orientations.
Application instructions must be followed CAREFULLY in order for your application to be considered. Please
note the following:
1. The application period is from August 1st through August 10th for 2015.
2. Only those applications mailed according to the instructions in this packet will be considered.
3. All application packets must contain the official forms found within this packet and will not be accepted if
hand delivered, mailed in early, or mailed after the deadline.
4. Applicants, who have submitted an application in previous years and wish to re-apply, must submit a new
application with all supporting documentation included.
5. Students with any prerequisites in progress will be disqualified from admission.
6. All communication regarding application status can be made by e-mail to DMI@mail.ccsf.edu
7. Successful applicants will be placed in either the Fall or Spring semesters as determined by the random
selection process.
8. Approximately 15 students are admitted into the DMI program each semester
9. Applicants will be notified by email of acceptance or non-acceptance into the program.
10. Please keep a copy of your application material. All applications and associated material become the
property of the DMI program and will not be returned.
11. No waiting list is maintained.
Disclaimer:
At the time this application went to print, all information within was current, true and correct. Every effort has been made to ensure that this
application packet is free from content, spelling, and typographical errors.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
2
PROGRAM OVERVIEW
The goal of this department is to prepare its students to function competently in an entry-level position as a Radiologic
Technologist in healthcare facilities. The DMI Program is an integral part of this community college and combines
general education and radiology courses to accomplish that goal. The DMI program is full-time, thirty (30) months in
length and leads to national certification and state licensure.
The DMI program has a rich history starting in the 1950’s at City College of San Francisco. This program enjoys
long-term relationships with major San Francisco Bay Area hospitals where students conduct their clinical laboratory
education. The DMI program has achieved prestigious accreditation by the Joint Review Committee on Education in
Radiologic Technology (www.jrcert.org) ۰ 20 North Wacker Dr., Suite 2850 ۰ Chicago, IL 60606-3182.
All successful program students must graduate with an Associate’s degree and a major in Diagnostic Medical Imaging
(DMI) upon program completion. Those students who already possess an A.A., A.S. or higher degree must
matriculate through the college and meet all CCSF graduation requirements to complete the DMI program major.
Upon completion of the DMI courses, and having met the CCSF requirements for graduation, the student is eligible to
sit for the nationally recognized American Registry of Radiologic Technologists (ARRT) certification examination in
Radiography, and upon passing, will be eligible to apply for the California Certified Radiologic Technologist (CRT)
license and California’s Fluoroscopy Permit.
DMI program contact:
50 Phelan Ave. San Francisco, CA 94112
Voicemail: 415-239-3431
Email: DMI@mail.ccsf.edu
PHYSICAL EXAMINATION, IMMUNIZATIONS, BACKGROUND CHECK
& DRUG SCREENING
Upon acceptance into the DMI program the following must be completed:
1. Physical examination by a physician to determine the physical health of the student.
2. Immunizations and positive titers against certain diseases described later in this packet.
3. Negative background check for any previous felony or misdemeanor convictions.
4. Negative drug screening.
Any misdemeanor, felony conviction, or positive drug finding may impact the applicant’s ability to attend the clinical
education component, complete program requirements and/or obtain eligibility for certification. If the applicant has
ANY previous convictions of a misdemeanor or felony, please contact the American Registry of Radiologic
Technologists (ARRT) at www.ARRT.org ethics department or call (651) 687-0048 BEFORE starting the program in
order to establish eligibility for certification.
NOTE: Background checks, drug screening, physical examinations and immunizations are required to attend the
clinical portion of the program. A positive result of a conviction or positive drug finding or failure to comply with
immunizations and titers may be grounds for program dismissal due to lack of clinical placement. The cost of these
requirements is the responsibility of the student.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
3
PROGRAM EXPENSES
Course enrollment and health fees and other general information for CCSF may be obtained from the Registrar’s
Office and at www.ccsf.edu.
In addition to current enrollment and health fees, the estimated costs of attending the program are as follows and may
change without notice:

Books and other teaching/study materials required, approximately $1500

Uniforms, lab coats, shoes, radiology markers, etc. $300 and up

Radiation Monitoring device, approximately $50 per semester

Background and Drug/Alcohol Screening, approximately $200.00

Health Fitness Verification at the beginning of the program, cost dependent upon the student’s health
insurance status.

Health documentation service, approximately $20.00 per year.

ARRT, California CRT application and fluoroscopy permit exam, approximately $500
Transportation
Students are responsible for providing their own transportation and any related expenses to and from the campus and
clinical education centers.
Student placement in the clinical facilities is determined by the program officials and not the student. Transportation
issues are not considered in clinical placement assignments.
Housing
Students are responsible for their own room, board, and other living expenses. Campus housing is not available.
TRANSFER AND ADVANCED PLACEMENT
Transfer and Advanced Placement
Advanced standing in the DMI program is not granted to students transferring from other radiology/medical programs,
international graduates, or due to loss of a CRT licensure or ARRT certification.
International Radiographer Training
The City College of San Francisco does not have a curriculum for radiographers educated in other countries to achieve
credentialing in the United States. If you would like information about the programs of this nature, please refer to the
American Registry of Radiologic Technologists website, www.ARRT.org
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
4
SEQUENCE OF COURSES
DIAGNOSTIC MEDICAL IMAGING PROGRAM
FOR STUDENTS STARTING IN THE FALL SEMESTER
The Diagnostic Medical Imaging Program is a degree major program.
The following course sequence does not include AS degree graduation requirements.
All current general education graduation requirements are mandatory and must be completed prior to DMI 68 & 69.
Students should consult with a counselor to ensure all graduation requirements are being met.
COURSE
1ST SEMESTER (Fall)
DMI 49 Intro to Radiation Technology
UNITS
3
COURSE
4th SEMESTER (Fall)
DMI 55 Skull Radiology
DMI 50A Intro to Med. Radiography
3
DMI 56 Pathology
DMI 52 Patient Care & Staff Relations
2
DMI 63 Intermediate Imaging Procedures
2
2
EMT 14
2
DMI 64 Clinical Education (16 hrs/wk)
2
Total not including GE courses
8
5th SEMESTER (Spring)
DMI 57 Multiplanar Imaging
3
UNITS
2
(may be taken prior to acceptance into program)
(may be taken prior to acceptance into program)
Total not including additional GE courses
10
Additional GE courses required in 1st or 2nd semester
SPCH 11, 12, or 1A (Gen Ed. Area A)
3
(may be taken prior to acceptance into program)
PSYC 1 or 26 (Gen Ed. Area D)
3
(may be taken prior to acceptance into program)
2nd SEMESTER
(Spring)
DMI 50B Radiographic Physics & Equip.
2
DMI 51A Radiographic Anatomy & Positioning
4
DMI 54 Vascular & Interventional
Procedures
2
DMI 51B Radiographic Exposure Factors
2
DMI 65 Advanced Imaging Procedures
2
DMI 66 Clinical Education (16 hrs/wk)
2
RADL 70 Radiation Protection
2
Total not including GE courses
11
Total not including additional GE courses
3rd SEMESTER (Summer, 7 wks)
DMI 62 Clinical Education (40 hrs/wk)
9
6th SEMESTER (Su-F) Internship
2
DMI 69 Clinical Education (40 hrs/wk)
4
DMI 68 Clinical Education (40 hrs/wk)
Total not including additional GE courses
2
DMI 100 Registry Exam & Career Prep
4
1
Total not including GE courses
9
DMI Program units = 49 + 18 additional General Education = 67 total program units with an AS in DMI Degree
Also required are General Education courses from Areas B, E, F, and H (see college catalogue).
The student may obtain a waiver for area G from the Radiologic Sciences Department Chair upon successful completion
of the 3rd semester in the DMI program - Prerequisite courses cover Area C.
English 1A and Math 60 must be completed by the end of the 5 th semester in the DMI program.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
5
SEQUENCE OF COURSES
DIAGNOSTIC MEDICAL IMAGING PROGRAM
FOR STUDENTS STARTING IN THE SPRING SEMESTER
The Diagnostic Medical Imaging Program is a degree major program.
The following course sequence does not include AS degree graduation requirements.
All current general education graduation requirements are mandatory and must be completed prior to DMI 68 & 69.
Students should consult with a counselor to ensure all graduation requirements are being met.
COURSE
1ST SEMESTER (Spring)
DMI 49 Intro to Radiation Technology
UNITS
3
COURSE
4th SEMESTER (Summer, 7 wks)
DMI 64 Clinical Education (40 hrs/wk)
UNITS
2
(may be taken prior to acceptance into program)
DMI 50A Intro to Med. Radiography
3
DMI 52 Patient Care & Staff Relations
2
EMT 14
2
Total not including GE courses
2
(may be taken prior to acceptance into program)
Total not including additional GE courses
10
Additional GE courses required in 1st or 2nd semester
SPCH 11, 12, or 1A (Gen Ed. Area A)
3
(may be taken prior to acceptance into program)
PSYC 1 or 26 (Gen Ed. Area D)
3
(may be taken prior to acceptance into program)
SUMMER SESSION NO DMI COURSES
5th SEMESTER
2nd SEMESTER
(Fall)
DMI 56 Pathology
2
(Fall)
DMI 50B Radiographic Physics & Equip.
2
DMI 54 Interventional Radiology
2
DMI 51A Radiographic Anatomy & Positioning
4
DMI 65 Advanced Imaging Procedures
2
DMI 51B Radiographic Exposure Factors
2
DMI 66 Clinical Education (16 hrs/wk)
2
PSYC 1 or 26 (Gen Ed. Area D)
3
DMI 70 Radiation Protection
2
Total not including GE courses
10
Total not including additional GE courses
11
3rd SEMESTER (Spring)
DMI 55 Skull Radiology
6th SEMESTER (Sp - Su) Internship
2
DMI 68 Clinical Education (40 hrs/wk)
DMI 57 Multiplanar Imaging
3
DMI 69 Clinical Education (40 hrs/wk)
DMI 63 Intermediate Imaging Procedures
2
DMI 62 Clinical Education (16 hrs/wk)
2
Total not including GE courses
9
4
DMI 100 Registry Exam & Career Prep
4
1
Total not including GE courses
9
DMI Program units = 49 + 18 additional General Education = 67 total program units with an AS in DMI Degree
Also required are General Education courses from Areas B, E, F, and H (see college catalogue).
The student may obtain a waiver for area G from the Radiologic Sciences Department Chair upon successful completion
of the 3rd semester in the DMI program - Prerequisite courses cover Area C.
English 1A and Math 60 must be completed by the end of the 5 th semester in the DMI program.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
6
PHYSICAL REQUIREMENTS FOR CLINICAL PLACEMENT
Physical Requirements - The student technologist must be capable of meeting the physical demands of the job, which
are in the job descriptions of all employers.
General Physical Demand Characteristics of the Profession:
1. Assists in lifting patients up to 400+ lbs.
2. Walks and/or stands most of the day. Bends and stoops frequently.
3. Pulls/pushes, reaches/lifts equipment/carts etc., on a regular basis.
4. Normal hearing, or corrected hearing within normal ranges.
Motor Function:
1. The student must be able to stand unassisted for long periods of time.
2. The student must be able to lift patients on and off the radiographic table independently 80% of the time as well as
in and out of hospital beds, stretchers, and wheelchairs.
3. The student must be able to lift and handle radiographic accessories and equipment of at least 30 lbs. above head
4. The student must be able to manipulate stationary and mobile radiographic equipment.
5. The student must be able to assist personnel and patients in emergency situations.
Visual Observation:
1. 20/100 vision, correctable to 20/30 in one eye or 20/100 vision correctable to 20/40 in both eyes.
2. Students must be able to observe and evaluate the patient's condition using signs and symptoms.
3. Students must be able to interpret instrument control panels, technique charts, and other materials for
appropriate operation of equipment and patient care.
4. Students must be able to view and critique radiographs, interpret quality factors, identify anatomy and list
technical and procedural components.
Hearing Ability:
1. The student must have normal hearing or have hearing corrected to within normal range when facing patients or
with back turned toward patient.
2. Hear in situations when not able to see lips (i.e., when masks are worn)
3. Hear auditory alarms (i.e. monitors, fire alarms)
Tactile:
1. Feel vibrations (e.g., palpate pulses)
2. Detect temperature (e.g., skin and/or solutions, etc.)
3. Feel differences in surface characteristics (e.g., skin, rashes)
Communication Skills:
1. The student must be able to transfer information by verbal and non-verbal means to personnel and patients.
2. The student must be able to receive and interpret communication from personnel and patients and adhere to
appropriate Health Insurance Portability and Accountability Act (HIPAA) confidentiality laws.
3. The student must be computer literate and able to operate a variety of computer programs, instructions, and
compile data on a routine basis.
Behavioral and Social Skills:
1. The student's behavioral and social skills must be considered acceptable within the college and clinical locations.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
7
PREREQUISITE COURSE INFORMATION
PREREQUISITES
1.
40 Hour Volunteer
Prerequisite (See pgs. 13-16)
Must be completed in a hospital
radiology department observing
technologists at work in a general
radiology department.
ALTERNATIVES
None
complete this prerequisite first
Algebra
placement score
into Math 60
(formerly 860) or
higher
Chemistry
placement score
into Chem 101
NOTES
It is strongly recommended
that the applicant complete
this prerequisite first as
volunteer placement may be
difficult to arrange.
A statistics course is not a
substitute for Algebra. Note:
Math 60 (formerly 860) is
required for an A.S., DMI
Degree at CCSF
Chem 32 or Chem 101 is a
prerequisite of Physio 12
which is a program prerequisite
If taken at another college,
physics must include a lab
section.
2.
Elementary Algebra
Math 40 (formerly 840) at
CCSF
or equivalent at another
college
3.
Chemistry with a Lab
4.
Physics Lecture
Chem 32
(medical chemistry) at
CCSF or equivalent at
another college
Physics 10 at CCSF or
equivalent at another college
5.
Physics Lab
Physics 10L at CCSF or
equivalent at another college
6.
Human Anatomy with a Lab
Anatomy 25 at CCSF or
equivalent with a lab at
another college
7.
Physiology with a Lab
8.
English
Physio 12 at CCSF or
equivalent with a lab at
another college
Engl 93 or ESL 160 at CCSF
or equivalent at another
college
1.
Prerequisite courses and placement test scores must be completed within seven years prior to submitting an
application, with the exception of English.
No placement
test available at
CCSF
No placement
test available at
CCSF
No placement
test available at
CCSF
No placement
test available at
CCSF
Engl placement
score into Engl
96 or ESL 170 or
higher
Combination courses of Anat/Physio
will not be accepted unless they are
equivalent to Anatomy 25 and
Physio 12 at CCSF and at least 4
units per semester.
Chem 32 is a prerequisite of
Physio 12 at CCSF.
Note: English 1A is required
for an A.S., DMI Degree at
CCSF
PREREQUISITE COURSE GUIDELINES
a.
b.
c.
2.
An overall grade point average (GPA) of 2.0 is required of all college courses already attempted and listed on your
official transcripts. Please refer to the CCSF college catalog for determining your grade point average.
a.
b.
c.
3.
4.
Courses may be taken at any accredited college, but they must be the EXACT equivalent of those offered at CCSF.
The DMI faculty may not able to assess courses taken at another institution to determine equivalency. Individuals
should consult with a college counselor.
Math and science prerequisite courses must be passed with a collective GPA of 2.5. Please refer to GPA Prerequisite
Calculation form included in this packet. Grades lower than “C” are not acceptable in the prerequisite courses for
the program.
Academic history of more than four (4) incomplete grades, withdrawals, repetition of prerequisite courses due to
failures, academic probation, etc., may cause your application to be disqualified.
More than four is considered excessive by the DMI program and an indication of academic problems.
If you have this type of academic problem, an essay explaining the reasons for your academic history may be
included with your application. However, this essay is not a guarantee of admission but will be taken into
consideration.
Failed prerequisites courses may only be repeated one time for a passing grade. Multiple repeated attempts to pass a
prerequisite will disqualify you from admission to the DMI program.
No credit is given for high school courses.
Pre-requisite courses in progress will not be considered
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
8
PREREQUISITE COURSE DESCRIPTION
Algebra
MATH 40 (formerly 840) “Elementary Algebra” (3 units) or placement into MATH 60 (formerly 860)
Lec-5 hr./wk
Prereq.: MATH E1 or E or E3 or EX or MATH 35 ;OR placement in MATH 40 (formerly 840)
Fundamental operations on integers, rational numbers, polynomials, and algebraic expressions; linear and quadratic
equations; linear inequalities; integer exponents and square roots; graphing; systems of equations; and applications.
Anatomy
ANAT 25, “General Human Anatomy” (4 units, includes a lab)
Lec-3hr/wk, lab-3hr/wk
Study of the gross and microscopic structure of the human body. CSU/UC
CAN Bio10 (CAN Bio Seq B = Anat 25 + Physio 1)
Important: ANAT 14, “Introduction to Human Anatomy and Physiology”, a 4 unit course, does not qualify
the prerequisite because the combined course does not go into enough depth in either anatomy or physiology
of the human body to prepare students for this program.
Chemistry
CHEM 32, “Introduction to Medical Chemistry” (4 units, includes a lab)
Lec-3hr/wk, lab-3hr/wk
Open to all students. No previous chemistry or physics required. Satisfies the requirements of nursing and related
majors that require one semester of chemistry. Also satisfies the recommended prerequisite for Physiology 12 and
Microbioloby 12. Students taking a major that requires two semesters of chemistry should enroll in the Chem 33 after
completing CHEM 32. Students preparing to enroll in Chem 101A or 103A should enroll in Chem 40.
Basic concepts of inorganic and organic chemistry, biochemistry, and physics as they apply to the chemistry and
physics of the human body. CSU
Physics
PHYC 10 Conceptual Physics (3 units)
Lab-3hr/wk
A conceptual, almost non-mathematical, introduction to physics with demonstrations. Topics from mechanics,
properties of matter, heat, sound, electricity, magnetism, light, nuclear physics, and relativity. Emphasis on topics that
lead to a better understanding of our technological society and physical environment. CSU/UC
AND
PHYC 10L
Lab-3hr/wk (1 unit)
PREREQ: Completion/concurrent enrollment in PHYC 10
Laboratory experiments involving basic physics concepts. Emphasis on concept development, data handling, and
laboratory skills. CSU/UC
Physiology
PHYS 12. Introduction to Human Physiology (4)
Lec-3, lab-3
PREREQ.: CHEM 32 or 101A
Not open to students who have completed PHYS 1
A course in general human physiology which stresses the normal function of the human body, including the
physiology of cells, muscles, the nervous system, sensation, digestion, circulation, respiration, metabolism, excretion,
endocrines, and reproduction. This course is intended for students entering nursing and other allied
health fields. CSU/UC
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
9
English
ENGL 93. Introduction to Academic Writing and Reading (3 units) or placement in ENGL 96
Lec-3hr/wk
Prereq.: ENGL 92 or ESL 82 or 160, or placement in ENGL 93
Advise: Completion/concurrent enrollment in ENGL 9 or 19
Training and practice in academic essay writing and analytical reading. Emphasis is on learning to read and write precollegiate argumentative prose.
OR
ESL 160. High-Advanced Academic ESL (4) or placement in ESL 170
Lec-4.5, lab-1
Prereq.: ESL 150
Advanced academic reading skills and strategies. Practice in various forms of composition and research necessary for
college work. High-advanced level vocabulary and grammar study.CSU/UC
Note:
If higher level courses are taken, please check with a counselor or the department chair of that particular
department at CCSF to determine equivalency. Higher level courses are not a guarantee that the same
information as required by our program was given to the student.
i.e.: Statistics is not a valid substitute for Math 40 (elementary algebra), a higher level Physics or
Chemistry course without a lab section is not a valid substitute for Physics 10/10L or Chem 32.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
10
PREREQUISITE GPA CALCULATION
Include this form in your application packet with your transcripts.
Prerequisite G.P.A. Worksheet (See the example below)
Step 1: Assign grade points – 4 grade points for an A; 3 for a B; 2 for a C
Step 2: Add up the units
Step 3: Add up the grade points
Step 4: Divide grade points by units to find the G. P. A. for the prerequisite courses.
Example
Course
Units
Grade
Grade Points
A = 4, B = 3, C = 2
Total Grade
Points
Anatomy 25
4
C
2
8
Physiology 12
4
C
2
8
Physics 10
3
B
3
9
Physics 10L
1
C
2
2
Chem 32
4
B
3
12
Math 40
4
A
4
16
TOTAL
20
55
Total Grade Points:
55
divided by Total Units:
20
=
2.75
G.P.A.
Include this table in your application packet with your transcripts.
Course
Units
Grade
Grade Points
A = 4, B = 3, C = 2
Anatomy 25
4
Physiology 12
4
Physics 10
3
Physics 10L
1
Chem 32
4
Math 40
4
Total
Grade Points
TOTAL
Total Grade Points ___________ divided by Total Units _____________ = ______________G.P.A.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
11
PREREQUISITE PLACEMENT TESTING
Placement Testing Office: 415-239-3124
1. Testing is available for English, Algebra and Chemistry courses only.
a. For Chemistry placement examination scheduling, contact the Chemistry department.
2. There are no Physics, Anatomy, or Physiology placement tests available.
3. To register for placement testing:
a. Testing Schedules are available online at www.ccsf.edu/new-students/step2, in the information
area of Conlan Hall, Counseling Offices, and in the Testing Office, E203.
Waivers:
1.
2.
3.
4.
Only courses completed within the specified seven year period for prerequisites are applicable.
Any prerequisite course completed beyond seven years cannot be waived.
Placement test scores, official transcripts, and waivers from the Matriculation Department must be
included in the application packet when applying to the DMI program.
If you need more information, please see CCSF catalog, “Placement Testing Waiver”.
TRANSCRIPTS
1.
2.
3.
4.
Only official transcripts received in their original, sealed envelopes will be accepted
High School courses, domestic or international, will NOT be accepted as meeting a prerequisite
requirement.
The DMI program does not have access to the applicant’s CCSF transcripts.
CCSF transcripts may be obtained from the Transcript Department, Conlan Hall, Rm. E107.
International Student Transcripts:
Transcripts must be translated and the evaluation must be a “detailed” or “comprehensive” report that includes a
course-by-course review with unit value, grade, and lower/upper division breakdown.
FOREIGN CREDENTIAL EVALUATION SERVICES
COMPANY NAME
WEB ADDRESS*
TURN AROUND TIME
www.ierf.org
FEE FOR DETAILED
REPORT**
$185.00
International Education
Research Foundation, Inc.
(IERF)
World Education Service
(WES)
www.wes.org
$150.00
7 business days
Originals from most
countries; English
translations
Academic Credentials
Evaluation Institute
(ACEI)
www.aceil.com
$160.00
10 business days
Certified photocopies;
English translations
15 business days
REQUIRED
DOCUMENTS***
Certified photocopies;
originals from some
countries; English
translations
* On-line application is highly recommended
** Fees are subject to change without notice.
*** Please refer to the company’s website for special document requirements for specific countries.
Prerequisites Taken at Other Colleges:
Course equivalency must be determined by the appropriate department chair at CCSF. The applicant must submit the
“Evaluation of Course Equivalency” form. This form is located in Conlan Hall, E107 or online at
www.ccsf.edu/Services/Admissions_Records/forms/Course_Eqiv.pdf or on the DMI program website:
www.ccsf.edu/dmi.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
12
40 HOUR VOLUNTEER REQUIREMENT
Purpose
The purpose of the 40 hour volunteer requirement is to expose a prospective applicant to the work environment of a
hospital and the duties, tasks and skills required of a radiographer. When a student is considering the investment of
the time, effort, and resources to learning a new profession; it is imperative to invest substantial effort to research the
field to determine whether it is a suitable career choice. To that end, prospective applicants are required to experience
some time in a radiology department to observe radiographers at work performing general radiographic procedures.
VOLUNTEERING GUIDELINES
The DMI program strongly recommends completing the volunteering first before investing additional time, effort, and
money in the remaining prerequisites.
All applicants and hospitals must adhere to the following guidelines or the applicant will be disqualified:
1.
2.
3.
4.
Observe both patients and radiographers during general radiographic procedures.
This experience must take place in an acute care setting (hospital), and not at an ambulatory care setting (clinic) or
doctor’s office.
a. Hours spent volunteering in healthcare settings other than in a hospital will not be credited towards the
prerequisite.
b. The experience must be verifiable by completing the appropriate form provided in this packet.
c. If the hours are not verifiable, the hours will be disqualified.
40 hours of volunteering in a hospital based radiology department observing technologists working with patients
is required.
a. Some hospitals may require students to complete 100 hours of volunteering. All hours beyond the 40 in
radiology can be done anywhere within the hospital system.
b. Volunteering more than 40 hours in a radiology department will not improve an applicant’s chances of
being admitted to the program.
The experience should be completed within a six month period to be effective and no more than seven years prior
to applying. All applicants must complete and submit either the official forms contained in this packet or those
from a prior application period.
a. The applicant must have the opportunity to observe radiologic technologists performing general
radiologic examinations for up to 30 of the 40 hours required. These areas include:
i. General Radiology (Skeletal Radiography, Chest X-Rays, etc.)
ii. Fluoroscopy (Barium Studies, HSG, VCUG, RUG, Aspirations, Biopsies, etc.)
iii. Surgery (any surgical procedure)
b. Modalities other than general x-ray shall not exceed 10 hours combined. They include:
i. Computed Tomography (CT)
ii. Magnetic Resonance Imaging (MRI)
iii. Ultrasound (US)
iv. Mammography
v. Bone Densitometry (Dexa)
vi. Interventional Radiography (IR)
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
13
VOLUNTEER HOSPITAL SUGGESTIONS FOR 2015
To begin the 40 hour volunteer prerequisite, contact the volunteer services department of any hospital. It is the
applicant’s responsibility to contact the site, schedule the hours, and complete the requirement.
The DMI Program is not responsible for placing prospective applicants in a clinical site to fulfill this requirement.
The waiting list for volunteering may be up to one year or more at these hospitals .
If you live out of the area, any hospital will be accepted as long as the hospital can adhere to the guidelines found in
this packet. Be sure the contact information is clearly written so the selection committee can verify your hours.
Any unverifiable hours may disqualify the applicant.
Suggested hospitals in the SF Bay Area:
1.
California Pacific Medical Center
Volunteer Services Website: www.cpmc.org<http://www.cpmc.org>
Contact: Genie Gee, Volunteer Administrative Assistant
T: 415-600-0374
CPMC will require the student to volunteer for a minimum of 100 hours.
If you cannot commit to these hours, please do not use this hospital.
2.
San Francisco General Hospital
1001 Potrero St., Building 5, 7th fl., San Francisco
The Volunteer Center website: http://sfghlearn.org/volunteers/
Contact: Tracie Floyd, Volunteer Administrative Coordinator
T: 415-206-8493). F: 206-4893; E-mail: Tracie.Floyd@sfdph.org
(Hours Tues., Wed., & Thurs., 9:30am – 12pm & 1pm – 5pm)
3.
Saint Francis Hospital
900 Hyde St., San Francisco
Contact: Amy Loi T: 415-353-6655
St. Francis will require the student to volunteer for a minimum of 60 hours.
If you cannot commit to these hours, please do not use this hospital.
4. Marin General Hospital
Volunteer Department
250 Bon Air Rd., Greenbrae
Contact: Regina Thomas
T: 415-925-7260; E-mail: thomasr@maringeneral.org
5. VAMC
4150 Clement Street, 2nd Fl., San Francisco
Contact: Tim Li
T: 415-750-2039; E-mail: JainXiangLi@va.gov
Or any hospital in any area that will adhere to the guidelines contained in this document.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
14
DIAGNOSTIC MEDICAL IMAGING PROGRAM
Volunteer Hours Verification Form
Missing information may be cause for disqualification.
1.
2.
3.
4.
5.
6.
Include this official documentation with your application.
Make additional copies of this form as needed.
All signatures and phone numbers must be verifiable.
Be sure to break down the hours between general x-ray and the modalities.
If you observe more than one modality in a day, separate the hours for verification purposes.
The supervising technologist must initial the form and the initials must match those provided on the list below.
Applicant Name: ______________________________________________Date___________________
Please Print
Name, Address, Phone # of each hospital radiology dept. you volunteered in for this experience.
Hospital(s)
Technologist
details for
verification
purposes
1. Print the name of each technologist observed.
2. Include the work phone number and shift of each technologist.
3. List each technologist’s email address or the email address of their supervisor.
4. Include the initials of the technologist.
1. Technologist Name (Print)
DATE
(MM/DD/YY)
Total for
Gen. X-ray=
Total of other
modalities=
Grand Total
Hours=
HOURS
(8 to 4 = 8 hrs)
2. Wk Phone
MODALITY
(Gen. X-Ray, CT, MRI,
US, IR, Mammo, Dexa)
Shift
Initials of
Technologist
3. Email (Print each letter or symbol clearly)
DATE
(MM/DD/YY)
HOURS
(8 to 4 = 8 hrs)
MODALITY
(Gen. X-Ray, CT, MRI,
US, IR, Mammo, Dexa)
4.Tech Initials
Initials of
Technologist
Gen. X-ray=
Modalities=
Grand Total
Use another page if more space is required.
See #4 under “Volunteering Guidelines” for list of general x-ray and modalities.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431 Email: DMI@mail.ccsf.edu
15
OBJECTIVES FOR VOLUNTEERING
Instructions
1.
2.
3.
4.
5.
6.
Please provide a brief answer to each of the following questions. Cutting and pasting your answers from the
internet is not acceptable unless APA style of footnoting us utilized and a reference list is included.
The responses must be type written on this page. Hand-written responses will not be accepted.
Your written communication skills will be taken into consideration.
Yes or No responses are not acceptable, be specific or the question will be marked as wrong.
Note that application screening includes the quality of answers which indicate your research into radiography.
Three or more incorrect answers are grounds for disqualification due to lack of research and interest in
radiography.
Objectives
Type your answers in the boxes provided. Copy these pages and include in your application packet.
1. Describe and identify the educational background and job description of the following professions:
a. Radiologic Technologist
b. X-ray Technician
c. Radiologist
Answer:
a.
Radiologic Technologist:
b.
X-Ray Technician:
c.
Radiologist:
2. During volunteering you have witnessed much communication between the technologist, the patient, coworkers, and physicians. Explain in detail how your communication skills (spoken and written) are at the
appropriate level for this profession.
Answer:
1.
3. List 10 of the examinations you observed that were performed by the radiographers and the type of
patients that required these exams? i.e.: Age, gender, disease process, etc.
Answer:
2.
Type of exam
Age
Gender
Disease or Accident
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
4. Why do radiographers shield patients with lead or lead equivalent below the waist?
Answer:
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431
16
3.
5. Does the radiation remain in the room or the patient after the exposure has been made? If yes, for how
long. If no, where does it go?
Answer:
4.
6. Are radiographers ever exposed to ionizing radiation?
thoroughly.
If yes, give examples.
If no, explain
Answer:
5.
7. Are radiographers ever present in the room while the x-ray beam is turned on? If yes, explain what
types of procedures would require this. If no, explain how the examinations are done.
Answer:
6.
8. Is there anything radioactive within the diagnostic x-ray tube?
Answer:
7.
8.
9. From your research and observations about radiologic technology, is this profession stressful?
Explain in detail.
Answer:
9.
10.
11.
10. Describe how volunteering has enhanced your knowledge of radiologic technology.
Answer:
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431
17
APPLICATION SUBMISSION AND SCREENING PROCEDURE
Important Considerations
1. Submitting an application to the program and/or completion of prerequisite courses does not guarantee
admission into the program.
2. Candidates are selected by a random selection process for admission in the first available semester.
3. The DMI program does not maintain a waiting list.
4. Applicants not accepted must reapply the following year.
Application Pre-Submission Checklist
1. The application form must be complete.
2. All prerequisite courses, with the exception of English must have been completed after January 1st, 2008.
3. The applicant must have an overall GPA of 2.0 or higher.
4. All math and science prerequisite courses must have been completed with a collective GPA of 2.5, or
higher.
5. Prerequisite courses in progress will result in the disqualification of the application.
6. Official transcripts must be included for all prerequisite courses in the original sealed envelope.
7. The 40 hours of volunteer service must be completed, and all official supporting documents must be
included with the application materials.
8. Any patterns of excessive withdrawals, incomplete, or failing grades may be explained in an essay.
(Excessive means more than four (4) incomplete courses, W’s, D’s, or F’s.) Writing an essay is not a
guarantee that the patterns will be accepted.
9. Once submitted, applications, and all other materials become the property of the CCSF DMI Program.
Please make copies of all documents for your reference.
Application Submission
1. All applications should be mailed using United States Postal Service certified or registered mail and must
be postmarked between August 1st and August 10th, 2015.
2. Applications postmarked before August 1st or after August 10th, 2015 will be disqualified.
3. All applications and supporting documents become the property of the CCSF Radiologic Sciences
Department and will not be returned.
Screening
1. Application screening will begin after August 10th, 2015 and last through the end of November, 2015.
2. Faculty or office staff will not prescreen applications.
3. There will be no discussion of application status until the random selection process has been conducted.
4. Applicants will be notified of their status once the committee has completed the screening process.
Admission
1. You will receive notification by email.
2. You must notify us of any change of mailing address, email address, or phone number.
3. All accepted students are required to attend two mandatory orientation meetings prior to the start of the
DMI program. Failure to attend both of the mandatory orientation meetings will be cause for dismissal.
4. Admission to the DMI program is contingent upon successfully completing all health requirements,
background check, drug/alcohol screening, and attending both mandatory orientation meetings.
Disclaimer: The DMI program is not responsible for notices not received.
Declined Admission
1. If a student is disqualified, to apply again the student must rectify all issues that caused the first
disqualification.
2. If a student was qualified but not selected, to reapply during the next application period, the student must
submit a new application but all other documentation may be used again the following year. Beyond
that, the student must submit new documentation with the exception of volunteering verification.
However, volunteering objectives must also be from the current application period.
3. If a student is selected to begin the program during the random selection process, but decides to give up
their spot, the individual must reapply to the program in another application year and begin the process
over again. The seven year time limit on all prerequisites will apply to the new application date.
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431
18
APPLICATION PACKET INFORMATION
All application packets must be submitted in the following order:
1.
APPLICATION
2.
COMPLETED PREREQUISITE GPA CALCULATION.
3.
40 HOUR VOLUNTEER HOURS VERIFICATION FORM
4.
OBJECTIVES FOR VOLUNTEERING
5.
TRANSCRIPTS IN THE ORIGINAL SEALED ENVELOPE.
6.
PREREQUISITE GPA CALCULATION FORM
7.
ANY PLACEMENT TEST WAIVERS, PLACEMENT TEST RESULTS, OR COURSE
EQUIVALENCY FORMS
8.
ESSAY (only necessary if you need to explain problems with your transcripts)
9.
OTHER PERTINENT INFORMATION
10. MAKE A COPY OF ALL APPLICATION MATERIALS. THEY WILL NOT BE RETURNED.
APPLICATION PACKET DELIVERY
1.
Applications should be mailed to the address shown below by U.S. Postal Service Certified or Registered
Mail.
2.
Be sure to use the post office online “Track and Confirm Products and Services”. This is the only receipt
you will receive of your application being received by the Radiologic Sciences Department.
3.
All application packets must be postmarked between August 1st and August 10th, 2015.
4.
Applications and all documents must be included with the application at the time of delivery.
5.
No documents may be added to the application once it has been delivered.
6.
Make a copy of all documents for your files. All material becomes the property of the DMI office and
will not be returned.
Delivery Address
Diagnostic Medical Imaging Program
City College of San Francisco
50 Phelan Ave., Box S-69
San Francisco, CA 94112
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431
19
DIAGNOSTIC MEDICAL IMAGING PROGRAM
APPLICATION
PLEASE PRINT OR TYPE CLEARLY
All applicants must meet all CCSF entrance requirements and be at least 18 years of age.
All prerequisites must have been completed after Jan. 1, 2008 to be accepted with the exception of English
which has no time limit. Applicants must complete and submit the official forms contained in this application
packet. All contents of the application become the property of the CCSF DMI Program. Include a self-addressed,
postage-paid envelope if you wish to have your application returned if you are not selected for admission.
Have you applied before? Year(s) _____________________________
1.
Name
_______________________________ ____________________________ ________
LAST
2.
Address
FIRST
MI
______________________________________________________________________
STREET
3.
Phone
__________________________________________________
_____ ___________
CITY
STATE
_________________________ _______________________ ____________________
HOME
4.
ZIPCODE
Email Address
CELL
WORK
_______________________________________________________________
PLEASE PRINT CLEARLY – IF YOUR HANDWRITING CAN’T BE READ, IT WILL BE IMPOSSIBLE TO REACH YOU!
ALL APPLICANTS WILL BE CONTACTED BY EMAIL
5.
Total number of college units completed to date:
______________
6.
What is your overall college G.P.A.? _______
If submitting multiple transcripts, provide the average GPA for all college work.
7.
CCSF Student Identification Number:
_________________________________ (Required)
You must be registered to apply to the DMI program. If not currently registered, go to www.cccapply.org/ (no cost)
8.
Were you referred to us by anyone?
Yes___ No___
_____________________________________
NAME OF REFERRAL PERSON
9.
Have you ever been convicted of a misdemeanor or felony?
No _____
Yes _____
If you answered yes to the above question read this section carefully:
Before considering this program it is imperative for you to contact The American Registry of Radiologic
Technologists www.ARRT.org to determine eligibility for certification to practice radiology.
In order to meet national certification requirements, disclosure of all misdemeanor and felony
convictions must be made for the following reasons:
 All affiliated hospitals require background checks prior to clinical placement. Clinical
placement can be denied by hospitals if there is a positive screening result.
 A positive result may be grounds for DMI program dismissal.
10. Do you have any physical, emotional, or medical conditions past or present which might interfere with your
participation in this physically demanding and stressful profession?
No _____
Yes _____
If yes, please explain:
(Use another sheet of paper if necessary and attach to application)
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431
20
11. Previous Education: Include all colleges attended.
Name of School
City
State
Units
completed
Degree
College:
College:
College:
College:
12. Prerequisites:
Requirement
All prerequisites must have been completed after Jan. 1, 2007 to
be accepted with the exception of English which has no time limit.
40 Hour Volunteering in a Radiology Dept.
Volunteer Hours Verification Form
and
Objectives for Volunteering
(narrative answers to 10 questions)
Prerequisite Course
Circle if you are submitting
test placement score or course equivalency form.**
Give the final grade
or
Test placement
Score*
College Name
Year and
Semester
Course
Number if
taken at
another
college
Elementary Algebra (Math 40 if taken at CCSF)
or Algebra Placement Test score* placing you into
Math 60 or higher or course equivalency form**
Chemistry (Chemistry 32 if taken at CCSF)
or Chemistry Placement Test score placing you
above Chem 32 or course equivalency form**
Physics Lecture (Physics 10 if taken at CCSF)
or course equivalency form**
Physics Lab (Physics 10L if taken at CCSF)
or course equivalency form**
Human Anatomy (Anatomy 25 if taken at CCSF)
or course equivalency form**
Human Physiology with a lab (Phys 12 if taken at
CCSF) or course equivalency form**
English (ENGL 93*, or ESL 160 if taken at CCSF)
or placement into ENGL 96 or ESL 170
or course equivalency form**
* Must provide evidence of test score. ** Must provide course equivalency form(s).
13. Though it is not a required prerequisite, have you completed DMI 49?
Semester: ___________ Final Grade ______ Not yet completed ___
To the best of my knowledge, the information contained in this application is a true and correct representation of
my qualifications. Not valid without signature.
_________________________________________________________
Signature of Applicant
____________________
Date
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431
21
City College of San Francisco
Radiologic Sciences Department
50 Phelan Ave. Box: S69
San Francisco, CA 94112
Phone: 415-239-3431
Email: DMI@mail.ccsf.edu
www.ccsf.edu/dmi
2015 Information and Application Packet
City College of San Francisco-----Radiologic Sciences Department-----Diagnostic Medical Imaging Program
50 Phelan Ave. Box S69 San Francisco, CA 94112 Voicemail: (415) 239-3431
22