Overview
On completion of this unit, you should be able to demonstrate the radiographic and clinical skills and knowledge required to perform routine radiographic images of the appendicular musculoskeletal system on ambulant adults to include the shoulder & pelvic girdle. Basic radiographic examinations of the chest and abdomen will also be included and gastro intestinal studies will be introduced. High levels of patient care and safety will be explored and good radiographic practice identified and consolidated. The principles of evidence based practice will be introduced. You will develop skills to effectively evaluate radiographs with regard to image quality and determine if an image is diagnostic. The principles of image interpretation will be introduced and common trauma/disease processes of the chest, abdomen and musculoskeletal system explored. There will be a large practical and simulated experiential learning element of this unit performed in the digital radiological laboratories and imaging workstations to help develop and reinforce knowledge, understanding, basic clinical skills and a solid foundation of patient care. This unit will prepare you for your first formal clinical placement.
Details
Pre-requisites or Co-requisites
Corequisites: MEDI12001 Radiation Science, and MEDI12002 Science and Instrumentation 1 Pre-requisites: BMSC11001 Human Body Systems 1, and BMSC11002 Human Body Systems 2, and ESSC11004 Study and Research Skills for Health Sciences, and MEDI11001 Fundamentals of Imaging Professions, and MEDI11003 Relational Anatomy, and MEDI11004 Professional Practice, and MEDI11005 Patient Care in the Allied Health Professions
Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).
Offerings For Term 1 - 2017
Attendance Requirements
All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).
Recommended Student Time Commitment
Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.
Class Timetable
Assessment Overview
Assessment Grading
This is a pass/fail (non-graded) unit. To pass the unit, you must pass all of the individual assessment tasks shown in the table above.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure - Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure - International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback - Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
Feedback, Recommendations and Responses
Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.
Feedback from Conversations with students and Course Evaluation
Lab availability was a source of stress approaching assessment time
The Medical Imaging teaching team is considering how to structure lab availability for independent practice
Students were allocated more lab time for unsupervised practice in small groups (3 in each). Student uptake was good and felt it was useful resource.
Feedback from Conversations with students and Course Evaluation
The mix of lecture, lab and tutorial assisted student understanding and consolidated learning
Maintain the variety of learning opportunities to suit different learning styles.
This was continued and developed this year with tutorials being very interactive. Tutorial attendance was high over the whole unit.
Feedback from Coordinator reflection and observation
More structure is needed around lab activities to ensure that all students have the same opportunities
Change lab guides to include structured learning activities and ensure equitable access.
Weekly lab guides with activities were set out and distributed ahead of time. The lab instructors worked well together and prepared ahead for labs.
Feedback from Course Evaluation
Assessments for this unit and others in the term close together
The Medical Imaging teaching team worked closely together to ensure that assessments were scheduled to give students time between assessments, as far as was able within the constraints of available time. At present the teaching team is considering all assessment items and these may change for future offerings.
Discussion with team ensured that this was addressed this year.
- Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.
- Demonstrate patient care and professional behaviours in the simulated clinical environment.
- Assess radiographs for technical sufficiency and identification of radiographic pathology.
- Discuss methods to modify a radiographic procedure to improve technical sufficiency and/or better demonstrate required anatomy.
- Discuss techniques, patient care and safety issues surrounding radiographic gastro-intestinal imaging.
Medical Radiation Practice Board of Australia (MRPBA) Professional Capabilities for Medical Radiation Practice
Domains 1.1, 1.2, 1.4, 2.1, 3.1, 3.2, 4.1, 4.2, 4.4, 5.1-5.6, 5a1
Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks | Learning Outcomes | ||||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
1 - Practical Assessment - 0% | |||||
2 - Practical Assessment - 0% | |||||
3 - In-class Test(s) - 0% | |||||
4 - Practical Assessment - 0% |
Alignment of Graduate Attributes to Learning Outcomes
Graduate Attributes | Learning Outcomes | ||||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
1 - Communication | |||||
2 - Problem Solving | |||||
3 - Critical Thinking | |||||
4 - Information Literacy | |||||
5 - Team Work | |||||
6 - Information Technology Competence | |||||
7 - Cross Cultural Competence | |||||
8 - Ethical practice | |||||
9 - Social Innovation | |||||
10 - Aboriginal and Torres Strait Islander Cultures |
Alignment of Assessment Tasks to Graduate Attributes
Assessment Tasks | Graduate Attributes | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
1 - Practical Assessment - 0% | ||||||||||
2 - Practical Assessment - 0% | ||||||||||
3 - In-class Test(s) - 0% | ||||||||||
4 - Practical Assessment - 0% |
Textbooks
Accident and Emergency Radiology: A Survival Guide
3rd edition (2005)
Authors: Raby, Berman, De Lacey
Elsevier
London London , UK
ISBN: 9780702042324
Binding: Paperback
Merrill's Atlas of Radiogaphic Positioning and Procedures
13th edition (2012)
Authors: Frank, E., Long, B., Smith, B.
Elsevier
St. Louis St. Louis , Missouri , USA
ISBN: 9780323263412
Binding: Hardcover
Clark's Pocket Handbook for Radiographers
1st edition (2010)
Authors: Sloane, Whitley, Anderson, Holmes
CRC Press
London London , UK
ISBN: 9780340939932
Binding: Hardcover
Additional Textbook Information
There is significant variation in radiographic technique and it is sensible for students to have access to more than one positioning text. A pocket text is also particularly useful to take with you during clinical placement as a quick reference source. Clark's is a good resource that I would recommended as a supplementary text but there are also many others.
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
- CQUniversity PACS
All submissions for this unit must use the referencing style: Harvard (author-date)
For further information, see the Assessment Tasks.
h.harries-jones@cqu.edu.au
Module/Topic
Introduction to radiographic technique and radiography of the hand
Chapter
Merrill's Vol 1 Chapters 1 and 3
Berman chapter 1
Events and Submissions/Topic
Module/Topic
Radiography of the digits & wrist
Chapter
Merrill's Vol 1 Chapter 4
Berman chapters 6 & 7
Events and Submissions/Topic
Module/Topic
Radiography of the elbow & forearm
Chapter
Merrill's Vol 1 Chapter 4
Berman chapter 9
Events and Submissions/Topic
Module/Topic
Radiography of the shoulder girdle & humerus
Chapter
Merrill's Vol 1 Chapter 4 & 5
Berman chapter 4
Events and Submissions/Topic
Module/Topic
Review of the upper limb
Chapter
Events and Submissions/Topic
Practical Assessment 1
Module/Topic
VACATION WEEK
Chapter
Events and Submissions/Topic
Module/Topic
Radiography of the foot, toes & calcaneus
Chapter
Merrill's Vol 1 Chapter 6
Berman chapters 13 & 14
Events and Submissions/Topic
Module/Topic
Radiography of the ankle & tibia/fibula
Chapter
Merrill's Vol 1 Chapter 6
Berman chapter 13
Events and Submissions/Topic
Module/Topic
Radiography of the knee & femur
Chapter
Merrill's Vol 1 Chapter 6
Berman chapter 12
Events and Submissions/Topic
Module/Topic
Radiography of the pelvis
Chapter
Merrill's Vol 1 Chapter 7
Berman chapters 10 & 11
Events and Submissions/Topic
Module/Topic
Radiography of the abdomen & introduction to GI studies
Chapter
Merrill's Vol. 2 chapter 16
Berman chapter 16
Events and Submissions/Topic
Module/Topic
Radiography of the chest
Chapter
Merrill's Vol 1 Chapters 9 & 10
Berman chapter 15
Events and Submissions/Topic
Module/Topic
Consolidation & clinical preparation
Chapter
Events and Submissions/Topic
Module/Topic
Chapter
Events and Submissions/Topic
OSCE
Module/Topic
Chapter
Events and Submissions/Topic
In Class Test
This is a lab intensive unit. You should plan to attend all lectures (2 hr/wk), labs (3 hr/wk) and tutorials (1 hr/wk) as this will be integral to the development of knowledge and skills required for the assessments of the unit. You are expected to practice their positioning techniques during the timetabled practice sessions that are timed between the first and second lab class each week. The pace of class lab activities has been set with this expectation of practice and corresponding skill development.
This unit is designed to run concurrently with MEDI12001 Radiation Science and MEDI12002 Science & Instrumentation 1. You are expected to apply your knowledge and skills from those two units to both learning activities and assessments in this unit.
Please note this important information from the University’s Assessment Procedures: This is a non-graded (pass/fail) unit. A student who fails any assessment in a pass/fail unit will be deemed to have failed that unit. Each assessment task in a pass/fail unit must be completed by the specified due date. See the Assessment Task details for further information.
1 Practical Assessment
You will perform a simulation of a one-projection radiographic examination on an ambulant patient. This examination could be any one of the upper limb or shoulder girdle projections covered in Weeks 1 – 4.
You will carry out all of the tasks that would be part of a radiographic examination other than actually irradiating your patient. This assessment will focus on your patient care, safe practice, use of equipment, radiographic technique and management of the examination.
You will have 15 minutes to complete all tasks required for the simulated radiographic examination.
Please note:
- You must present for your individual practical assessment dressed as you would present to the clinical environment. Any student not adhering to the dress code may be excluded from the assessment.
- The examination is timed; You will have 15 minutes to complete the practical elements of the task. If the practical element of the examination is not completed within the allocated 15 minutes, the practical element will be stopped and you will be marked based on your performance to that point.
- Clinical staff may be present as part of the examining panel as well as academic members of the team.
- This assessment task may be recorded using a video camera to enable moderation.
Please note the following advice from the University Assessment procedures:
In non-graded (pass-fail) units, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded unit will be deemed to have failed that unit.
This assessment task must be completed on the specified day and time. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five per cent per day.
Week 5 during scheduled lab time. Date and time to be posted on the unit Moodle site
General feedback will be given after completion of assessment. Confirmation of grade within 3 working days.
Assessment areas:
- Interpretation of clinical request
- Preparation of x-ray room and ancillary equipment
- Positive identification of patient and introduction
- Verification of anatomical area and relevant clinical history
- Determining pregnancy status
- Gaining informed consent
- Projection performed effectively
- Use of primary anatomical markers
- Correct application of appropriate radiation shielding
- Use of equipment in a safe manner
- Appropriate debrief and dismiss of patient
- Infection control
- Communication Skills
- Professionalism
Detailed assessment criteria and a scoring rubric will be available on Moodle. Minimum acceptable scores in order to Pass will be shown. Note: If you do not achieve the minimum score, you will be given one additional opportunity to perform the assessment. This will be scheduled within a week of the original test date.
- Communication
- Problem Solving
- Information Technology Competence
- Cross Cultural Competence
- Ethical practice
- Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.
- Demonstrate patient care and professional behaviours in the simulated clinical environment.
2 Practical Assessment
Clinical radiography comprises many facets, all of which must be mastered. The objective structured clinical exam (OSCE) is made up of two individual assessments which reflect various aspects of clinical diagnostic radiography. These assessments are:
Station 1: Simulated radiography in the x-ray suite
An individual 15 minute practical assessment
Practical assessment one will focus on your patient care, examination justification, safe practice, positioning and management of the radiographic procedure
You will be required to perform one radiographic series of two projections for an x-ray examination that you have learned in this unit
Station 2: Radiography of an anthropomorphic phantom in the x-ray suite
An individual 20 minute practical assessment in the x-ray suite (15 min image acquisition plus 5 min questions)
This assessment focuses specifically on the technical aspects of your radiographic technique
You will be required to perform one conventional radiography projection that you have learned during this unit on an anthropomorphic x-ray phantom
Please note:
- You must present for your individual practical assessments dressed as you would present to the clinical environment. Any student not adhering to the dress code may be excluded from the assessment.
- Each assessment is timed. You will have a set time to complete the practical elements of each task. There will be 5 minutes at the end of the imaging assessment for you to answer questions and justify your technique. If the practical element of the assessment is not completed within the allocated time, the assessment will be stopped and you will be marked based on your performance to that point.
- Clinical staff may be present as part of the examining panel as well as academic members of the team.
- This assessment task may be recorded using a video camera to enable moderation.
Please note the following advice from the University Assessment of Coursework Procedures:
In non-graded (pass-fail) units, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded unit will be deemed to have failed that unit.
This assessment task must be completed on the specified day and time. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five per cent per day.
Timetabled class/lab times time in week 13
General feedback will be given at the time of the assessment. Confirmation of grade within 3 working days
Station 1: Simulated radiographic examination
Assessment areas:
- Interpretation of clinical request
- Preparation of x-ray room and ancillary equipment
- Positive identification of patient and introduction
- Verification of anatomical area and relevant clinical history
- Determining pregnancy status
- Gaining informed consent
- Projections performed effectively
- Use of primary anatomical markers
- Correct application of appropriate radiation shielding
- Use of equipment in a safe manner
- Appropriate debrief and dismiss of patient
- Infection control
- Communication Skills
- Professionalism
Station 2 : Radiography of the anthropomorphic phantom
Assessment areas:
- Patient position
- Image receptor position
- Tube position
- SID
- Control panel set-up
- Focal spot size
- Collimation
- Secondary shielding
- Accessories
- Assessment of resultant image
- Production of a diagnostic image
Detailed assessment criteria and a scoring rubric will be available on Moodle. Minimum acceptable scores are shown. You will receive a score (Pass/Fail) for each station. If for any station you do not attain a Pass on the first attempt, you will be given one additional opportunity to perform the assessment. This will be scheduled within one week of the original test date. No retests will be done on the date of the original test.
In order to get a Pass in this assessment, you must attain a Pass score in both of these stations.
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Information Technology Competence
- Cross Cultural Competence
- Ethical practice
- Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.
- Demonstrate patient care and professional behaviours in the simulated clinical environment.
- Assess radiographs for technical sufficiency and identification of radiographic pathology.
- Discuss methods to modify a radiographic procedure to improve technical sufficiency and/or better demonstrate required anatomy.
3 In-class Test(s)
A 2 hour written in class test.
As health care professionals, radiographers must consider many variables during the radiographic imaging process. This in-class test offers images in the form of photographs, radiographic images or line drawings. These images are used as a basis for a series of questions related to that image. Subjects covered may be patient positioning, image quality and improvement, anatomy, radiographic pathology and patient care amongst others. You are required to review all of the images offered and to answer all of the questions related to each of the images.
The images offered may be of the following examination categories:
- Thorax
- Abdomen
- Gastrointestinal studies
- Upper extremity
- Lower extremity
- Pelvis and hips
Please note the following advice from the University Assessment of Coursework procedures:
In non-graded (pass-fail) units, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded unit will be deemed to have failed that unit.
This assessment task must be completed on the specified day and time. In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five per cent per day.
Week 14. Specific time and date to be confirmed via Moodle
Within 2 weeks of completion.
Assessment on:
- Identification of normal anatomy
- Identification of abnormalities on x-ray images
- Scientific description of technical sufficiency of images
- Accurate description of patient positioning
- Application of knowledge to correct positioning errors
- Application of knowledge to correct technical insufficiency of images
- Communication
- Problem Solving
- Critical Thinking
- Information Literacy
- Cross Cultural Competence
- Ethical practice
- Safely and effectively perform simulated radiographic techniques of the appendicular skeleton, pelvic and shoulder girdles and of the thorax and abdomen focusing on commonly requested examinations on ambulant adults in the clinical setting.
- Assess radiographs for technical sufficiency and identification of radiographic pathology.
- Discuss methods to modify a radiographic procedure to improve technical sufficiency and/or better demonstrate required anatomy.
- Discuss techniques, patient care and safety issues surrounding radiographic gastro-intestinal imaging.
4 Practical Assessment
Professional behaviour is a vital component of your competencies as a health care professional. You will be expected to demonstrate this consistently whilst working in the simulated clinical environment of the imaging labs.
A professional behaviours assessment form is available on the unit Moodle site. You must bring it with you to each of your scheduled labs. This form details the standards of behaviours required. Your lab tutor will assess your performance relative to the stated standards. One demerit point will apply for any category where you have not demonstrated the behaviour to the standard required. Your lab tutor will complete and sign the form every session. If you fail to bring your form to your scheduled lab session you will be awarded one demerit. Once completed this form must be uploaded via the unit Moodle site for review by the unit coordinator.
Please note the following advice from the University Assessment of Coursework procedures:
In non-graded (pass-fail) unit, all assessment items must be submitted by the due date, as there is no opportunity to apply a five per cent penalty, due to the pass-fail nature of each assessment task. Students who fail a single assessment task in a pass-fail unit, or who fail a pass-fail component of a graded course will be deemed to have failed that unit.
Within 3 working days of the final lab
Confirmation of grade within 2 weeks of final lab
Assessed upon:
- Adherence to dress code
- Punctuality
- Use of materials
- Use of class time
- Professional behaviour
- Acceptance of feedback
Detailed assessment criteria and a marking rubric are available on the unit Moodle site.
In order to pass this assessment you must receive less than six (6) demerits if all laboratory sessions are attended. Maximum demerits will be calculated on a pro-rata basis for students not attending all scheduled lab sessions.
- Communication
- Problem Solving
- Team Work
- Cross Cultural Competence
- Ethical practice
- Demonstrate patient care and professional behaviours in the simulated clinical environment.
As a CQUniversity student you are expected to act honestly in all aspects of your academic work.
Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.
When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.
Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.
As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.
What is a breach of academic integrity?
A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.
Why is academic integrity important?
A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.
Where can I get assistance?
For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.