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University of Exeter Medical School

Practical Placement 1

Module titlePractical Placement 1
Module codePAM1007
Academic year2020/1
Credits30
Module staff

Dr Sue Hopkins (Convenor)

Mrs Jenny Shepherd (Convenor)

Duration: Term123
Duration: Weeks

17

Number students taking module (anticipated)

65

Module description

Professional radiographers must be able to apply their theoretical knowledge and practical skills within an inter-professional clinical context. This module provides practical experience of the safe and effective practice of general and fluoroscopic radiography. You will develop patient-care skills and learn to identify 'professional' and 'management' issues and understand how these are inter-related. Mandatory training is an integral part of this module and must be completed at the required time to avoid module failure.

 

The University defines academic credit in terms of workload, with one credit being equal to a notional 10 hours of learning. However, due to the amount of time required for a clinical placement, and the fact that the placement necessarily runs outside of standard university terms, this approach cannot be followed for placement modules in radiography. Therefore the hours given are a closer reflection of the amount of time spent on placement, although they should still be considered indicative.

Module aims - intentions of the module

This module will equip you with basic radiographic skills with focus on common examinations and imaging in able bodied, compliant patients.  Through successful completion of this module, you will gain an understanding of legal, ethical and professional aspects of radiographic practice.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Identify the needs and functional aspects of the basic life support systems that are made available in association with the conduct of imaging procedures;
  • 2. Perform selected uncomplicated radiographic, and manual handling, procedures in a safe and efficient manner;
  • 3. Demonstrate competence in basic radiographic positioning and image acquisition;
  • 4. Assess and interpret images, and identify images of poor diagnostic quality and take corrective action;
  • 5. Under guidance, care for, and communicate with, patients appropriately;
  • 6. Describe and implement radiation protection measures;
  • 7. Practice appropriate infection control;
  • 8. Identify and discuss applicable legal and ethical issues;
  • 9. Undertake routine radiographs including supplementary views based on departmental protocols for the Demonstration of the skeletal system, thoracic and abdominal contents;
  • 10. Describe the practice of exposure selection, image processing, viewing, image evaluation;
  • 11. Recognise and describe normal and normal-variant radiographic anatomy and common pathology demonstrated on skeletal, thoracic and abdominal radiographs;
  • 12. Work effectively in the inter-professional healthcare environment;

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 13. Reflect on clinical experience, identify personal strengths and learning needs;
  • 14. Maintain an accurate and up-to-date log book recording attainment of competencies, clinical assessments, and reflective diary entries;
  • 15. Synthesise, with guidance, information from a number of sources in order to gain a coherent understanding of theory and practice;

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 16. Contribute positively to the placement department;
  • 17. Comply with the Code of Practice for Clinical Placements;
  • 18. Participate actively in clinical tutorials whilst on placement;
  • 19. Begin a personal and professional portfolio

Syllabus plan

Radiography Placement Documents and Forms Refer to the Handbook section http://uemsvle.exeter.ac.uk/ext/mihb/index.php for detailed aims and objectives for each placement area. The time spent on each placement area is shown in square brackets. 

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows: 

Pre-clinical Preparation

Codes of Conduct.

Introduction to clinical placement documentation.

Manual handling training.

Basic life support.

Fire training.

Mental Capacity Act 2005.

Inter-professional healthcare delivery.

Infection control.

Radiation Protection.

Mandatory training in compliance with NHS requirements. 

Nursing [1 week]

Basic patient care, communication skills.

Blood pressure, use of a pulse oximeter, taking temperature, pulse and respiration rates.

Experience of healthcare delivery in a ward environment.

Experience of the nursing role within a radiology department. 

Image Handling, PACS and Clerical [0.6 week (3 days)]

PACS management.

PACS Quality Control.

Patient reception duties.

General clerical work within a radiology department.

Familiarisation with the bookings system.

Information provided for patients. 

Fluoroscopy Room [0.4 week (2 days)]

Five days (equivalent) of X-ray nursing experience.

Understand the principles of a sterile environment.

Use of barium as a contrast agent.

Standard positioning and departmental protocols for barium studies.

Assessment of radiographs, modification of exposure factors and technique.

Identify normal, normal-variant anatomy and pathology.

Identify the need for additional views.

Safe and efficient working, with particular attention to radiation protection, patient care and communication. 

Computed Tomography/Intravenous Urography Room [1 week]

Use intravenous iodine as a contrast agent.

Standard positioning and departmental protocols.

Assessment of radiographs, modification of exposure factors and technique.

Identify normal, normal-variant anatomy and pathology.

Identify the need for additional views, compression and tomography.

Safe and efficient working, with particular attention to radiation protection, patient care and communication.

Gain experience of the CT setting. 

General and / or A&E Room [6 weeks]

Standard positioning and departmental protocols.

Assessment of radiographs, modification of exposure factors and technique.

Identify normal, normal-variant anatomy and pathology.

Identify the need for additional views and modification of technique in trauma.

Safe and efficient working, with particular attention to radiation protection, patient care and communication. 

Mobiles and Theatres [1 week]

Standard positioning and departmental protocols.

Assessment of radiographs, modification of exposure factors and technique.

Identification of normal, normal-variant anatomy and pathology.

Radiation protection in wards and in theatre.

The principles of a sterile environment.

Interacting with ward- and theatre-staff.

Safe and efficient working, with particular attention to radiation protection, patient care and communication. 

Imaging Modalities [1 week]

Gain experience, as preparation for stage two, by spending one day in each of the modalities: MRI, Nuclear Medicine, and Ultrasound. 

Alternative placement activities [2 weeks]

This will include Virtual Reality learning and the simulated bucky assessment. 

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
35136.5472.5

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled learning and teaching activities16Pre-clinical Preparation - mandatory training
Scheduled learning and teaching activities22x1-hour Pre-placement tutorials
Placement472.5Placement learning. Attendance requirements as stated in placement paperwork.
Scheduled learning and teaching activities168x2-hour tutorials during placement
Guided independent study112.5Reading week
Guided independent study24Case based report
Scheduled learning and teaching activities1Post placement tutorial

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
25075

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Mandatory Training completion (You must successfully complete this prior to commencing placement. This assessment must be passed; failure in this assessment will lead to failure in the module)0As required for completion. 1,2,7-8N/A
Coursework251000 words1-15Written
Clinical - an extremity101 hour1-12Written and oral
Clinical - chest101 hour1-12Written and oral
Simulated - bucky examination 101 hour1-12Written and oral
Image evaluation (computer based)2030 minutes4,10,11Computer generated feedback
Portfolio and oral assessment2520 minutes (10 minutes for online assessment)1-19Written and oral

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Clinical - an extremity (10%)Clinical - an extremity (1 hour)1-12During August clinical recovery period
Clinical – chest (10%)Clinical - chest (1hour)1-12During August clinical recovery period
Simulated - bucky examination (10%)Simulated - bucky examination (1 hour)1-12During August clinical recovery period
Coursework (25%)Coursework (1000 words)1-15During August clinical recovery period
Image Evaluation (20%)Image Evaluation (30 minutes)4,10,11During August clinical recovery period
Portfolio and oral assessment (25%)Portfolio and viva voce (20 minutes)(10 minutes for online assessment)1-19During August clinical recovery period

Re-assessment notes

As it is a contractual and legal requirement to complete the mandatory training prior to placements, it is not possible to offer a reassessment opportunity. If you have mitigating circumstances, you may be given an opportunity to interrupt your studies and complete the mandatory assessment at the next opportunity.

See  Medical Imaging Assessment Conventions published in the Medical Imaging handbook https://uemsvle.exeter.ac.uk/ext/mihb/index.php

Indicative learning resources - Basic reading

Not applicable

Indicative learning resources - Web based and electronic resources

 http://vle.exeter.ac.uk/

Indicative learning resources - Other resources

  • Bontrager K.L. (2017), Textbook of Radiographic Positioning and Related Anatomy (9th edition), Mosby, ISBN 0323481876
  • Whitley AS, Jefferson G, Holmes K, Hoadley G, Sloane C, Anderson C. (2015) Clark's Positioning in Radiography (13th edition). CRC Press, London. ISBN 9781444122350
  • Darby M, Barron D and Hyland R. (2011), Oxford Handbook of Medical Imaging, Open University Press, ISBN 978-0199216369
  • Johns C. (2013), Becoming a Reflective Practitioner (4th edition), Wiley-Blackwell, ISBN 9780470674260
  • Keats T and Anderson M. (2012), Atlas of normal roentgen variants that may simulate disease, Elsevier, ISBN 978-0323073554
  • Moller T. (2010), Pocket atlas of radiographic anatomy, Thieme Medical Publications, ISBN 978-3137842033
  • Society and College of Radiographers (2013), Code of Professional Conduct, Society and College of Radiographers, ISBN 978-1-906225-39-1
  • Society and College of Radiographers (2018), Obtaining consent: a clinical guideline for the diagnostic imaging and radiotherapy workforce, Society and College of Radiographers, ISBN 978-1-909802-18-6

Key words search

Medical Imaging; Radiographers; Patient; Image; Care; Protection; Radiations; Anatomy; Variant; Pathology; Communication

Credit value30
Module ECTS

15

Module pre-requisites

PAM1016, PAM1018, PAM1019, PAM1020 

Module co-requisites

None

NQF level (module)

4

Available as distance learning?

No

Origin date

01/09/2004

Last revision date

29/01/2021