COLLEGE OF MEDICINE AND HEALTH
Medicine, Nursing and Allied Health Professions

Description

Practice Foundations 1

Module titlePractice Foundations 1
Module codeRAD1003DA
Academic year2020/1
Credits30
Module staff
Duration: Term123
Duration: Weeks

Please see note below

Number students taking module (anticipated)

36

Description - summary of the module content

Module description

Please note that Degree Apprenticeship programmes have variable start dates and modules are taught across the full year. 

This module provides a practical learning environment in which you will apply theory in practice. This module will enable you to recognise and understand radiographic images and introduce you to the equipment and technical aspects involved in general and fluoroscopic radiography. You will gain insight into the important associated clinical and radiation safety measures that are required in the practice setting. 

The module commences with an attendance block at the University of Exeter with an emphasis on face-to-face learning. The module then runs over a 12 month period with two further block attendances across the year for further face-to-face learning. In the non-block weeks there will be protected ‘off the job’ learning (one day (7.5 hours) per week) supported by e-learning materials provided by the academic team. The full calendar of activities and assessment will be made available via the handbook. Annual leave may be booked in accordance with the requirements laid out in the handbook. 

Module aims - intentions of the module

The aim of this work-based module is to enable you to develop knowledge of the essential applied science and technology that underpins diagnostic radiography in the practice setting. 

This work-based module will provide practical experiences that will directly support the further development of your underpinning knowledge base. You will apply the theoretical knowledge you are gaining in RAD1001 and RAD1002 within the practice setting. You will apply the physics knowledge so as to understand equipment and room design, use of ionising radiation and safe practice. You will apply the anatomical and physiological knowledge to be able to identify key structures on medical images. In addition, you will learn how to recognise a deteriorating patient and escalate concerns.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

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

  • 1. Describe systems and processes in place to ensure acceptably functioning equipment and quality management in imaging departments.
  • 2. Describe technique and equipment utilised for general radiography and fluoroscopy.
  • 3. Describe the scope of applications, constraints, and legislative framework for the use of ionising radiation in medicine.
  • 4. Describe normal, developmental and anatomical variant anatomy as seen on medical images.
  • 5. Describe and apply patient assessment skills prior to, during and after medical imaging examinations.

ILO: Discipline-specific skills

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

  • 6. Under guidance, demonstrate ability to further develop skills and knowledge by reflecting on self and clinical experience and identifying strengths and areas for further learning.
  • 7. Under guidance, use patient records from a range of sources to ensure appropriate choice of imaging.

ILO: Personal and key skills

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

  • 8. Contribute positively to the placement department, working in partnership with service users, work effectively with other professions and professionals, support staff and others, ensure effective management of caseload and resources.
  • 9. Practice within limits of own competence seeking advice as appropriate, accepting responsibility for decisions made.
  • 10. With guidance, solve clinical problems using knowledge, experience and personal initiative.

Syllabus plan

Syllabus plan

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

 

QUALITY MANAGEMENT

QA tests typically undertaken in a general x-ray department

Recognise when x-ray equipment is not functioning accurately / within specification and take appropriate action

Role of audit and review in quality management

Participate in departmental audit and review (quality management) 

EQUIPMENT AND TECHNOLOGY

Techniques and equipment used in basic level x-radiography and fluoroscopy.

Techniques and equipment used in image formation, including the basis of exposure factor selection (kVp, mA, mAs, and collimation) and image optimisation

Room and equipment design in relation to radiation protection. 

SCOPE OF APPLICATIONS AND RADIATION PROTECTION

Scope of use of general x-radiography and fluoroscopy including impact of imaging on patient care and treatment.

Local and national imaging policies and procedures relating to general x-radiography and fluoroscopy

Legislative framework and local rules for safe working with ionising radiation as applied in the practice setting

The role of the radiographer in relation to radiation protection of self, patients and other personnel

Constraints placed upon practice to ensure optimal use of ionising radiation

Personnel monitoring

Lead protection – design, uses, quality assurance. 

RADIOGRAPHIC ANATOMY

Normal human anatomy as demonstrated on medical images

Axial skeleton: joints, associated musculature and other tissues.

Appendicular skeleton: joints, associated musculature and other tissues.

Head, thorax and abdomen: principal internal organs and associated structures.

Evaluation and assessment of images.

Development and change of normal human anatomy as demonstrated on medical images

Axial skeleton.

Appendicular skeleton.

Anatomical variations of human anatomy as demonstrated on medical images

Axial skeleton: joints, associated musculature and other tissues.

Appendicular skeleton: joints, associated musculature and other tissues.

Head, thorax and abdomen: principal internal organs and associated structures. 

PATIENT CARE

Theoretical basis of patient assessment prior to medical imaging examinations (i.e. observations, national early warning scores, escalating concerns)

Under guidance, undertake and record patient assessment when appropriate (undertaking observations, applying national early warning score systems, escalating concerns as appropriate)

Effective communication in practice

Dementia, LDA and autism awareness 

CONTINUING PROFESSIONAL DEVELOPMENT

 Reflection on clinical experience and identifying personal strengths and areas for further learning.

Reflection on own impact on others.

Begin a personal and professional portfolio as a basis for future CPD 

INFORMATON AND COMMUNICATION TECHNOLOGIES

Information and communication technologies available to view images, retrieve and record patient information

Patient history retrieval from a range of software applications and paper records (clinical records, prior imaging, test results and dose records) to ensure appropriate choice of imaging. 

PROFESSIONALISM

Work in partnership with service users.

Work effectively with other professions and professionals, support staff and others. 

SCOPE OF PRACTICE

Practice within limits of own practice

Seek advice as appropriate. 

PROBLEM SOLVING SKILLS.

Justification of decisions taken in relation whether to initiate, continue, modify or cease medical imaging examinations.

Resolution of problems by using knowledge, experience and personal initiative - under guidance.

Learning and teaching

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

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
4839696

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled learning and teaching activities99 x 1 hour lectures
Scheduled learning and teaching activities93 x 3 hour practicals
Scheduled learning and teaching activities1010 x 1 hour e-tutorials
Scheduled learning and teaching activities2020 x 1 hour e-learning resources
Placement696 (indicative)Indicative: 2 x 7.5 hour days per week (minus leave, study blocks, assessment windows) as per placement guidance and contract with employer
Guided independent study39Directed reading, private study and revision

Assessment

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Tutorial discussions 30 minutes1-10Oral
Practice computer based radiographic image assessments (as part of e-learning activities)60 minutes4Written

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
05050

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Computer based assessment (radiographic images) 12590 minutes4Written
Computer based assessment (radiographic images) 22590 minutes4Written
Professional discussion of portfolio (Viva)2530 minutes1-10Written
Professional discussion of portfolio (Viva)2530 minutes1-10Written

Re-assessment

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

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Computer based assessment (radiographic images) (25%)Computer based assessment (90 min)46 weeks after exam board (April reassessment week)
Computer based assessment (radiographic images) (25%)Computer based assessment (90 min)46 weeks after exam board (April reassessment week)
Professional discussion of portfolio (Viva) (25%)Viva (Professional portfolio discussion) (30 min)1-106 weeks after exam board (April reassessment week)
Professional discussion of portfolio (Viva) (25%)Viva (Professional portfolio discussion (30 min)1-106 weeks after exam board (April reassessment week)

Re-assessment notes

This programme runs to a non-standard timetable; assessment weeks and Assessment, Progression & Awarding Committees (APACs) for both initial and deferred assessments are held as per the programme’s published timetable. 

Apprentices who are referred / defer the assessment for this module may progress onto the next year of the programme but must achieve the credits for this module at the referred exam board (April) in order to remain on the programme.

Resources

Indicative learning resources - Basic reading

Carlton R.R. and Adler A.M. (2013), Radiographic Imaging Concepts and Principles (5th edition), Delmar, ISBN 1473720524

Graham D.T., Cloke P. and Vosper M. (2012), Principles and Applications of Radiological Physics (6th edition), Churchill Livingstone, ISBN 9780702052156 electronic version also available

McQuillen Marten (2019) Radiographic Image Analysis 5th edition ISBN 978-0-323-52281-6

McQuillen Marten (2019) Radiographic Image Analysis workbook ISBN 978-0-323-54463-4

Indicative learning resources - Web based and electronic resources

UK Statutory Instruments (2017), Ionising Radiation Regulations 2017, The Stationary Office, Available from https://www.legislation.gov.uk/uksi/2017/1075/contents/made,

UK Statutory Instruments (2017), The Ionising Radiation (Medical Exposure) Regulations 2017, The Stationery Office, Available from http://www.legislation.gov.uk/uksi/2017/1322/made, 

UK Statutory Instruments (2018), The Ionising Radiation (Medical Exposure) (Amendment) Regulations 2018, The Stationary Office, Available from http://www.legislation.gov.uk/uksi/2018/121/contents/made,  

The Health & Safety Executive (2018), Work with Ionising Radiation. Ionising Radiations Regulations 2017: Approved Code of Practice and Guidance, HSE Books, ISBN 9780717666621,

Module has an active ELE page

Indicative learning resources - Other resources

  • Clark's Positioning in Radiography,  Clark K.C. (2016), (12th edition), Hodder Arnold, e version
  • Code of Professional Conduct, College of Radiographers (2013), Society and College of Radiographers, https://www.sor.org/  
  • Principles for continuing professional development and lifelong learning in health and social care, Society and College of Radiographers, https://www.sor.org/ 
  • Obtaining consent: a clinical guideline for the diagnostic imaging and radiotherapy workforce,  Society and College of Radiographers, https://www.sor.org/  
  • Guidance on mental capacity decisions in diagnostic imaging and radiotherapy, Society and College of Radiographers https://www.sor.org/ 
  • Textbook of Radiographic Positioning and Related Anatomy, Bontrager K.L. (2009), (7th edition), Mosby, ISBNA 0-323-05410-2 (UL:616.0757 BON/X)
  • Bones and Joints: A Guide for Students,  Gunn C. (2017), Churchill Livingstone, ISBNA 0-443-10276-7 (UL: 611.71 GUN) electronic version also available
  • Patient Care in Radiography,    Ehrlich R.A. and Daly J.A. (2009), (7th edition), Mosby, ISBNA 0-323-05178-2 (UL:616.07572 EHR) electronic version also available
  • Becoming a Reflective Practitioner,  Johns C. (2017), Blackwell, ISBNA 1-4051-1833-4 (UL:WY 24 JOH )

Key words search

Medical Imaging; Anatomy; Skeleton; Joints; Tissues; Musculature; Associated musculature; Axial; Appendicular; Diagnostic images; Practical. Positioning, Radiographic Technique

Credit value30
Module ECTS

15

Module pre-requisites

None

Module co-requisites

RAD1003DA, RAD1004D

NQF level (module)

4

Available as distance learning?

No

Origin date

06/06/2019

Last revision date

30/07/2020