Work-based content
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 1 |
Competency
Make comprehensive quantitative performance measurements on non- imaging equipment |
Action View |
| # 2 | Learning outcome 1 |
Competency
Plan and perform commissioning tests on beta and gamma counters and gamma spectrometers |
Action View |
| # 3 | Learning outcome 1,2 |
Competency
Critically review quality assurance programmes for the equipment used for non-imaging diagnostic tests |
Action View |
| # 4 | Learning outcome 1,3 |
Competency
Instigate appropriate corrective action based on an evaluation of test results |
Action View |
| # 5 | Learning outcome 3 |
Competency
Choose appropriate tissue – equivalent phantoms for quantitative in-vivo uptake measurements |
Action View |
| # 6 | Learning outcome 2 |
Competency
Develop and critically evaluate the optimal acquisition and processing of data |
Action View |
| # 7 | Learning outcome 2 |
Competency
Write standard operating procedures (SOPs) for non-imaging tests |
Action View |
| # 8 | Learning outcome 1,4 |
Competency
Participate in a range of non- imaging in-vivo and in-vitro tests |
Action View |
| # 9 | Learning outcome 4 |
Competency
Generate results and assist in the interpretation of diagnostic tests, including the use of reference ranges |
Action View |
| # 10 | Learning outcome 4 |
Competency
Explain the cause and effect of a range of artefacts, and of equipment performance limitations and patient- related factors on the interpretation of results |
Action View |
| # 11 | Learning outcome 3 |
Competency
Advise on the clinical appropriateness of non-imaging diagnostic tests |
Action View |
| # 12 | Learning outcome 2 |
Competency
Perform clinical audit of non-imaging diagnostic nuclear medicine |
Action View |
Assessments
You must complete:
- 1 case-based discussion(s)
- 1 of the following DOPS/ OCEs:
| Draw up injection under aseptic conditions (need not be for clinical use), and can be simulated radioactive material according to local procedures | DOPS |
| Calculate activity required at certain time using decay tables and specific activity - include knowledge of local diagnostic reference level for activity and investigation | DOPS |
| Process blood samples for counting in GFR test, RCM and PV - use of centrifuge, pipettes, sample tubes | DOPS |
| Perform quality control procedures on intra- operative probe | DOPS |
| Perform quality control procedures on sample counter. | DOPS |
| Carry out counting and processing of SeHCAT patient or other non-imaging test - local procedures to be followed | DOPS |
| Manual calculation to check result produced by spread-sheet for a non-imaging test | DOPS |
| Case study (with follow-up) of patient undergoing SeHCAT test - identify patient and IRMER roles; check patient preparation; explain procedure; give capsule according to local procedure; | OCE |
| Case study (with follow-up) of patient undergoing (Red Cell Mass and Plasma Volume if possible) test - identify patient and IRMER roles; check patient preparation; explain procedure to patient; prepare radioactive injection(s) according to local procedure; | OCE |
| Case study of patient undergoing Sentinel node procedure for breast / melanoma etc - identify patient and IRMER roles; explain procedure to patient; | OCE |
| Discuss sentinel node procedures with theatre staff. | OCE |
| Observe sentinel node procedures in theatre | OCE |
Learning outcomes
- Perform and interpret measurements on equipment for non-imaging diagnostic tests, for example uncollimated gamma cameras, intra-operative gamma probes, uptake counters, gamma spectrometers, manual and automatic beta and gamma sample counters, and whole body counters This should include associated equipment such as balances, centrifuges and pipettes
- Ensure that all equipment used is calibrated and fit for purpose
- Advise on the acquisition and processing of data, including set-up and calibration of equipment
- Contribute to the analysis and clinical interpretation and reporting of results