Work-based content
Competencies
| # | Learning outcome | Competency | Action | 
|---|---|---|---|
| # 1 | Learning outcome 2 | 
                                                    Competency 
                                                     Review and critically appraise the patient dose measurement framework  | 
                                                Action View | 
| # 2 | Learning outcome 1 | 
                                                    Competency 
                                                     Review and analyse methods for assessment of image quality in a range of diagnostics radiology equipment, including computed radiography, digital radiography, CT and image intensifier systems  | 
                                                Action View | 
| # 3 | Learning outcome 1 | 
                                                    Competency 
                                                     Undertake measurements to assess image quality in a range of diagnostics radiology equipment, including computed radiography, digital radiography, CT and image intensifier systems, and interpret results in the context of the clinical use  | 
                                                Action View | 
| # 4 | Learning outcome 2 | 
                                                    Competency 
                                                     Undertake measurements to assess the patient dose in the equipment settings used to assess image quality above and advise on appropriate diagnostic reference levels  | 
                                                Action View | 
| # 5 | Learning outcome 1 | 
                                                    Competency 
                                                     Review and develop parameters for assessing clinical image quality with clinical staff  | 
                                                Action View | 
| # 6 | Learning outcome 3,4 | 
                                                    Competency 
                                                     Review the outcome of image quality and patient dose measurements in a range of systems and recommend optimisation strategies Assess by simulation or measurement the effect of the optimisation suggested  | 
                                                Action View | 
| # 7 | Learning outcome 5 | 
                                                    Competency 
                                                     Calculate organ dose and effective dose for a range of investigations  | 
                                                Action View | 
| # 8 | Learning outcome 5 | 
                                                    Competency 
                                                     Calculate radiation risks and communicate them effectively to various staff groups and the patient  | 
                                                Action View | 
Assessments
You must complete:
- 2 case-based discussion(s)
 - 1 of the following DOPS/ OCEs:
 
| Undertake CTDIw measurement | DOPS | 
| Discuss optimisation strategies with users and the installer during commissioning of diagnostic X-ray equipment | DOPS | 
| Assess image quality for a diagnostic X-ray machine using a simple test object | DOPS | 
| Undertake entrance surface dose measurements for a fluoroscopy system | DOPS | 
| Analyse and interpret data from a multislice CT phantom | DOPS | 
| Use a (commerically available) software program to calculate a patient dose | DOPS | 
| Measure the image quality in fluoroscopy and acqusition modes at varying pulse / frame rates on an image intensifier or flat panel screening system | DOPS | 
| Measure the image quality for a mammography unit using a variety of test objects | DOPS | 
| Explain CTDIw meaurement to a clinical team member | OCE | 
| Present patient dose data to a multidisciplinary audience | OCE | 
| Advise patients undergoing therapeutic isotope administration in Nuclear Medicine. | OCE | 
| Calculate a patient dose for external radiation exposure and discuss the dose and risk with the patient. | OCE | 
| Calculate patient dose for internal radiation exposure and discuss the dose and risk with the patient where possible. | OCE | 
Learning outcomes
- Perform measurements to assess image quality in various types of equipment, to include computer radiography, digital radiography, CT and image intensifier systems
 - Perform appropriate measurements and/or calculations to assess patient dose for a range of examinations, which must include examples from radiographic, fluoroscopic, CT and mammographic examinations
 - Analyse patient dose measurements and, in the context of optimisation, draw conclusions
 - Assess, by simulation and/or measurement, patient dose reduction interventions
 - Calculate organ dose and effective dose, relate dose to risk and effectively communicate the risk