Work-based content
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 1 |
Competency
Review and critically appraise the patient dose measurement framework |
Action View |
| # 2 | Learning outcome 1 |
Competency
Carry out an audit of patient dose looking at factors that influence the results, eg equipment, operators |
Action View |
| # 3 | Learning outcome 2 |
Competency
Undertake measurements of patient dose/image quality in complex imaging systems |
Action View |
| # 4 | Learning outcome 3,5 |
Competency
Review the outcome of patient dose/image quality measurements in a range of modalities and recommend optimisation strategies Assess by simulation or measurement the effect of the optimisation suggested |
Action View |
| # 5 | Learning outcome 3 |
Competency
Calculate patient doses for plain film radiography for a range of common clinical examinations |
Action View |
| # 6 | Learning outcome 3 |
Competency
Calculate patient doses for women who have had mammography X-ray imaging |
Action View |
| # 7 | Learning outcome 3 |
Competency
Calculate patient doses for patients who have had Computed Tomography X-ray imaging |
Action View |
| # 8 | Learning outcome 4 |
Competency
Develop local Diagnostic Reference Levels based on patient dose calculations |
Action View |
| # 9 | Learning outcome 3,6 |
Competency
Calculate organ and effective doses for a range of examinations in different modalities, including nuclear medicine |
Action View |
| # 10 | Learning outcome 4,6 |
Competency
Assist with the explanation of the significance of the results of a patient dose audit and make recommendations for action to reduce doses where appropriate |
Action View |
| # 11 | Learning outcome 4 |
Competency
Investigate the circumstances of an unusual patient dose |
Action View |
| # 12 | Learning outcome 4,6 |
Competency
Communicate actual and potential risks from patient exposures, in context, to other healthcare professionals and members of the public |
Action View |
| # 13 | Learning outcome 4 |
Competency
Participate in a dose and risk assessment for a research exposure, taking into account age, sex and life expectancy |
Action View |
Assessments
You must complete:
- 2 case-based discussion(s)
- 1 of the following DOPS/ OCEs:
| Undertake CTDIw measurement | DOPS |
| Measure the image quality for a mammography unit using a variety of test objects | 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 |
| Explain CTDIw meaurement to a clinical team member | OCE |
| Present patient dose data to a multidisciplinary audience | OCE |
| Discuss optimisation strategies with users and the installer during commissioning of diagnostic X-ray equipment | 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 |
| Train Nuclear Medicine staff to communicate radiation risks to patients | OCE |
Learning outcomes
- Audit patient doses for a range of examinations
- Undertake an assessment of patient dose and image quality in a complex imaging system and propose optimisation strategies
- Perform appropriate measurements and/or calculations to assess patient dose for a range of examinations, which must include examples from radiographic, fluoroscopic, Computed Tomography 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