Appendix B: Verbatim Responses to Open-ended Questions

Transcription

1 Appendix B: Verbatim Responses to Open-ended Questions

2 4. If "Yes", what type(s) of CT-specific training prepared you to take the CT certification exam? Other (Please specify below) Books, Hardcopy Materials 2 CT books questions for Ct review and cross-sectional anatomy book A lot of review questions from a couple of different authors A prep book for taking the test a questions and answers review book for the ct exam ACQUIRED CROSS-SECTIONAL ANATOMY AND TECHNICAL MATERIALS TO STUDY MYSELF. ALL BOOKS I COULD FIND ABOUT CT ANSWER +? BOOK DON'T KNOW THE NAME Application manuals on site Book by Lois Romans BOOK CANNOT REMEMBER PAID AROUND $250 Books BOOKS Books and flashcards ordered over the Internet. Books and study guides ordered from another Internet site Books and study guides relating to CT BOOKS FROM FELLOW CT TECHS BOOKS ON CT BOOKS ON CT PHYSICS, HISTORY, AND CROSS-SECTIONAL ANATOMY Books purchased by me. BOOKS PURCHASED OFF INTERNET Books recommended by other CT technologists. Books that I purchased on my own BOOKS TO PREPARE YOU IN THE EXAM Books, reading material borrowed review books from other technologists BOUGHT BOOKS AND LECTURES CT SCAN BOOKS CONSULTING AND STUDYING THE BIBLIOGRAPHY AVAILABLE ABOUT CT Correspondence course CT physics cross-sectional anatomy Cross-sectional anatomy at college Cross-sectional anatomy book and CT physics book Cross-sectional anatomy books, CT books like the one from Seeram CT anatomy books, ct physics books CT BOOK GEARED FOR TECHNOLOGIST TAKING REGISTRY CT BOOKS CT Books and any CT info. I could get my hands on CT BOOKS WITH REGISTRY TYPE QUESTIONS CT CROSS-SECTIONAL ANATOMY AND CT COURSES

3 CT Cross Trainer and CT review program through MIC CT cross-training course with post-tests CT CROSS-TRAINER & CT REGISTRY REVIEW CT CROSS-TRAINER AND REGISTRY REVIEW CT exam course CT EXAM COURSE CT EXAM REVIEW BINDER CT exam review books CT exam review study guides-sold commercially CT exam study books CT Module Book, CT Principles Book, Pathology and Cross-sectional anatomy books CT PHYSICS BOOKS CT PREPARATION MODULES CT registry CT registry books CT registry manuals, CT mock registry CT Registry Preparation Study Guide CT registry review "CT Registry Review" by Demio CT Registry Review Book from ARRT CT Registry Review books CT REGISTRY STUDYING BOOKS, CROSS-SECTIONAL CLASS AT LOCAL COLLEGE CT registry training correspondence course CT review book made for those taking the CT cert. exam. CT review booklets CT review books CT Review books and Study book CT REVIEW BY LIPPINCOTT CT REVIEW MATERIALS CT-specific curriculum at community college CT study guides for the ARRT exam CT TEST STUDY GUIDE BOOKS Different books that purchased cross-sectional anatomy, physic, mock tests. FOUND BOOK IN AN AD TO TEACH CT Group discussions with radiologist, study groups with books bought at univ. book store. Home study course advertised in "Advance" I bought a bunch of books, studied, and took the test. I bought six or eight books on CT and studied as if I were back in college!!! I found any available CT related books and read them. In 1995 there wasn't much available. I PURCHASED A CT MARK REGISTRY REVIEW BOOK I purchased books and studied on my own prior to 2000 when it was a requirement to perform CT studies I PURCHASED CT TEXTBOOKS TO STUDY AND PREPARE I purchased different CT literature and studied on my own after working in the field for a year.

4 I READ ALL AVAILABLE BOOKS RELATING TO CT I studied radiology-based books on CT, not CE material at the time I took the first test, so there was no exam material to study. We looked at a physics book. I TOOK THE SELF-DIRECTED READING WITH NOTEBOOK/WHICH I BELIEVE ENABLED ME TO PASS THE CT CERTIFICATION EXAM. independent study materials It was a book of 4 mock CT tests Lois Romans INTRO TO CT, registry reviews, conversations with technologists and radiologists Lois Romans textbooks, CT anatomy textbooks & others. I do not recall all of the material I used Lots of books too LOUIS ROMINS BOOKS Mail order published materials that are intended to prepare you for the ARRT test. Medical books on loan from radiologists. MIC's "The CT Cross Trainer" and MIC's "The CT Registry Review Program" My own reading of medical journals and articles to stay abreast of new technology changes Not much out there (95). Physics books and anatomy books and read. Also mock test tips tv. Other borrowed books Our hospital purchased a study guide for the CT exam. PERSONAL NOTES, CT BOOKS Published books and materials self-study PUBLISHED CT BOARD REVIEWS Published textbooks & registry review books Purchased as many books on CT as I could find Purchased books Purchased text books on my own and self-study, guided by co worker and radiologists purchased; Booklet to Pass CT Registry Training Radiology CT book by author Daniel Demaio. Cannot remember the title READ A REGISTRY REVIEW BOOK Read everything I could find and made sure I understood the physics involved Read some books of my own about computed tomography, borrowed some anatomy books from the medical library. READING AND TESTS READING BOOKS READING BOOKS, PUBLICATIONS Reading lots of books and studying on my own. There were no schools for CT back then. Reading multiple books/magazines Reading reference books, texts, manuals, educated by physicians - every resource I could find I read REGISTRY EXAM PREP MANUALS Registry Review REGISTRY REVIEW CLASS AND REGISTRY REVIEW BOOK COURSE Research and self-study from textbooks REVIEW BOOK AND MANUALS REVIEW BOOKS

5 Review questions in CT introduction to CT, both by Lois E. Romans/ CT quick prep, mock exams Self-learned through books attained through a conference Self-guided study purchased specific CT course books Self-study-CT text books, anatomy books, etc. Self-study at home from materials borrowed, begged and bought where I could find it. Self-study for six months with educational materials Self-study group with fellow CT Techs. Purchased mock CT tests. Self-study using cross-sectional anatomy and CT-specific texts Self-study with a friend who was doing the same thing. Bought books and workbooks ourselves Special procedures previous, worked in sales, applications, self-study STUDIED ALL EDUCATIONAL MATERIALS ON CI I COULD FIND STUDY BOOKS, RECORDED BY RADIOLOGISTS Study groups Study guide ordered online STUDY GUIDES FROM CONTRAST VENDORS STUDY GUIDES/PRACTICE EXAMS STUDY MATERIALS FOR CT BOARDS STUDYING BOOKS ON MY OWN STUDYING ON MY OWN TEXT BOOKS Text books in anatomy and CT Text books on CT Text books ordered from Barnes & Noble Textbooks Textbooks Textbooks with CT sections & dedicated CT textbooks TEXTBOOKS, EXAM REVIEW BOOK Textbooks, research articles, radiologist that I work with shared information & resources The few textbooks that are available for study material. VENDOR TECHNICAL/OPERATORS MANUAL; SELF-STUDY IN VARIOUS TEXTS Total Classes, Seminars, Conferences, Vendor Training 8 STUDY MODULES AND TESTS, EARNING CE CREDITS A course at the local junior college as a separate course A course specific to CT learning and leading to the registry A specific program provided by a community college for advance level radiography certification Advanced Imaging Certificate from Hostos Community College Attended a cross-sectional anatomy course at local college & a ct course. Both were taken at night BOUGHT A COURSE SPECIFICALLY FOR CT EXAM BOUGHT BOOKS AND LECTURES CE CORRESPONDENCE (HOME STUDY) COURSES 1 1.7

6 CE MATERIAL CT REGISTRY REVIEW Certificate program at a local University - C.W. Post Class at local community college CLASSES IN OUR DEPT ON ANATOMY COLLEGE COURSES-CROSS-SECTIONAL ANATOMY Community college course for CT Conferences, applications, I also bought a training CD before I sat for the exam CROSS-SECTIONAL ANATOMY CLASS CT course offered through a community college/didactic and clinical CT diploma program CT PHYSICS CLASS AT COLLEGE CT REGISTRY STUDYING BOOKS, CROSS-SECTIONAL CLASS AT LOCAL COLLEGE CT REVIEW COURSE CT/angiography 1 yr program with clinical and class work CT/MR COURSE, NOT PART OF A RAD TECH PROGRAM CT/MR Postgraduate program Didactic coursework from a CT specific class (36 contact hours) offered at my community college FORMAL COURSE AT COMMUNITY COLLEGE WHERE THERE IS A RAD-TECH PROGAM Home study based CT registry review course offered by Medical Imaging Consultants Home study course I completed a Computed Tomography Review course on my own to prepare for the registry I do applications training for a CT vendor, which helped prepare me for exam I took a 10 wk college course for cross-sectional anatomy I took the very first test offered. I went to a one-day test prep seminar I went to an official CT/MR school Independent classes in A & P and physics held after hours IN-SERVICES/LECTURES WITHIN THE HOSPITAL OF EMPLOYMENT Marilyn Sacket 16 hour CT Reg Review, + OJT Medical conventions MIC COURSEWORK - REGISTRY REVIEW, COURSE WORK AT COMMUNITY COLLEGE Mock registries self-study MOCK REGISTRY Mock tests provided by a vendor Night classes at community college (pathology, physics, and cross-sectional anatomy) NONCREDIT COURSES FROM LONG ISLAND UNIVERSITY IN BROOKLYN NOTEBOOK COURSE TO GO OVER ALL ASPECTS OFF-SITE CLASS IN CROSS-SECTIONAL ANATOMY OFF-SITE SEMINAR One-day course taught by Losi Romans. Also studied mock registries one day workshop Online CT course at Florida Hospital College, Orlando, Fl for 15 weeks. Fantastic course! Ordered MIC program, CT cross trainer, and CT registry review 1 1.7

7 COURSES AT CONFERENCES Purchased CT course Review coarse in CT Self-learned through books attained through a conference Took a cross-sectional anatomy course offered at a teaching hospital WEEKEND CT REVIEW COURSE Went to CT registry review seminars WENT TO THE JOHNS HOPKINS 4-DAY COURSE AND READ/STUDIED EUCLID WORKSHOPS PROVIDED BY EMPLOYER AND WORKING WITH A VERY HELPFUL RADIOLOGY RESIDENT AND A PHYSICIST Total Radiologists/colleagues A Registered CT Tech in my department Daily education by our radiologists Direct radiologist instruction GOT INFORMATION FROM OTHER TECHNOLOGISTS Group discussions with radiologist, study groups with books bought at univ. book store My program director at my old school tutored me! Purchased text books on my own and self-study, guided by co-worker and radiologists RADIOLOGIST'S IN-SERVICES, CROSS-SECTIONAL ANATOMY Radiologist helped me with the physics, anatomy and disease processes RADIOLOGIST HELPED WITH ANATOMY AND ANOMOLIES Radiologist helping education prior to the very first CT exam (there were no study materials yet) RADIOLOGISTS The radiologists and physicists in our department were instrumental in teaching us everything we need WORKSHOPS PROVIDED BY EMPLOYER AND WORKING WITH A VERY HELPFUL RADIOLOGY RESIDENT AND A PHYSICIST Would listen to radiologists as they dictated and ask questions about CTs I had performed for them Total Self-study (Media Not Specified) BOUGHT OWN MATERIAL, STUDIED MYSELF HOME STUDY I independently studied any material I could find Intensive self-study Self-studied Self-study didactic Self guided study purchased specific CT course books Self-study-CT text books, anatomy books, etc Self-study Total Software, Online Materials

8 CDs and education material from contrast vendors COMPUTER DISCS PROVIDED BY CONTRAST VENDORS Conferences, applications, I also bought a training CD before I sat for the exam CT Registry review by medical imaging consultants CT Registry Review by MIC CT REGISTRY REVIEW COURSE CT REGISTRY REVIEW COURSE...MAGAZINE OFFERED CT Registry Review products (software & hardcopy books) CT registry review program CT Registry Review Program CT REGISTRY REVIEW PROGRAM I purchased a program specific to taking the ARRT CT registry MTI CT exam prep, I borrowed it from my friend Ordered MIC program, CT cross trainer, and CT registry review PURCHASE ONLINE A TRIAGING MANUAL - MODULES Purchased CT preparatory program The ARRT reg. review computer version (great help) THE CT REGISTRY REVIEW PROGRAM BY MEDICAL IMAGING CONSULTANTS Total Specified MTMI Program MTIC REGISTRY REVIEW PROGRAM MTMI MTMI CT prep course MTMI CT REGISTRY REVIEW EXAM COURSE MTMI HOME STUDY CT EXAM PREP Total Specified MIC Program MEDICAL IMAGING CONSULTANTS CT REGISTRY REVIEW BOOK Medical imaging consultants, inc the CT registry review program Medical Imaging Consultants, Inc.-Registry Review Program/Advanced Health Ed. Center MIC study guide MIC? Medical Imaging Consultants Self-study Preparation for CT Exam MIC COMPUTED TOMOGRAPHY REGISTRY REVIEW PROGRAM MIC COURSEWORK - REGISTRY REVIEW, COURSE WORK AT COMMUNITY COLLEGE MIC CT Cross-Trainer is excellent MIC CT CrossTrainer MIC CT Registry Program MIC CT Registry Review MIC,INC. /CT REGISTRY REVIEW PROGRAM MIMI CROSS TRAINING Total Other

9 CURRENTLY LEARNING MR DEBATING TAKING THE EXAM, NO MORE PAY EXPERIENCE IN THE FIELD I WOULD RATE # GETTING MY ARRT CERTIFICATE IN CARDIOVASCULAR None I would have liked more help, but everywhere I look I cannot find good study materials. Help!! SELF-TAUGHT WHEN I TOOK MARCH 95 1ST TEST -- NOT THAT MUCH MATERIAL Total If you are not ARRT-certified in CT and you do not plan to take the ARRT certification exam in the future, why not? Time I am 49; if I was younger I would feel certification was more important to my career I JUST DON'T HAVE THE TIME TO WORK AND STUDY. I'M 46 YEARS OLD AND GOING TO SCHOOL ISN'T AN OPTION AT THIS TIME I was 52 years old when I received my R.T., and do not intend to put that much stress in my life again Just had a baby don't have time to study. Work at outpt. center-can't get clinical requirements my age, family responsibilities (time I have to devote to studying for boards quite limited) No time for additional yearly CEUs and expense of additional license renewal NO TIME TO STUDY THE EXAM SOUNDS TOO TIME CONSUMING. THE EXAM TOO DIFFICULT Time it takes to study and courses to take to study are few and hard to find Too much documentation for a veteran CT tech/ also not enough time with 2 small children Total Secondary Sphere/Rarely do CT At present employment, limited in scans done. Would never be able to achieve all scans variety CT IS NOT A BIG PART OF MY JOB CURRENTLY WORK FULL TIME IN GENERAL MR I'M BUSY WITH MR RESEARCH AND AT THE OUTPATIENT SITE THAT I WORK AT. I WOULD NOT BE ABLE TO GET THE REMAINING BIOPSIES THAT I NEED I'M NOT INTERESTED IN CT, JUST PERFORM AS "PART OF THE JOB" I AM AT A DISADVANTAGE FOR TAKING THE TEST DUE TO THE TYPE OF MACHINE I WORK ON AND WAS TRAINED ON. THE TEST IS BASED ON A SPIRAL MACHINE THAT ALLOWS 3-D IMAGES WHICH I HAVE NO EXPERIENCE WITH. ALSO I CAN'T FIND ALL STUDY MATERIAL NEEDED. I CROSS-TRAINED IN CT FOR 6 MONTHS THEN WENT BACK TO MANAGEMENT I don't perform enough exams to acquire or maintain CT certification I no longer work part time in CT and only provide limited scans at this time I only do limited CT scans for biopsy purposes I was not working on CT in US. As an immigrant to US I took ARRT(R). And I have past experience in CT I WILL BE ON TO MR 1 4.0

10 I WORK CT PART TIME AND WOULD NOT BE ABLE TO DO MINIMUM NUMBER OF EXAMS TO TAKE TEST I WORK IN A SMALL FACILITY AND PART TIME RADIOLOGIST I WORK IN MEDICAL PHYSICS AS A PHYSICIST I WORK PART TIME IN RADIOLOGY IN A CLINIC SETTING, I CANNOT MEET THE COMPS REQUIRED TO TAKE THE EXAM IT WOULD BE VERY DIFFICULT FOR ME TO COMPLETE ALL THE CLINICAL REQUIREMENTS BECUASE I STRICTLY DO HEAD AND NECK CT (I WORK FOR A PRIVATE E.N.T. GROUP) My facility does not offer the wide range of competencies that I need to qualify to take the exam My facility does not perform enough of the exams required to take the CT registry My sphere of skill and practice is not broad enough to cover all the requirements for certification Only do CT on rare occasions now, don't need to be certified PRIMARY MODALITY IS MR SECONDARY SPHERE OF EMPLOYMENT TOO FEW ANNUAL EXAMS TO QUALIFY Total Inadequate Training/Inadequate Study Material Available I've thought of taking the CT test, but there are limited resources I do plan to take it, however it is hard for me to get the pre-exam requirements due to no. of exams we perform LIKE TO HAVE EXAM STUDY MANUALS THERE AREN'T ANY UP-TO-DATE STUDY GUIDES AVAILABLE Total Too Expensive I DO NOT WISH TO CONTRIBUTE MY FUNDS UNNESSARILY JUST TO MAKE A LIVING FOR SOME EX-ARRT EXEC It may cost more to stay credentialed and testing and requirements are not convenient Total Fear of Failing I have completed all the required scans to take the test, but am fearful of passing, as I am older I want to take the exam again but I am so scared of failing again Total Already Certified Already certified CERTIFIED CT I ALREADY TAKEN THE CT ARRT REGISTRY AND PASSED I AM CT REGISTERED, BUT MY HOSPITAL DOES NOT PAY MORE FOR IT I plan on taking the exam in the future I PLAN ON TAKING THE EXAM LATE SUMMER/FALL I M TAKING THE EXAM THIS SUMMER

11 Total Other AS OF NOW, I PLAN TO CONCENTRATE ON TAKING MR CERTIFICATION CERTIFIED IN RADIOLOGY, MAMMOGRAPHY AND MR CT cert cannot be obtained in the area I work in I'M GOING TO RETIRE I ve met people fresh out of school with a certificate and book knowledge who can t scan a lick I am certified in CT I AM CLOSE TO RETIREMENT AND DON'T NEED THE EXTRA CERTIFICATION I AM IN THE PROCESS OF STARTING A SECOND CAREER I AM NOW RETIRED -- 8 MONTHS I CAN PERFORM CT EXAMS BETTER COMPARED TO CERTIFIED TECH I have preformed CT exams for 18 years; why test in something I'm already doing? Should be grandfathered I perform CT exams in department of radiation oncology I should have been grandfathered in, due to my time and experience with this modality INCREASE IN DUES IT IS NECESSARY TO KNOW ENOUGH ABOUT CT FOR CALL PURPOSES My skills are tested every day, with new technology and ever changing health care situations PLAN TO RETIRE WITHIN 3 TO 5 YEARS Procedures not done at my hospital, required for ARRT certification in CT SOME CT TECHS I KNOW DO NOT DESERVE TO BE CT REGISTERED TECH BOTH ETHICALLY AND MORALLY Total

12 7. Whether or not you are certified in CT, please indicate the type(s) of training that prepared you for your first performance of an on-the-job CT scan. Books, Hardcopy Materials Anatomy and CT review books published for those taking the CT cert. exam Application manuals on site Books Books I purchased on my own (Cross-sectional anatomy, etc.) BOOKS ON CT IMAGING CONSULTING AND STUDYING AVAILABLE BIBLIOGRAPHY ABOUT CT Cross-sectional anatomy from prior MR training CT Cross-trainer CT cross-training modules CT CrossTrainer CT diploma program CT registry manuals, CT mock registry FOLLOW-UP WITH READING AND INTERACTIONS WITH DIFFERENT APPLICATION SPECIALISTS Home study course I read and studied anatomy and CT books that our library or department had LITERATURE Medical books Other borrowed books PURCHASE CT BOARD REVIEW LITERATURE Registry review book in CT REVIEW BOOKS AND MANUALS STUDIED CROSS-SECTIONAL ANATOMY BOOKS TEXT BOOKS Text books on CT Text books, self-study and guidance from co-worker and radiologists on staff, checkoff/competency form Textbooks Textbooks TEXTBOOKS OF PERSONAL STUDY Textbooks, research articles, radiologist that I work with shared information and resources Total Classes, Seminars, Conferences, Vendor Training 1 DAY WORKSHOPS FOR CE CREDITS C. T. course at community college Certificate program at CW Post - Long Island University Class community college Continuing Education CT CrossTrainer Correspondence course in CT physics, cross-sectional anatomy Cross-sectional Anatomy of CT/MR Book, CT textbooks CROSS TRAINING COURSE CT classes (cross-sectional anatomy etc) CT REGISTRY REVIEW PROGRAM 1 3.8

13 CT REGISTRY REVIEW PROGRAM CE CT SHOULD BE TAUGHT SEPARATELY IN A DEDICATED ACADEMIC/CLINICAL SETTING CT-specific curriculum at community college CT/MR School GE training at their site in Milwaukee I was sent to a outpatient center for 5 days and then came back and opened a department Off-site at Vendor Training Center Off-site training at another facility on the same ct equipment On-site formal training program provided by CT Technologist Trainer, including x-sec anatomy courses Postgraduate CT/MR Program Purchased program specific to getting ready to take the ARRT CT registry REGISTRY REVIEW CLASS SMALL COURSE IN SPECIAL PROCEDURE SCHOOL SOME ATTENDED LOCAL UNIVERSITY COURSES IN CROSS-SECTIONAL ANATOMY Took a couple of classes offered while in school for x-ray WENT BACK TO SCHOOL TO RECEIVE BS IN MEDICAL IMAGING TECH -- SPECIALIZED IN MR AND CT Total Radiologists/colleagues DEPARTMENT PROCEDURE PROTOCOL MANUALS FOR SPECIFIC CT EXAMS DEPARTMENT RADIOLOGIST Department Radiologists were great teachers when I first went into CT back in Education from neuroradiologist and other radiologists. Asking questions and research for answers Fellow technologists FIRST CT I DID MY RADIOLOGIST HAD MUCH CT EXPERIENCE AND HELPED ME I was trained by an 18 year RTTCTRN Learn and watch from friends MEDICAL PHYSICIST, TREATMENT PLANNING Observed in a CT department at another hospital On-site apps training by co-worker who was trained by other co-workers On-site formal training program provided by CT Technologist Trainer, including x-sec anatomy courses On-site training with radiologists for anatomy and pathologies ON SITE TRAINING FROM A CT CERTIFIED COWORKER radiologist intensive training... with radiologist at my side while scanning RADIOLOGISTS-HELPED US 24 YEARS AGO. NOT MUCH TRAINING EXISTS. TECHS WERE A HELP TRAINED BY CO-WORKERS TRAINED IN CT IN LARGE MEDICAL TEACHING FACILITY TRAINING FROM OTHER CT TECHNOLOGISTS Was in a special procedures training program which included minimal CT training Why not implement and validate an on-the-job training and certify the technologist after a no. of hrs/exams? WORKED AS CT TECH ASSISTANT WHILE IN RADIOLOGY Working and observing at other sites prior to my start date Total

14 Self-study (Media Not Specified) Intensive self-study On-the-job is the primary training, experience is # Self-study SELF-STUDY COURSE CT REGISTRY Self-study, as above SELF TAUGHT Self-trained The staff was required to educate themselves at our expense and time Went through the ranks from staff tech, senior tech, special procedures, paid my dues in radiology Total Software, Online Materials COMPUTER DISCS FROM CONTRAST VENDORS Would like to see online CD-ROM registry review practice tests Total Specified MIC Program CT cross trainer through MIC MIC's "The CT CrossTrainer" MIC CT cross trainer MIC CT CrossTrainer Total Other A.T ST TRAINING IN CT WAS IN IT WASN'T MUCH Began working in CT late 1975/early 1976 did early CT research, also CT/MR Apps. Specialist CERTIFIED MR TECH, DID MR FOR 7 YEARS PRIOR, WHICH I BELIEVE REALLY HELPED ME I have never had an on-the-job CT job I was not working on CT in US. As an immigrant to US I took ARRT(R).And I have past experience in CT MANY TECHS REPORT THEY DO NOT PASS THE CT REGISTRY THE FIRST TIME O.J.T Same as above SEE ABOVE Total

15 9. What sources of information do you use to keep up to date on advances in CT? Please specify listservers: CTISUS AUNTMINNIECOM CTISUSCOM CT is us.com CT is us.com advance CTis.com CTISUS- FAVORITE CTisus, AuntMinnie ctisus.com CTISUS.com CTISUS.COM ctisus.com, auntminie.com ctisus.com(dr Elliot Fishman) CTISUS.COM, SIEMEN Ctisus; mutlislice CT newsletter Online ctrus.com Web site for information on setting new protocols for scans WEB SITE CTISUS Total Aunt Minnie AHRA LISTSERV AUNT MINNIE Aunt Mini Aunt Minnie, Siemens Medical Aunt Minnie Aunt Minnie.com is the best Aunt minnie.com medical network. And radiology infonet.com Aunt Minnie, GE Healthcare, CT Aunt Minnie, Applied Radiology Aunt minnie.com, Siemens.com AuntMinnie.com AuntMinnie.com, ctisus.com Total ASRT ASRT ASRT Direct Readings info give ASRT, GE, Philips Total Siemens

16 Aunt Minnie, Siemens Medical CTISUS.COM, SIEMEN Siemens Medical Academy, ctisu We are a Siemens training site Total ADVANCE Advance ADVANCE MAGAZINE ADVANCE, ASRT Total Other AHRA AHRA LISTSERVE AUNT MINNIE Any classes Berlex Bracco diagnostics, Toshiba DIAGNOSTIC IMAGING Elliot Dishpans (sp?) site GAGE MTMI SCRIPPS GE Health and Discovery channels I AM A SENIOR APPLICATION SPEC RADIOLOGY TODAY Total

17 9. What sources of information do you use to keep up to date on advances in CT? Please specify other. Books, Hardcopy Materials ADVANCE FOR RAD TECH ASRT Scanner Magazine BIBLIOGRAPHY ABOUT CT Books available from Amazon Books I purchase MY RADIOLOGIST COPIES HER JOURNAL ARTICLES CONCERNING CT FOR ME TO READ PROFESSIONAL BOOK (HOME STUDY) Total Seminars, Vendor Training Applications training from advantage work stations, power injectors, and scanner vendors EQUIPMENT UPDATE...OFF-SITE APPLICATIONS GE VENDOR TRAINING EXCELLENT I am an applications specialist for Siemens Medical. We go through continuous training I am an applications specialist so I receive direct training MY DEPARTMENTS PUTS ON A SEMINAR EVERY YEAR THAT OFFERS CT AND MR CREDITS NSRPA CONFERENCES OUR NEW TOSHIBA 64 SLICE SCANNER -- NEW HEART STUDIES SEMINARS SERVICE ENGINEER SITE VISITS TO OTHER PLACES state-of-the-art equipment w applications training and off-site training Total Software, Online Materials Aunt Minnie/CTISUS CT is THE diagnostic tool of the 21st century, not teaching it is a disservice to the students!!!! CTisus online web site ctisus.com CTISUS.COM CTisus.com and auntminnies GE TIPS TV SEMINARS INTERNET Medrad ONE OF THE BEST SOURCES IN MY OPNION HAVE BEEN THE ESI CD-ROMS SERIES UPDATES IN MR AND CT Total Self-study/Work Experience STUDY MACHINE BOOKS

18 Other CURRENTLY ENROLLED AS A RADIOLOGY PRACTITIONER ASSISTANT INTERN Frequency Percent I DONT FEEL THAT THERE IS MUCH INFO ON CT. I WOULD LIKE TO SEE MORE HELP FOR TECHNOLOGISTS I NOW DO DOSIMETRY AND USE CT DATA My employer does not let us get off work for education ONLY IF WE GET A NEW MACHINE THAT DOES MORE SCAR THE BEST IS ON HAND WE DON'T RECEIVE ANY EDUCATIONAL MATERIALS UNLESS BUYING A NEW SCANNER AND APPLICATIONS ARE HERE Total

19 10. In a typical biennium (two-year period), how many of your continuing education credits relevant to CT come from each of the following sources? How many CT-relevant credits would you like to receive biennially from each source? Specified Vendor Materials APPLICATIONS ON NEW SCANNERS Booklets given by vendors-soon to be ASRT also BRACCO CE -COURSES MUTI-SLICERS-MR-AND RADIOLOGY BSRT AND CT REGISTRY FREE COURSES OFFERED BY VENDORS Gage Gage communications Given by vendor In only the past two bienniums earned actual CT credits. Two years ago from off-site vendor I work for GE Healthcare Technologies as a CT Applications Specialist I WOULD LIKE VENDOR CT TRAINING FOR DIRECT CE CREDITS Literature, continuing education materials provided by vendors (Bracco, Toshiba, Philips, etc.) Mostly online sources New scanner came with 16 hours on-site training On-site training with collaboration with ASRT Pamphlets (newsletter) from vendors with CEU VENDOR BOOKS QUESTION Vendor courses (MD) directed Vendor ct educational books Vendors send me free CE booklets pertaining to CT: Berlex, MDCT Vendors who provide educational material WOULD LIKE TO HAVE MORE APPLICATIONS TRAINING OR DIRECT CT ONLINE Total Specified GE Tips/GE related Materials GE -ECEI GE GE HEALTHCARE GE tip tv GE TIPS GE Tips TV - this is my first biennium that I am doing CE's, last one I took my CT registry TIP-TV (GE Healthcare broadcasts) TIPS TV TOOK CT EXAM 12/ Total Conferences/Seminars/Workshops 24 CE earned at seminars COLLEGE COLLEGE CLASSES Conference for CT technologists by Johns Hopkins 1 3.4

20 Conferences Conferences in other cities Conferences out of town at vacation sites, e.g., Las Vegas, San Diego CT BOARD CT boards CT EXAM CT Registry Exam CT seminars CT SEMINARS Education Symposiums, conferences, educational meetings I like to attend workshops for my CE points I LIKE CONFERENCES I mainly get CE credits through ASRT/live in rural area and hard to go to conferences LOCAL WORKSHOPS AND SEMINARS MEDICAL IMAGING CONSULTANTS, INC MEDSCAPE MTMI course Off-site conferences OFF-SITE SEMINAR ROME SOCIETY OF RADIOLOGIC TECHNOLOGISTS MEETINGS THROUGH THE YEAR SEMINAR HELD BY MY DEPT Seminars Weekend conferences given by MTMI WOULD LIKE MORE LOCAL SEMINARS Total Specified Continuing Education Classes AREA CT TEST CE Source GE Healthcare CE credits earned while completing a Bachelor degree in Allied Health Education Continuing ed from vendor in booklet form, study, then test Continuing Education courses for home studies via mail/fax CPR, College Physics course CT Courses Each year is different, your CE journals are great, specific to CT or not, I would like more CT materials ECEI (GE) DIRECTED READINGS HOME STUDIES I WASN'T AWARE OF THE ASRT/SINCLAIR COMMUNITY COLLEGE PARTNERSHIP. I WOULD USE THAT AS A RESOURCE I would like to see more conferences dedicated to CT locally Johns Hopkins CT/ Northwest Imaging Forums Last biennium was more general courses. currently attempting to complete more within this discipline MY BIENNIUM BEGINS IN JULY Obtaining CE credits while at work and not at home would be ideal Published continuing ed materials 1 4.5

21 Scripps home study courses Self-paced courses that I purchased There are only a few credits provided by directed readings specifically for CT Typical? I usually have 100 or so hours of CE credits. I currently have 40+ formal in CT courses UNIVERSITY Total Hardcopy Reading Material All my CEs come from DReadings-some biennium no CT' are offered - at least 2 articles would be nice All my credits come from ASRT readings, not sure how many were CT related. This was confusing Approved book reading and taking tests ASRT APPROVED MAIL CORRESPONDENCE ASRT approved home study courses(gage Continuing Education) ASRT ECE AND ECEI Credit for writing educational article, directed reading from non-asrt sources Directed readings Directed readings and mail-in courses, facility sponsored seminars Directed readings by Nycomed, Weekend seminar by MTMI, etc DR, NOT ASRT EMPLOYEE-PROVIDED WRITTEN TRAINING I get the majority of my CE credits from the ASRT journals. Some related to CT, some not MAIL ORDER TEXT BOOK MIC Registry Review Passed exam - have not needed credits yet, will need for this biennium WB SAUNDERS MAGAZINES Total Software, Online Material Ctisus.org is a great web site for referencing FREE ONLINE I can always pay for courses and get them online MR IS MY PRIMARY ROLE On-the-job Web site for CEs Siemens Web site The soc of nuc med gives every member a CD of the annual meeting for CE credits, I like it Total Specified CPR CPR CPR Training CPR, College Physics course Total How do you go about expanding your skill set in CT, i.e., developing skill in innovative or currently unfamiliar techniques and procedures?

22 Books, Hardcopy Materials 1. Observing others perform the skill2. Asking Questions about it3. Supervised practice of the skill4. CQI A lot of reading, other technologists, radiologists Advance magazines, ASRT, hospital, Johns Hopkins online site. Application specialist books APPLICATION TRAINING PROFESSIONAL JOURNALS PROFESSIONAL CONFERENCES APPLICATION TRAINING, READING ARRT and ASRT Journals Internet sources ARTICLE, RADIOLOGIST, OTHER CT TECHS ARTICLES ABOUT CT, RADIOLOGISTS ARTICLES IN VARIOUS RADIOLOGY MAGAZINES ARTICLES ON THE INTERNET OR IN THE JOURNALS I RECEIVE IN THE MAIL ARTICLES OR MAGAZINES ARTICLES YOU READ IN A PROFESSIONAL MAGAZINE.CONVERSATION WITH OTHER CT TECHNOLOGIST As Lead CT technologist, I cross-train others and stay updated by reading the textbooks, journals and doing all CE credits online. Radiologists are helpful to learn from, as are our surgeons. If I hear an unfamiliar term, I look it up and share it with others Ask radiologists or technologists, and procedure manuals. Try and find journals or books that can instruct me on new techniques. ASK VENDORS, APPLICATIONS REPS, DOCTORS, READINGS Ask vendors. Off-site seminars. Journals ASRT DIRECTED READINGS, VENDORS WITH CONTINUING EDUCATION READINGS Assess the procedure. Ask relevant questions. Ask another CT tech. Read...At times it is hard to come up with special techniques for radiation therapy treatment planning using the CT. I have used trial and error many times. Attending a relevant seminar/symposium. Off-site training at a facility which already provides the service, professional readings Attending conferences, talking with radiologists and other CT technologists. Attending our annual conference and going to CT related lectures and reading articles on CT advances. Attending workshops, reading articles, working as a radiologist assistant BASICALLY CE COURSES AND SEMINARS WHEN I CAN GO Become ARRT certified in CT BETTER STUDY MATERIALS TO TAKE REGISTRY BOOKS, JOURNALS, ON-THE-JOB TRAINING Books, radiologist By attending on and off-site conferences. Vendor application training. Reading CT scan books and other reading materials. BY CONTINUING ED CONFERENCES, RADIOLOGIST, BOOKS, VENDORS AND THE DEVELOPMENT OF NEW TECHNIQUES WITHIN OUR FACILITY By keeping myself up-to-date on the latest techniques by reading articles and talking with the radiologists BY KNOWING THE SCANNER I WORK ON, STUDYING THE BOOKS PROVIDED BY THE VENDOR By reading additional materials on the subject, and by choosing relevant CE courses. By reading and attending seminars

23 By reading and going to conferences. Help from radiologists By reading and working at other facilities that have different CT equipment BY READING ANYTHING TO DO WITH CT, AND ATTENDING LOCAL WORKSHOPS WHEN POSSIBLE OUR DOCTORS ARE NEW PROTOCOLS BY READING ARTICLES AND TAKING DIRECTED READING ASSESSMENTS. CT WORKSHOPS By reading continuing education material and discussions with the radiologists. BY READING CT BOOKS, BUYING CT REVIEW BOOKS ASKING QUESTIONS TO OTHER STAFF By reading current journals and from journal articles and books recommended by the radiologists. By reading industry journals and doing online research. By reading materials available, with the radiologists' guidance, and applications assistance if needed. By reading the new literature, etc. regarding advances in CT. Also by talking with Radiologists that have learned new methods of imaging patients with CT. CALLING CT APPLICATIONS READING MATERIALS RADIOLOGIST CE CME COURSES AND READING MATERIALS Co-workers... radiologist...articles in magazine Communication is key whether it is from education materials (seminars, readings)or in-house training at educational institutions, or online in-service technologists COMPUTED TOMOGRAPHY BOOKS OF CROSS-SECTIONAL ANATOMY CONFERENCES AND READINGS CONFERENCES DISCUSSING FACTORS AND FELLOW READING THE APPLICATIONS MANUAL CONFERENCES OR DIRECTED READING CONFERENCES, READINGS Conferences, directed readings, demonstrations CONFERENCES/BOOKS CONTINUINGD EDUCATION, WORKERS, RADIOLOGISTS CONTINUING EDUCATION READINGS Continuing education articles Continuing education courses, new equipment that requires up-to-date training CONTINUING EDUCATION CREDITS Continuing education materials and the Internet are two main sources used by me and my associates. The radiologists also give feedback and information regarding CT and the newest technology available as well as protocols seen in journals and Internet Continuing education materials or asking co-workers Continuing education materials. Work part-time as a CT tech in another facility in addition to my full-time position. Conversations with radiologist, equipment reps, and other techs along with readings from radiology magazines and journals. COURSES, TEXT BOOKS, OTHER TECHS CT MANUALS, CROSS-SECTIONAL ANATOMY BOOKS, AND OTHER TECHS RADIOLOGISTS CT publications, auntminnie.com, ctisus.com CT techs, imaging publications CURRENT JOURNAL ARTICLES FOR REFERENCE; RADIOLOGISTS AT LARGE UNIVERSITY-HOSPITAL SETTING; PHONE CALL, DIRECT QUESTION TO VENDOR

24 Currently I learn from co-workers, read equipment protocols, manuals. Ask radiologist and look online. Currently working at a second site where more advanced procedures are performed. - reading more material regarding newer advancements in CT and working with technologists who have had more experience with these types of exams Dedicated readings and vendor material very helpful DEPT HEAD, MANUALS DIRECT READINGS AND CONTINUING EDUCATION COURSES AND WORKSHOPS Direct readings and if I can applications DIRECT READINGS IN ASRT JOURNALS DIRECTED READINGS, APPLICATIONS RADIOLOGIST INPUT Directed readings, articles, from other CT techs. Discuss with radiologist(s) - discuss with senior CT tech - contact equipment provider - CTISUS on internet - read professional journals DISCUSSION WITH RADIOLOGISTS, VENDORS AND ARTICLES Discussions with Radiologists. Workshops. Reading Radiologic Magazines. EDUCATING MYSELF WITH READING MATERIAL GOING TO IN-SERVICES AND BEING TRAING BY RADIOLOGIST Educational conferences/peer review/radiologist direction EDUCATIONAL JOURNALS, IN-SERVICE VIA TELECONFERENCE, VIDEOS, ETC. Expanding my CT skills have been training and sharing new techniques with fellow ct techs. Also reading up on the new material mostly through Scanner. Extensive continuing education from ASRT, online, and other sources. I don't mind buying useful information that will benefit myself and my institution and patient base. Find info that is available through reading materials or simply ask our certified technologists at our facility. This is very limiting I would prefer attending a teaching facility and getting some hands-on training. FIND RESOURCES TO READ FINDING INFORMATION AND READING OR BY JUST DOING THE PRATICE FROM DRS IN ASRT, ARTICLES PROVIDED TO CT FROM DIR OF RADIOLOGY FROM OTHER TECHNOLOGIST AND VARIOUS READING MATERIALS FROM OUR RADIOLOGIST AND CURRENT VENDORS. ALSO FROM ASRT JOURNALS From radiologic publications and radiologists interested in new procedures. FROM RADIOLOGISTS, ASRT JOURNALS, CT TECHNOLOGISTS, COURSES GET BOOKS, ONLINE COURSES, RADIOLOGISTS, VENDORS Going to conferences, reading related articles, speaking with the radiologists. GOING TO SEMINARS, READING SCANNER, ETC I am at a rural hospital so I do mine by reading I am currently a department director and rarely have opportunity to scan. Unfortunately I get most of my knowledge from reading. I am employed in an outpatient clinic. I expand my skills in CT by the directed readings as of now. I AM PRETTY NEW IN THIS FIELD, BUT I WOULD PROBABLY SAY BOOKS AND OTHER CT TECHS IN THE OFFICE I ask my co-workers. I sit and watch exams being done. I read up on how to do it. Protocols to follow for exams. I ASK OTHER TECHNOLOGISTS ON OUR CLINICAL COORDINATOR OR READ AND STUDY IS PRESENTED I ASK OTHER TECHS OR I WILL AS A RADIOLOGIST, MAGAZINES, ETC. I ATTEND SEMINARS AND READ MATERIALS

25 I attended a training conference for our new scanner and learned a lot there. I read articles, watch GE Tip TV videos, visit Aunt Minnie web site and I talk with the radiologist about new stuff. I DO A LOT OF READING AND TALK TO RADIOLOGISTS I EXPAND MY KNOWLEDGE FROM BOOK, OTHER TECHNOLOGISTS, AND RADIOLOGISTS I EXPAND MY KNOWLEDGE IN CT BY READING ASRT MAGAZINES AND ADVANCE ALSO BY OBSERVING FELLOW CT COWORKERS I expand my skills by techniques learned from other technologist and radiologist. I also read journals to keep up with new techniques and procedures. I EXPANDED MY SKILLS THROUGH JOURNALS, OTHER TECHNOLOGISTS, AND OTHER INSTITUTIONS BY OBSERVING AND LEARNING I find help and training from radiologists and application professionals very helpful. Also, suggestions from other facilities performing the techniques and procedures are useful, as well as articles in medical magazines and journals. I find information through magazines and online. I like to watch/listen to the online conferences offered by some of the universities and hospitals. I learn from my department manager, other CT technologists, radiologists and reading relevant published materials. I also attend CT conferences. I LEARN FROM OTHER CT TECHS AND RADIOLOGISTS SOMETIMES FR I LEARN FROM OTHER TECHNOLOGISTS AND BY AN APPLICATION PERSON PROVIDED ON OPURCHASES NEW EQUIPMENT I learn from other techs I work with by asking lots of questions or from reading material sent to me from ASRT I look for CEU courses in those areas. I seek out information about these things at RSNA. Online search and CT related sites I MAKE SURE THAT I ASK THE MOST SKILLED CT TECH TO SHOW ME EVERYTHING I NEED TO THEN RESEARCH THE PROCEDURES. I read a lot on GE cares, ctisus, and ASRT literature I read about new and innovative processes in CT. In order to become proficient in any unfamiliar techniques I must have hands-on training. I read about them, research them and discuss them with my supervising physician, Also applications is called in to help with new procedures until techs are competent. I read a lot in the journals. Our rads are very receptive to trying new protocols. I find the field of CT, to be an ever changing field. I read a lot on Internet sites and also we get a lot of new things from the radiologist. She will read something somewhere and bring us the article and tell us to try it. I would like to see more publications on CT. When I was studying for my registry I I read and watch and then work with an experienced CT tech. I then make an instruction sheet to follow for each of the new scans that we are performing I READ ANY PUBLICATIONS, TEXTS, ARTICLES, ETC. I read anything that is available related to CT. This is usually magazines from the ASRT. I read articles involving current CT protocols and techniques. The most of my skill development comes from the networking that I have developed as a result of my CT involvement. A few years ago I attended Hopkins University's CT conference in Las Vegas. It was at that conference where I learned the most about CT and was able to highly improved my skills, CT knowledge, and confidence. I also find CT websites specialized in answering questions quite helpfull in updating protocols and technique. I read articles on the latest technology that our doctors would like us to try to perform on our patients. I read books and publications concerning new technology and techniques. I have been fortunate enough to work at jobs that purchase cutting edge equipment. I have also worked as an independent consultant to GE Medical Systems doing CT applications and there I read case studies on Web sites - Aunt Minnie.com /and on CTISUS. I read articles in R.T. magazines that come to my home and that are available at work. I read info relevant to CT. I talk to the radiologist. I think about a procedure and plan ahead for different scenarios. I use trial and error.

26 I read journals and talk with apps. I discuss new topics with Rads, peers, and friends from x- ray school that work at other facilities. I recently went to Maryland to do a site visit on ct angio proceedures. It was nice to see that we were doing things pretty much the same. I read online articles and professional magazine articles. I also learn from my co-workers and radiologists. I read professional magazines and I rely on my employer to provide education for unfamiliar procedures. I also rely on our radiologist to help me understand the procedure. I READ RELEVANT MATERIALS ON ADVANCEMENTS IN CT I read the application material with our Seimens and try to figure out new and better ways to help my patients and our scan times. I READ UP A LOT ONLINE ABOUT NEW PROCEDURES I READ, GO ONLINE, SPEAK WITH VENDORS AND RADIOLOGISTS I read, talk to radiologists and other technologist. If I need to I go to a hospital where the procedure or technique is performed and watch and learn. I receive training from others. I read manuals, magazines, journals. I rely on vendor support from GE Healthcare Division and from published protocols from Mayo Clinic. I research a qualified source either the Radiologist or a medical article. I try to work out the patient position and time it will take to perform the exam. I try to talk to other CT technologist's about how to improve the study. I talk to other experienced CT techs I know, go to CT specific seminars, log on to Web sites about CT, read CT journals, etc I talk to the radiologists and read current literature in books and online. I talk w/ the radiologist and other staff about trying new scans that we hear about from equipment vendors and education articles that we receive at home and at work. I talk with radiologist and read the articles they read. I try to attend seminars when I can. As a traveler in CT this can be difficult. I talk with traveling radiologists to see how things are done in other facilities. I read newsletters from vendor to see what other services we could provide to our patients. I talk with CT techs from other facilities to keep up on new things. Plan on vis. I try and read my professional Journals from the ASRT. I also use the internet to look up new equipment and techniques such as the GE Cares Web site. I try to read anything and everything that I see regarding CT technology and related areas such as PACS, PET. I try to read our professional journals, newly published texts, continual discussion with physicists, radiologists and technologists. In addition, vendor Web sites also provide information that can be useful. I TRY TO REVIEW FOR 10 MINUTES A DAY FROM A REGISTRY REVIEW BOOK I use the internet to find info. I talk with techs at other facilities. I read a lot about new procedures and equipment coming available. Vendors have useful info on new equipment. Radiologists are usually up to date on new techniques and procedures. I USUALLY HAVE A SUPERVISOR IN CT TO TRAIN ME. I ALSO READ LITERATURE WHEN I I USUALLY LEARN THROUGH READING JOURNALS, GOING TO CONFERENCES OR FROM RADIOLOGISTS. I'M EAGER TO TRY ANY NEW SCANNING RPOTOCOLS OR TECHNIQUES. I USUALLY RELY ON OTHER CT TECHS AND ANY PUBLICATIONS FROM MY SUPERVISOR TO CT I WORK IN UROLOGY CLINIC, SO BASICALLY READING ARTICLES I would like to change my journal choice from rad imaging to computed tomography, since I'll be taking the ARRT registry in CT in July and I'm a special procedure technologist. Information from radiologists, or journal reading Information from fellow employees, radiologists and reading journals. Interaction with the rads, conference, ASRT Internet research, operation manuals, radiologist input

27 INTERNET, ASRT JOURNALS INTERNET, RESEARCH, LIBRARY RESEARCH, MANUFACTURER APPLICATIONS Journal readings and discussions with radiologists and physicists Journal articles JOURNALS AND ONLINE JOURNALS, JAMA, CERTIFICATION JOURNALS, MEETINGS, IN-SERVICES Journals, reading articles, Internet JOURNALS, VENDORS, ONLINE Journals, conferences, but most of all protocol changes by the radiologists I work with. By the way is it only in this side of town, or are most employers anal about providing the employees with what would be valuable onsite workshops? I'm very curious. JUMP IN AND DO, FIND BOOKS AND READ WHAT I CAN'T FIGURE OUT OR TALK WITH APPLICATION SPECIALIST VIA PHONE. Just went to apps for our new multi-slice scanner. Read information Keep on reading, studying, attending tumor boards when I can KEEP READING; YOUR LEARNING CURVE SHOULD NEVER FALL. THIS MODALITY KEEPS CHANGING; YOU HAVE TO KEEP UP. KEEPING CURRENT WITH LITERATURE, SEMINARS KEEPING UP TO DATE ARTICLES, TRAINING ON NEW EQUIPMENT, WORKING WITH RADS, LEARNING NEW PROCEDURES. Learn from other technologists, radiologists, and from journals LEARN FROM OTHER TECHS. READ APPROPRIATE MATERIALS. ANY INFO I CAN GET OVER THE INTERNET Learning from co-workers, supervisor, radiologist. Advance and ASRT magazines. Learning from other techs from larger facilities. I really enjoy the articles from the ASRT magazines and our Radiologists are always eager to share information they receive from conferences they attend. LET THE RADIOLOGISTS DESCRIBE NEW TECHNIQUES AND SET PROTOCOLS. USE THEIR FEEDBACK. READ IN MAGAZINES AND CHECK A COUPLE OF WEB SITES. Literature LITERATURE ON THE SUBJECT AND IN-SERVICES PROVIDED Literature, Web sites, seminars LOOKING IN DIFFERENT TEXT BOOKS TO FIND THE UNFAMILIAR EXAMS Looking it up online, professional mags Luckily, my employer can negotiate training packages with vendors for some members of the staff. I read journals and research any new advance to give myself an edge. MEDICAL IMAGING CONSULTANTS CT REGISTRY REVIEW More on-the-job training. shared knowledge from co-workers, books, articles from ASRT Mostly by reading journals such as MDCT and AJR and any other CT related articles I can find. NEWSLETTERS, ED CT GAMES, OTHER HOSPITAL PROTOCOLS CONTINUING EDUCATION MATERIALS Normally through applications from our vendor and or published materials on unfamiliar techniques. OFF-SITE SEMINARS READING Online through vendor, peers On-site ed. Other staff input with radiologist. Articles in journals. ON-THE-JOB TRAINING AND ON SITE TRAINING DIRECTED READINGS AND CONTINUI

28 On-the-job training and reading On-the-job training with the newest scanner with the newest technology. Articles. ON-THE-JOB TRAINING, ASRT MATERIALS LECTURES FROM RADIOLOGISTS On-the-job training, online courses, and direct teachings from the radiologist on staff. ON-THE-JOB TRAINING, READING OF MANUALS AND INFORMATIONAL ARTICLES, ONGOING APPLICATIONS BY THE VENDOR On-the-job training...reading magazines. ON-THE-JOB.ALSO FROM FELLOW CO-WORKERS.ASRT BOOK W/VERY FEW CT CEU'S.WORKING AT A HOSPITAL THAT TRIES TO KEEP UP WITH THE TECHNOLOGY. ONLINE CTISUS.COM/CDS FROM VENDORS ANY CT ARTICLES FROM MAGAZINES\ Online new studies, rads, professional journals Online, other technologists, reading articles/ manuals On-site applications/readings OTHER CT TECHNOLOGISTS AND BOOKS OTHER TECHNOLOGISTS READING MATERIAL EXPERIMENT OTJ, PROFESSIONAL JOURNALS, ARTICLES, SEMINARS Our applications tech has taught the core CT people new ways to scan ie. angios, etc. and they have passed that information on to the rest of us. Our radiologists keep up on current techniques and pass the information on to us. Also continuing education and articles and magazines. Participate in on-site training for new procedures, literature PHYSICIANS AT MY INSTITUTION, PEERS, MAGAZINES, ETC PRACTICE, IN-SERVICE, RESEARCH AND VENDORS PRACTICING ON PHANTOMS OR WITH EXAMS ALREADY DONE GOING BACK AND RECONSTR PROFESSIONAL BOOKS, HOME STUDIES, TRAINING WITH STAFF RADIOLOGIST VENDOR AND SUPERVI PROFESSIONAL NEWS MAGAZINES Published literature Radiologist, online resource material, buy books, fellow technologists and applications from GE Toshiba etc. RADIOLOGISTS INPUT, LITERATURE Radiologists input; Education material from institutions such as Johns Hopkins; Online and written updates from professional sources RADIOLOGIST'S WORKSHOP READING PERTINENT DATA TO PROC APPLICATIONS INSTRUCTORS Radiologists, other CT technologist, application training by vendors, and journals. Read manuals that came with equipment, practice on equipment, call applications hot line. Read a lot Read a lot and radiologists ideas and articles READ ABOUT IT OR SPEAK TO CT TECHS THAT COME TO GE FOR TRAINING READ ABOUT IT VIA INTERNET OR SPEAK WITH RADIOLOGISTS SPECIFIC TO CT OR Read about new procedures, watch the news and follow up with Radiologists, Buy books on new techniques and procedures, go to seminars if possible READ ABOUT OTHER PROCEDURES, SPEAK WITH OTHER TECHNOLOGISTS WHO HAVE PERFORMED PROCEDURES REPRESENTATIVES Read and listen to other professionals. Read and observe others. Often the best skill advancement is the actual performance.

29 READ AND TALK TO RADIOLOGISTS Read articles and literature on the latest techniques and equipment Read articles and speak to other technologists who have the more advanced scanners. READ ARTICLES AND TALKING TO OTHER TECHS Read articles on procedures, go to conferences, get information from other technologists/radiologist Read as much as I can. Surf the web and with a little luck find some useful info. Network, use resources. Also, believe it or not but your service engineer is a good source of info! Read different media, radiologists, directed readings, other CT technologists READ information sometimes provided by the vendor. Read articles in magazines. Read journal articles. Web-based research. Other institutions. READ JOURNALS Read journals and attend conferences READ JOURNALS, HOME STUDY Read journals, ask radiologist, talk to GE medical services, ask other technologists at other hospitals, conferences go online to CT Web sites Read literature available READ MANUALS Read manuals from manufacturers, (GE, Toshiba, Siemens) reading journals from contrast companies, (Berlex, etc) discussions with radiologists & other specialty doctors, Internet searches, working at 3 different hospitals. READ PROTOCOLS FROM OTHER INSTITUTIONS Read protocols, ask co-workers, do as many exams by myself as possible Read radiology magazines, study CT books READ TO GAIN KNOWLEDGE Read trade mag. and papers. Read up, talk to others, practice makes perfect. READ UP ON THE PROCEDURE AND TECHNIQUE IN JOURNALS OR TEXTBOOKS. TALK TO OTHER TECHS IN DIFFERE Read what literature there is on new procedures, read info from CT manufacturer, talk w/ CT applications people, discuss procedures w/ radiologists, try it out READ, IN-SERVICE Read, read, read. Attend seminars, conferences. Practice, practice, practice. Reading Reading about advancements in technology and new techniques READING ABOUT NEW PROCEDURES AND TRYING TO BECOME AS FAMILIAR AS I CAN ABOUT THEM AS POSSIBLE BEFORE I NEED TO DO THEM. READING ABOUT NEW TECHNOLOGY LEARNING FROM RADIOLOGISTS READING ABOUT TECHNIQUES AND PROCEDURES Reading about the applications READING ADVANCE AND RADIOLOGY TODAY Reading and applications training provided by vendor Reading and applying. Talk to Radiologist READING AND ATTEMPTING TO APPLY THE KNOWLEDGE reading and conferences Reading and learning new techniques, discussing with radiologists. Talking with trainers with new equipment and the best methods to handle new techniques and procedures

30 READING AND LISTENING TO THE NEEDS OF OUR RADIOLOGISTS READING AND PEER REVIEW WITH RADIOLOGIST AND TECH READING AND PERFORM IT WITH ANOTHER CT TECH READING AND QUESTIONING EXPERIENCED CO-WORKERS. READING AND RADIOLOGISTS READING AND RESEARCHING READING AND STAYING INFORMED READING AND STUDYING OTHER PROCEDURES EITHER FROM BOOKS OR THE INTERNET Reading and talking with other technologists Reading and talks with other techs. Reading and then applying learned materials Reading any and all available information Reading anything I can find on the subject and contacting my vendor for any information and help they can provide. READING APPLICATIONS MANUAL, INPUT FROM OTHER TECHNOLOGISTS, TRIAL AND ERROR, CEUS Reading articles and asking radiologist Reading articles in trade magazines. Reading material online, especially at Also from on-site Radiologist or consulting with the CT department at our affiliated academic hospital. Reading articles myself or those provided by radiologists and also by on-the-job training and trials by myself and other technologists. Reading articles or by doctors or other techs READING ARTICLES RELATED TO CT SCANNING Reading articles related to the CT field. Communicating amongst other technologists from other hospital sites, regarding different ways CT's are preformed elsewhere. Reading articles, checking latest protocols on Web sites such as ct is us. Reading articles, having discussions with radiologists, experimenting with new techniques, attending conferences, directed readings. Reading articles, talking with other techs, going to conferences Reading articles, working closely with radiologists and vendor resources. Reading articles. READING ARTICLES/OTHER TECHS/ONLINE INFORMATION Reading articles/talking to the radiologists Reading articles and possible off site workshops if offered at reasonable cost. Reading as many online articles as I can find. Seeking vendor information if available. Attempt to find hospital performing procedures and go there as a traveler and learning their procedures. reading as much as i can in all kinds of journals, both tech and md related. cds sent from other companies on theirequipment even though not our current model. talk with my radiologists. most techs at my facility are not ARRT registered in CT so they are no help. READING BOOK AND JOURNALS READING BOOKS, TALKING, WORKSHOPS READING CALLING A LARGER FACILITY TO GET PROTOCOLS. GOING TO CT SPECIFIC CONFERENCES Reading CT books. READING EVERYTHING RELEVANT

31 READING EXTRA MATERIALS, AUNT MINNIE, ASKING LOTS OF QUESTIONS TO THE RADIOLOGISTS Reading from journals, radiologists and other technologists READING IN PROFESSIONAL JOURNALS, ALSO ONLINE AT ASK AUNT MINNIE SITE. Reading in the professional magazines about new techniques and procedures. Talking with our radiologist about the newest procedures. READING INFO, RADIOLOGIST NEEDS, WANT, INFORMATION GATHERED FROM OTHER FACILITIES Reading information in technical publications, online research, and by asking questions of the radiologists Reading journals READING JOURNALS AND ARTICLES FROM OTHER HOSPITALS Reading journals and articles helps greatly. Online activities at Web site. I am the only person at my facility with CT postprocessing experience. Siemens Medical Systems provides excellent applications as well as Johns Hopkins continuing ed. conferences. Read, Read, Read and develop protocols with physicist. Reading journals and learning from the Radiologist. I also like to learn from other techs who have traveled to conferences or vendor sponsored training. Reading journals and other articles pertaining to the new developments. Reading journals and vendor information online READING JOURNALS FOR RTS AND MDS. TALKING WITH RADIOLOGISTS Reading journals from different vendors READING JOURNALS, EDUCATION FROM RADIOLOGISTS/EXPERIENCED CT TECHS Reading journals, radiologist input, conferences READING JOURNALS, RADIOLOGISTS, ATTENDING SEMINARS Reading journals. Viewing videos. Discussing techniques with radiologist. READING LITERATURE READING LITERATURE AND ONLINE INFORMATION Reading literature and speaking with radiologist READING MAGAZINES AND JOURNALS READING MAGAZINES OR ANYTHING THAT IS AVAILABLE TO ME Reading manufacturer's manuals and talking with other technologists READING MATERIAL ASKING QUESTIONS READING MATERIAL, WORKSHOPS, CE CONFERENCES Reading materials pertaining to CT. Watching home videos or DVDs pertaining to CT, learning a skill from an applications specialist Reading materials. Internet. Radiologist Reading medical journals and new teaching text books on trauma and or new technology in CT. READING MY SCANNER TECHNIQUES BOOK OR ASK OTHER STAFF Reading new letters from sites such as ctisus, visiting online sites such as ctisus, univ of virginia, and multidetector. Articles in the ASRT journal, etc. Reading or reviewing sources on the Internet READING PAPERS OR TALKING TO RADIOLOGIST Reading product brochures and in-services Reading professional magazines and learning the new protocols and techniques and experiment that in work place with the radiologist. Reading protocol from other facilities or talking with equipment application specialist

32 READING PROTOTOL, SCANNER MANUALS, AND GOING ONLINE. READING PUBLISHED MATERIAL, VISITING ONLINE SITES, VISITING AND SPEAKING TO CT TECHNOLOGIST READING RADIOLOGY JOURNALS AND IMPLEMENTING THEM INTO PRACTICAL USE READING RECOMMENDED MATERIAL SPECIFICALLY DEDICATED TO PROCEDURE AND/OR PROTOCOL. REFER TO THE RADIOLOGIST ANY QUESTIONS AND/OR CONCERNS READING RELATED JOURNALS AND SURFING READING SYSTEM APPLICATIONS PUBLICATIONS. CONTINUING EDUCATION SEMINARS. READING THE JOURNALS AND DISCUSSING WITH FELLOW TECHNOLOGISTS READING THE MAGAZINES I GET IN THE MAIL READING THE NEW LITERATURE GOING TO CONFERENCES TALKING TO RADIOLOGIST READING UP ON NEW INNOVATIVE TECHNIQUES AND PROCEDURES Reading up on the procedures; going online to all my sources, and my radiologist's input. READING UP OR ONLINE INFO ALSO OTHER CT TECHS READING UPDATED MATERIALS Reading, and on-site training. READING, ASKING QUESTIONS Reading, discussing cases with our radiologist. Applications assistance from the vendor help line. READING, DOING CE POINTS, RADS, VENDORS READING, OBSERVING, AND DOING UNDER OBSERVATION THEN DOING SOLO READING, ONLINE INFORMATION RADIOLOGISTS Reading, talking to other technologists, problem solving through innovative thinking, trial and error, discussions with radiologists READING, TALKING WITH OTHERS, SEMINARS, WORKSHOPS Reading, trial and error, ask someone else who knows Reading, vendor relationships, seminars Reading. Reading; training materials; materials from vendors. READINGS FROM ASRT JOURNALS Readings in journals, magazines, national lectures, hands-on practice. READINGS THROUGH ASRT, READING ON WEB SITES SUCH AS CTISUSORG AND TALKING TO TECHS THROUGHOUT T READINGS, OFF-SITE INSTITUTIONS Readings, vendors, other technologists Readings; on-site, off-site conferences; dept. in-services Research on the topic, vendor applications, either on site or off site. Sometimes a visiting radiologist will provide education and imaging techniques. Research through journals, Web sites such as Aunt Minnie and CTISUS, and U of W CT conference. Refer to journals, online sites, and other techs for protocols, hints... Research along with the Radiologists' input and application of new techniques and procedures. Research how other facilities do the techniques, ask for radiologist assistance, ask the vendor for assistance. Research of available materials and conversations with staff radiologists

33 Research online or other reference material that's been published. Research online sites. Read on latest and newest equipment and exams. RESEARCH TECH INFO RESEARCH TECHNIQUES & PROTOCOLS Research, asking questions, online RESEARCHING DIFFERENT AVENUES IN CT THEN GOING TO OUR RADIOLOGISTS WITH ANY N Review new research articles; read journals (e.g.); speak with vendors & radiologists REVIEW OF PUBLISHED ARTICLES IN AJR AND ACR GUIDELINES. CONTACT AND OTHER FACILITIES SEMINARS, READING MATERIAL, OUR HOSPITAL HAS UPDATED EQUIPMENT AND APPLICATIONS TRAINING Seminars, self-learning packets. SOME RADIOLOGISTS ARE GOOD FOR TEACHING. I READ SOME MATERIALS AND LEARN NEW THINGS FROM OUR SUPERVISOR. Speak to radiologists and others that are dedicated to CT.I use the Directed Readings and Scanner. I choose CT related workshops at conferences. Stay up on new CT procedures. Read as many articles regarding technology as possible. Study STUDY ANATOMY AND PHYSIOLOGY TO USE AS A BASIS FOR GENERAL TECHNIQUES AND PROCEDURES. PUBLISHED STUDIES FROM TEACHING/RESEARCH FACILITIES ON WHAT HAS AND HAS NOT WORKED FOR THEM. STUDY MAGAZINES, ON-THE-JOB TRAINING Study materials given to me by radiologists or journals STUDY UP ON THEM WITH MY CT INFO BOOKS I AM USING TO STUDY FOR CT EXAM STUDYING FOR MY CT EXAM Studying previous examinations and the technical factors used to acquire the images. Discussion with radiologists about the changes made and whether to implement them for future reference. Constantly reading research articles provided by radiologist. TALK TO RADIOLOGISTS AND READ JOURNALS Talk to vendor applications people, read articles, talk to radiologists, talk to techs at other facilities that do procedure. Talk with other sites or physicians, ask vendors for journals TALK WITH OUR RADIOLOGISTS, READ ARTICLES WORK WITH TECH THAT HAS DONE THE TREATMENT BEFORE WE ALL LEARN THE EXAM TALKING TO MDS, READING ARTICLES IN SCANNER MAG, ETC. TALKING WITH OTHER TECHS AND ACCESSING INFORMATION FROM DIFFERENT VENDORS, ALSO FROM RADIOLOGY JOURNALS. Talking with Radiologists, other C.T. techs, reading material, videos. TEXT BOOKS, SEMINARS THROUGH READINGS Through readings mainly, currently work in a cancer institute as a radiation therapist. We use CT for simulations - just general CT work nothing too technologically advanced. Through readings, radiologists, and other technologist's. Through school and magazines. Also through co-workers who have different ways of doing things with the same or better results. Through vendor-related information, seminars, journal articles, radiologist(s), etc Through vendors and ASRT and Radiologists Through Radiologist, readings, and vendors

34 Through the radiologists and readings TRAINING FROM APPLICATION SPECIALIST, READING Training with more experienced CT technologists and CT related articles. Try to learn those applications from fellow employees that already have the knowledge about these techniques or go to the source and read the manual provided by the vendor Try to read up on it and talk to a specialist in that area TRY TO READ! LEARN! CHANGES ARE ALMOST DAILY! STAYING UP TO DATE IS DIFFICULT, MUST READ, AND NEED MUCH MORE APPLICATION IN TRENDS, PROTOCOLS THAT WORK. Trying to find article whenever I have time to Unfortunately, our hospital has a single slice scanner with an antiquated radiologist so we are not up on the latest and greatest. However, I talk to other techs and read journals. USUALLY THROUGH THE CT TECH THAT MANAGES OUR WORK AREA; RAD TECH MAG, CDS. Usually upgrade education from vendors on-site in-services from vendors, ASRT publications VENDOR HAS PROTOCOLS. VENDOR SENDS ARTICLE, JOHNS HOPKINS WEB SITE VENDOR INFORMATION, JOURNALS/ARTICLES IN MY AREA OF INTEREST VENDOR, ARTICLES, TECHS, RADIOLOGISTS, OTHER HOSPITAL SITES VENDORS, LITERATURE, RADIOLOGISTS Vendors, radiologic journals, university courses, online courses WATCHING 1ST, THEN DEFINITE HANDS-ON REPEATEDLY -- ASKING OTHER TECHS, READING MATERIALS WATCHING AND READING WE HAVE LITTLE OR NO TRAINING AT OUR FACILITY. AT THIS TIME, I TRY TO STAY CURRENT BY READING PROFESSIONAL MAGAZINE ARTICLES/NEWSPAPER ARTICLES, ETC. WE WORK CLOSELY WITH OUR VENDOR AND FOLLOW PROTOCOLS DOWNLOADS FROM SITE Web Sites: CT IS US, Aunt Minnie, Siemens. Vendor presentations, publications Working with applications specialist on in site info lines. Working with radiologist and reading articles in their journals Working with other CT Techs. Talking to my supervisor and discussing situations with him. Reading the peer reviewed journals and Seeram. Researching specific items on the Internet. Working with the radiologist and reading materials they find relevant. Vendors also provide much information. WORKING; FEEDBACK FROM RADIOLOGIST, KEEPING UP WITH CURRENT LITERATURE WORKSHOPS, CE MATERIALS WORKSHOPS, CONFERENCES, EDUCATIONAL MATERIALS WOULD READ MONTHLY MAGAZINES CURRENLTY ONLY FROM RADIOLOGIS CHANGES ARE DICTATED Total Classes, Seminars, Conferences, Vendor Training Frequency Percent 1. Off-site formal classes 2. seminars 1.Vendor Applications Training on new equipment2.seminar(s) ANY NEW PROCEDURES WILL BE INSTRUCTED BY CHEIF TECH. APPLICATION SPECIALIST Application specialist books APPLICATION TRAINING PROFESSIONAL JOURNALS PROFESSIONAL CONFERENCES

35 APPLICATION TRAINING, READING APPLICATIONS Applications and contrast reps bring very valuable info. Then I follow up that suggestion with seminar training and reading in-depth studies on particular protocols. Applications from vendors APPLICATIONS SPECIALISTS AND ANYONE MORE KNOWLEDGABLE THAN MYSELF APPLICATIONS THROUGH NEW MACHINES AND SCANNERS FROM VENDORS APPLICATIONS TRAINING AND PURCHASE OF NEW EQUIPMENT Applications training, observing others, performing exams APPS OR RADIOLOGIST -- MY OWN THOUGHTS ON TIMING AND WHAT IS AT QUEST Apps, co-workers, radiologist As an educator, I believe that courses in advancing imaging, such as computed tomography should be a component of a bachelor degree program. As lead CT technologist, I cross-train others and stay updated by reading the textbooks, journals and doing all CE credits online. Radiologists are helpful to learn from, as are our surgeons. If I hear an unfamiliar term, I look it up and share it with others. As new procedures are developed training provided by radiologist and co-workers that have received formal training. As part of the CT department at Mayo Clinic in Rochester, Minnesota I ask my supervisor if I can be trained on a scanner or area that is otherwise unfamiliar. It is then totally up to them whether or not I am able to receive on-the-job training in that area. As stated above, I am an instructor for Radiation Therapy. I teach a course in Cross-Sectional anatomy and include the function and components as well as the history of Computed Tomography. With the increased use of CT in the treatment planning process, formal training in CT is now part of our curriculum. Ascertain information online, communication with other CT technologist; online applications from GE support. Ask more experienced CT tech in dept, seek outside neighboring hospitals, radiologist input, or consult past CT seminar protocols. ASK OTHERS HOW THEY DO IT. RELY ON IN-SERVICES FROM VENDORS. READING MATERIALS ASK RADIOLOGISTS, GO TO SEMINARS ASK OTHER CT FACILITIES ASK RADIOLOGISTS/READ ABOUT IT/CONFERENCES ASK VENDORS, APPLICATIONS REPS, DOCTORS, READINGS Ask vendors. Off-site seminars. Journals Asking as many questions as possible wit several Radiologists, fellow CT Technologists. Attending as many CE course available. ASRT DIRECTED READINGS, VENDORS WITH CONTINUING EDUCATION READINGS ATTEND A CONFERENCE IN CHICAGO IL, WHICH I PAID FOR MYSELF. MY INSTITUTION WOULD NOT ASSIST IN PAYING FOR THIS. ATTEND CONFERENCES ATTEND CONFERENCES TARGETED FOR MATERIAL THAT WILL COVER AREAS OF UNCERTAINTY. ASK RADIOLOGIST TO PAY EXPENSES Attend conferences, on-site applications training provided by a vendor ATTEND HOSP/CLINICS WORKSHOPS AND SEMINARS WITH A MULTIDISCIPLINARY APPROACH CARDIOLOGIST, RADIOLOGISTS, VASCULAR SURGEONS. VENDOR SPONSORED SEMINARS. ATTEND MORE HANDS-ON WORKSHOPS Attend seminars specific to that area of interest ATTEND SEMINARS, GET INFO FROM VENDOR, GET INFO FROM RADIOLOGISTS ATTEND STATE, REGIONAL, NATIONAL CONFERENCES CROSS-TRAIN AT ANOTHER SITE/FACILITY WITHIN THE [name of city] CLINIC HOSPITAL SYSTEM

36 Attending relevant seminar/symposia. Offsite training at a facility which already provides the service, professional readings ATTENDING A SEMINAR IN CT IMAGING, TECHNIQUES AND PROTOCOLS. AND TRYING NEW EXAMS THAT THAT A CT SCANNER IS CAPABLE OF SUCH AS VIRTUAL COLONOSCOPY. Attending conferences Attending conferences, online readings, working with radiologists to develop skills Attending conferences, talking with Radiologists and other CT technologists. Attending more in-services Attending national meetings with both radiologists and technologists is the greatest help in acquiring new skills. After all most techs and doctors are in the same boat as new technology comes available Attending our annual conference and going to CT related lectures and reading articles on CT advances. Attending various conferences, both away and in my hospital ATTENDING WORKSHOPS, CONFERENCES, OR OFFSITE TRAINING BY VENDOR Attending workshops, reading articles, working as a radiologist assistant BASICALLY CE COURSES AND SEMINARS WHEN I CAN GO Benchmarking with other CT technologists locally and at state conference and the annual ASRT meeting. By asking other CT Technologists at different sites, Vendor applications training. BY ASKING RADIOLOGISTS, FELLOW AND HEAD TECHNOLOGISTS, AS WELL AS FURTHER TRAINING ON OTHER SHIFTS THAT MAY DO EXAMS I RARELY SEE By asking Techs I work with. Take classes locally that are for any advanced training in CT. By attending more conferences, I am limited as to how many conferences I can afford, my facility will pay for one half of the cost, but it gets very spending. By attending on and off-site conferences. Vendor application training. Reading CT scan books and other reading materials. By attending seminars and utilizing our application site and also our radiologists. By attending state conferences when there are courses available in CT. By the vendor application visits. By the radiologists and CT supervisor. BY CONTINUING ED CONFERENCES, RADIOLOGIST, BOOKS, VENDORS AND THE DEVELOPMENT OF NEW TECHNIQUES WITHIN OUR FACILITY By going to conference, and talking to other CT techs, reading and studying on my own. By having vendors provide on-site applications and training. By reading additional materials on the subject, and by choosing relevant CE courses. By reading and attending seminars By reading and going to conferences. Help from radiologists BY READING ANYTHING TO DO WITH CT, AND ATTENDING LOCAL WORKSHOPS WHEN POSSIBLE OUR DOCTORS ARE NEW PROTOCOLS BY READING ARTICLES AND TAKING DIRECTED READING ASSESSMENTS. CT WORKSHOPS By working with radiologists and vendor applications. Call vendor apps. Ask other techs who may work at other hospitals that are doing different procedures. Google the procedure CE conferences and learning from CT techs who are new to our facility who have worked elsewhere. Clinical symposia or other continuing education offered throughout the year at various locations. CME course CME COURSES AND READING MATERIALS

37 Communication between myself and other CT technologists and radiologists. Talking to Applications Specialists via telephone through Phillips Medical. I currently run a Phillips 16- slice scanner Communication is key whether it is from education materials (seminars, readings)or in-house training at educational institutions, or online in-service technologists CONFERENCES CONFERENCES AND READINGS Conferences and talking to other technologist who go to conferences Conferences and workshops CONFERENCES APPLICATIONS INSTRUCTOR WHEN N CONFERENCES DISCUSSING FACTORS AND FELLOW READING THE APPLICATIONS MANUAL CONFERENCES OF DIRECTED READING CONFERENCES READINGS Conferences, apps training Conferences, directed readings, demonstrations Conferences, other technologists CONFERENCES, UPDATING OUR TECHNOLOGY AT MY WORKPLACE Conferences, vendor presentations, radiologists express needs CONFERENCES/BOOKS Contact and assistance from vendor applications as well as assistance from other sites who perform procedures that we may be learning. Videos, journals, and online assistance are also crucial aids in learning new techniques and protocols. Basically any Contacting the vendor application specialist. Continuing education articles CONTINUING EDUCATION SEMINARS Continuing education; Working with other CT techs COURSE, WORKSHOPS, OFF-SITE TRAINING IF A PARTICULAR KIND OF SKILL TO BE LEARNED COURSES COURSES - OTHER TECHS AT SISTER HOSPITALS RADIOLOGISTS Courses and workshops COURSES FROM SEMINARS, ONLINE COURSES, DIRECTED READINGS FROM ARRT INFO FROM RADIOLOGISTS AND SEN PROVIDED BY HOSPITALS IE VENDO CT CLASSES THAT I COULD GO TO BUT MY EMPLOYER DOESNT OFFER ME TO FIND SOME A I HAVE TO DO IT ON MY OWN Dedicated readings and vendor material very helpful Department work shops, on a job training Depend on radiologists, other technologists and conferences on CT protocols. DIRECT READINGS AND CONTINUING EDUCATION COURSES AND WORKSHOPS Direction from radiologist - applications for new equipment on-site DISCUSSION WITH RADIOLOGISTS, VENDORS AND ARTICLES Discussions with radiologists. Workshops. Reading radiologic magazines. Each upgrade in our equipment has a vendor professional to come on site and train staff. However, not everyone gets info first hand from the vendor. Education and consulting with the radiologists. Education at seminars, radiologists

38 Educational conferences by ESI or other professional society. GE applications provides a source to take assessment test and compare to results to rest of the nation. Educational conferences/peer review/radiologist direction EDUCATIONAL SEMINARS Either attending conferences or sending another tech to bring info to me. Also the Radiologists. The vendor applications as we upgrade. Either from our product vendors or other CT technologists EMPLOYER PROVIDED TRAINING AND VENDOR REPS. ESI SYMPOSIUM IN CT Every scanner upgrade is followed by protocol changes. Application specialists train us to new equipment. Continuing Education Yearly Every year or two we upgrade one of our scanners, however in the past year we upgraded both scanners, and through the applications we will (as a department) each advance our knowledge and our procedures. Experience in the field, working with radiologists developing protocols, attending conferences and fellowship with other technologists First we speak with the radiologist and see what he or she wants. Then we call around to other hospitals in the area to see if they are doing a similar procedure, and adapt from there. Following application suggestions. Trying something on my own. Following radiologist recommendations Forums on ctisus.com and auntminnies, radiologist, vendor training FROM CO-WORKERS/VENDORS/APPLICATIONS FROM OUR RADIOLOGIST AND CURRENT VENDORS. ALSO FROM ASRT JOURNALS FROM RADIOLOGISTS, ASRT JOURNALS, CT TECHNOLOGISTS, COURSES Further information through vendors, radiologists, and technologist. GE APPLICATIONS TECH OTHER SITES CT TECHS GE Healthcare is constantly training us on the latest technology. GE TIPS TV GET BOOKS, ONLINE COURSES, RADIOLOGISTS, VENDORS GETTING DIFFERENT MACHINES AT OUR FACILITY Go online to check protocols, question other institutions, call fellow technicians, conferences are the biggest source. Go to conferences, or have someone who is familiar with these procedures teach me. Our radiologists also assist with further training. Vendors come as we receive new equipment. GO TO DIFFERENT CONFERENCES GO TO MEDICAL MEETINGS IN OUR AREA. WORK WITH THE RADIATION ONC. IS BEING DEVELOPED FOR TREATMENT GOING TO CONFERENCES OUTSIDE OF WORK Going to conferences, reading related articles, speaking with the radiologists. GOING TO MORE WORKSHOPS, DEVELOPING SKILLS IN PROCEDURES GOING TO SEMINARS, READING SCANNER, ETC GOING TO TAKE CT COURSE Have GE rep train on software. co workers train in procedures i.e.--coronary CTA HOPEFULLY BY GOING TO SEMINARS THAT SEEM INTERESTING -- HAVEN'T HAD TOO MANY COME MY WAY I am a CT clinical instructor and I work at a teaching hospital that gets all of the new technology. I also lecture for the MSRT at their anual confrence and at their quarterly meetings. I need to keep up with the technologies and new protocols to help my students become the best technologist that they can be. Having a dedicated CT rotation, our students have a real "leg up" on the average student.

39 I AM A DIRECTOR SO I LOOK MORE AT WHERE THE TECHNOLOGY IS GOING IN REGARDS TO EQUIPMENT I am an applications specialist for GEHC so, I receive direct training. I am an educator as well as supervisor. I am currently scheduled to speak at the state RT society. My department is considered state-of-the-art daily performing virtual reality, angiography, and cardiac gated studies. Additionally I am in the process of finishing my book on introductory CT. Otherwise, I re I am currently enrolling in a college program dedicated to CT/MR bachelors program at the local university. I ATTEND SEMINARS AND READ MATERIALS I attended a training conference for our new scanner and learned a lot there. I read articles, watch GE Tip TV videos, visit Aunt Minnie web site and I talk with the radiologist about new stuff. I contact other hospitals and vendors. Check publications and look for online information. I DEPEND A LOT ON THE MANUFACTURERS ON-SITE TRAINING FOR NEW MACHINES BEING PERFORMED I get a lot of information from our radiology group. The vendors are very good at sending me info on state-of-the-art protocols. I GET INFORMATION EITHER FROM A CT VENDOR OR ONE OF THE SALES REPRESENTATIVES OR POSSIBLY THE RADIOLOGISTS. I DO WHAT I CAN. I GET THE INFO FROM OUR APPLICATIONS SPECIALISTS I have been training in CT for 1 yr and pretty much have depended on instructors at school and tech's that I work with to learn what isn't covered in text books. I have mainly learned from other technologists or the applications vendor. I INDEPENDENTLY PURSUE SEMINARS I keep in close contact with my GE online help. And their off-site applications personnel. I learn from my department manager, other CT technologists, radiologists and reading relevant published materials. I also attend CT conferences. I learn more from my exposures in my applications role than in any other venue. Multiple exposures to different protocols, procedures, radiologist preferences, contrasts etc. Keeping abreast of new techniques through publications sparks my interest but h I LIKE TO GO TO WEEKEND SEMINARS. LEARN MOST BY TALKING WITH TECHS AND RADIOLOGISTS I look for CEU courses in those areas. I seek out information about these things at RSNA. Online search and CT related sites I look to our chief radiologist for guidance as well as vendor reps and conference feedback. I plan to attend conferences and also learn through CEs I read books and publications concerning new technology and techniques. I have been fortunate enough to work at jobs that purchase cutting edge equipment. I have also work as an independant consultant to GE Medical Systems doing CT applications and therefore have access to fair amount of information. I read professional magazines and I rely on my employer to provide education for unfamiliar procedures. I also rely on our radiologist to help me understand the procedure. I read the application material with our Seimens and try to figure out new and better ways to help my patients and our scan times. I READ, GO ONLINE, SPEAK WITH VENDORS AND RADIOLOGISTS I rely on technologists who work at other facilities, and ASRT or ARRT readings, as well as vendor info and RSNA attendants like radiologists and managers. I rely on vendor support from GE Healthcare Division and from published protocols from Mayo Clinic. I resource vendors - applications personnel, radiologists, co-workers, Web sites of CTISUS. I take advantage of CE opportunities to learn about new topics. I sometimes attend onsite inservice sessions to learn about new procedures. I talk to other experienced CT techs I know, go to CT specific seminars, log on to Web sites about CT, read CT journals, etc

40 I talk w/ the radiologist and other staff about trying new scans that we hear about from equipment vendors and education articles that we receive at home and at work. I talk with radiologist and read the articles they read. I try to attend seminars when I can. As a traveler in CT this can be difficult. I talk with traveling radiologists to see how things are done in other facilities. I read newsletters from vendor to see what other services we could provide to our patients. I talk with CT techs from other facilities to keep up on new things. Plan on vis. I TRAVEL IN COMPUTED TOMOGRAPHY AND FAMILIARIZE TECHNIQUES AND PROCEDURES IN OTHER STATES WITH 21 YEARS EXP I ALSO GIVE APPLICATIONS I try and keep updated with technology. I have done working cruises. I research and interact with other technologist, radiologist, MDs. Our department has even contacted other hospitals for their feedback. I try to get information from any avenue that is available to me, e.g., Internet, applications people, etc. I TRY TO GO TO A CT CONFERENCE E.G., HOPKINS CT CONFERENCES I use home study courses. I USUALLY LEARN THROUGH READING JOURNALS, GOING TO CONFERENCES OR FROM RADIOLOGISTS. I'M EAGER TO TRY ANY NEW SCANNING RPOTOCOLS OR TECHNIQUES. I utilize a variety of resources radiologists guidance, CT techs I know working in a university hospital and applications specialists. I work at a large medical center. As new equipment is added I am trained appropriately. I WORK HAND IN HAND WITH RADIOLOGISTS TO PERFECT SKILLS, OFF-SITE APPLICATIONS AND ONSITE APPLICATIONS AND VENDORS AND LOTS OF PRACTICE. I work in a very small hospital; we have added a few new studies via radiologists information. We've had an applications tech come in a few times to set up additional studies. I WORK NIGHT SHIFTS. FOR ADDITIONAL TRAINING, I WORK WITH DAY SHIFT OR ATTEND CONFERENCES I worked toward my B.S. I would attend other facilities that are using those other techniques and such. Or have an applications person come to my facility to teach it. It is easier to learn hands on than by reading the material. I would have one-on-one training with the vendor and I will have the vendor available for any follow up questions. I would like attend more workshops. Have vendor come into the workplace. I WOULD LIKE BETTER TRAINING FROM APPLICATIONS FOR POSTPROCESSING AND VOLUME RENDERING, THE VIRTUAL COLONOSCOPY. I WOULD LIKE TO SEE VENDORS OF I m an applications Specialist In-house training by manager In-service provided by vendor In the past few years with our new GE scanners I have been to Milwaukee once and am going again next month. We also have a great apps person. I also enjoy seminars, but would like to have more concerning CT. INFORMATION FROM OUR GE APPLICATION SPECIALISTS In-house updates via vendor or employer IN-SERVICE IN-SERVICES IN-SERVICES AND SEMINARS IN-SERVICES, CONFERENCES, CLASSES OFFERED AT LOCAL SCHOOLS. In-services/CE Interaction with the rads, conference, ASRT INTERNET, RESEARCH, LIBRARY RESEARCH, MANUFACTURER APPLICATIONS

41 ISRT state meetings have a CT day, and the radiologists who dictate our protocols JOURNALS, MEETINGS, IN-SERVICES JOURNALS, VENDORS, ONLINE Journals, conferences, but most of all protocol changes by the radiologists I work with. By the way is it only in this side of town. Or are most employees anal about providing the employees with would be valuable on-site workshops? I'm very curious. Just went to apps for our new multi-slice scanner. Read information KEEPING CURRENT WITH LITERATURE, SEMINARS Keeping up with regular CE credits and courses Learn from fellow CT techs or from applications specialists Learn from Lead Ct Techs and those with more experience than myself. LEARN FROM MANAGERS ON-THE-JOB TRAINING VENDOR PROGRAMERS RADIOLOGISTS AS WELL Learning from radiologists, other CT techs. In-services from vendors on scanners, work stations, injectors, etc. Learning from the professionals or the vendors. LEARNING FROM VENDORS OR FROM READING MATERIAL OR FROM RADIOLOGISTS Literature, Web sites, seminars LOOK FOR UPCOMING SEMINARS Lots of vendor training if able to achieve applications specialist help. Online info and directed readings. Luckily, my employer can negotiate training packages with vendors for some members of the staff. I read journals and research any new advance to give myself an edge. Many new CT scanners e.g., 64 slice have given CT techs on-the-job training and aids in developing skills beyond that of a smaller hospital. MAYBE SOME WORKSHOPS AND OR CONFERENCES MORE ON-THE-JOB TRAINING AND ATTENDING SEMINARS MORE ONLINE CE ON CT WILL BE VERY HELPFUL, AND IN-SERVICE TOO. MORE THAN LIKELY GO TO SEMINAR MOST LIKELY AT A WORKSHOP -- NORTHWEST IMAGING FORUMS MOSTLY CONFERENCES OR APPLICATIONS TRAINING MOSTLY FROM APPLICATIONS, VIDEOS AND ON-SITE RADIOLOGISTS MOSTLY VENDOR Mostly when the scanners are upgraded. The vendors come in and give in-services. This does not help me very much because I only work part-time (weekend supervisor). The vendors are not available on the weekends. I get my info from the Weekday Techs and have MTMI-MILWAUKEE, TRAINING WITH OTHER MORE KNOWLEDGEABLE TECHS My CT skill set is bound by the CT scanner itself. We are currently getting a newer scanner, therefore a newer type of software allowing more advanced scanning capabilities. At this oncology site, the need for cutting edge diagnostic scanning is not necessary. National seminars, applications meetings Network with other users. Vendor workshop that pertains to my system not general CT NETWORKING WITH OTHER CT PROFESSIONALS VIA AND DIRECTLY AT CONFERENCES. VENDOR SPONSORED AND EMPLOYED SPONSORED SEMINARS NEW EQUIPMENT PURCHASES, ONSITE VISITS, WE LEARN FROM OTHER STAFF New machine, application tech came for a week-eleven techs-rotated through-after that we call their "help line" New procedure guidelines via CD training from our vendors, in-service opportunities when the budget allows

42 New technology through the manufacturer. Call other facilities with already set up procedures. Onsite training with radiologists. Normally through applications from our vendor and/or published materials on unfamiliar techniques. Normally, I would ask for the radiologist's help as well as working with other CT technologists, either from on site or off site. OFF-SITE CT DEPT AND CT TECHS OFF-SITE SEMINARS Off-site seminars mostly with vendor support OFF-SITE TRAINING WITH OTHER PROFESSIONALS OF THE FIELD OR VENDORS OFF-SITE APPLICATIONS PROVIDED BY VENDOR OFF-SITE SEMINARS READING OFFSITE TRAINinG FOR 1 WEEK WHEN WE BOUGHT A NEW 16 SLICE SCANNER - USE OF TOSHIBA APPLICATIONS PERSON AND CO-WORKERS WENT TO A 2-DAY CONFERENCE AND INSTRUCTION AND WRITTEN MA ON AND OFF-SITE APPLICATIONS TRAINING BY VENDORS ON JOB TRAINING FROM OTHER TECHNOLOGISTS OR FROM ON SITE RAFF SITE VENDOR ON-JOB TRAINING OR OFF-SITE SEMINARS Online reading, CE courses, conferences ON MY OWN INITIATIVE, AND I READ PERTINENT ARTICLES On-site applications training. Online ON-SITE APPLICATIONS ON-SITE APPLICATIONS AND DISCUSSION WITH STAFF AND RADIOLOGISTS On-site instructors from vendors, coming in August, 2005 with new 64 slice VCT. ON-SITE TRAINING GOING TO A CLASS AT GE ON-THE-JOB TRAINING AND ON SITE TRAINING DIRECTED READINGS AND CONTINUI ON-THE-JOB TRAINING AND SOME VENDORS On-the-job training from a vendor On-the-job training or conferences. On-the-job training, applications, off and on site training ON-THE-JOB TRAINING, READING OF MANUALS AND INFORMATIONAL ARTICLES, ONGOING APPLICATIONS BY THE VENDOR ON-THE-JOB TRAINING, VENDOR DEMOS AND FACILITY IN-SERVICES On-the-job training. Attending seminars. ONLINE INFORMATION AND CT CONFERENCES ONSITE APPLICATION TRAINING. OFFSITE COURSES TAKEN FROM VENDORS On-site training from co-workers, radiologists and/or vendors On-the-job or by co-worker who was trained by a vendor On-the-job training combined with keeping in touch with vendor application specialists. OTHER CT TECHNOLOGISTS AND CONTINUING EDUCATION SEMINARS Other CT technologists, vendors (GE) OTHER CT TECHS, DIRECTED READINGS OTJ, PROFESSIONAL JOURNALS, ARTICLES, SEMINARS OUR HOSPITAL CONTINUALLY UPGRADES EQUIPMENT. A 64 SLICE IS COMING TO THE CA I WILL COMMENT ON NEW CT TECHS

43 OUR HOSPITAL HAS RECENTLY PURCHASED 3 NEW SCANNERS SO WE HAVE GOTTEN A LOT OF APP GREAT NEW STUDIES Our hospital just received a new Siemens 64 slice CT scanner & I was sent to North Carolina to train on it. We are having applications come in & train me more on this so I can fully train the rest of the technologists. I also read up on the radiologic m Our hospital purchased two 16 slice scanners in the past two years, and a 64 slice scanner is coming within the month's end. Hence, my skills have been developed and perfected with the help of applications specialists as well as an extremely heavy work l Our radiologists keep up on current techniques and pass the information on to us. Also continuing education and articles and magazines. Our radiologists learn about new procedures, then they develop protocols for us to follow. Also we have applications specialists who come in and teach us new procedures and techniques. PRACTICE, IN-SERVICE, RESEARCH AND VENDORS PROFESSIONAL APPLICATIONS AND OTHER TECHNOLOGISTS. PROFESSIONAL CONFERENCES RAD INPUT/RAD CONFERENCES Radiologist and GE updates, etc RADIOLOGIST IN THE DEPT. AND CONTINUING EDUCATION CLASSES Radiologists and GE applications rep Radiologists and vendors Radiologists usually introduce new technology or procedures. Vendors sometimes provide apps. We work with radiologists to educate/train and then improve skills in new procedures using one lead tech to develop expertise and continue training other techs t RADIOLOGIST'S WORKSHOP READING PERTINENT DATA TO PROC APPLICATIONS INSTRUCTORS Radiologists, other CT technologist, application training by vendors, and journals. RADIOLOGISTS, VENDOR REPRESENTATIVES Read articles on procedures, go to conferences, get information from other technologists/radiologist Read different media, radiologists, directed readings, other CT technologists Read journals and attend conferences Read journals, ask radiologist, talk to GE medical services, ask other technologists at other hospitals, conferences go online to CT Web sites READ, IN-SERVICE Read, read, read. Attend seminars, conferences. Practice, practice, practice. Reading and applications training provided by vendor Reading and conferences Reading and learning new techniques, discussing with radiologists. Talking with trainers with new equipment and the best methods to handle new techniques and procedures Reading anything I can find on the subject and contacting my vendor for any information and help they can provide. Reading articles, having discussions with radiologists, experimenting with new techniques, attending conferences, directed readings. Reading articles, talking with other techs. going to conferences Reading articles, working closely with radiologists and vendor resources. Reading articles and possible off site workshops if offered at reasonable cost. READING BOOKS, TALKING, WORKSHOPS Reading journals, radiologist input, conferences READING JOURNALS, RADIOLOGISTS, ATTENDING SEMINARS

44 READING MATERIAL, WORKSHOPS, CE CONFERENCES Reading new letters from sites such as ctisus, visiting online sites such as ctisus, univ of virginia, and multidetector. Articles in the ASRT journal, etc. Reading online reviews & techniques, getting new protocols from radiologists, vendors & other facilities, going to conferences/seminars and by trial and error. Reading product brochures and in-services READING SYSTEM APPLICATIONS PUBLICATIONS. CONTINUING EDUCATION SEMINARS. READING THE NEW LITERATURE, GOING TO CONFERENCES, TALKING TO RADIOLOGIST Reading, and on-site training. Reading, discussing cases with our radiologist. Applications assistance from the vendor help line. READING, DOING CE POINTS, RADS, VENDORS READING, TALKING WITH OTHERS, SEMINARS WORKSHOPS Reading, vendor relationships, seminars Reading; training materials; materials from vendors. Readings, vendors, other technologists Readings; on-site,off site conferences; dept. in-services Research on the topic, vendor applications, either on site or off site. Sometimes a visiting radiologist will provide education and imaging techniques. Research through journals, Web sites such as Aunt Minnie and CTISUS, and U of W CT conference. RECENTLY WE TOOK A TRIP TO A GE SITE TO TRAIN ON A VITREA THAT WAS HELPFUL AND EDUCATION Regional vendor sponsored conferences RELYING ON VENDOR/RESOURCES, SPEAKING WITH OTHER TECHNOLOGISTS FROM LOCAL AREA Research how other facilities do the techniques, ask for radiologist assistance, ask the vendor for assistance. SEEKING EDUCATION OF OTHERS DRS SEMINARS SELF-TAUGHT OR FROM A FELLOW TECH SEMINARS SEMINARS ADN ON-THE-JOB TRAINING Seminars given by company applications professionals. Seminars or supervisor will train us SEMINARS OR WORKSHOPS SEMINARS ARE A WAY TO GO. ALSO THE RADIOLOGIST IS A GOOD SOURCE OF WHAT'S NEW, AND THEY CAN TELL YOU HOW AND WHAT THEY WANT TO SEE. BECAUSE YOU KNOW THEY ARE THE ONES READING IT. :-) SEMINARS, READING MATERIAL, OUR HOSPITAL HAS UPDATED EQUIPMENT AND APPLICATIONS TRAINING Seminars, self-learning packets. Seminars/radiologist/GE reps Site apps. - vendor updates Software/hardware upgrades routinely with our system along with vendor applications. Speak to radiologists and others that are dedicated to CT.I use the Directed Readings and Scanner. I choose CT related workshops at Conferences. SURGICAL AND RADIOLOGY RESIDENTS AND ATTENDINGS OFF SITE AND ON SITE APPLICATI A VENDOR

45 Seminars, other CT technologists Taking classes, observing at other facilities Talk to other sites for their protocols, etc., call our applications specialist. Talk with radiologists for their important information and protocol. Talk to other technologists and go to CT classes when offered in my area. I take advantage of any continuing education that is offered in my area. Talk to other techs, call applications. Trial and error with the machine. Talking to radiologists. Talk to vendor applications people, read articles, talk to radiologists, talk to techs at other facilities that do procedure. TALKING WITH OTHER TECHNOLOGISTS. SITE VISISTS TO ANOTHER INSTITUTION. APPLICATION SPECIALIST PROVIDED BY VENDOR.INPUT FROM RADIOLOGISTS. EDUCATIONAL CONFERENCES. TALKING WITH OTHER TECHS AND ACCESSING INFORMATION FROM DIFFERENT VENDORS, ALSO FROM RADIOLOGY JOURNALS. TEXT BOOKS, SEMINARS The radiologists play a big part in teaching new procedures. Vendor or apps personnel are a big source of education also. Technologists from a regional hospital where they do the procedures also are good sources of education. THIS IS DIRECTLY RELATED TO THE EQUIPT TYPE YOU HAVE IN YOUR FACILITY Through GE workshops as software is expanded at their facility in Milwaukee THROUGH IN-HOUSE WORKSHOPS Through instructional manuals from vendors and online resources. Through off-site vendor classes, online vendor readings, worked as a vendor applications specialist, other CT technologists, and radiologists, visiting other CT departments with new technology. THROUGH OUR VENDORS AND RADIOLOGITS THROUGH PRACTICAL EXPERIENCE SEMINARS IN CT Through radiologists and vendors Through school and magazines. Also through co-workers who have different ways of doing things with the same or better results. Through vendor-related information, seminars, journal articles, radiologist(s), etc Through vendors and ASRT and radiologists THROUGH RADIOLOGIST CT SEMINAR FOR R.T.S HANDS-ON APPLICATION Through radiologist or applications Through radiologist, readings, and vendors TRAINING AND VENDOR RADIOLOGIST ASSISTANCE Training classes from vendors. Radiologist new protocols. Training from radiologists, conferences. TRAINING OTHERS, ONSITE APPLICATIONS, NEW EQUIPMENT RADIOLOGISTS ARE AT A LEARNING CONSTANTLY WANTING SOMETHING N UNFORTUNATELY, I HAVE BEEN DEPENDENT ON MY SUPERIORS TRAINING AS WELL AS VENDOR APPLICATION VISITS. MOST OF THE SEMINARS I HAVE ATTENDED HAVE NOT GIVEN ME ANYTHING BEYOND BASICS AND GENERAL INFORMATION. THE DAY TO DAY NEEDS I HAVE ARE ALSO MANUFACTURER SPECIALISTS Usually one or two of the technologists in my department attend conferences or workshops to learn new equipment or advances. They then train the remaining techs in this new material. At times vendors come to us to train. Usually under radiologist guidance and/or on-site applications training provided by a vendor. Sometimes our coordinator attends off-site training seminars and upon returning, trains the rest of our CT department.

46 Usually unfamiliar skills are due to new techniques etc. and I have found adequate training from facility/vendors prior to doing procedures having been a seasoned tech doing CT for years. Usually upgrade education from vendors on-site in-services from vendors, ASRT publications Usually vendor representatives Usually, in the past, when we learned a new skill, the applications person would come to teach two or three techs how to do the procedure, then they would teach the rest of the techs how to perform the skill. Not always consistent with teaching, and not UTILIZE OTHER TECH INFIELD DR AND RADIOLOGISTS OCCASSIONALLY GE INSITE PROVIDES ADDITIONAL NEW INFORMATION UTILIZING HOTLINE INFORMATION THAT GOES ALONG WITH OUR CT UNIT Utilizing whatever resources are supplied by my employer, i.e. GE reps that did in-service on our new 16 detector scanner. Vendors, technologists from another hospital, radiologists. VENDOR AND OFF SITE VENDOR AND ONLINE MATERIALS CDS VENDOR APPLICATION SPECIALIST VENDOR APPLICATIONS VENDOR DEMOS, JOURNALS, MANUALS INCLUDED WITH APPLICATION IN PURCHASING VENDOR HAS PROTOCOLS. VENDOR SENDS ARTICLE, JOHNS HOPKINS WEB SITE Vendor Information Vendor information and online protocols and case examples VENDOR INFORMATION, JOURNALS/ARTICLES IN MY AREA OF INTEREST VENDOR IN-SERVICES, DRS, RESEARCHING ONLINE VENDOR OFF-SITE TRAINING VENDOR PHONE SUPPORT OR OTHER FACILITY CONTACTS Vendor representatives VENDOR REPS COME TO HOSPITAL WITH NEW PRODUCTS, RADIOLOGIST HAVE NEW IDEAS VENDOR TRAINING FELLOW CT TECHNOLOGISTS TRAINING VENDOR TRAINING ON NEW APPLICATIONS Vendor training, seminars Vendor training, working with other CT Technologists, looking at reference material online VENDOR, ARTICLES, TECHS, RADIOLOGISTS, OTHER HOSPITAL SITES VENDOR/APPLICATIONS TRAINING Vendors, vendors' applications. Radiologists. VENDORS AND CO-WORKERS Vendors and online sites VENDORS AND OTHER CT TECHS Vendors usually have a generic protocol of certain procedures. VENDORS, GE TRAINING VENDORS, LITERATURE, RADIOLOGISTS Vendors, radiologic journals, university courses, online courses Vendors off-site conferences, networking with other facilities, radiologist guidance Vendor training with new upgrades to our equipment onsite/offsite. Visiting other area facilities within our network to learn new procedures and techniques.

47 VIA RADIOLOGISTS WHO CONTINUALLY KEEP ABREAST ON CURRENT CT PROCEDURES AND THEY ARE MORE APT TO GO TO CONFERENCES ETC AND LEARN ABOUT SUCH TECHNIQUES. WE ARE A GE NATIONAL SHOW SITE. ALL NEW SYSTEMS 64 CHANNELS. We are in the process of obtaining two new scanners. On-site applications, and one or two of us will go to off-site training, then come back and train the rest of the staff. Also, our radiologists update us with new protocols they want us to try and/or use We are very fortunate to be in constant contact with our vendors, as we are a beta site and a show site. We contact our reps for education or fellow techs at other facilities. WE HAVE A NEW CT, SO I CAME IN DURING THE WEEK AND LEARNED NEW METHODS ALSO CONTINUING EDUCATION WE JUST PURCHASED A 16 SLICE GE LIGHT SPEED, SO WE ARE STILL LEARNING THE EQUIPMENT, PROTOCOLS, ETC. THIS IS AN AMAZING MACHINE AND IS VERY USER FRIENDLY. I WOULD LIKE TO ATTEND A CONFERENCE ON MULTI-CT SOMETIME SOON. WE RECENTLY PURCHASED TWO LIGHTSPEED AND I HAD APPLICATIONS TEACH ME ON ONE WE WILL BE TAUGHT BY FELLOW RADIOLOGISTS We use top of the line CT scanning equipment, utilizing CT applications from vendor. CT supervisor works closely with vendor and radiologists to keep current protocols up to date. All literature online and in journals is used to keep myself informed. Web Sites: CT IS US, Aunt Minnie, Siemens. Vendor presentations, publications WHENEVER POSSIBLE I WILL PARTICIPATE IN PROGRAMS OFFERED IN MY GENERAL AREA. VENDORS PROVIDE TRAINING PROGRAMS SEVERAL TIMES A YEAR. I WORK IN A TEACHING HOPSPITAL AND TAKE ADVANTAGE OF ANY INSTRUCTIONAL PROGRAMS GIVEN BY THE RADIOLOGISTS. WHEN THE TIME COMES I VISIT A SITE THAT ALREADY DOES THE PROCEDURE. READ ABOUT IT. ASK A RADIOLOGIST WHEN UPDAGE OF NEWER SCANNER, CLASSES WILL BE PROVIDED. WHEN WE GET A NEW SCANNER UP WE ARE SENT TO GE FOR TRAINING AND THEN GE AN PPLICATIONS SPECIALIST TO OUR CLINIC When we updated to a multi slicer we developed our skills through applications...otherwise we learn from other techs...and going to a conference is good but the downfall is that the radiologists wont let us use what we learned into practice...i learned a Working with the radiologist and reading materials they find relevant. Vendors also provide much information. WORKSHOPS WORKSHOPS AND READING MATERIAL RADIOLOGIST IN OUR DEPARTMENT WORKSHOPS PROVIDED BY EMPLOYER AND LOCAL STATE CONFERENCES WORKSHOPS SEMINAR VENDOR RELATED CLASSES MORE ACCESSABILITY TO APPLICATIONS WORKSHOPS, CE MATERIALS WORKSHOPS, CONFERENCES, EDUCATIONAL MATERIALS Workshops, on-the-job- training provided by vendors, CT web sites, conferences, Directed Readings from ASRT conferences, radiologists Yes - TIP - TVOff - site workshops Total Radiologists/Fellow Colleagues 1. Observing others perform the skill 2. Asking Questions about it 3. Supervised practice of the skill 4. CQI 1. Talking to other CT technologists, especially those currently taking the CT certification course.2. Talking to supervisors, lead techs and radiologists.3. Reading literature.

48 1. From more experienced techs 2. from facilities where I work part time 1ST CONTACT FRIENDS (A TEACHING INSTITUTION) A lot of reading, other technologists, radiologists A radiologist wants to expand the use of the CT scan, if the scanner is capable of doing, he requests the vendor to provide a program for the scanner and instruct the techs how to use it correctly. A technologist will shadow a radiologist who is reading CTs for a better understanding of what information is available on the scan. ASRT magazine and educational tests. Web site ctisus (Johns Hopkins Hosp.) for updating protocols, and new ideas. ALWAYS ASKING QUESTIONS ANOTHER CT TECH WILL USUALLY ADVISE ME OF CHANGES THAT ARE MADE AND UPDATES. Applications training, observing others, performing exams APPS OR RADIOLOGIST -- MY OWN THOUGHTS ON TIMING AND WHAT IS AT QUEST Apps, co-workers, radiologist ARTICLE, RADIOLOGIST, OTHER CT TECHS ARTICLES ABOUT CT, RADIOLOGISTS ARTICLES YOU READ IN A PROFESSIONAL MAGAZINE.CONVERSATION WITH OTHER CT TECHNOLOGIST As a travel tech each place I work helps to develop my skills by the changing protocols and new radiologists and techs that I work with. As a working lead tech my supervisory responsibilities often take me out of the scanning roles, so I rely on my coworkers and updates threw interdept s to keep me up-to-date. AS THE MANAGER OF MY CT DEPARTMENT, I WORK CLOSELY WITH OUR ACADEMIC RADIOLOGIST AND V TO ADVANCE OUR PROTOCOLS AND E Ascertain information online, communication with other ct technologist; online applications from GE support. ASK A CO-WORKER Ask a former employee or a radiologist ASK A LOT OF QUESTIONS/CONFER WITH RADIOLOGIST ASK A RADIOLOGIST, SOMETIMES ASK A TECH FROM THE HOSPITAL OUR RADIOLOGIST COME A DUMMY I HAVE LEARNED ON MY O Ask another CT technologist or a radiologist. ASK ANOTHER TECH IF THEY HAVE DONE THIS AND WHAT IS THE BEST WAY TO DO IT. WE HAVE A FANTASTIC SUPERVISOR WHO KNEW JUST ABOUT EVERYTHING AND WAS A GREAT TEACHER. UNFORTUNATELY, HE LEFT SO WE HELP EACH OTHER NOW. ASK LOTS OF QUESTIONS AT WORK I AM FRUSTRATED TO WORK ALONG SIDE SOME VERY EXPERIENCED TECHNOLOGISTS Ask more experienced CT tech in dept, seek outside neighboring hospitals, radiologist input, or consult past CT seminar protocols. Ask my MR/CT supervisor or other CT technologists ASK MY SUPERVISOR Ask or watch the other technologists ASK OTHER CT TECHS FAMILIAR ON THE SAME EQUIPMENT ASK OTHER CT TECHS, RADIOLOGISTS ASK OTHER TECHNICIANS/SUPERVISORS ASK OTHER TECHS ASK OTHER TECHS OR RADIOLOGISTS ASK OTHERS HOW THEY DO IT. RELY ON IN-SERVICES FROM VENDORS. READING MATERIALS

49 Ask questions to the doctors and have them explain the procedure. ASK QUESTIONS, ASK FOR HELP FROM OTHER TECHS AND RADIOLOGISTS ASK QUESTIONS, STUDY ASK RADIOLOGIST AND FELLOW TECHS ASK RADIOLOGIST OR CALL A LARGER HOSPITAL IN AREA ASK RADIOLOGIST, READ OFF OF INTERNET Ask radiologists or technologists, and procedure manuals. Try and find journals or books that can instruct me on new techniques. ASK RADIOLOGISTS, GO TO SEMINARS ASK OTHER CT FACILITIES ASK RADIOLOGISTS/READ ABOUT IT/CONFERENCES ASK THE RADIOLOGIST OTHER TECHS THAT KNOW THE MATERIAL Ask the radiologists, ask the best CT techs. ASK VENDORS, APPLICATIONS REPS, DOCTORS, READINGS Asking as many questions as possible with several radiologists, fellow CT Technologists. Attending as many CE course available. ASKING OTHER TECHS/RADIOLOGISTS Asking others who have been doing scans longer than I have Asking our radiologists for their expertise in setting up the best protocol for each patient. ASKING QUESTION TO MANY DIFFERENT PEOPLE Asking questions ASKING QUESTIONS AND SEEING RESULTS Asking questions watching then doing the procedures ASKING QUESTIONS LOTS OF QUESTION BECAUSE YOU PEOPLE HAVEN'T A CLUE TO WHAT WE REALLY NEED DAY TO DAY ASKING RADIOLOGIST Asking radiologist or residents, reading literature Assess the procedure. Ask relevant questions. Ask another CT tech. Read...At times it is hard to come up with special techniques for radiation therapy treatment planning using the CT. I have used trial and error many times. ASSIST ANOTHER MORE EXPERIENCED TECHNOLOGIST, THEN PERFORM SKILL MYSELF ASSISTING IN NEW PROCEDURES WITH RADIOLOGIST TEACHING At our institution we learn new procedures when the radiologists decide that they want to do them. Our hospital will very rarely pay for a conference, so we learn from the vendors application department or the other CT departments that the radiologists go At the facility where I work if the radiologist and techs learn a new or better way of performing an exam it is tested and if it is better we usually change our way of performing the exam ATTEND CONFERENCES TARGETED FOR MATERIAL THAT WILL COVER AREAS OF UNCERTAINTY. ASK RADIOLOGIST TO PAY EXPENSES ATTEND SEMINARS, GET INFO FROM VENDOR, GET INFO FROM RADIOLOGISTS Attending conferences, online readings, working with radiologists to develop skills Attending national meetings with both radiologists and technologists is the greatest help in acquiring new skills. After all most techs and doctors are in the same boat as new technology comes available Attending workshops, reading articles, working as a radiologist assistant Aunt Minnie inforadiologists BASICALLY WITH EQUIPMENT UPGRADES -- TAUGHT BY CT APPLICATIONS SPECIALIST AND NEW CT PRODUCTS TAUGHT BY VEND

50 BECAUSE I ONLY WORK ABOUT 5 HOURS A WEEK IN CT DUE TO FAMILY RESPONSIBILITIES. I RELY STRICTLY ON INPUT BY CO-WORKERS AND RADIOLOGISTS. Being in a facility that recognizes your talent and knowledge and are open minded to change not only for technologists but for the level of care that can be provided to the patients. BEING TAUGHT BY OTHER TECHNOLOGISTS OR RADIOLOGISTS ON-THE-JOB TRAINI Benchmarking with other CT Technologists locally and at state conference and the annual ASRT meeting. BOOKS, JOURNALS, ON-THE-JOB TRAINING Books, radiologist BOTH DEPENDING ON EMPLOYER DEMAND BRAINSTORM WITH RADIOLOGIST AND WITH OTHER CT TECHNOLOGISTS By asking other CT Technologists at different sites, vendor applications training. BY ASKING OTHER CT TECHS AT MY PLACE OF EMPLOYMENT BY ASKING OTHER TECHNOLOGISTS AND RADIOLOGISTS ONSITE BY ASKING QUESTIONS By asking questions of the radiologist in charge of CT. Also with articles in radiologic technology. The Internet is also helpful. By asking techs I work with. Take classes locally that are for any advanced training in CT. By attending seminars and utilizing our application site and also our radiologists. By attending state conferences when there are courses available in CT. By the vendor application visits. By the radiologists and CT supervisor. By being taught by my fellow technologist By consulting with more experienced CT techs. BY CONTINUING ED CONFRANCES, RADIOLOGIST, BOOKS VENDORS AND THE DEVELOPMENT OF NEW TECHNIQUES WITHIN OUR FACILITY BY DIRECTION OF THE RADIOLOGIST BY FELLOW COWORKERS AND THE RADIOLOGISTS By following radiologist protocol and learning on-the-job from other CT techs. BY FOLLOWING THE DIRECTION OF A RADIOLOGIST By going to conference, and talking to other CT techs, reading and studying on my own. By keeping myself up to date on the latest techniques by reading articles and talking with the radiologists BY LEARNING FROM SOMEONE WHO IS TRAINED TO DO THE PROCEDURE OR BY A APPLICATIONS BY LEARNING/ASKING QUESTIONS FROM MORE EXPERIENCED TECHNOLOGISTS AND RADIOLOGISTS AND PROTOCOLS BOO By reading and going to conferences. Help from radiologists By reading and working at other facilities that have different CT equipment BY READING ANYTHING TO DO WITH CT, AND ATTENDING LOCAL WORKSHOPS WHEN POSSIBLE OUR DOCTORS ARE NEW PROTOCOLS By reading continuing education material and discussions with the radiologists. BY READING CT BOOKS, BUYING CT REVIEW BOOKS ASKING QUESTIONS TO OTHER STAFF BY READING CURRENT ARTICLES By reading current journals and from journal articles and books recommended by the radiologists. By reading materials available, with the radiologists' guidance, and applications assistance if needed.

51 By reading the new literature, etc. regarding advances in CT. Also by talking with radiologists that have learned new methods of imaging patients with CT. BY RESEARCHING THROUGOHT OTHER FACILITIES BY REVIEWING OTHER PROTOCOLS FROM VARIOUS HOSPITALS By talking with other CT technologists at other facilities or through video or professional publications. BY THE DR. WHO WANTS TO TRY NEW TECHNIQUES OR EXAMS THEN WE LOOK UP AND S WORK THE BEST By watching other technologists who are more experienced. By working with radiologists and vendor applications. CALL ANOTHER HOSPITAL (LARGER HOSPITAL) CALL HELPLINE OR ASK RADS OPINION Call other facilities/ talk to radiologist Call to our main CT Department (off campus) and ask the CT technologist in charge of regional facilities. CALLING CT APPLICATIONS READING MATERIALS RADIOLOGIST CALLING OTHER TECHNOLOGIST AND COMPARING PROTOCOLS CE conferences and learning from CT techs who are new to our facility who have worked elsewhere. CHECK OUT NEW PROTOCOLS/PROCEDURES PERFORMED IN OTHER INSTITUTIONS BY COLLEAGUES AND RADOLOGISTS IN ADDITION TO READING NEW MATERAILS RELATED SPECIFICALLY MY SKILL. Chief tech in CT teaches us. CHIEF TECH TRAINS STAFF TECHS CO-WORKER USED TO BE APPLICATIONS TECH Co-workers... radiologist...articles in magazine Co-workers/radiologist COLLABORATION OF SKILLS WITH OTHER TECHNOLOGISTS Collaboration with other CT Technologists. COMMUNICATED WITH OTHER CT TECHS Communication between myself and other CT technologists and radiologists. Talking to applications specialists via telephone through Phillips Medical. I currently run a Phillips 16- slice scanner Communication is key whether it is from education materials (seminars, readings)or in-house training at educational institutions, or online in-service technologists Comparing protocols between facilities, discussion with radiologist, review of anatomy and techniques. Look at Web site CTISUS.com CONFER WITH RAD. VISITS. Conferences and talking to other technologist who go to conferences Conferences, other technologists Conferences, vendor presentations, radiologists express needs CONSULT WITH RADIOLOGIST, FELLOW CT TECHS, DOCTORS, ETC. Consult with the radiologist for suggestions and actually doing the exam with their guidance the first time. CONSULTING OTHER CT TECHS AND ASKING RADIOLOGIST FOR PROPER PROTOCOLS Contact with other CT technologist within our system, resourcing with the online applications specialists, and resourcing with the radiolists. Reviewing images from systems currently using the new techniques. CONTINUING EDUCATION, WORKERS, RADIOLOGISTS

52 Continues on-the-job training. Continuing education materials and the Internet are two main sources used by me and my associates. The radiologists also give feedback and information regarding CT and the newest technology available as well as protocols seen in journals and Internet Continuing education materials. Work part time as a CT tech in another facility in addition to my full time position. Continuing education; Working with other CT techs Conversations with radiologist, equipment reps, and other techs along with readings from radiology magazines and journals. COURSES - OTHER TECHS AT SISTER HOSPITALS RADIOLOGISTS COURSES FROM SEMINARS, ONLINE COURSES, DIRECTED READINGS FROM ARRT INFO FROM RADIOLOGISTS AND SEN PROVIDED BY HOSPITALS IE VENDO COURSES, TEXT BOOKS, OTHER TECHS CO-WORKER AND FACILITY I'M EMPLOYED AT RADIOLOGISTS CO-WORKERS Co-workers CO-WORKERS, AND I AM CURRENTLY PREPARING TO TAKE CT BOARDS CROSS-TRAINING UNDER LEAD CT TECHS. CROSS-TRAINING ON-THE-JOB IS ONLY AVAILABLE CT MANUALS, CROSS-SECTIONAL ANATOMY BOOKS, AND OTHER TECHS, RADIOLOGISTS CT supervisor and other CT techs on staff CT Techs, imaging publications ctisus web site, feedback from radiologists CURRENT JOURNAL ARTICLES FOR REFERENCE RADIOLOIGSTS AT LARGE UNIVERSITY-BASED HOSPITAL; PHONE CALL, DIRECT QUESTION TO VENDOR Currently I learn from co-workers, read equipment protocols, manuals. Ask radiologist and look online. Currently I rely on the radiologists but I am interested in other means of expansion. Department work shops, on a job training Depend on radiologists, other technologists and conferences on CT protocols. Dependant upon workplace and the need to keep skills current-essentially on-the-job DEPT HEAD, MANUALS Direct readings and if I can applications DIRECTED READINGS, APPLICATIONS RADIOLOGIST INPUT Directed readings, articles, from other CT techs. Direction from radiologist - applications for new equipment on-site DISCUSS IT WITH OTHER CT TECHNOLOGISTS AND RADIOLOGIST Discuss it with other CT techs and the applications people along with reading any material that come to the department Discuss with radiologist(s) - discuss with senior CT tech - contact equipment provider - CTISUS on internet - read professional journals Discuss with radiologist; play with the CT computer to see what it can do; talk with other CT techs at other sites DISCUSSING PROCEDURES WITH OTHER CT TECHS. Discussion with other CT techs I know at other facilities with different equipment etc. Discussion with radiologists and on job experience. DISCUSSION WITH RADIOLOGISTS, VENDORS AND ARTICLES

53 Discussions with co-workers or radiologists DISCUSSIONS WITH RADIOLOGISTS AND OTHER CT TECHNOLOGISTS.INTERESTING CASE SHARING. Discussions with radiologists. workshops. Reading radiologic magazines. DIVE IN, DO IT, SUPERVISOR FOR AN EXPERIENCED TECH AND AID OF RADIOLOGIST EDUCATING MYSELF WITH READING MATERIAL GOING TO IN-SERVICES AND BEING TRAING BY RADIOLOGIST Education and consulting with the radiologists. Education at seminars, radiologists Educational conferences/peer review/radiologist direction Either attending conferences or sending another tech to bring info to me. Also the radiologists. The vendor applications as we upgrade. Enlist help from online products, product information sheets, radiologist Enroll CT review courses Every scanner upgrade is followed by protocol changes. Application specialists train us to new equipment. Continuing education yearly Expanding my CT skills have been training and sharing new techniques with fellow CT techs. Also reading up on the new material mostly through Scanner. EXPERIENCE, OTHER CT TECH METHODS Experience in the field, working with radiologists developing protocols, attending conferences and fellowship with other technologists FEEDBACK FROM RADIOLOGISTS AND OTHER CT TECHS ALSO WORKING AT OTHER FACILITI Find info that is available through reading materials or simply ask our certified technologists at our facility. This is very limiting I would prefer attending a teaching facility and getting some hands on training. First we speak with the radiologist and see what he or she wants. Then we call around to other hospitals in the area to see if they are doing a similar procedure, and adapt from there. Follow new protocols set forth by radiologists Following application suggestions. Trying something on my own. Following radiologist recommendations FOLLOWING PROTOCOLS FROM RADIOLOGIST VIA MANAGER Forums on ctisus.com and auntminnies, Radiologists, vendor training FROM ANOTHER CT TECH FROM CO-WORKERS MORE SKILLED FROM CO-WORKERS/VENDORS/APPLICATIONS FROM DRS IN ASRT, ARTICLES PROVIDED TO CT FROM DIR OF RADIOLOGY FROM OTHER TECHNOLOGIST AND VARIOUS READING MATERIALS FROM OUR DEPT. RADIOLOGISTS FROM OUR RADIOLOGIST AND CURRENT VENDORS. ALSO FROM ASRT JOURNALS FROM RADIOLOGISTS, ASRT JOURNALS, CT TECHNOLOGISTS, COURSES FROM THE DRS I WORK WITH FROM THE RADIOLOGIST WHEN THEY WANT TO TRY NEW TECHNIQUES AND SUCH Further information through vendors, radiologists, and technologist. GET ASSITANCE FROM FELLOW CT TECHS ASK RADIOLOGISTS QUESTIONS ABO AND UNFAMILIAR PROCEDURES GET BOOKS, ONLINE COURSES, RADIOLOGISTS, VENDORS Get hands on training from fte's, physicians

54 Get on-site training from another trained CT Tech. Search for online CT education. GET REFERENCE FROM RADIOLOGISTS THAT I WORK WITH PROFESSIONAL JOURNALS ARE HELP GETTING IDEAS FROM THE TECHS GETTING INPUT FROM OTHER TECHNOLOGISTS/RADIOLOGISTS Getting involved with new exams coming into our facility. Asking radiologist to explain techniques. GETTING NEW EQUIPMENT AND HAVING APPLICATIONS ALSO, RADIOLOGISTS INFORM US OF NEW TECHNIQUES Go online to check protocols, question other institutions, call fellow technologists, conferences are the biggest source. GO TO A LARGER HOSPITAL AND OBSERVE FOR A DAY Go to conferences, or have someone who is familiar with these procedures teach me. Our radiologists also assist with further training. Vendors come as we receive new equipment. GO TO DIFFERENT SITES AND OBSERVE OR OFFER SEMINAR OPEN DISCUSSIONS FORUM WITH RADIOLOGISTS GO TO MEDICAL MEETINGS IN OUR AREA. WORK WITH THE RADIATION ONC. IS BEING DEVELOPED FOR TREATME Go to other hospital and see their CT scanners GO TO OTHER SIGHTS AND LEARN FROM RAD TECHS. Go to other technologist who are familiar at my site if not at my site go to another site where there is technologist who are. Go to the other hospital and learn their techniques Going to conferences, reading related articles, speaking with the radiologists. Going to other facilities in my area Guidance from the radiologists at my hospital. HANDS-ON, TALKING TO A RADIOLOGIST, PRINTED MATERIAL OR CALLING ANOTHER FACILITY THAT 'S FAMILIAR WITH PROCEDURE/TECHNIQUE HAVE TO RELY ON OTHER TECHS AND RADIOLOGISTS Hope that someone will inform me on any major info I am a member of the CT community on GE Web site, and also Dr Elliot Fishman CTISUS.com keeps up with all protocols. Also our Radiologists stay up with the current trends and techniques with the high speed scanner. I am blessed to work with a radiologist that stays up on the changes in our profession. If I encounter a patient/scan that presents with an unusual diagnosis or one that I am not 100% sure the best way to image that particular pathology, Dr. Jones loves to educate me on that particular subject, usually wit I am currently a CT tech for 7 months now and I am able to expand my knowledge from not only my co-workers but also the radiologists that I work with. I have also done extensive reading related to CT and I am going to attend a workshop for the CT registry I am employed at a teaching facility, and am frequently presented with new and innovative techniques both from doctors/researchers and administrators I am fortunate to work in a major teaching hospital, which I feel is cutting Edge, when it comes to CT scan. We are always learning and improving our protocols. I am in constant contact with the radiologist and together we couple our knowledge to perform exams of unfamiliar territory. However, with my past job experience there is little I haven t done on CT. I AM LUCKY ENOUGHT TO WORK AT A VERY LARGE TEACHING HOSPITAL WHERE WE ARE CONSTANTLY KEEPING UP WITH TECHNOLOGY I AM PRETTY NEW IN THIS FIELD, BUT I WOULD PROBABLY SAY BOOKS AND OTHER CT TECHS IN THE OFFICE I ask a radiologist or another CT technologist. I will go to another facility to train or the tech will come to me. I have also gone online to see what other facilities are doing. I ask my co-workers. I sit and watch exams being done. I read up on how to do it. Protocols to follow for exams.

55 I ask my fellow technologists or radiologists I ASK OTHER TECHNOLOGISTS ON OUR CLINICAL COORDINATOR OR READ AND STUDY IS PRESENTED I ASK OTHER TECHS OR I WILL ASK A RADIOLOGIST, MAGAZINES, ETC. I ask the other tech. I'm hoping to find a specific CT program that will help to prepare me for the registry. I began on-the-job training over four years ago. The lack of knowledge possessed me to learn more about the modality through seminars, self-study programs and eventually taking the registry. I am now focusing on CT specialties, to further my skills and knowledge I CALL OTHER HOSPITALS AND ASK OTHER CT TECHS OR I CALL A RADIOLOGIST. I CALL THE RADIOLOGIST AND CONFIRM THE EXAM THAT I M COMPLETING HE GIVES ME THE INTRUCTIONS ON I CONSULT WITH EXPERIENCED, REGISTERED CT TECHS I CONSULT WITH OUR RADIOLOGISTS MOSTLY WHO IN TURN HAVE US ATTEMPT AND IF ANY QUESTIONS ARISE, WE ARE TO DISCUSS THEM FOR POSSIBLE IMPROVEMENT FOR PATIENT EXAMS AS WELL AS FOR OURSELVES. I contact other hospitals and vendors. Check publications and look for online information. I discuss it with other CT technologists that have worked with other equipments. I DO A LOT OF READING AND TALK TO RADIOLOGISTS I EXPAND MY KNOWLEDGE FROM BOOK, OTHER TECHNOLOGISTS, AND RADIOLOGISTS I EXPAND MY KNOWLEDGE IN CT BY READING ASRT MAGAZINES AND ADVANCE ALSO BY OBSERVING FELLOW CT CO-WORKERS I expand my skill by learning from my supervisor. I expand my skills by techniques learned from other technologist and radiologist. I also read journals to keep up with new techniques and procedures. I expand my skills mostly through networking with other CT technologists and radiologists at various facilities. I do very specialized CT simulation in a radiation oncology department at a cancer hospital, so it's hard to find things that apply in this instrument I EXPANDED MY SKILLS THROUGH JOURNALS, OTHER TECHNOLOGISTS, AND OTHER INSTITUTIONS BY OBSERVING AND LEARNING I find help and training from radiologists and application professionals very helpful. Also, suggestions from other facilities performing the techniques and procedures are useful, as well as articles in medical magazines and journals. I find information through magazines and online. I like to watch/listen to the online conferences offered by some of the universities and hospitals. I find it very challenging we only have a radiologist on site for 4am hours 2 days a week and then they are to busy to answer many questions. I try to keep informed with other CT techs at a nearby affiliated hospital I first like to watch an exam that I am not familiar with be done before I attempt it myself. I GAIN KNOWLEDGE IN CT FROM OTHER CT COWORKERS WHO ALSO WORK AT DIFFERENT HOS THE RADIOLOGISTS I get a lot of information from our radiology group. The vendors are very good at sending me info on state of the art protocols. I GET INFORMATION EITHER FROM A CT VENDOR OR ONE OF THE SALES REPRESENTATIVES OR POSSI TH RADIOLOGISTS I DO WHAT I C I go to a facility that is doing that skill and spend 1-5 days there. I have a good team leader who is willing to look at things and see if they would be beneficial to the department and radiologists. Our team leader is always looking for new ways to do procedures, protocols, contrast costs, and any other ways to make work go smoother and benefits the patient. I HAVE A SUPPORTIVE RADIOLOGIST WHO HELPS ME WITH NEW EXAMS I LOOK UP PROTOCOLS ON THE INT I have been training in CT for 1 yr and pretty much have depended on instructors at school and tech's that I work with to learn what isn't covered in text books.

56 I have learned new things from the radiologists at work due to the lack of good communication between first and second shifts here. I have mainly learned from other technologists or the applications vendor. I have the benefit of working with specialized radiologists. They are very open to sharing new information on scanning and it is a two way street. If I learn something new, the MDs will converse with me. This open dialogue helps our department evolve but I jump at every chance to do new CT. I always talk to my radiologist. I learn from co-workers in the field with more experience, and apply the new concepts from Advance and Scanner if they can be adapted to our equipment. I learn from CT technologists that I work with. I learn from my department manager, other CT technologists, radiologists and reading relevant published materials. I also attend CT conferences. I learn from other techs I work with by asking lots of questions or from reading material sent to me from ASRT I LEARN FROM THE LEAD TECHNOLOGIST I learn it from the radiologists, or my peers. I like to call other facilities and speak with their techs or radiologists. I keep in good contact with these people. I LIKE TO GO TO WEEKEND SEMINARS. LEARN MOST BY TALKING WITH TECHS AND RADIOLOGISTS I listen to those around me I look to our chief radiologist for guidance as well as vendor reps and conference feedback. I MAKE ARRANGEMENTS WITH OTHER FACILITIES TO GO THERE AND LEARN NEW SKILLS AND PROCEDURES I MAKE SURE THAT I ASK THE MOST SKILLED CT TECH TO SHOW ME EVERYTHING I NEED TO THEN RESEARCH THE PROCEDURES I most frequently ask senior CT techs. I often gather the information from more than one source, then I make the best out of all of the information I have gathered, and proceed with the unfamiliar territory. I NOW WORK FULL TIME IN A PRIVATE IMAGING FACILITY BUT FROM TIME TO TIME ILL TAKE A PART TIME OR PER DIEM JOB IN A HOSPITAL THAT HAS NEW TOP OF THE LINE SCANNERS AND LEARN THEM. THAT IS HOW (1 WAY) I KEEP UP WITH TECHNOLOGY. I ONLY DO CT VERY LITTLE AT A PART-TIME JOB ON THE SIDE I LEARN EXTRA FROM FELLOW TECH I only work on-call at this time in CT, so I plan a full day shift at least once a month to hone my skills in procedures that I rarely perform on-call. I work with some talented technologists, and can rely on them somewhat for this information I read about them, research them and discuss them with my supervising physician, Also applications is called in to help with new procedures until techs are competent. I read a lot in the journals. Our rads are very receptive to trying new protocols. I find the field of CT, to be an ever changing field. I read a lot on internet sites and also we get a lot of new things from the radiologist. She will read something somewhere and bring us the article and tell us to try it. I would like to see more publications on CT. When I was studying for my registry I could not find very many current publications especially on multislice technology. I read and watch and then work with an experienced CT tech. I then make an instruction sheet to follow for each of the new scans that we are performing I read articles involving current CT protocols and techniques. The most of my skill development comes from the networking that I have developed as a result of my CT involvement. A few years ago I attended Hopkins University's CT conference in Las Vegas. I read info relevant to CT. I talk to the radiologist. I think about a procedure and plan ahead for different scenarios. I use trial and error. I read journals and talk with apps. I discuss new topics with rads, peers, and friends from x- ray school that work at other facilities. I recently went to Maryland to do a site visit on CT angio procedures. It was nice to see that we were doing things

57 I read online articles and professional magazine articles. I also learn from my coworkers and radiologists. I read professional magazines and I rely on my employer to provide education for unfamiliar procedures. I also rely on our radiologist to help me understand the procedure. I READ, GO ONLINE, SPEAK WITH VENDORS AND RADIOLOGISTS I read, talk to radiologists and other technologist. If I need to I go to a hospital where the procedure or technique is performed and watch and learn. I receive training from others. I read manuals, magazines, journals. I RELY MOSTLY ON RADIOLOGIST AND MY CO CT TECHS I rely on technologists who work at other facilities, and ASRT or ARRT readings, as well as vendor info and RSNA attendants like radiologists and managers. I research a qualified source either the radiologist or a medical article. I try to work out the patient position and time it will take to perform the exam. I try to talk to other CT technologist's about how to improve the study. I resource vendors - applications personnel, radiologists, co-workers, web sites of CTISUS. I sit with radiologists mainly and we discuss new ideas from their conferences. I speak with the radiologist and referring physicians, explain to them the capabilities of the scanner, and we formulate new techniques. Instrument talk to other experienced CT techs I know, go to CT specific seminars, log on to Web sites about CT, read CT journals, etc I talk to radiologists who are not full time at my facility. I find it very helpful to ask about how other facilities perform particular procedures. I also read every CT article I can get my hands on. Also, I have been granted the freedom from my employer. I talk to the radiologists and read current literature in books and online. I talk w/ the radiologist and other staff about trying new scans that we hear about from equipment vendors and education articles that we receive at home and at work. I talk with radiologist and read the articles they read. I try to attend seminars when I can. As a traveler in CT this can be difficult. I talk with traveling radiologists to see how things are done in other facilities. I read newsletters from vendor to see what other services we could provide to our patients. I talk with CT techs from other facilities to keep up on new things. Plan on vis. I try and keep updated with technology. I have done working Cruises. I research and interact with other technologist, radiologist, MDs. Our department has even contacted other hospitals for their feedback. I try to observe the other tech as she scans, but she is very hard to ask any questions. I try to read our professional journals, newly published texts, continual discussion with physicists, radiologists and technologists. In addition, vendor Web sites also provide information that can be useful. I use the Internet to find info. I talk with techs at other facilities. I read a lot about new procedures and equipment coming available. Vendors have useful info on new equipment. Radiologists are usually up to date on new techniques and procedures. I usually consult with the Radiologist. He (or she) is the one that will be reading the information and I consult with them on an unfamiliar case so that I am sure to obtain the inforamation that they are looking for in the best way possible. They are a great source of education. I USUALLY HAVE A SUPERVISOR IN CT TO TRAIN ME I ALSO READ LITERATURE WHEN I I USUALLY LEARN THROUGH READING JOURNALS, GOING TO CONFERENCES OR FROM RADIOLOGISTS. I'M EAGER TO TRY ANY NEW SCANNING RPOTOCOLS OR TECHNIQUES. I USUALLY RELY ON OTHER CT TECHS AND ANY PUBLICATIONS FROM MY SUPERVISOR TO CT I utilize a variety of resources radiologists guidance, CT techs I know working in a university hospital, and applications specialists. I WAIT FOR NEW EQUIPMENT TO COME AND GET TRAINED BY FELLOW EMPLOYEES I work at a facility that staffs general radiologist- so we don't do too many innovative studies/ our equipment is a little outdated which adds to the problem.

58 I work at a large medical center. As new equipment is added I am trained appropriately. I WORK BY MYSELF ON THE MIDNIGHT SHIFT, SO NEW PROCEDURES OR TECHNIQUES ARE PASSED ON TO ME BY OUR SUPERVISOR OR OTHER CT TECHS I work directly with the radiologist who is in charge of CT at our facility. We bought the first 16 slice MDCT scanner in our area & we are planning on getting a 64 soon. I WORK FOR SIEMENS SOFTWARE AND UP TO DATE TOP OF THE ART SCANNERS AND OPTION I WORK HAND IN HAND WITH RADIOLOGISTS TO PERFECT SKILLS, OFFSITE APPLICATIONS AND ONSITE APPLICATIONS AND VENDORS AND LOTS OF PRACTICE. I work in a large hospital, in the past our radiologist gave us great new procedure training. In the last 4yrs our 14 radiologist left & the hospital replaced them with rads that have no interest in training or introducing new CT procedures, which we feel is a tremendous lost for us. The radiologist have no interest in CT, so now we just do routine studies. Luckily atleast 8 of our techs have 15-20yrs of CT expirence, so anything new we just work on it together & figure it out ourselves. I WORK IN A TEACHING HOSPITAL SO OUR RADIOLOGISTS ARE ALWAYS COMING UP WITH NEW PROTOCOLS. WE ARE ALSO A BETA TEST SITE FOR GE SO WE GET THE LATEST SCANNERS WHICH IN TURN MEANS WE ARE THROWN INTO NEW PROTOCOLS CONSTANTLY. I work in an outpatient facility. We do basically the same procedures all the time. I was trained by two very good techs in FLA. and another in NJ I work nights, so most of my skills come from the radiologists I work with. I also get some from fellow technologists. I work with or ask radiologist. I also get information from co-workers or occasionally a workshop. I work with the radiologists I worked per diem at local hospital and learn on-the-job, talk to the radiologist about what he would like to see. Work with other techs who know more through more years of experience I would attend other facilities that are using those other techniques and such. Or have an applications person come to my facility to teach it. It is easier to learn hands on than by reading the material. I WOULD SEEK INFORMATION/TECHNIQUES/PROTOCOLS FROM REPUTABLE HEALTH CARE INSTIUTIONS WITH EDUCATION PROGRAMS IN THE FIELD. THEY SEEM TO BE THE MOST UP TO DATE AND ACCURATE WITH A SOLID FOCUS ON BEST EXAM/PT. CARE/PT. SAFETY. If an unfamiliar procedure, the radiologist will usually specify what we need to do or can tell us which sister facility is experienced in the procedure -we can call and ask how they do it. IF I RUN INTO ANY KIND OF PROBLEM, I WORK WITH MANY OTHER TECHNOLOGISTS. IF THE HOSPITAL IS INTERESTED IN EXPANDING MY SKILL, THEY WOULD TEACH ME If the hospital will be doing something new I m sure they'll tell me I'M A TRAVELER I GET TO WORK WITH ALL KINDS OF PEOPLE In our clinic the CT technologists and the head CT Radiologists periodically meet to go over, and where necessary rewrite, protocols. This lets us all share information from seminars and articles that any of us might have attended or gleaned. It keeps u INFO IS PASSED ON FROM OTHER TECHNOLOGISTS IN OUR SYSTEM Information from radiologists, or journal reading Information from fellow employees, radiologists and reading journals. Information from radiologists and updates from supervisor. Sometimes becomes trial and error In-house updates via vendor or employer Input from radiologists. Inquire with co workers and Radiologists. Instruction from radiologist and other techs

59 INTERACTION AND RADIOLOGISTS WHO ALSO COVER A MUCH LARGER FACILITY TECHS FROM OTHER FACI Interaction with technologists at other facilities. Interaction with the rads, conference, ASRT Internet research, operation manuals, radiologist input Interaction with other facilities and technologists. Otherwise it is difficult. Radiologists get stuck in set protocols and are hesitant to not fix it if it ain't broke. New equipment (upgrade) is the only way to get them to consider a different approach. ISRT state meetings have a CT day, and the radiologists who dictate our protocols Journal readings and discussions with radiologists and physicists Journals, conferences, but most of all protocol changes by the radiologists I work with. By the way is it only in this side of town. Or are most employees anal about providing the employees with would be valuable on site workshops? I'm very curious. JUMP IN AND DO, FIND BOOKS AND READ WHAT I CAN'T FIGURE OUT OR TALK WITH APPLICATION SPECIALIST VIA PHONE. JUST REVIEWING IT WITH THE TECHNOLOGIST IN CHARGE AND TAKING NOTES JUST TALKING TO THE OTHER PEOPLE WHO DO CTS WHEN PROCEDURES CHANGE KEEPING INFORMED ON UPCOMING NEW PROCEDURES AND TECHNIQUES BY TALKING TO RADIOLOGISTS AND HELP ME KEEP UP TO DATE KEEPING UP TO DATE ARTICLES, TRAINING ON NEW EQUIPMENT, WORKING WITH RADS, LEARNING NEW PROCEDURES. KEEPING UP WITH NEW PROCEDURES AND I AM A TRAVELER SO I GET EXPERIENCE FROM ALL D DO THEIR CT EXAMS Learn about new techniques, see it done, practice it, learn it well enough to teach others. Learn from another tech how to do the CT and learn from a radiologist why to do it and what they want to see and mesh the 2 together. Learn from co-workers mostly Learn from fellow CT techs or from applications specialists Learn from Lead CT techs and those with more experience than myself. LEARN FROM MANAGERS ON-THE-JOB TRAINING VENDOR PROGRAMMERS RADIOLOGISTS AS WELL LEARN FROM MY SUPERVISOR Learn from other technologists, radiologists, and from journals Learn from other techs. LEARN FROM OTHER TECHS. READ APPROPRIATE MATERIALS. ANY INFO I CAN GET OVER THE INTERNET Learn on-the-job via department manager LEARN THROUGH THE RADIOLOGISTS DIRECTION LEARN TO OPERATE A MORE UPDATED CT SCANNER AND IMPROVE MY TECHNIQUES FOR NEW PROCEDURE LEARNING FROM A COWORKER THAT WAS PROPERLY TRAINED Learning from co-workers, supervisor, radiologist. Advance and ASRT magazines. Learning from other techs from larger facilities. I really enjoy the articles from the ASRT magazines and our radiologists are always eager to share information they receive from conferences they attend. LEARNING FROM OTHER TECHS THAT HAVE HAD EXPERIENCE WITH THE TECHNOLOGY Learning from radiologists, other CT techs. In-services from vendors on scanners, work stations, injectors, etc. Learning from the professionals or the vendors. LEARNING FROM VENDORS OR FROM READING MATERIAL OR FROM RADIOLOGISTS

60 Learning new skills with the help of others in the field also depend on on-site applications personnel. LEARNING NEW TECHNOLOGIES AT WORK TRYING NEW TECHNIQUES ON DIFFERENT SIZED PATIENTS LEARNING ON SITE WITH APPLICATION PERSONNEL LET THE RADIOLOGISTS DESCRIBE NEW TECHNIQUES AND SET PROTOCOLS. USE THEIR FEEDBACK. READ IN MAGAZINES AND CHECK A COUPLE OF WEB SITES. LIMITED TRAINING COMES FROM OTHER CT TECHS, SOME OF WHICH ARE CERTIFIED Look to the radiologist and fellow technologist. Review the procedure manual provided by the radiologist and technologist. Review of medical books on anatomy and cross-sectional anatomy. Many new CT scanners e.g. 64 slice have given CT techs on-the-job training and aid in developing skills beyond that of a smaller hospital. Medical director/radiologist (of CT/MR) at the diagnostic imaging center I work at provides a lot of educational materials to me as lead tech in CT. I would really like to obtain more CEs in CT each biennium, but unfortunately the...[truncated] MEDICAL IMAGING CONSULTANTS CT REGISTRY REVIEW Mainly by working with a technologist proficient in that particular procedure or technique. MORE ON-THE-JOB TRAINING AND ATTENDING SEMINARS More on-the-job training. shared knowledge from co-workers' books, articles from ASRT MOST IS ON-THE-JOB TRAINING BY ANOTHER TECH AND OR RADIOLOGIST THAT IS FAMILIAR WITH THE PROC Most of my skill advancement is done on my own. My employer does not provide education. I receive some from the directed readings from ASRT. Some from fellow CT technologists from other/busier facilities. MOST OF THE INFORMATION IS TRAINING OBTAINED BY THE RADIOLOGISTS Mostly from radiologist...and CT tech with more scan time MOSTLY FROM RADIOLOGISTS. SOME FROM OUR ONLINE CTISUS AND OTHER ONLINE RELATED SITES. MOSTLY ON-THE-JOB TRAINING THROUGH RADIOLOGISTS, OTHER STAFF TECHNOLOGISTS Mostly on-the-job training MOSTLY OTHER CT TECHS MTMI-MILWAUKEE, TRAINING WITH OTHER MORE KNOWLEDGEABLE TECHS MY MOST COMMON SOURCE IS THE RADIOLOGIST ON OCCASION I WOULD VISIT WITH MY SUPERVISOR PROVIDES ME WITH THE UPDATED MATERIAL I NEED TO PERFORM MY JOB AT AND WE ALSO COMMUNICATE WITH OUR RADIOLOGISTS CLOSELY TO KEEP UPDATED ON THE NEW PROTOCOLS FOR CT. Network with other users. Vendor workshops that pertain to my system not general CT NETWORKING WITH OTHER CT PROFESSIONALS VIA AND DIRECTLY AT CONFERENCES. VENDOR SPONSORED AND EMPLOYED SPONSORED SEMINARS Networking with other CT technologists, reviewing case studies online. NETWORKING WITH OTHER FACILITIES, BY READING INPUT FROM RADIOLOGISTS NETWORKING WITH RADIOLOGISTS AND OTHER CT TECHS NEW EQUIPMENT - WE ARE DOING MANY NEW THINGS RADS ARE VERY INTO NEW TECH0LOGY NEW EQUIPMENT PURCHASES, ONSITE VISITS, WE LEARN FROM OTHER STAFF New procedures and protocols at my place of employment.

61 NEW PROTOCOLS ARE GENERALLY SUGGESTED BY RADIOLOGISTS, THEN IMPLEMENTED WITH THEIR GUIDANCE AND/OR APPROVAL. IF A NEW TECHNIQUE IS DEVELOPED WHICH IS UNFAMILIAR TO OUR RADIOLOGY GROUP, THEN WE MIGHT CONDUCT A SITE VISIT OR SEEK APPLICATIONS TRAINING THROUGH THE VENDOR New technology through the manufacturer. Call other facilities with already set up procedures. Onsite training with radiologists. New techniques suggested by rads or techs NEWSLETTERS, ED CT GAMES, OTHER HOSPITAL PROTOCOLS CONTINUING EDUCATION MATERIALS Normally, I would ask for the radiologist's help as well as working with other CT technologists, either from on site or off site. OBSERVATION OF OTHER CT TECHS Observation of procedure and hands-on learning Observation then participation OBSERVATION, HANDS-ON APPLICATION AND VARIOUS EDUCATIONAL MEDIA OBSERVE OTHERS DOING PROCEDURES THAT I AM UNFAMILIAR WITH AND ASK QUESTIONS ABOUT UNFAMI Observe/Question/Do - while being instructed. Do multiple exams. Teach Observing at facilities that do the new procedures OJT OJT and radiologist OJT with other technologist competent in the skills I do not have OJT, online info, rads. ON-THE-JOB TRAINING ON AND OFFSITE APPLICATIONS TRAINING BY VENDORS ON JOB On job training ON JOB TRAINING AND UPDATES ON JOB TRAINING FROM OTHER TECHNOLOGISTS OR FROM ON-SITE RAFF SITE VENDOR ON JOB TRAINING OR OFF-SITE SEMINARS On job training, two co-workers are certified in CT. ON-SITE APPLICATIONS AND DISCUSSION WITH STAFF AND RADIOLOGISTS On-site demos...reading, experimentation... On-site ed. Other staff input with radiologist. Articles in journals. On-site hospital cross-training on 16-slice and 64slice scanners. As well as the new procedures and protocols that come with new technology. ON-SITE TRAINING. GOING TO A CLASS AT GE ON-SITE TRAINING BY VENDOR ON-SITE TRAINING FROM TECHS On-site training with other technologists or application specialists On-the-job On-the-job learning ON-THE-JOB TRAINING ON-THE-JOB TRAINING AND LOTS OF PRACTICE ON-THE-JOB TRAINING AND ON SITE TRAINING DIRECTED READINGS AND CONTINUI On-the-job training and radiologist

62 on-the-job training and reading ON-THE-JOB TRAINING AND SOME VENDORS On-the-job training and talking with our radiologists. Picking up what I can from GE reps and application specialists. ON-THE-JOB TRAINING BY VENDOR OF NEW CT SCAN MACHINE ON-THE-JOB TRAINING FROM A CERTIFIED CT TECH On-the-job training from a vendor ON-THE-JOB TRAINING FROM OTHERS On-the-job training from supervisor and from radiologists. ON-THE-JOB TRAINING IN PROCEDURES ON-THE-JOB TRAINING INFORMATION PROVIDED FOR ME FROM MY SUPERVISOR AND RADIOLOGISTS On-the-job training learn as you go. ON-THE-JOB TRAINING MOSTLY. I WORK THE NIGHT SHIFT SO I MOSTLY HANDLE TRAUMA CT ON-THE-JOB TRAINING ONLY On-the-job training or conferences. ON-THE-JOB TRAINING STARTING IN HAVE BEEN A PART OF CT SINCE THEN. I MANAGE NOW AND RUN 3 CT SYSTEMS. CT IS MY PASSION. on-the-job training through other CT techs ON-THE-JOB TRAINING UNDER SUPERVISION OF SKILLED CT TECH AND OR RADIOLO ON-THE-JOB TRAINING WITH CO-WORKERS AND OTHER RADIOLOGISTS On-the-job training with the newest scanner with the newest technology. Articles. ON-THE-JOB TRAINING WORKING ONE ON ONE WITH RADIOLOGIST AND APPLICATION SPECIALIST On-the-job training, applications, off and on site training ON-THE-JOB TRAINING, ASRT MATERIALS LECTURES FROM RADIOLOGISTS On-the-job training, online courses, and direct teachings from the radiologist on staff. On-the-job training, Radiologist. I feel that the institution should provide information as they need it. ON-THE-JOB TRAINING, READING OF MANUALS AND INFORMATIONAL ARTICLES, ON GOING APPLICATIONS BY THE VENDOR ON-THE-JOB TRAINING, VENDOR DEMOS AND FACILITY IN-SERVICES On-the-job training, primarily from other techs who have better skills On-the-job training. Attending seminars. ON-THE-JOB TRAINING. I WORK AT BIDMC IN BOSTON, AND WE ARE CONSTANTLY UPDATING PROTOCOLS TO KEEP UP WITH CURRENT TECHNIQUES AND TECHNOLOGIES On-the-job training...reading magazines. On-the-job training. I work at a teaching university hospital with new state of the art equipment and exams. ON-THE-JOB.ALSO FROM FELLOW CO-WORKERS. ASRT BOOK W/VERY FEW CT CES.WORKING AT A HOSPITAL THAT TRIES TO KEEP UP WITH THE TECHNOLOGY. ONGOING ON-THE-JOB TRAINING. I PLAN TO TAKE THE CT REGISTRY BY MY NEXT BIENNIUM. I HAVE PURCHASED BOOKS AND TESTING MATERIALS. ONLINE EDUCATION, OPER????, VENDOR VIDEOS, CONFERENCE CALLS WITH FELLOW CT TECHS Online new studies, Rads, Professional journals

63 ONLINE RESEARCH AND ON-THE-JOB UTILIZING RADIOLOGISTS AND APPLICATIONS TRAINING ONLINE RESEARCH OR ONSITE APPLICATIONS TRAINING Online, other technologists, reading articles/ manuals ONLINE, QUESTION THE RADIOLOGISTS ONSITE APPLICATION TRAINING. OFFSITE COURSES TAKEN FROM VENDORS On-site applications/readings ONSITE TRAINING ONSITE TRAINING BY A VENDOR OR DEPT IN-SERVICE ONSITE TRAINING BY SUPERVISOR On-site training from co-workers, radiologists and/or vendors ONSITE TRAINING GE TIP TV A FEW CREDITS FROM EMPLOYER ONSITE VENDORS On-the-job experience. Our hospital just recently purchased 2 new Toshiba scanners along with all the new angio capabilities. We are learning it through applications and a core group to technologists that went to the official training out of state. On-the-job or by co-worker who was trained by a vendor On-the-job training combined with keeping in touch with vendor application specialists. OTHER CT TECHNOLOGISTS AND BOOKS OTHER CT TECHNOLOGISTS AND CONTINUING EDUCATION SEMINARS Other CT technologists, vendors (GE) OTHER CT TECHS OR RADIOLOGISTS OTHER CT TECHS, DIRECTED READINGS OTHER EXPERIENCED TECHNOLOGISTS HELP ME LEARN MORE ABOUT THE JOB OTHER FACILITIES APPLICATIONS OTHER TECHNOLOGIST AND RADIOLOGIST Other technologists OTHER TECHNOLOGISTS OTHER TECHNOLOGISTS READING MATERIAL EXPERIMENT Other technologists, applications, Other techs OTHER TECHS AT OTHER OFFICES/FACILITIES OTHER TECHS, DOCTORS OTHER TECHS/RADIOLOGIST OTHER TEFCHNOLOGIST PHYSICIANS Otj training calling application specialists will get some training from vendor when upgrading machine OUR RADIOLOGIST BRINGS IN NEW TECHNIQUES AND PROCEDURES THAT HE WANTS I OUR RADIOLOGIST DEMANDS WHAT THEY WANT AND OUR SUPERVISOR SETS IT UP ALL FOLLOW HIS INSTRUCTIONS OUR RADIOLOGIST IS VERY CURRENT IN NEW TRENDS THIS IS PASSED ON TO OUR CT TE OUR RADIOLOGISTS GO TO CONFERENCES AND THEN WORK WITH THE TECHS TO CHANGE PROCEDURES

64 Our radiologists have set protocols for us to follow. When changing protocols we are told why they are changed and what it will accomplish in the long run. Many of us would like to learn 3-D imaging techniques but the radiologists have hired one technologist... Our radiologists keep up on current techniques and pass the information on to us. Also continuing education and articles and magazines. OUR RADIOLOGISTS KEEP US KNOWLEDGABLE OF ANY NEW IMPROVEMENTS IN PROTOCOL A EQUIPMENT Our radiologists learn about new procedures, then they develop protocols for us to follow. Also we have applications specialists who come in and teach us new procedures and techniques. Our radiologists learn new protocols and tell us about them. I figure out how to use our scanner to get the desired outcome. I also read professional journals. Participate in on-site training for new procedures, literature Performance under direction of radiologist or CT techs familiar with the procedures. PHYSICIANS AT MY INSTITUTION, PEERS, MAGAZINES, ETC PRACTICE ON PHANTOMS. OBSERVE OTHERS WHO ARE DOING THE PROCEDURE. Practice, working closely with radiologist while scanning procedures for the first time and working with co-workers. PROFESSIONAL APPLICATIONS AND OTHER TECHNOLOGISTS. PROFESSIONAL BOOKS, HOME STUDIES, TRAINING WITH STAFF RADIOLOGIST VENDOR AND SUPERVI Professional training videos, discussion with staff radiologists and other technologists and professional publications. QUESTION OTHER CT TECHS QUESTION RADIOLOGISTS, QUESTION OTHER TECHS RAD INPUT/RAD CONFERENCES Radiologist, online resource material, buy books, fellow technologists and applications from GE Toshiba etc. Radiologist and ctrus.com Radiologist and GE Updates, etc Radiologists come to me with ideas from their professional assoc. and inform me on what they want and I in turn try to develop protocols for it. RADIOLOGIST CONVEY WHAT THEY WANT...I'VE BEEN ABLE TO FIGURE OUT A WAY TO DO WHAT THEY WANT WITHIN THE CAPABILITIES OF THE EQUIPMENT...CALL APPLICATIONS HOTLINE FOR INFORMATION Radiologist input on variants to certain protocols of exams which produce slightly different outcomes RADIOLOGIST IN THE DEPT. AND CONTINUING EDUCATION CLASSES RADIOLOGIST INPUT -- OTHER TECHS AT OTHER FACILITIES CTRUS ONLINE FROM NORTHWESTERN VENDORS AND CT BOOKS Radiologist involvement with a continued advancement CT program. Johns Hopkins Internet site. CT vendor seminars and advancement programs. RADIOLOGIST IS UP TO DATE. WE CONSTANTLY CHANGE OUR PROTOCOLS BASED ON SEMINARS AND ARTICLES RADIOLOGIST ON HAND BEST THING TO ASK AND A TECH W I HAVE TAUGHT AROUND 10 TECHS RADIOLOGIST PROTOCOL Radiologist inquiry RADIOLOGISTS RADIOLOGISTS AND CO-WORKERS IN CT Radiologists and GE applications rep Radiologists and other CT techs

65 Radiologists and vendors RADIOLOGISTS AT THE UNIVERSITY OF PENN. HOSPITAL WHERE I WORK ARE CONSTANTLY INSERVICING Radiologists bring suggestion in from conferences RADIOLOGISTS INPUT LITERATURE Radiologists input; education material from institutions such as Johns Hopkins; Online and written updates from professional sources Radiologists let us know what they want and we figure out how to give it to them. Radiologists set the protocols and I them write up. I go over them with the staff and field any questions. If the rads have any problems with any exams, I meet w/the staff and troubleshoot in an open forum. Radiologists usually introduce new technology or procedures. Vendors sometimes provide apps. We work with radiologists to educate/train and then improve skills in new procedures using one lead tech to develop expertise and continue training other techs t RADIOLOGISTS WILL EXPLAIN WHAT THEY WANT AND WE EITHER WORK IT OUT OR GET THE APPLICATIONS SPECIA RADIOLOGISTS, CONFERENCES Radiologists, online resources. Radiologists, other CT technologist, application training by vendors, and journals. RADIOLOGISTS, VENDOR REPRESENTATIVES Read a lot and radiologists ideas and articles READ ABOUT IT OR SPEAK TO CT TECHS THAT COME TO GE FOR TRAINING READ ABOUT IT VIA INTERNET OR SPEAK WITH RADIOLOGISTS SPECIFIC TO CT OR Read about new procedures, watch the news and follow up with radiologists, buy books on new techniques and procedures, go to seminars if possible READ ABOUT OTHER PROCEDURES, SPEAK WITH OTHER TECHNOLOGISTS WHO HAVE PERFORMED PROCEDURES REPRESENTATIVES Read and listen to other professionals. READ AND TALK TO RADIOLOGISTS Read articles and speak to other technologists who have the more advanced scanners. READ ARTICLES AND TALKING TO OTHER TECHS Read articles on procedures, go to conferences, get information from other technologists/radiologist Read as much as I can. Surf the web and with a little luck find some useful info. Network, use resources. Also, believe it or not but your service engineer is a good source of info! read different media, radiologists, directed readings, other c.t. technologists Read journal articles. Web-based research. Other institutions Read journals, ask radiologist, talk to GE medical services, ask other technologists at other hospitals, conferences go online to CT web sites Read up, talk to others, practice makes perfect. READ UP ON THE PROCEDURE AND TECHNIQUE IN JOURNALS OR TEXTBOOKS. TALK TO OTHER TECHS IN DIFFERE Read what literature there is on new procedures, read info from CT manufacturer, talk w/ CT applications people, discuss procedures w/ radiologists, try it out READING ABOUT NEW TECHNOLOGY LEARNING FROM RADIOLOGISTS Reading and applying. Talk to radiologist Reading and learning new techniques, discussing with radiologists. Talking with trainers with new equipment and the best methods to handle new techniques and procedures READING AND LISTENING TO THE NEEDS OF OUR RADIOLOGISTS READING AND PEER REVIEW WITH RADIOLOGIST AND TECH

66 READING AND QUESTIONING EXPERIENCED COWORKERS. READING AND RADIOLOGISTS Reading and talking with other technologists Reading and talks with other techs. READING APPLICATIONS MANUAL, INPUT FROM OTHER TECHNOLOGISTS, TRIAL AND ERROR, CES Reading articles and asking radiologist Reading articles in trade magazines. Reading material online, especially at Also from on-site radiologist or consulting with the CT department at our affiliated academic hospital. Reading articles related to the CT field. Communicating amongst other technologists from other hospital sites, regarding different ways CTs are preformed elsewhere. Reading articles, having discussions with radiologists, experimenting with new techniques, attending conferences, directed readings. Reading articles, talking with other techs. going to conferences Reading articles, working closely with radiologists and vendor resources. Reading articles/talking to the radiologists Reading as many online articles as I can find. Seeking vendor information if available. Attempt to find hospital performing procedures and go there as a traveler and learning their procedures. Reading, asking questions of the radiologist as to what they are wanting to accomplish from the exam and then going and getting that for them based on my experience and knowledge of the equipment. Looking/researching other protocols READING BOOKS, TALKING, WORKSHOPS READING EXTRA MATERIALS, AUNT MINNIE, ASKING LOTS OF QUESTIONS TO THE RADIOLOGISTS Reading from journals, radiologists and other technologists Reading in the professional magazines about new techniques and procedures. Talking with our radiologist about the newest procedures. READING INFO, RADIOLOGIST NEEDS, WANT, INFORMATION GATHERED FROM OTHER FACILITIES Reading information in technical publications, online research, and by asking questions of the radiologists Reading journals and learning from the radiologist. I also like to learn from other techs who have traveled to conferences or vendor sponsored training. READING JOURNALS FOR RTS AND MDS. TALKING WITH RADIOLOGISTS READING JOURNALS, EDUCATION FROM RADIOLOGISTS/EXPERIENCED CT TECHS Reading journals, radiologist input, conferences READING JOURNALS, RADIOLOGISTS, ATTENDING SEMINARS Reading journals. Viewing videos. Discussing techniques with radiologist. Reading literature and speaking with radiologist Reading manufacturer's manuals and talking with other technologists Reading materials pertaining to CT, watching home videos or DVDs pertaining to CT, learning a skill from an applications specialist Reading materials. Internet. Radiologist READING MY SCANNER TECHNIQUES BOOK OR ASK OTHER STAFF READING ONLINE OR SPEAKING WITH STAFF Reading online reviews and techniques, getting new protocols from radiologists, vendors and other facilities, going to conferences/seminars and by trial and error. READING PAPERS OR TALKING TO RADIOLOGIST

67 READING PUBLISHED MATERIAL, VISITING ONLINE SITES, VISITING AND SPEAKING TO CT TECHNOLOGIS READING RECOMMENDED MATERIAL SPECIFICALLY DEDICATED TO PROCEDURE AND/OR PROTOCOL. REFER TO THE RADIOLOGIST ANY QUESTIONS AND/OR CONCERNS READING THE JOURNALS AND DISCUSSING WITH FELLOW TECHNOLOGISTS READING THE NEW LITERATURE GOING TO CONFERENCES TALKING TO RADIOLOGIST Reading up on the procedures; going online to all my sources, and my radiologist's input. READING, ASKING QUESTIONS Reading, discussing cases with our radiologist. Applications assistance from the vendor help line. READING, DOING CE POINTS, RADS, VENDORS Reading, talking to other technologists, problem solving through innovative thinking, trial and error, discussions with radiologists READING, TALKING WITH OTHERS, SEMINARS WORKSHOPS Reading, trial and error, ask someone else who knows Reading, vendor relationships, seminars READINGS, OFFSITE INSTITUTIONS Readings, vendors, other technologists Research on the topic, vendor applications, either on site or off site. Sometimes a visiting radiologist will provide education and imaging techniques. Refer to journals, online sites, and other techs for protocols, hints... Rely on information from supervisor and other CT techs to be communicated. Relying on radiologist recommendation RELYING ON VENDOR/RESOURCES, SPEAKING WITH OTHER TECHNOLOGISTS FROM LOCAL AREA Research along with the radiologists' input and application of new techniques and procedures. Research how other facilities do the techniques, ask for radiologist assistance, ask the vendor for assistance. Research of available materials and conversations with staff radiologists RESEARCH W/INFORMATION AROUND THE DEPARTMEMT Research, asking questions, online RESEARCHING DIFFERENT AVENUES IN CT THEN GOING TO OUR RADIOLOGISTS WITH ANY N Review new research articles; read journals (e.g., AJR); speak with vendors and radiologists REVIEW OF PUBLISHED ARTICLES IN AJR AND ACR GUIDELINES. CONTACT AND OTHER FACILITIES REVIEW WITH OTHER TECHS OR VENDOR DEMOS Reviewing vendor protocols, online applications Right now I ask the other techs in my facility. I work evening shift and I am not updated to all CT exams unless I ask the others when I run into a glitch. SALES REP. CAN CALL ANYTIME SEARCH INTERNET FOR EDUCATION SOURCES, RADIOLOGISTS MAN???? INFORMATION, ETC SEE HOW OTHERS ARE DOING IT IF IT WORKS BETTER I INCORPORA See one, do one, teach one. SEE ONE, DO ONE, TEACH ONE. NOT EXACTLY CONFIDENCE INSPIRING!

68 SEE ONE, DO ONE, TEACH ONE. OBSERVING A NEW OR UNFAMILIAR EXAM, QUESTIONING THE TECHNICIAN, ATTEMPTING TO DO THE EXAM SOLO WITH SUPERVISION THE FIRST 2 OR 3 TIMES Seek information from those more knowledgeable (fellow techs, vendors, radiologists). I also seek information from online courses and home study aids. I will attend training seminars SEEK OUT PLACES WHERE OTHER EXAMS ARE DONE AND OBSERVE Seminars or supervisor will train us SEMINARS ARE A WAY TO GO. ALSO THE RADIOLOGIST IS A GOOD SOURCE OF WHAT'S NEW, AND THEY CAN TELL YOU HOW AND WHAT THEY WANT TO SEE. BECAUSE YOU KNOW THEY ARE THE ONES READING IT. :-) Seminars/radiologist/GE rep's SHARING IDEAS WITH OTHER CT TECHS Site visit to other facilities; training from the radiologists. SOME RADIOLOGISTS ARE GOOD FOR TEACHING. I READ SOME MATERIALS AND LEARN NEW THINGS FROM OUR SUPERVISOR. Speak to radiologists and others that are dedicated to CT.I use the Directed Readings and Scanner. I choose CT related workshops at conferences. SPEAKING WITH VENDOR APPS AND REMOTE APPLICATIONS STAYING IN TOUCH WITH RADIOLOGISTS AND OTHER TECHS Studying previous examinations and the technical factors used to acquire the images. Discussion with radiologists about the changes made and whether to implement them for future reference. Constantly reading research articles provided by radiologist. SURGICAL AND RADIOLOGY RESIDENTS AND ATTENDING OFF SITE AND ON SITE APPLICATIONS TRAINING FROM A VENDOR Seminars, other CT technologists Take a general protocol obtained from radiologists, vendors, or another facility. Put the new protocols to practice utilizing out scanner. Change variables if needed. Ask for feedback from the radiologists regarding bolus timing, technique, etc. Continue de Talk to fellow CT Tech. read professional publications. Attend vendor sponsored conferences. Talk to my fellow co-workers, who are more comfortable with the material. Talk to other CT technologists and radiologists. TALK TO OTHER CT TECHS OR RADIOLOGISTS Talk to other sites for their protocols, etc. call or applications specialist. Talk with radiologist for their important information and protocol. Talk to other technologists and go to CT classes when offered in my area. I take advantage of any continuing education that is offered in my area. TALK TO OTHER TECHS WITH MORE EXPRIENCE, ALSO THE RADIOLOGIST. Talk to other techs, call applications. Trial and error with the machine. Talking to radiologists. TALK TO OTHER TECHS. TALK TO RADIOLOGIST AND CONTINUING EDUCATION TALK TO RADIOLOGISTS AND APPLICATION SPECIALISTS AND OTHER CT TECHS FROM DIFFERENT INSTITUTES TALK TO RADIOLOGISTS AND READ JOURNALS Talk to the doctors and other technologists from other institutions and bring their scanning techniques back to our institution and try them. TALK TO THE RADIOLOGISTS OR MORE EXPERIENCED STAFF Talk to vendor applications people, read articles, talk to radiologists, talk to techs at other facilities that do procedure. TALK WITH CO-WORKERS AND OBSERVE EXAMINATIONS Talk with other sites or physicians, ask vendors for journals

69 TALK WITH OUR RADIOLOGISTS, READ ARTICLES WORK WITH TECH THAT HAS DONE THE TREATMENT BEFORE WE ALL LEARN THE EXAM TALK WITH RADIOLOGISTS, PHONE GE HELP LINE, ASK OTHER STAFF Talk with radiologists and other CT techs Talking to a radiologist or a different CT tech. TALKING TO MDS, READING ARTICLES IN SCANNER MAG, ETC. TALKING TO OTHER CT TECHS OR RADIOLOGISTS TALKING TO OTHER TECHS, SUPERVISORS, ETC. TALKING TO OLD CLASSMATES LEARNING FROM MY MISTAKES AND TALKING TO OTHERS THAT DO THOSE PROCEDURES TALKING TO RADIOLOGIST AND OTHER CT TECHS TALKING TO RADIOLOGIST AND OTHER TECHS FROM OTHER HOSPITALS. ALSO ONLINE READING AND PROTOCOLS. RECENTLY I HAVE BEEN RECEIVING APPLICATION TRAINING FOR A SIEMENS CT SCANNER Talking to radiologists and/or other techs TALKING TO THE HEAD CT TECH TALKING TO THE RADIOLOGISTS AND OTHER TECHNOLOGISTS Talking with knowledgeable CT techs TALKING WITH OTHER TECHNOLOGLISTS. SITE VISISTS TO ANOTHER INSTITUTION. APPLICATION SPECIALIST PROVIDED BY VENDOR.INPUT FROM RADIOLOGISTS. EDUCATIONAL CONFERENCES. TALKING WITH OTHER TECHS AND ACCESSING INFORMATION FROM DIFFERENT VENDORS, ALSO FROM RADIOLOGY JOURNALS. Talking with radiologist and other technologist TALKING WITH RADIOLOGISTS AND CO-WORKERS, PLUS ADVICE FROM TECHS AT OTHER FACILITIES. Talking with radiologists, other C.T. techs, reading material, videos. Talking with the radiologist or searching the Internet Teachings by radiologist. TEAMWORK AND REPETITION TEAMWORK AND REPETITION. The hard way, asking questions and pulling teeth THE LEAD CT TECH The most helpful way for me to continue to grow as a technologist is by working with my peers and together we care for the patients by trying new/unfamiliar techniques. I prefer to actually do the study to understand what I am accomplishing. The radiologist keeps us abreast of what new protocols he needs set into place The radiologist usually gives us information that includes protocols; we use this to set up new protocols on our scanners. THE RADIOLOGIST WILL SET THE PROTOCOLS AND SHOW 1 OR 2 THEN THEY SHOW REST The radiologists are constantly giving new protocols and updating our procedures with their research. THE RADIOLOGISTS OR LEAD TECH HELP US THROUGH The radiologists play a big part in teaching new procedures. Vendor or apps personnel are a big source of education also. Technologists from a regional hospital where they do the procedures also are good sources of education. The rads, they want it their way anyway, so who better to learn the protocols from? The staff I work with is very willing to help me with the areas that are unfamiliar to me. Also other technologist at larger hospitals is willing to help us at times of need.

70 Through applications and chief radiologist THROUGH APPLICATION SPECIALISTS THROUGH APPLICATIONS SPECIALISTS Through co-workers with prior experience THROUGH FELLOW CO-WORKERS OF HIGHER LEVEL Through input from other techs or radiologist Through off site vendor classes, online vendor readings, worked as a vendor applications specialist, other CT technologists, and radiologists, visiting other CT departments with new technology. Through other technologists information, and searching online for information THROUGH OUR RADIOLOGISTS. THEY ATTEND SEMINARS THEN TELL US WHAT THEY WANT AND HOW TO DO IT. IT WE HAVE QUESTIONS OUR VENDOR IS CALLED. THROUGH OUR VENDORS AND RADIOLOGITS Through radiologists and vendors Through radiologists, and trials set forth by the radiologist. Through readings, radiologists, and other technologists. Through school and magazines. Also through co-workers who have different ways of doing things with the same or better results. THROUGH THE RADIOLOGISTS Through vendor-related information, seminars, journal articles, Radiologist(s), etc Through vendors and ASRT and radiologists THROUGH RADIOLOGIST CT SEMINAR FOR RTS HANDS-ON APPLICATION Through radiologist or applications Through radiologist, readings, and vendors Through the radiologists and readings TRAIN AT OTHER FACILITIES I WORK AT A VERY SMALL HOSPITAL Trained by my supervisor in new procedures TRAINING BY RADIOLOGIST TRAINING AND VENDOR RADIOLOGIST ASSISTANCE Training classes from vendors. Radiologist new protocols. TRAINING DIRECTLY FROM DEPT. MANAGER TRAINING FROM APPLICATION SPECIALIST, READING Training from co-workers and the ASRT Directed Readings are how I keep up with unfamiliar techniques. Training from MDs and other technologists TRAINING FROM OTHER CT TECHS AND THE RADIOLOGISTS Training from other techs and learning to operate equipment from applications. Training from radiologists, conferences. TRAINING OTHERS, ONSITE APPLICATIONS, NEW EQUIPMENT RADIOLOGISTS ARE AT A LEARNING CONSTANTLY WANTING SOMETHING N Training with application personnel and workshops, some home studies and videos Training with more experienced CT technologists and CT related articles. TRAVELING ACROSS USA - AS TEMP GET TO SEE VARIOUS SCANNERS PROTOCOLS ETC Try to learn those applications from fellow employees that already have the knowledge about these techniques or go to the source and read the manual provided by the vendor

71 Try to read up on it and talk to a specialist in that area Unfortunately, I have not yet attended any dedicated CT conferences to expand my technique/procedure skills. The only new knowledge has been obtained from the radiologists I work for. Unfortunately, our hospital has a single slice scanner with an antiquated radiologist so we are not up on the latest and greatest. However, I talk to other techs and read journals. UPDATED BY DOCTORS IN OUR FACILITY. THEY WANT SOMETHING NEW WE LEARN HOW TO DO IT Upgrading our scanners and protocols along with radiologists insight and onsite applications. Use online services to keep up to date, i.e.,ctisus, auntminnie. Also use radiologist and other technologists. Usually discuss with other CT technologists on staff. USUALLY FROM AN APPLICATIONS SPECIALIST FROM A PARTICULAR COMPANY LIKE OF OUR RADIOLOGISTS GIVES US USUALLY FROM RADIOLOGISTS Usually one or two of the technologists in my department attend conferences or workshops to learn new equipment or advances. They then train the remaining techs in this new material. At times vendors come to us to train. USUALLY ONLINE, RADIOLOGISTS, HOMESTUDY USUALLY THE RADIOLOGIST EXPLAINS THE NEW PROCEDURE, I THEN FOLLOW THE INSTRUCTIONS HE GIVES. USUALLY THROUGH THE CT TECH THAT MANAGES OUR WORK AREA; RAD TECH MAG, CDS. Usually, we call other facilities that do these procedures or our radiologists direct us. UTILIZE OTHER TECHS IN FIELD, DR AND RADIOLOGISTS. OCCASSIONALLY GE INSITE PROVIDES ADDITIONAL NEW INFORMATION. Vendors, technologists from another hospital, radiologists. VENDOR IN-SERVICES, DRS, RESEARCHING ONLINE VENDOR PHONE SUPPORT OR OTHER FACILITY CONTACTS VENDOR REPS COME TO HOSPITAL WITH NEW PRODUCTS, RADIOLOGIST HAVE NEW IDEAS VENDOR TRAINING, FELLOW CT TECHNOLOGISTS TRAINING Vendor training, working with other CT technologists, looking at reference material online VENDOR, ARTICLES, TECHS, RADIOLOGISTS, OTHER HOSPITAL SITES Vendors, vendor s applications. Radiologists. VENDORS AND CO-WORKERS VENDORS AND OTHER CT TECHS VENDORS, LITERATURE, RADIOLOGISTS Vendors' off-site conferences, networking with other facilities, radiologist guidance Vendor training with new upgrades to our equipment onsite/offsite. Visiting other area facilities within our network to learn new procedures and techniques. VIA RADIOLOGISTS THROUGH WHAT THEY DO AT THEIR LARGER HOSPITALS VIA RADIOLOGISTS WHO CONTINUALLY KEEP ABREAST ON CURRENT CT PROCEDURES AND TECHNIQUES. THEY ARE MORE APT TO GO TO CONFERENCES ETC. AND LEARN ABOUT SUCH PROCEDURES. Visit other sites with latest equipment. Reading. Speak with other radiology professionals. Visit other teaching facilities once a year and observe the new techniques and procedures VISITING A SITE CURRENTLY CONDUCTING THESE SCANS Volunteer to sit in on unfamiliar procedures Wait for radiologist/ md's to want the new procedures to be done and learning how to do them.

72 WATCH AND LEARN, ASK QUESTIONS, BE CONSTANTLY LOOKING FOR WAYS TO IMPROVE WATCH OTHER CT TECHNOLOGIST, ASK QUESTIONS WATCHING 1ST, THEN DEFINITE HANDS-ON REPEATEDLY -- ASKING OTHER TECHS, READING MATERIALS WATCHING AND HELPING OTHERS THAT KNOW THE PROCEDURE AND THEN DOING IT UNDER SUPERVISION Watching and learning from more experienced techs Watching and observation, have new technologists sit with me to scan. WATCHING AND READING WATCHING BEING DONE AT WORK Watching or talking to fellow technologist. WATCHING OTHER CERT CT TECHS WE ARE A BETA SITE FOR PHILIPS. WE GET ALL OF THE NEW TECHNOLOGY SCANNERS AND SOFTWARE UPDATES BY APPLICATIONS We are in the process of obtaining two new scanners. On-site applications, and one or two of us will go to off-site training, then come back and train the rest of the staff. Also, our radiologists update us with new protocols they want us to try and/or use We basically don't at my facility. Although much conversation is generated (and knowledge shared) amongst technologists. WE CALL ANOTHER LOCAL HOSPITAL AND TALK TO THE CT TECHS FOR INFO ON EX THAT ARE UNFAMILIAR TO US We contact our reps for education or fellow techs at other facilities. WE DISCUSS WITH OTHER STAFF WE HAVE 1 OR 2 RADIOLOGISTS AT MY HOSPITAL THAT KEEPS UP ON NEW PROTOCOLS THEN EXPERIMENTS WITH OUR SCAN WE HAVE A GREAT GROUP OF INTERVENTIONAL RADIOLOGISTS THAT WE WORK WITH WE HAVE A NEW CT, SO I CAME IN DURING THE WEEK AND LEARNED NEW METHODS, ALSO CONTINUING EDUCATION We have a radiologist who teaches. His main forte' is MSK and he brings a lot of his learned skills to us via new techniques and protocols WE HAVE A SENIOR STAFF CERTIFIED CT TECHNOLOGIST WHO HELPS US DEVELOP SKILLS IN UNFAMILIAR TECHNIQUES WE HAVE A TECHNICAL COORDINATOR WHO KEEPS US UP TO DATE ON PROCEDURES. We have to learn from a select few at our hospital and it's not the best few to learn from. WE HAVE VERY OUTDATED EQUIPMENT AND NO ACCESS TO NEW TECHNOLOGY. WHEN THE RADIOLOGISTS WANT SOMETHING DIFFERENT THEY LET ONE OF KNOW. WE RECENTLY PURCHASED TWO LIGHTSPEED AND I HAD APPLICATIONS TEACH ME ON ONE WE WILL BE TAUGHT BY FELLOW RADIOLOGISTS We use top of the line CT scanning equipment, utilizing CT applications from vendor. CT supervisor works closely with vendor and radiologists to keep current protocols up to date. All literature online and in journals is used to keep myself informed. When a new procedure is introduced, I prefer to speak to the radiologist, and applications personnel for the best information on parameters (scan increments, contrast flow rates). WHENEVER POSSIBLE I WILL PARTICIPATE IN PROGRAMS OFFERED IN MY GENERAL AREA. VENDORS PROVIDE TRAINING PROGRAMS SEVERAL TIMES A YEAR. I WORK IN A TEACHING HOPSPITAL AND TAKE ADVANTAGE OF ANY INSTRUCTIONAL PROGRAMS GIVEN BY THE RADIOLOGISTS. When new technology comes out our radiologist try to provide new services to our patients WHEN THE TIME COMES I VISIT A SITE THAT ALREADY DOES THE PROCEDURE READ ABOUT IT AND A RADIOLOGIST WHEN WE GET A NEW SCANNER UP WE ARE SENT TO GE FOR TRAINING AND THEN GE SENDS AN APPLICATIONS SPECIALIST TO OUR CLINIC

73 when we updated to a multi slicer we developed our skills through applications...otherwise we learn from other techs...and going to a conference is good but the downfall is that the radiologists wont let us use what we learned into practice...i learned alot from other traveling CT techs who have used various equipment and they shared their knowledge and expertise... While there is no formal training at my work place, usually there is a change in the protocols set forth and usually there is reference to a specific symptom/pathology that goes along with the change in protocol; otherwise the answers can be obtained from With experience and help from rads I am learning ways to improve my profession WITH GUIDANCE OF RADIOLOGIST READING AND CORRESPONDENCE WITH OTHER CT TECHS. With the help of my fellow co-workers and supervisor. WORK PRN IN A SEPARATE TRAUMA UNIT WITH MORE ADVANCED SCANNING TECHNIQUES Work with a radiologist to produce diagnostic CT exams with new technological tools WORK WITH ATTENDINGS ON ADAPTION OF PROTOCOLS -- Q/A ON CHANGES AND ON OTHER TECHNOLOGISTS STUDIES I WORK WITH. RADIOLOGISTS ATTENDINGS AND NEUROSURGEONS. WORK WITH DOCTORS THAT WANT TO TEST NEW AREAS OF CT Work with other technologist to see what is required and recommended WORK WITH OTHER TECHNOLOGISTS WORK WITH RADIOLOGIST AND SURGEONS TO SET UP DIFFERENT PROTOCOLS TO FIT THEIR IMAGING NEEDS. Work with radiologists and applications specialists to develop my own techniques when necessary. WORK WITH RADIOLOGIST-THAT PERFORM CUTTING EDGE PROCEDURES AT LARGE HOSPITALS. WORKING ALONG SIDE SOMEONE WHO HAS MORE EXPERIENCE AND TRAINING WORKING AND SKILLED CT TECHNOLOGIST AND RADIOLOGIST WORKING AT LARGER HOSPITALS PRN SURGEONS ADD TO THE PROTOCOLS Working closely with my radiologist, making specific protocols for particular atypical anatomy. Being willing to work beyond the normal techs energy level. Working closely with radiologist to fine tune procedures and protocols. Try Postprocessing techniques to enhance studies. Working closely with the radiologists and other technologists when something unfamiliar or unique arises. WORKING IN AN OFFICE SITUATION -- OPPORTUNITIES FOR HIGHER/ADVANCED HEARING ARE SLIM. IN-SERVICE WOULD BE WONDERFUL AND A GOOD ASSET TO LEARNING NEW DEVELOPMENT Working very close with the radiologists and vendors WORKING W/OTHERS, SEMINARS Working with an applications specialist, developing protocols, providing in-services on new technology Working with applications specialist on in site info lines. Working with radiologist and reading articles in their journals WORKING WITH EXPERIENCED CO-WORKERS Working with other CT techs. Talking to my supervisor and discussing situations with him. Reading the peer-reviewed journals and Seeram. Researching specific items on the Internet. Working with other technologists and radiologists currently familiar with the techniques and procedures. WORKING WITH OUR SISTER HOSPITAL OR LEARNING FROM SENIOR TECHS. Working with rads, trying new techniques Working with the radiologist and reading materials they find relevant. Vendors also provide much information.

74 WORKING; FEEDBACK FROM RADIOLOGIST, KEEPING UP WITH CURRENT LITERATURE Workshops, on-the-job- training provided by vendors, CT Web sites, conferences, directed readings from asrt WOULD READ MONTHLY MAGAZINES CURRENLTY ONLY FROM RADIOLOGIST CHANGES ARE DICTATED conferences, radiologists Total Self-study/Work Experience Frequency Percent ALWAYS WILLING TO LEARN NEW MACHINES Aapplications training, observing others, performing exams As there is need to know about advance skills in CT. Because day by day the technology is changing fast. So we should know about them. ASK QUESTIONS, STUDY ASSIST ANOTHER MORE EXPERIENCED TECHNOLOGIST, THEN PERFORM SKILL MYSELF ATTENDING A SEMINAR IN CT IMAGING, TECHNIQUES AND PROTOCOLS. AND TRYING NEW EXAMS THAT A CT SCANNER IS CAPABLE OF SUCH AS VIRTUAL COLONOSCOPY. BUY NEW EQUIPMENT, CT SCANNER AND NEW PROTOCOLS AND INTERVENTIONS By continuing to learn about the technique and/or procedure by doing it on-the-job. I work third shift so we do not get as much training as those on first shift. I believe there should be more on-site training for anything unfamiliar. Especially for new equipment. By following radiologist protocol and learning on-the-job from other ct techs. By going to conference, and talking to other CT techs. Reading and studying on my own. BY HELPING EMPLOYMENT NEW PROTOCOLS REGARDING OUR 16 SLICE SCANNER By keeping current on new techniques, exam etc. By working at a state of the art...trauma center: I am lucky to always be learning new techniques and new skills in my career. Challenging myself and trying to do a procedure a different way. COME IN ON OFF SHIFTS TO LEARN THE PROPER WAY TO DO THE PROCEDURE. Discussion with radiologists and on job experience. DIVE IN, DO IT, SUPERVISOR FOR AN EXPERIENCED TECH AND AID OF RADIOLOGIST EXPERIENCE, OTHER CT TECH METHODS Experience in the field, working with radiologists developing protocols, attending conferences and fellowship with other technologists EXPERIMENT AND CHALLENGE MYSELF TO DIAGNOSE HOW I CAN BE A BETTER MORE INTELLIGENT TECH FINDING INFORMATION AND READING OR BY JUST DOING THE PRATICE GET BOOKS, ONLINE COURSES, RADIOLOGISTS, VENDORS Get hands-on training from ftes, physicians Getting involved with new exams coming into our facility. Asking radiologist to explain techniques. Hands on HANDS-ON EXPERIENCE AND WORKSHOPS HANDS-ON EXPERIENCE IN THE DEPARTMENT I CANNOT TRAVEL TO GET CE CRED HANDS-ON EXPERIENCE THROUGH WORKSTATION THE HELP OF CORWORKERS AND SUP

75 Hands-on!! Still the best way to train. Additionally having published materials and online access to updated techniques are invaluable. I am currently a department director and rarely have opportunity to scan. Unfortunately I get most of my knowledge from reading. I am fortunate to work in a major teaching hospital, which I feel is cutting edge, when it comes to CT scan. We are always learning and improving our protocols." I began on-the-job training over four years ago. The lack of knowledge possessed me to learn more about the modality through seminars, self-study programs and eventually taking the registry. I am now focusing on CT specialties, to further my skills and knowledge I DO AGENCY WORK IN CT. CONSTANTLY WORKING ON DIFFERENT SCANNERS. LEARNING DIFFERENT TYPES OF TECHNIQUES AND PROCEDURES. EXCELLENT WAY TO GET MORE EXPERIENCE. I DO ALL THE CTS I CAN AS WELL AS ASSIST WITH THE SCAN I EXPANDED MY SKILLS THROUGH JOURNALS, OTHER TECHNOLOGISTS, AND OTHER INSTITUTIONS BY OBSERVING AND LEARNING I find information through magazines and online. I like to watch/listen to the online conferences offered by some of the universities and hospitals. I jump at every chance to do new CT. I always talk to my radiologist. I just graduated last June 2004 and have been doing CT that whole year. I feel I am still learning everyday but can perform my job duties without help. I just have to learn on my own. I can't get off work and they won't pay for education. I JUST PAY ATTENTION TO NEW PROCEDURES COMING UP FROM OUR SUPERVISOR I WORK AT A CHILDRENS FACILITY I JUST TRY TO KEEP UP WITH THE SCANNERS WE HAVE UPDATED EVERY YEARS I look for different protocols to try and do. I am always searching for information on CTA and cardiac studies. I read about new and innovative processes in CT. In order to become proficient in any unfamiliar techniques I must have hands-on training. I read about them, research them and discuss them with my supervising physician, also applications is called in to help with new procedures until techs are competent. I read and watch and then work with an experienced CT tech. I then make an instruction sheet to follow for each of the new scans that we are performing I read info relevant to CT. I talk to the radiologist. I think about a procedure and plan ahead for different scenarios. I use trial and error. I read, talk to radiologists and other technologists. If I need to I go to a hospital where the procedure or technique is performed and watch and learn. I TRY TO KEEP CURRENT I TRY TO LEARN ANYTHING NEW WHEN APPLICATIONS COME IN I work in Ct on a regular weekly basis, including off-hours emergency scanning. We installed a multi-slice scanner 2 years ago, and are continuing to increase the amount of new scan protocols, and exams that I am doing on a regular basis involving 3-D models, reformatts, etc. If there is a skill for example reformatting or 3-D rendering that I don't think I have the hang of it, I will play around with the software and learn all the ins and outs. That way if I have to do the work later I know what to do. I'm working PRN at a couple of different places right now. I feel that I'm getting more experience and learning new skills by venturing out to other facilities. Information from radiologists and updates from supervisor. Sometimes becomes trial and error JUMP IN AND DO, FIND BOOKS AND READ WHAT I CAN'T FIGURE OUT OR TALK WITH APPLICATION SPECIALIST VIA PHONE. Keep up to date with current techniques and evolving technologies. KEEPING UP WITH NEW IDEAS KNOWING HOW THE SCANNERS WORK ALLOWS YOU TO ACCOMPLISH ANY EXAM REQUESTED Learn about new techniques, see it done, practice it, learn it well enough to teach others.

76 LEARNING NEW TECHNOLOGIES AT WORK TRYING NEW TECHNIQUES ON DIFFERENT SIZED PATIENTS Maintain by scanning weekly. Currently not my full-time job. Maintaining a job in a hospital that has state-of-the-art equipment Most of my skill advancement is done on my own. My employer does not provide education. I receive some from the Directed Readings from ASRT. Some from fellow CT technologists from other/busier facilities. Mostly hands-on training and observation. Only it seems limited to site location and their ability to provide service to the community. If learned but not used skills would be lost, repetitive use is what keeps skills tuned. MOSTLY ON-THE-JOB TRAINING THROUGH RADIOLOGISTS, OTHER STAFF TECHNOLOGISTS MOSTLY THROUGH EXPERIENCE OR ASKING OTHERS Observation of procedure and hands-on learning Observation then participation OBSERVATION, HANDS-ON APPLICATION AND VARIOUS EDUCATIONAL MEDIA OBSERVE OTHERS DOING PROCEDURES THAT I AM UNFAMILIAR WITH AND ASK QUESTIONS ABOUT UNFAMILIAR PROCS Observe, Question, Do - while being instructed. Do multiple exams. Teach Observing at facilities that do the new procedures Online through vendor peers ON-THE-JOB TRAINING AND LOTS OF PRACTICE ON-THE-JOB. ALSO FROM FELLOW CO-WORKERS. ASRT BOOK W/VERY FEW CT CES. WORKING AT A HOSPITAL THAT TRIES TO KEEP UP WITH THE TECHNOLOGY. Otj training calling application specialists will get some training from vendor when upgrading machine OTJ, PROFESSIONAL JOURNALS, ARTICLES, SEMINARS Personal motivation. I like to feel that I am progressive in learning new technology to stay a step up in my field. It s more than making the required limit of CE to me. I will do more when I feel like I am weak in an area that is new and advanced past PRACTICE ON PHANTOMS. OBSERVE OTHERS WHO ARE DOING THE PROCEDURE. PRACTICE, IN-SERVICE, RESEARCH AND VENDORS Practice, practice, practice! As a technologist at a Level I trauma center, and major cancer center, I have the opportunity to see and participate in many procedures that are cutting edge. I adore this advantage, and consider it an opportunity to expand my knowledge as a technologist. Practice, practice, practice, with someone familiar with the protocol overseeing the process. Many people at my hospital work other places, so there's great input and differing viewpoints. Practice, working closely with radiologist while scanning procedures for the first time and working with co-workers. Practice. Hands-on training. Practicing and performing new procedures PRACTICING ON PHANTOMS OR WITH EXAMS ALREADY DONE GOING BACK AND RECONSTR Primarily on job training PROFESSIONAL BOOKS, HOME STUDIES, TRAINING WITH STAFF RADIOLOGIST VENDOR AND SUPERVI Read manuals that came with equipment, practice on equipment, call applications hot line. Read and observe others. Often the best skill advancement is the actual performance. Read protocols, ask coworkers, do as many exams by myself as possible Read up, talk to others, practice makes perfect.

77 Read, read, read. Attend seminars, conferences. Practice, practice, practice. READING AND ATTEMPTING TO APPLY THE KNOWLEDGE READING AND PERFORM IT WITH ANOTHER CT TECH Reading and then applying learned materials READING APPLICATIONS MANUAL, INPUT FROM OTHER TECHNOLOGISTS, TRIAL AND ERROR, CES Reading articles, having discussions with radiologists, experimenting with new techniques, attending conferences, directed readings. Reading professional magazines and learning the new protocols and techniques and experiment that in work place with the radiologist. READING RADIOLOGY JOURNALS AND IMPLEMENTING THEM INTO PRACTICAL USE READING, DOING CE POINTS, RADS, VENDORS READING, OBSERVING, AND DOING UNDER OBSERVATION THEN DOING SOLO Reading, talking to other technologists, problem solving through innovative thinking, trial and error, discussions with radiologists Reading, trial and error, ask someone else who knows Readings in journals, magazines, national lectures, hands-on practice. Review them frequently and try new techniques which are in reason. See one, do one, teach one. SEE ONE, DO ONE, TEACH ONE. NOT EXACTLY CONFIDENCE INSPIRING! SEE ONE, DO ONE, TEACH ONE. OBSERVING A NEW OR UNFAMILIAR EXAM, QUESTIONING THE TECHNICIAN, ATTEMPTING TO DO THE EXAM SOLO WITH SUPERVISION THE FIRST 2 OR 3 TIMES SEE ONE, DO ONE, TEACH, CREATE PROTOCOL, DATABASE FOR DEPARTMENT INTRANET SEEKING EDUCATION OF OTHERS DRS SEMINARS SEEKING OUT EDUCATION IN ANY FORM. LEARNED TO USE 30 WORKSTATIONS CROSS-TRAINING IN MR Self-study and current technology at hospital of employment. SELF-STUDY, ONLINE HELP SELF-TAUGHT OR FROM A FELLOW TECH SEMINARS AND ON-THE-JOB TRAINING SET UP PHANTOM AND DO A TRIAL RUN ON MACHINE Spend time scanning at a larger medical facility. STUDY MAGAZINES, ON-THE-JOB TRAINING Taking classes, observing at other facilities Talk to other techs, call applications. Trial and error with the machine. Talking to radiologists. TALK WITH CO-WORKERS AND OBSERVE EXAMINATIONS TAUGHT ON-THE-JOB The biggest thing is not letting MD scanning scare you. Don't be afraid to experiment with the system you're using - within established departmental guidelines. The hard way, asking questions and pulling teeth Through off-site vendor classes, online vendor readings, worked as a vendor applications specialist, other CT technologists, and radiologists, visiting other CT departments with new technology. THROUGH PRACTICAL EXPERIENCE, SEMINARS IN CT THROUGH RADIOLOGIST, CT SEMINAR FOR R.T.S HANDS-ON APPLICATION

78 Trial and error Trial and error. Our facility is so busy we rarely have time to devote to practicing new skills. (after going to workshops to learn them)this is very frustrating for all of us. It seems to be a common complaint. Trying to keep updated through various different means USUALLY ON-THE-JOB TRAINING; AS OUR FACILITY STARTS NEW PROCEDURES USUALLY ONLINE, RADIOLOGISTS, HOMESTUDY When my place of employment begins to use a new protocol or new technology developed for CT, then I learn it because I have to use it in my daily job. Working with rads, trying new techniques Total Software, Online Materials Frequency Percent Advance magazines, ASRT, hospital, Johns Hopkins online site. ARRT and ASRT journals Internet sources ARTICLES ON THE INTERNET OR IN THE JOURNALS I RECEIVE IN THE MAIL Ascertain information online, communication with other ct technologist; online applications from GE support. ASK RADIOLOGIST, READ OFF OF INTERNET Attending conferences, online readings, working with radiologists to develop skills Aunt Minnie inforadiologists AUNTMINNE.COM NEW 16 SLICE CT 3-D WORKSHOP TRAINING AuntMinnie.com is an excellent source online. By asking questions of the radiologist in charge of CT. Also with articles in Radiologic Technology. The Internet is also helpful. By reading industry journals and doing online research. By talking with other CT technologists at other facilities or through video or professional publications. Call vendor apps. Ask other techs who may work at other hospitals that are doing different procedures. Google the procedure Checking out diagnostic imaging, aunt minnie, and other radiology sites online, vendor information, calls to other hospitals Comparing protocols between facilities, discussion with radiologist, review of anatomy and techniques. Look at Web site CTISUS.com Contact with other CT technologist within our system, resourcing with the online applications specialists, and resourcing with the radiologists. Reviewing images from systems currently using the new techniques. Continuing education materials and the Internet are two main sources used by me and my associates. The radiologists also give feedback and information regarding CT and the newest technology available as well as protocols seen in journals and Internet CT publications, auntminnie.com, ctisus.com CTisUs Web site, any online information on new technology CTisus web site, feedback from radiologists Currently I learn from co-workers, read equipment protocols, manuals. Ask radiologist and look online. Discuss with radiologist(s) - discuss with senior CT tech - contact equipment provider - CTISUS on internet - read professional journals EDUCATIONAL JOURNALS, IN-SERVICE VIA TELECONFERENCE, VIDEOS, ETC. Enlist help from online products, product information sheets, radiologist Expanding my CT skills have been training and sharing new techniques with fellow CT techs. Also reading up on the new material mostly through Scanner.

79 Forums on ctisus.com and auntminnies, Radiologists, vendor training Go online and read about new technologies in ct in the GE web site, applications specialist provided a disc with anatomy information on it. Go online to check protocols, question other institutions, call fellow technicians, conferences are the biggest source. Go to Internet sites for such procedures and read about them and how they are performed. Going online and visiting Web sites offering information GOING ONLINE TO FISHERS APPLICATIONS FOR SPIRAL SCANNING TECHNIQUES OR ASKING RADS FOR DOCUMENTS ON NEW ADVANCES AND TECHNIQUES I am a member of the CT community on GE Web site, and also Dr Elliot Fishman CTISUS.com keeps up with all protocols. Also our radiologists stay up with the current trends and techniques with the high speed scanner. I attended a training conference for our new scanner and learned a lot there. I read articles, watch GE Tip TV videos, visit Aunt Minnie web site and I talk with the radiologist about new stuff. I contact other hospitals and vendors. Check publications and look for online information. I find information through magazines and online. I like to watch/listen to the online conferences offered by some of the universities and hospitals. I keep in close contact with my GE online help. And their off-site applications personnel. I like to watch Tips T.V., a G.E. production that covers familiar and unfamiliar techniques and procedures. I also attend local seminars, i.e., M.S.R.T. I look for CEU courses in those areas. I seek out information about these things at RSNA. Online search and CT related sites I MAKE SURE THAT I ASK THE MOST SKILLED CT TECH TO SHOW ME EVERYTHING I NEED TO THEN RESEARCH THE PROCEDURES I read a lot on GE cares, CTisus, and ASRT literature I read alot on internet sites and also we get alot of new things from the radiologist. She will read something somewhere and bring us the article and tell us to try it. I would like to see more publications on CT. When I was studying for my registry I could not find very many current publications especially on multislice technology. I read case studies on Web site- Aunt Minnie.com /and on CTISUS. I read articles in R.T. magazines that come to my home and that are available at work." I read online articles and professional magazine articles. I also learn from my co-workers and radiologists. I READ, GO ONLINE, SPEAK WITH VENDORS AND RADIOLOGISTS I research individual topics online to gain the newest information as possible. CTISUS.com has great information about the type of scanner I use, the scanner protocols, and the scanner pitfalls. Case studies are also on that site. I resource vendors - applications personnel, radiologists, co-workers, Web sites of CTISUS. I talk to other experienced CT techs I know, go to CT specific seminars, log on to Web sites about CT, read CT journals, etc I talk to the radiologists and read current literature in books and online. I try and read my professional Journals from the ASRT. I also use the Internet to look up new equipment and techniques such as the GE Cares web site. I try to get information from any avenue that is available to me i.e., Internet, applications people, etc. I use the Internet to find info. I talk with techs at other facilities. I read a lot about new procedures and equipment coming available. Vendors have useful info on new equipment. Radiologists are usually up to date on new techniques and procedures. I use the Web site CTisus quite often. They have all the updated procedures and protocols I will go to for examples of protocols. Since I only scan on a 4 slice machine acquiring protocols and procedures regarding 16 slice machines are hard to find without direct training. INQUIRE ABOUT ADDITIONAL TRAINING TIPS AND TAPES JOURNALS INTERNET

80 Internet research, operation manuals, radiologist input INTERNET, ASRT JOURNALS INTERNET, RESEARCH, LIBRARY RESEARCH, MANUFACTURER APPLICATIONS JOURNALS AND ONLINE JOURNALS, MEETINGS, IN-SERVICES Journals, reading articles, Internet JOURNALS, VENDORS, ONLINE LEARN FROM OTHER TECHS. READ APPROPRIATE MATERIALS. ANY INFO I CAN GET OVER THE INTERNET LET THE RADIOLOGISTS DESCRIBE NEW TECHNIQUES AND SET PROTOCOLS. USE THEIR FEEDBACK. READ IN MAGAZINES AND CHECK A COUPLE OF WEB SITES. Literature, Web sites, seminars LOOK ON THE INTERNET AT OTHER PROTOCOLS Looking it up online, professional mags, Lots of vendor training if able to achieve applications specialist help. Online info and directed readings. MOSTLY FROM APPLICATIONS, VIDEOS AND ON-SITE RADIOLOGISTS MOSTLY FROM RADIOLOGISTS. SOME FROM OUR ONLINE CTISUS AND OTHER ONLINE RELATED SITES. Networking with other CT technologists, reviewing case studies online. New procedure guidelines via CD training from our vendors, in-service opportunities when the budget allows Ojt, online info, rads. Online reading, CE courses, conferences Online research ON MY OWN INITIATIVE, AND I READ PERTINENT ARTICLES On-site applications training. Online On-the-job training, online courses, and direct teachings from the radiologist on staff. ONLINE ONLINE CTISUS.COM HAS PLENTY OF INFORMATION LINKS ETC THEY STAY AT THE CUTTING EDGE ONLINE CTISUS.COM/CDS FROM VENDORS ANY CT ARTICLES FROM MAGAZINES ONLINE EDUCATION, OPER????, VENDOR VIDEOS, CONFERENCE CALLS WITH FELLOW CT TECHS ONLINE HELP. JOHNS HOPKINS SITE AND OTHERS Online info ONLINE INFORMATION AND CT CONFERENCES Online new studies, rads, professional journals ONLINE RESEARCH AND ON-THE-JOB UTILIZING RADIOLOGISTS AND APPLICATIONS TRAINING ONLINE RESEARCH OR ONSITE APPLICATIONS TRAINING Online research. Online resources such as GE Tip TV programs and practicing protocols on workstations for studies such as CTA work. Online, other technologists, reading articles/ manuals ONLINE, QUESTION THE RADIOLOGISTS Professional training videos, discussion with staff radiologists and other technologists and professional publications.

81 Radiologist, online resource material, buy books, fellow technologists and applications from GE Toshiba etc. Radiologist and ctrus.com Radiologist involvement with a continued advancement CT program. Johns Hopkins Internet site. CT vendor seminars and advancement programs. Radiologists input; education material from institutions such as Johns Hopkins; Online and written updates from professional sources Radiologists, online resources. Read as much as I can. Surf the web and with a little luck find some useful info. Network, use resources. Also, believe it or not but your service engineer is a good source of info! " Read journal articles. Web-based research. Other institutions READ ONLINE Read online articles by vendors and medical Institutes nationwide. READING AND STUDYING OTHER PROCEDURES EITHER FROM BOOKS OR THE INTERNET Reading articles in trade magazines. Reading material online, especially at Also from on-site Radiologist or consulting with the CT department at our affiliated academic hospital. Reading articles, checking latest protocols on web sites such as ct is us. READING ARTICLES/OTHER TECHS/ONLINE INFORMATION Reading as many online articles as I can find. Seeking vendor information if available. Attempt to find hospital performing procedures and go there as a traveler and learning their procedures. READING EXTRA MATERIALS, AUNT MINNIE, ASKING LOTS OF QUESTIONS TO THE RADIOLOGISTS READING IN PROFESSIONAL JOURNALS, ALSO ONLINE AT ASK AUNT MINNIE SITE. Reading information in technical publications, online research, and by asking questions of the radiologists Reading journals and articles helps greatly. Online activities at Web site. I am the only person at my facility with CT postprocessing experience. Siemens medical systems provides excellent applications as well as Johns Hopkins continuing ed. conferences. Read, read, read and develop protocols with phy [sician? sicist?] Reading journals and vendor information online Reading journals. Viewing videos. Discussing techniques with radiologist. READING LITERATURE AND ONLINE INFORMATION Reading materials pertaining to CT, watching home videos or DVDs pertaining to CT learning a skill from an applications specialist Reading materials. Internet. Radiologist Reading new letters from sites such as CTisus, visiting online sites such as CTisus, univ of virginia, and multidetector. Articles in the asrt journal, etc. READING ONLINE CASE STUDIES READING ONLINE OF SPEAKING WITH STAFF Reading online reviews and techniques, getting new protocols from radiologists, vendors and other facilities, going to conferences/seminars and by trial and error. Reading or reviewing sources on the Internet READING PROTOTOL, SCANNER MANUALS, AND GOING ONLINE. READING PUBLISHED MATERIAL, VISITING ONLINE SITES, VISITING AND SPEAKING TO CT TECHNOLOGIST Reading radiology online news. READING RELATED JOURNALS AND SURFING Reading up on the procedures; going online to all my sources, and my radiologist's input. READING, ONLINE INFORMATION RADIOLOGISTS

82 READINGS THROUGH ASRT, READING ON WEB SITES SUCH AS CTISUSORG AND TALKING TO TECHS THROUGHOUT T Research through journals, Web sites such as Aunt Minnie and CTISUS, and U of W CT conference. Refer to journals, online sites, and other techs for protocols, hints... Research online or other reference material that's been published. Research online sites. Read on latest and newest equipment and exams. RESEARCH WEB Research, asking questions, online Reviewing vendor protocols, online applications SEARCH INTERNET FOR EDUCATION SOURCES, RADIOLOGISTS MAN???? INFORMATION, ETC SEARCH ONLINE ANY INFO I CAN GET See above. The CD of the annual meeting is invaluable to me. It has every speaker presented as if you were there listening and watching. It s great! SEE ONE, DO ONE, TEACH, CREATE PROTOCOL, DATABASE FOR DEPARTMENT INTRANET SEEK OUT INFO VIA THE INTERNET SELF-STUDY, ONLINE HELP Software updates as well when new equipment is installed Software/hardware upgrades routinely with our system along with vendor applications. SPEND A LOT OF TIME ONLINE TALKING TO RADIOLOGIST AND OTHER TECHS FROM OTHER HOSPITALS. ALSO ONLINE READING AND PROTOCOLS. RECENTLY I HAVE BE RECEIVING APPLICATION TRAINING FOR A SIEMENS CT SCANNER Talking with radiologists, other CT techs, reading material, videos. Talking with the radiologist or searching the Internet Through GE workshops as software is expanded at their facility in Milwaukee Through instructional manuals from vendors and online resources. Through off-site vendor classes, online vendor readings, worked as a vendor applications specialist, other CT technologists, and radiologists, visiting other CT departments with new technology. Through other technologists information, and searching online for information Training with application personnel and workshops, some home studies and videos Use online services to keep up to date, i.e., CTisus, auntminnie. Also use radiologist and other technologists. USUALLY ONLINE, RADIOLOGISTS, HOMESTUDY USUALLY THROUGH THE CT TECH THAT MANAGES OUR WORK AREA; RAD TECH MAG, CDS. VENDOR AND ONLINE MATERIALS CDS VENDOR HAS PROTOCOLS. VENDOR SENDS ARTICLE, JOHNS HOPKINS WEB SITE Vendor information an d online protocols and case examples Vendor training, working with other CT Technologists, looking at reference material online Vendors and online sites Vendors, radiologic journals, university courses, online courses VIDEOS WE WORK CLOSELY WITH OUR VENDOR AND FOLLOW PROTOCOLS DOWNLOADS FROM SITE

83 Web Sites: CT IS US, Aunt Minnie, Siemens. Vendor presentations, publications Web sites; i.e.: CTisus. One on one with other techs. Workshops, on-the-job- training provided by vendors, CT Web sites, conferences, Directed Readings from ASRT conferences, radiologists Yes - TIP - TV, Off - site workshops you can now purchase the computer programs that will do all the reconstructions 2d, 3d and multiplanar reconstructions. As for the protocols they are put in at our Radiologists request. The vendors of the equipment provide the needed procedure programs. Total Not Enough Time/Resources Frequency Percent FAR TOO BUSY! WOULD BE NICE TO INTERN AT OTHER FACILITY I currently only perform limited exams. I would have to retrain to again perform all exams as I used to, however in my current position this will not be occurring I don't I DON'T. MY WORKPLACE PROVIDES NOTHING. I BASICALLY LEARNED IT BY WATCHING. I WISH I COULD CONTINUE MY EDUCATION IN CT, BUT I LIVE ALONE AND WORK 11-7:30. I'M GOING NOWHERE FAST I FIND IT VERY FRUSTRATING AS AN OLDER EMPLOYEE IN A NONTEACHING HOSPITAL -- EXTREMELY RELUCTANT TO LEARN BECAUSE OF THE LACK OF INCENTIVE AND WITH??? TO SHARE AND TEACHING MY CURRENT EMPLOYER. IT'S MUCH DIFFERENT FROM THE TEACHING HOSPITAL WHERE I TRAINED! I have found that I am at a loss for expansion due to the small remote facility in which I work. I would desperately like to expand my CT experience, but since it is not a requirement my facility does not view it as necessary and does not promote further expansion of procedures. I HAVE NOT HAD THE NEED TO, I WORK IN A LEVEL 1 TRAUMA AND HAVE THE LATEST EQUIPMENT I ONLY DO CT ONCE MONTHLY WHEN TAKING CALL AT A HOSPITAL I USED TO WORK AT FULLTIME I STRICTLY WORK WEEKENDS AND THERFORE THE CTS THAT I DO ARE FROM ER, STANDARD ER CTS (HEADS, ABDS) I WORK 2ND SHIFT, SO ALTHOUGH WE DON'T DO MANY SPECIALTY PROCEDURES, WHAT WE DO ARE USUALLY ON 1ST SHIFT. I LEARN FROM SUPERVISOR OR OTHER TECHS. I WORK AT AN OUTPATIENT FACILITY THERE ARE NO INNOVATIVE PROCEDURES It's difficult to expand your skills when we haven't had a new CT machine in 11 years. We have hospitals in our system that do, though, and we hear and read about the techniques and procedures that are being done with the newer technology. We are expecting a new machine by the end of this calendar year It is difficult in an outpatient setting, but we are affiliated with a large urban hospital and I could go there to gain familiarity in techniques and procedures if needed. They are also a resource for protocols. IT IS NOT ENCOURAGED TO LEARN NEW THINGS AND APPLY THEM AT MY WORKPLACE,VERY STAGNANT, I DO LOOK UP ON INTERNET FOR NEWER TECHNIQUES AND PROCEDURES NEW TO THIS. HAVEN'T DONE IT NO, NOT ENOUGH TIME NOT SO WELL BECAUSE I NEED TO WORK WITH MORE SOPHISTICATED EQUIPMENT (FOR EXAMPLE 8,16,32,64 SLICES, AND POSTPROCESSING WORKSTATIONS) WHICH ARE NOT AVAILABLE IN MOST OF FACILITIES. ONLY DO ROUTINE CT ONLY HELP OUT W/NON CONTRAST EXAMS 1 3.8

84 That's been a challenge in my new position as sole CT tech at The machine is a six year old GE HiSpeed LXI with software I had never worked on before THE FACILITY WHERE I WORK DOESN'T REALLY DO INNOVATIVE PROCEDURES THIS IS NOT DONE AT OUR OUTPATIENT CENTER UNDETERMINED VERY DIFFICULT - I WORK AT AN OFFSITE WITH NO RADIOLOGIST Very limited due to age of equipment WE DON'T. WE ONLY DO THE BASICS BECAUSE OF OUR EQUIPMENT LIMITATIONS Total Other At my employment, we have two lead CT techs that receive all new protocols and learn to implement them. Once they have mastered the new change, they go around and show the rest of us what they learned. I work for an outpatient facility with approximately 10 different locations. AT MY FACILITY IT'S NOT OPEN TO CHANGE (IF IT'S NOT BROKE DON'T FIX IT) BE PUSHING AND TRYING TO WORK IN AN ADVANCED CENTER WITH HIGH TECHNOLOGY Currently only work supplemental hours in a weekend position. Information passed to me through protocols that have been devised, oral/written communication with CT supervisor and other full-time technologists and occasionally some type of in-house education Due to being a CT technologist for 18 years and currently working in a clinic setting I am not exposed to any unfamiliar techniques or procedures EVEN WHEN NOT EMPLOYED IN CT I GO IN EARLY OR STAY LATE IN ORDER TO STAY FAMILIAR WITH THE LATEST TECHNOLOGIES/PROCEDURES/TECHNIQUES FOR ME TO RETAIN NEW SKILLS AND TECHNIQUES IN CT I NEED TO USE THEM ON A REGULAR BASIS FROM ANYWHERE THAT I CAN I AM ALWAYS WILLING TO LEARN SOMETHING NEW AT WORK. I WOULD LOVE TO LEARN 3-D IMAGING BUT SINCE I WORK NIGHTS THERES NOT MUCH NEED FOR THAT I AM CURRENTLY PRIMARILY IN MR I am very close to retirement (semi-retired). I am still developing my skill but not to the point that I would if I would work full-time. I do not get into special exams that are not done often (i.e. cardiovascular) I HAVE A PER DIEM JOB AT A MAJOR BOSTON HOSPITAL I PLAN TO GET EXPERIENCED IN CT BIOPSY I try to do every CT that I can, but I work night shift, and some of the exams that I need to have experience in only come in on day shift I WORK AT 2 DIFFERENT FACILITIES WITH DIFFERENT MACHINES AND CASE STUDIES PRO I WORK AT A CLINIC/ER; NOT NEW PROCEDURES ARE DONE THERE ROUTINE EXAMS ONLY I PLAN TO HELP BUILD MY SKILLS AS A CT Tech I WORK AT DIFFERENT FACILITIES EACH FACILITIY IS AT A DIFFERENT LEVEL OF TECHNOLOGY I work in 2 different places and do CT in both, one hospital is very up to date in new skills I WORK IN A SMALL FACILITY, 25 BEDS WE JUST DO BASIC SCAN AT THIS TIME I would like to see some mock registries or info/education on CT certification MY STITUATION IS A LITTLE DIFFERENT IN THAT I WORK FOR CARDIOLOGY GROUP NEW PRODUCTS BEING INTRODUCED ANYTHING THAT WILL IMPROVE OR FACILITATE DELIVERY see #

85 VERY LITTLE COST EFFECTIVE INFORMATION AVAILABLE, WHICH IS VERY FRUSTRATING. BEST POSSIBLE SCENARIOS IS VENDOR ON-SITE TRAINING CONVENIENT, BENEFICIAL WE DO A LOT OF ANGIO AND 3-D IMAGING AT MY FACILITY WE ARE ADVANCED Total

86 12. Please help us assess the value of developing a professional-practice benchmark to which to compare your skills in CT. Such self-assessment tool would provide a score for each of several aspects of CT, such as: Benchmarking Not a Good Idea\Create More Problems A benchmark is very hard to measure. I work in a children's hospital, and we don't have the need for many of the skills listed above. I'm sure there are other types of institutions that have similar situations Again, because of my semi-retired situation, I do not feel this is that important. Our hospital cross-trains techs and I feel that takes away from the techs' commitment Benchmarks sound good but, most institutions will not adjust salary for tech growth, mine will not. Heck they will not even hire appropriate staff to do a job where pt numbers are up every month Creating professional practice benchmarks would really separate teaching/research facilities and for example, an outpatient clinic. I do not think it would be fair to assess Technologist skills based on things that may not pertain to your chosen place of employment. Any CT Technologist could be trained to do any CT procedure. So, just because a Technologist does not do interventional CT does not make them any less of a CT Tech than one that does these procedures CURRENT REQUIREMENTS TO PERFORM CERTAIN CT PROCEDURES PRIOR TO TESTING FOR CT CERTIFICATION MAKE IT NEARLY IMPOSSIBLE FOR TECHS IN SMALLER FACILITIES TO TAKE THE EXAM DON'T MAKE THINGS SO COMPLICATED. THE STRESS LEVELS ARE WAY TOO HIGH NOW EMPLOYER ROUTING EVALUATIONS SHOULD BE SUFFICIENT TO DETERMINE PROFESSIONAL DEV. THE SCANS PERFORMED BY THE EMPLOYEE WOULD BE PROOF OF SKILL I'm not real sure what purpose this would serve. To rate all CT techs skill-wise, or to offer education in weak areas, or both? Would we be certified in CT with an attached skills sheet? I AM NOT SURE I UNDERSTAND THE CONCEPT OF PROFESSIONAL PRACTICE BENCHMARKS OR HOW IT WOULD APPLY TO ME I DO NOT FEEL IT IS NECESSARY I DON'T THINK IT WOULD BE VALUABLE BECAUSE IT WOULD NEED NOT BE EMPLOYER DRIVEN. WE'RE NOT YET TO THE POINT OF EMPLOYERS REQUIRING A CT CERTIFICATION FOR EMPLOYMENT, SO BENCHMARKS WOULD BE IRRELEVANT I DON'T THINK THE BENCHMARK TOOL WOULD BE VALUABLE FOR MY PROF DEV BECAUSE I DON'T REALLY CARE WHAT OTHER PEOPLE ARE DOING. I KNOW WHAT I NEED TO (TO DO MY JOB). WHEN SOMETHING NEW COMES UP. I LEARN IT. IF I GOT A NEW JOB AND DIDN'T KNOW SOME ASPECTS, THEY TEACH YOU AND THEN YOU'RE GOOD TO GO. I DON'T FEEL LIKE I NEED TO KNOW EVERYTHING ABOUT CT JUST BECAUSE I'M A CT TECH. I AM INTERESTED IN KNOWNING WHAT'S OUT THERE, SO THE LINKS WOULD HAVE SOME BENEFIT TO ME I don't think there should be any benchmark; as it would put techs at a disadvantage whom are employed in clinics or small hospital where all the skills associated with CT are not used I DON'T UNDERSTAND WHAT YOU ARE ADDING I FEEL YOU'D BE TAKING AN ALREADY COMPLEX JOB AND MAKING IT MORE DIFFICULT BY CREATING DISSENSION WITHIN CT DEPARTMENTS -- WE ALL HAVE SOMETHING TO CONTRIBUTE - DON'T PENALIZE THOSE THAT HAVE DIFFERENT STRENGTHS AND WEAKNESSES I REALLY BELIEVE CT TECHNOLOGIST SHOULD JUST HAVE TO HAVE THEIR RT. CLINICAL EXPERIENCE IS MORE IMPORTANT AND WE ARE SHORT-HANDED RIGHT NOW I see little to no value in this. There is too wide a variety of places to work with varying job expectations. Please don't add any more pressure to CT. Faster scanners and the production line expectations are pressure enough 1 3.1

87 I think the people who make the decisions on our professional knowledge are always changing things to cost us the techs more money for more test and meeting expense. Us that have been doing exams for the Radiologists for years must have some knowledge of our profession. The asrt is always coming up with more test for ultrasound which the technologist do not get compensated for in their wages. I think you are trying to do the same with ct I WORK AT A VERY SMALL HOSPITAL. WE DO NOT YET HAVE PACS. WE DON'T DO THERAPY TREATMENT PLANNING OR ANY FUSION MODALITIES I WORK IN A PEDIATRIC HOSPITAL WHERE WE DON'T DO CARDIOVASCULAR, FUSION OR THERAPY TREATMENT PLANNING, SO I DON'T THINK IT WOULD HELP TO HAVE A BENCHMARK ON THINGS WE WOULD HAVE NO ACCESS TO KEEP UP WITH I WOULDN'T USE IT. IF I DO GOOD I KNOW IT. IF I HAVE TO ASK HOW TO DO IT OR A RADIOLOGIST ISN'T SATISFIED THEN I NEED TO IMPROVE IF THESE BENCHMARKS ARE IN THE FORM OF MORE BORING AND TIME CONSUMING READING MATERIALS, THEN I AM AGAINST IT. I HAD A TOUGH TIME WITH MAMMOGRAPHY ALREADY AS IS. MANY OF US HAVE MORE THAN 1 LICENSED MODALITY, AND ON-SITE TRAINING HAS ALWAYS BEEN A MORE EFFECTIVE LEARNING TOOL THAN ANY MAGAZINE. Most employers will not take the time to provide on site training, so C.T. updates that are valuable and cost effective are practically nonexistent. Also, affordable conferences are also practically nonexistent. We lieve in a high cost of living area and work many hours to pay mortgages, etc. More demands on CE credits have not resulted in dramatically higher pay but have instead put a financial strain on many people. While I love being well informed I can t say it has been overly [???? copier cut off rest of comment] In my state we are all working short handed. We are hiring techs with less experience (most are x-ray techs cross-trained in CT). They are not as competant as veteran techs, no experience before traing in CT. I believe that techs should work in the field for 5 years before traing in other modalities (MR,CT). New techs need the experience of dealing with patients, especially traumas ISN'T THERE ENOUGH PRESSURE WITHOUT COMPARING EVERYONE Keep in mind that some of us work in small hospitals and clinics that do not perform some of the more specialized test. It was hard for a friend of mine to get the required exams to be eligible to take the CT registery due to the small hospital she works in NOT ENOUGH TECHNOLOGISTS LEAVE CT CREDENTIALS BECAUSE THERE ARE NOT ENOUGH TECHNOLOGISTS TO FILL ANY POSITION Right now, don't like it. Need more information Sometimes the on-the-job learning is much more valuable in the real world than the classroom learning THE POT COULD BOIL OVER -- SOME EMPLOYERS MAY USE THIS AGAINST A PROFICIENT TECH. REGARDING PAY SCALE -- THE SMALL 25 BED HOSPITAL DOES NOT DO 3-D OR OTHER THINGS A 400 BED DOES This would be very hard to implement because a benchmark would be very different for one hospital setting that does mainly orthopedic work vs. one that handles a lot of angio work. Or one that does everything but very infrequently WHAT WOULD BE THE POINT OF A PROFESSIONAL PRACTICE BENCHMARK? I CAN'T SEE ANY REASON THIS COULD HELP ME SUCCEED IN MY DEPT WOULD BE DIFFICULT TO MEASURE -- NOT ALL FACILITIES DO ALL EXAMS OR HAVE COMPARIBLE EQUIPMENT EX-A SINGLE SLICE VS 16 OR 64 SLICE Total Ambivalent Due to Complex Factors Involved 10 YEARS EXP. HELPS ONLY WITH GIVING WHAT TO LOOK FOR IN IMAGES BUT A 1.5 YEAR EXPERIENCE TOSHIBA PERSON STILL HAS TO TRAIN THE OTHERS TO USE HIS EQUIPMENT A CT TECH WHETHER EXPERIENCED OR NOT - CERTIFIED OR NOT IS STILL ENTRUSTED WITH A PTS LIFE. THEY SHOULD ALL MEET AND EXCEED A PROFESSIONAL LEVEL BENCHMARK A professional-practice benchmark would also provide consistency in the CT field as well as inspiring education and learning new methods within the field A SPECIFIC STANDARD SHOULD BE DEVELOPED. ALL THAT PERFORM CT SHOULD MEET THAT STANDARD 1 1.1

88 A SUGGESTED TRAINING CURRICULUM FOR NEW TECHNOLOGISTS WOULD BE HELPFUL A tangible standard should be in place. As to what that is I could not say Absolutely! There is such a wide variety of possibilities in CT that no facility can perform all things. As such there should be at least two different scales with cross-over areas All CT techs should be held to the same level of knowledge and skill set. If you decide to have various levels of experience they should be compensated accordingly and mandated to be mentored while performing CT exams All technologists who perform CTs, whether registered or not, should be highly skilled in CT All techs should provide patients with the highest quality of care and should be performing at the same level or should be guided by those that can ensure only the highest quality of scans are done An R.T. program should get a student to a level that they understand the basics of CT. A separate school like for nuclear medicine or ultrasound would seem to be something in the not too near distant future As a 20yr technologist who basically trained by way of See-one/Do-one/Teach-one ; I feel it is imperative to set benchmarks higher now than ever before for new technologists due to the extreme advancement in technology seen AS A SMALL CT DEPT WHOSE NUMBERS ARE RISING RAPIDLY, I FEEL THAT WE SHOULD BE TAUGHT BY OUTSIDE OR EMPLOYER PROVIDED EDUCATION FREQUENTLY SO ALL WHO DO CT ARE ALL KNOWLEDGEABLE AT THE SAME LEVEL...PROVIDES NOT ONLY CONFIDENCE WITHIN OURSELVES BUT HELPS OUR DEPT TO MOVE ON EQUALLY As important as it may be to know all aspects of CT in order to provide quality patient care, many facilities provide CT imaging at different levels. It is important not to "lump" all CT tech's experience together as some may never perform exams that others do routinely BENCH MARKS SHOULD BE THE SAME FOR ALL LEVELS. I THINK IT WOULD HELP AND FORCE HELP AT LOWER LEVELS TO LEARN MORE Benchmarks would also be useful in assessing/comparing the opportunities within your organization to those outside Comparing how things were done 25 years ago to now, I believe the emphasis is definitely moving to more advanced postprocessing technique. With the new volume scanners in the market, postprocessing will become the technique Computed tomography is getting so diverse that I never had any problems catching up with procedures in 14 years until this year. After, AAA grafts, pulmonary embolus, and brain perfusions now we learning cardiac studies and that CT is a job, you should know how to do all aspects, doesn't need to be broken down to different procedures unless working in a huge facility CT is a modality that is constantly changing, and therefore the only way to reach everyone it affects is to benchmark with peers in the same profession. So the communication needs to be there, either in print or electronically CT is now too complicated with the new equipment available and the fusion of modalities to become just an on-the-job skill advancement. There is now the need for CT courses in the education system for the initial training of techs CT OR TECHS IN GENERAL THINK WHEN THEY ARE DONE SCANNING THEIR JOB IS OVER. THEY DO NOT HAVE ANY IDEA WHERE OR WHAT HAPPENS AFTER IMAGES ARE SHIPPED TO PACS, OTHER MODALITY KNOWLEDGE THAT EFFECTS CT IS CT should be more than pushing buttons, which, a lot of techs have become. The technology is out there; let's use it and help our patients, doctors, community, and ourselves better diagnosis Even techs who have been doing CT for a long time need to be reminded of do's and don ts EVEN THOUGH I BELIEVE THAT WITH MORE EXPERIENCE COMES MORE KNOWLEDGE, THERE STILL NEEDS TO BE A BASELINE EVERYONE IN THE COUNTRY SHOULD BE DOING THE SAME PROTOCOLS IN RESPECT TO THEIR SPECIFIC SCANNER. DO WHAT IS BEST FOR THE PATIENT BY BEING CONSISTENT 1 1.1

89 for me, i think that benchmarks would be invaluable. i take great pride in my work and strive to do the absolute best job that i can. which means keeping up with new stuff and giving the radiologist the best scan possible for him to be able to make an accurate diagnosis GENERAL benchmark should be set accordly, What I'm trying to say, suppose a "Super Tech" has been working at a Childrens Hospital for 15 years. One can say the are the greatest Tech The same Hospital,and has been very loyal and knows how to do everything. There are many procedures done that they would struggle with,they would only shine at the Childrens Hosp.You take a CT tech from a Neuro hosp.vascular center,cardiology or Oncology setting and it's ths the same.adjustments SHOULD BE ADJUSTED Great idea Great idea and it should be a standard benchmark for every technologist interested in being certified in CT. I don't think however that there should be another test $ to come up to the certification of this or any other modality GREAT IDEAS I agree that a benchmark should be established, some techs do not do the same types of exams that others so. Some do limited exams, but are paid the same wage. MY concern is that if you start distinguishing between say a staff tech and maybe one that has had experience on the post processing side, that there will become some very hard feelings. What if you would like to learn more post processing, but your facility keeps you stuck where you are with no chance of extra training? I am sincerely tired of techs who are trained to push buttons without appreciating what we do I APPRCIATED THE FACT THAT THE ARRT CT TEST/APPLICATION PROCESS ADJUSTED FOR TECHNOLOGISTS LIKE ME WHO TO BIOPSIES AND MORE TRAUMA (HEAD, SPINE, CHEST, CHEST FOR PE, ABD AND PELVIS) I BELIEVE ALL THESE AREAS ARE IMPORTANT ASPECT OF CT. THESE CAN BE EITHER A QUICK REVIEW OR INTRODUCTION TO AREAS THE TECH HASN T PREVIOUS KNOWLEDGE IN I believe benchmarks should be set according to your scope of practice, not experience I BELIEVE THAT A PROFESSIONAL BENCHMARK WILL KEEP TECHNOLOGISTS UP TO DATE ON MORE PROCEDURES AND PROTOCOLS. THEY WILL WANT TO BE MORE INFORMED TO DO BETTER I BELIEVE THAT TESTING??? LEVELS OF EXPERIENCE IS A GREAT IDEA LIKE "E"???. GIVES MEANTIMES TO PROGRESS??? IT-? I, I BELIEVE THAT THE PROFESSIONAL PRACTICE BENCHMARK IS AN EXCELLENT IDEA I believe this would help guide techs as they would come into CT as a profession of choice. The bench mark could help guide the individuals onwards into CT I HOPE ALL THIS IS STARTED SOON I think it is perfect for the maintenance of CE credits and knowledge of a field of everchanging technology. In the short amount of time I've been in the field, CT has evolved so much, imagine what it will be like in another I think many new technologists lack professional integrity. A higher standard must be placed on the CT registry eligibility requirements. A cross-trainee asked if he/she could receive sign-off during the first week of indoctrination I think such a benchmark would be very helpful in providing the best care possible for patients. It would also help to assure that all technologists are well versed in all aspects of CT, not just those that work one particular shift.it would also assure the lesser experienced technologist could have another way to ensure they get the best training that they can without skipping some valuable aspects that are not used every day in practice I THINK THE MOST IMPORTANT ASPECT OF CT FOR ALL CT TECHS TO MAKE SURE THEY ARE UP TO DATE ON, IS THE METHODS (PROTOCOLS) FOR THE NEWWER SCANNERS, AS THESE NEW SCANNERS WILL CHANGE THE WAY SCANS ARE PEFORMED I think there should be a way to differentiate those techs that have mastered skills required for more high end CT I think there should be such a tool. This would depreciate the drastic range of knowledge held by techs. During one shift of work, there might be one tech who is extremely knowledgable and others who barely know basic anatomy. This might bring those on the lower end to a higher level of knowledge

90 I THINK YOU NEED BENCHMARKS -- TOO WIDE A GAP BETWEEN NEW TECHS AND THEIR KNOWLEDGE AND TECHS THAT HAVE BEEN IN PRACTICE SINCE THE BEGINNING I think you'd need to benchmark based on the type of equipment you work on I would like to see a required amount of credits required in order to maintain the CT registry. Sort of like ultrasound does If there are any benchmarks out there anywhere right now I don't know it. So developing something at this time would be of great value It will allow technologists that work in smaller institutions to be exposed to technology that they wouldn't normally see It would be very valuable to enhance anyone s career and to use as a reference for anyone to refer back to if they have questions it would greatly help, I believe, as some of our techs are only trained to do the most common exams. I myself really enjoy learning new things, and would like to have more opportunities available to me that would fit into my busy schedule, and available time Keep it very up to date Lot of button pushers in my dept. folks unable to pass registry, doing procedures by a set written procedure, no thinking outside the box to allow for pt. size, cardiac function, or for that matter type of IV site, or distance Many clinics and offices do not do highly invasive procedures and would mostly use only routine diagnostic procedures, therefore CT testing that covers these other areas wouldn't be very useful; as compared with ultrasonography OR BENCHMARK SOMEONE LEARNING ON WORKING IN AN OFF-SITE FACILITY. DOES NOT ALWAYS DO THE SAME WORK AS A BROAD RANGE OF CTS AS A HOSPITAL PRESSURE SHOULD BE PUT ON THE MANUFACTURERS OF OUR EQUIPMENT TO PROVIDE IN-DEPTH INSTRUCTION, NOT PUSH THIS BUTTON APPROACH. WE AS TECHNOLOGISTS ARE GOING TO LOSE OUR SKILLS BY DEPENDENCE ON SOFTWARE AND PREDETERMINED PROTOCOLS PROVIDE EDUCATIONAL OPPORTUNITY AND TESTING ANUALLY - I DON'T BELIEVE YEARS OF EXPERIENCE MATTER. FIELD CHANGES ANNUALLY PROVIDE THE EUDCATION WITH CES FOR THE BENCHMARKS WHERE CT TECHS FALL SHORT RADIOLOGISTS WILLING TO TEACH WOULD BE VERY HELPFUL TO RAISE THE BENCHMARK Regardless of clinical setting, keeping up with current trends should be important to us all Regardless of experience a technologist should know where they stand in relation to the industry standard, this includes the understanding of equipment should push for registry in the individual modalities as a requirement for the benchmark at a certain level of experience. i think by 2 years of experience they should be required to have the advanced registry, otherwise people are just put their to push buttons Since I am a fairly inexperienced CT technologist, I feel the benchmarks would be helpful Some of the hospital has nonqualified CT tech, who has no license and work just as a push button and everyone should be certified in CT even before they are hired. Moreover, there should be a time limit, for how many years tech could...[truncated] Some technologists know how to push buttons but do not have the understanding of what they are looking at. You need skills to interpret your images Stress documentation of results Technologists trained on-the-job in small institutions may not have the exposure to the full range of CT applications you propose above. They may perform to the highest standard at their facility, but not meet the benchmark. I'm an experienced CT tech and would be concerned about Fusion modalities,ct sim, and PACS questions in my scope of practice. Smaller facilities don't offer this type of exposure THE BENCHMARK IS A MUST FOR A CT TECH TO KNOW AND PRACTICE EVERYDAY IN THE JOB. SO, THIS SHOULD BE INCORPORATED IN THE CT CERTIFICATION EXAM The benchmarks would be extremely valuable The latest info concerning protocols, shielding and injection rates. I think that the technology of the new MDCT scanners has evolved to the point that protocols should be reviewed every 6 months to ensure the lowest dose for the... [truncated] THERE ARE SO MANY TYPES OF SCANNERS, AND THE FIELD CHANGES SO RAPIDLY THAT BENCHMARKS ARE A NECESSITY

91 THERE ARE TOO MANY OJT TECHNOLOGISTS SET LOOSE WITH NO F/U OR BENCHMARK TO EVALUATE SKILL LEVELS. CONTINUOUS EVAL. WOULD BE FANTASTIC THERE IS DEFINITELY NOT ENOUGH EDUCATION FOR CT. I HAD TO LEARN MOST OF MY CT EDUCATION ON MY OWN. THERE'S NOT ENOUGH RESOURCES There needs to be more help for the cross-training tech. On-the-job training by another CT tech is not enough. I took the registry 3 years ago and felt like all the study material I reviewed was not on the test They need to pay attention mostly in current CT technology knowing the multi-slice scanners, cross-sectional anatomy abnormalities, and new protocols specially angio protocols THIS IS A GOOD IDEA. THERE ARE TOO MANY TECHNOLOGISTS DOING CT THAT ONLY KNOW HOW TO PUSH THE RIGHT BUTTONS AND HAVE NO UNDERSTANDING OF WHY OR WHAT THE MACHINE IS DOING. THIS WOULD HELP IMPROVE THESE TECHNOLOGISTS IN THE AREAS THIS MAY MAKE SOMEONE DOING CT COME TO UNDERSTAND IT BETTER This would be very helpful to someone just coming in to the modality and a checklist for someone with a couple years so they know where to expand education. I myself keep up on things all the time to teach my staff Time and chance happen to all men. The experience of time in the modality eventually makes or breaks the tech.people in mva's rarely remember anything.getting the scans done in the shortest and lest traumaticway enabling the radiologist to interpret the scans to help the doctors and surgeons is what i dothere are a lot of button pushers out there with certificates and a lot of real ct techs without themtechnology has leveled the field. a good caring tech is worth his/her weight in gold TO BECOME MORE OF A PROFESSIONAL - ALL OF THE ABOVE ASPECTS WOULD HELP TO BECOME A MORE CREDIBLE CT TECH. I FEEL THAT A BETTER UNDERSTANDING OF THE RAPIDLY GROWING CHANGES IN CT WOULD MAKE ALL FEEL LIKE MORE OF A SPECIALITY Too many ill-trained CT techs are practicing with little knowledge. I hope this will help assess where they need more education. Many are cross-trained in two days to push the buttons and have no concept of CT, cross-sectional Valuable for self-assessment and improvement of department quality and marketing tool VERY HELPFUL IF DIVIDED INTO CATEGORIES BASED ON EXPERIENCE TO ALLOW A TECH TO MOVE UP IN CATEGORIES AS THEY GAIN EXPERIENCE We all need to be on the same playing field. I do agree that if you have an individual that is more advanced you are going to have those who are just meeting the mark. It is the responsibility then of the excellor to share that We need more CT oriented continuing education opportunities We need to raise the bar overall WE ONLY DO VERY GENERAL CT AT OUR VERY SMALL FACILITY, BUT I WOULD STILL LIKE TO LEARN We should always keep are standards high. Experience and education should be job one WHEN YOU ARE IN A SITUATION ON CALL, YOU HAVE TO BE CAPABLE OF DOING WHATEVER CT EXAMS ARE REQUIRED. WE DO HAVE BACKUP WHEN SITUATIONS ARISE AND THE CALL PERSON IS NOT KNOWLEGEABLE TO DO THE PROCEDURE Would allow tech. to select areas that apply to their specific area of employment and/or areas that need beefing up Yes to 'C' since not all sites have PACS, multi-slice scanners, CT simulations, or interventional/cardiac capabilities or exposure Total Benchmarking Important/Good Idea A LOT OF THIS WOULD DEPEND ON COST - WITH CE CREDITS. ASRT, STATE LICENSURE, COST BECOMES AN ISSUE BECAUSE THIS FACILTY DOESN'T COMPENSATE FOR CERTIFICATION A separate category should be set for technologist with advanced CT angio education and training ANY BODY DOING CT SCANS AS THEIR PRIMARY JOB -- OF OVER 3 CONTINUING YEARS SHOULD BE GRANDFATHERED IN 1 1.2

92 AS A TECH OF 31 YEARS, I HAVE A TERRIFIC LOVE FOR LEARNING NEW PROCEDURES AND FACETS OF MY PROFESSION. HOWEVER, I HAVE NO INTENTION OF PURSUING ADVANCED LEVELS OF CT AT THIS TIME AS OUR FACILITY IS TOO SMALL FOR IMPLEMENTATION As long as the benchmarks are for my own personal goals and not something that is mandated BENCHMARK NEEDS SOME KIND OF WAY TO ADJUST SKILL LEVEL BASED ON HOW OLD THE EQUIPMENT IS THAT YOU ARE USING IS SO MANY SOFTWARE(S) OUT THERE TO WORK WITH Benchmarking can be useful in individual settings, but not everyone has the opportunity to learn advance skills in different areas of CT. Not all scanners are equal or are the work settings in which some are placed, in which to provide advanced applications for most technologists to learn these different skills Benchmarks and knowledge should be made to adapt to different types of facilities and specialties. Not all facilities or shifts will perform many of the specialty tests you will make all people learn BENCHMARKS ARE VALUABLE BUT ONLY AT THE LEVEL OF THE PARTICULAR FACILITY. I WOULD HATE TO SEE THE SAME EXPECTATIONS OF A 75 BED FACILITY TO A 975 BED ONE Benchmarks need to be adjusted based on area of country/size of facility you work in. Large-progressive departments have access to newer technology sooner than smaller rural departments. I have seen this firsthand moving from Competency must be pro-rated to a level of achievement/experience Consideration should be given to the types of studies seen in the CT setting. If a tech works in a sports injury clinic, he/she will not likely have much experience in Cats or cardiac work COSIDERATION MUST BE GIVEN FOR THOSE AREAS OF THE COUNTRY WHERE THE TYPES OF EXMAMS ARE LIMITED (I.E., SMALL RURAL HOSPITALS) COULD BE SET/LISTED SEPARATELY FOR PERSONS WITH CT REGISTRY/CERTIFICATE CT TECH SHOULD RECEIVE SOME SORT OF PROFESSIONAL EDUCATION CURRENT SCANNING PRACTICES REQUIRE MORE THAN ON-THE-JOB TRAINING. THIS WOULD ALSO PROMOTE MORE DEVELOPMENT IN THE FIELD OF CT CT technology develops so fast that techniques that were used 5 years ago are no longer valid. Recent experience is more important than much experience Department specific models should be recognized. Most technologists work in a general CT practice Depending on where you work, different levels of experiences will be gained e.g. teaching hospital vs. a small office DIFFERENT LEVEL BENCHMARKS WOULD BE VALUABLE BECAUSE A NEW CT TECHNOLOGIST MIGHT NOT UNDERSTAND OR FULLY COMPREHEND A HIGHER LEVEL BENCHMARK BECAUSE OF THEIR INEXPERIENCE Due to the shortage of CT Techs, hospitals have taken to employing grad techs, fresh out of school, and putting them out, with limited training, by techs, that only know what their dept does. They end up being nonthinking, button pushers Due to various skill levels of techs and facilities, many levels of benchmarks would be encouraged myself had to wait over three years for the facility to update their equipment to a multi-detector system, and they are still not Each tech is a different human being, and should be treated as such, however if someone doesn t feel strongly enough about learning something new, then they should not 'waste' their time or the valuable time of instructors or others Establish differing levels of CT classifications such as CT Tech I, CT Tech II, etc. with corresponding pay levels FACILITIES DIFFER SO MUCH IT WOULD BE A HARD COMPARISON TO CREATE FRUSTRATION I believe it would be hard to do and be effective as different CT jobs focus on different services. Even though you may read or hear new information or up to date information if you don't consistently use it you can lose the info I feel ONLY professionally certified CT technologists should be performing CT exams on their own. That is the idea of being certified and paying higher dues

93 I FEEL THAT THE DIVERSITY OF MACHINES/FACILITIES ACROSS THE COUNTRY AND WHICH PROCEDURES ARE COMPLETED AT THESE FACILIITES UNDER DIFFERING RADIOLOGIST OPINIONS ON HOW THEY ARE COMPLETED WOULD MAKE BENCHMARKS DIFFICULT I perform only pediatric CT studies. Most benchmark evaluations may be on adult issues; of which I am very weak. Although some benchmarks may be universal, most CT techs are limited by the type of imaging facility they work in I PERSONALLY LIKE TO READ MORE RESEARCH ABOUT ENHANCING MY SKILL BUT I LIKE TO DO IT AT MY OWN PACE AND AT MY OWN TIME I THINK CT DEPT SHOULD DEVELOP BENCHMARKS IN SOME OF THESE AREAS, BUT THEY NEED TO DEVELOP A PASSABLE TIME SCHEDULE TO ALLOW FOR TECHS TO BE ABLE TO DO THE TRAINING I think that patient volume and type of exam should be taken into consideration I THINK THAT THE BENCHMARK SHOULD REFLECT A LEVEL FIELD FOR ALL CT TECHS REGARDLESS OF EXPERIENCE. IT WOULD BRING ALL TECHS TO THE SAME LEVEL I think the benchmarks should not only be adjusted for level of experience but also for the type of practice in which the technologist is employed, not all facilities perform all the procedures listed under #12 above I think we should hold the employers accountable to hiring personnel that are properly trained and skilled in CT I THINK YOU NEED TO INCLUDE THE TYPE OF FACILITY THE TECHNOLOGIST IS WORKING IN. SOME INSTITUTIONS DO NOT REQUIRE OR UTILIZE ALL OF THE ABOVE SKILLS I WOULD LIKE TO BE BASIC AND VERY TO UNDERSTAND. DO NOT WRITE AS IF W'ERE AT A DOCTOR'S LEVEL. KEEP IT TO HOW IT WOULD HELP IN EVERDAY SITUATIONS IF ARRT DESIRES MORE KNOWLEDGE - PROVIDE MATERIALS If this professional/practice benchmark is used to assess skills in CT, it would be nice to keep in mind how big the facility is for which one is working and the number of exams done in one day. It would also be important to keep in mind other duties for which the CT technologist is responsible. Would this tool be used only for self assessment? Would it be used by employers to penalize employees who need further skills? If we are to believe that experience is helpful in achieving professional goals, then the benchmark will be self-adjusting according to study and experience If you only work on a single slice scanner, no matter how much you read about multi-slice scanners or other advances in CT, you really don't get the full benefit of learning. Would I be penalized because I only know single slice scanners? In order to create a standard of performance I feel that the goal should be a skill level to be obtained by all who practice, much like the CT examination is a standard exam IT DEPENDS WHERE YOU WORK. I WILL NEVER NEED TO KNOW THERAPY PLANNING - BUT I DO FUSIONS AND HEART SCORES It is fine to learn new techniques, but if the scanner you use every day isn't capable, or the place you work is not using progressive and new scanning capabilities, then you will not continue to keep that skill if you don't use it IT SHOULD ALSO BE BASED ON THE TYPE OF SCANS YOU DO. E.G., DUAL PANCREAS, AAA ANGIOS, AND CARDIAC. NOT ALL PLACES ARE ABLE TO DO THESE PROCEDURES IT WOULD BE NICE TO PICK AND CHOOSE IT WOULD ENSURE THAT ONLY THOSE TECHS WITH SOME PROFICIENCY ARE PERFORMING CTS IT'S UP TO THE RADIOLOGY TO DEMAND THIS LEVEL OF TRAINING. THE MORE THEY REQUIRE THE MORE THE CT TECHNOLOGIST WILL LEARN LETTING TECHNOLOGISTS KNOW WHERE THEY STAND ACCORDING TO YEARS OF EXPERIENCE VS. KNOWLEDGE MANY OF US DO NOT WORK IN AN ATMOSPHERE WHERE ACCESS TO SEVERAL ASPECTS OF CT ARE AVAILABLE AND MAY NEVER, MAKING IT DIFFICULT TO BE PROFICIENT IN THOSE AREAS. EXPERIENCE IN CT IS INVALUABLE Nationally ranked CT technologist levels, i.e. tiers or Tech I, Tech II Not all CT techs work in all areas of CT. There needs to be different benchmarks for different areas

94 NOT ONLY DIFFERENT LEVELS OF EXPERIENCE, BUT PRIOR TRAINING (EX. NON SCHOOLED VS. PROFESSIONAL PROGRAM STUDENTS) Only to provide the different levels based not only on experience but also on facility size due to smaller organizations not performing some of the advanced protocols Our hospital also has smaller hospitals that are associated with us. Their CT departments are much smaller and staffed with x-ray techs that are cross-trained. I imagine most times they do OK. Several times a day though they call REALLY NOT SURE HOW USEFUL SOMETIMES I THINK THAT MORE RESULTS IN LESS PEOPLE FEEL OVERWHELMED AND THEN DON'T CARE Regarding question C, I feel that years of experience are not as important for adjustments. However, I feel that the size/ patient load of the institution should be considered Regional area, hospital size vs. specialty, rural vs. trauma center are dictating factors in what a CT technologist's level is. Third shift trauma center will see a greater range of acuity patient then rural first shift technologist SEPERATION BY CT SUBSPECIALTY THAT YOU PRIMARILY WORK IN, IE., CARDIOVASCULAR CT/RAD TX AND ONCOLOGY SIMULATION/GENERAL AND TRAUMA CT Should be separated by experience - such as intro to cross-sectional anatomy, physics, contrast, protocols. Then more in-depth for intermediate techs. Then go as far as advanced-for the techs-such as learning different abnormalities Should be variable according to what level of advancement the equipment is that you work with. Should take into account what procedures are and are not done at the facility you work at Skill level is very dependent on each person s desire to do the best job that they can. I feel that even if you supply a source for improvement if you don't have the desire you aren't going to go there Skills assessment should vary by facility as some facilities do not place an emphasis on certain exams depending on their patient volume and type of scanner SMALLER CLINICAL SETTINGS DO NOT HAVE THE TECHNOLOGY OR COMPLEXITY OF EXAMS AS LARGER INSTITUTIONS SMALLER HOSPITALS DON'T DO WHAT SOME OF THE BIGGER HOSPTIALS DO SUCH AS RECONSTRUCT AND ANGIO Some private Dr. office's in our town have CT scanners in them. These technologists are very limited in their CT skills because they are scanning basic body parts. It would be difficult for them to assess things such as post processing and angio work. They just aren't exposed to it, yet they are registered CT techs Some sites do not perform the exams listed above SOME WORKPLACES OFFER ONLY LIMITED EXAMS SO YEARS MIGHT NOT RELATE TO INCREASED LEVELS OF BENCHMARKING Technologist new to training in CT would need all of the above listed. Technologist in this field for so many years can bypass many of the above but need continual training on post proccesing, advantage workstations, and obtaining CTA's, and other vascular studies. The technology is ever changing, and continued education is a neccessity TECHS SHOULD WORK A YEAR IN CT BEFORE TAKING CT TEST. MOST TAKE THE TEST FOR ANOTHER CERTIFICATE AND NEVER WORK IN CT THE "BENCHMARK" NEEDS TO BE SPECIFIC FOR CT/SIMULATION VS. DIAGNOSTIC CT. THEY ARE VERY DIFFERENT AND REQUIRE DIFFERENT TRAINING AND SKILLS The provision to include links to resources to further tech CT skills is essential if assessments are completed The value of a benchmark for me would mostly be for guiding and training new CT techs working with me There are significant differences in CT angio vs. routine diagnostic scans vs. full body scans There should be a certificate awarded to technologists as they pass particular benchmarks. This would be helpful when applying for positions. It has been common practice for the past few years to allow students and uneducated individuals run CT departments. There seems to be a huge lack of respect for CT Technologists and what there knowledge brings to the table in regards to patient care and the production of adaquate diagnostic scans. This attitude is not prevelant with radiologists

95 There should be different benchmarks for inpatient techs vs. outpatient techs. There also needs to be a common vocabulary established between all techs in CT so that communicating would be easier and so would the registry These benchmarks may be helpful to somebody like myself, but I think I may feel very differently if I had been in the field many years These benchmarks would be helpful if I worked for a place that did some advance work. However it is rural and small and we just do what is needed for the job. I did work for a level one trauma and we did do a lot of new things These benchmarks would be separate from each other? Some people may not need the additional training in all areas This would be a good tool for personal use. My fear is that something like this would be used by employers to evaluate one technologist against another UNFORTUNATELY, AS IN REAL ESTATE, THE KEY IS LOCATION, LOCATION, LOCATION. CT TECHS SKILLS ARE LIMITED BY THE CAPABILITIES OF THEIR EMPLOYER (HOSPITAL CLINIC RURAL BIG CITY) YOU MUST TAKE INTO CONSIDERATION THAT DIFFERENT FACILITIES HAVE DIFFERENT USES OF THEIR MACHINES YOU NEED TO HAVE A MORE AGGRESSIVE APPROACH; AFTER ALL, THE REGISTERED TECHS SHOULD SET THE STANDARD IN THIS IMAGING MODALITY. THEN MAYBE I WILL STRONGLY CONSIDER TAKING THE TEST You need to start somewhere. Not all CT techs are on the same level and not all CT techs use all the benchmarks. But in order to see where one fall short of their competency needs to be monitored Total Other 2 OR 3 LEVEL STARTING WITH BEGINNERS IN CT THROUGH ADVANCE CT EDUCATION % is patient care 1 2 A CT technologist has different levels of education as well as abilities; therefore the more senior CT technologists should be compensated in pay for their knowledge levels and abilities. 1 2 A PAY STEP PROGRAM FOR THE MORE YOU KNOW AND DO, THE MORE PAY YOU WOULD RECEIVE 1 2 Again, depending on the service a facility is willing to provide to its community and the efficiency of the equipment being used would determine the benchmark needed. I know of very few hospitals that provide perfusion brain scan 1 2 ALL AGE GROUPS HAVE DIFFERENT PROFESSIONAL NEEDS 1 2 Angio 1 2 APPROPRIATE ACCREDITATIONS FOR VARIOUS LEVELS OF CT EXPERIENCE AND LICENSURE 1 2 As an experienced CT technologist I feel very comfortable doing most if not all types of scans to include CT coronary angio, CT abdominal runoffs and the normal old PE protocol 1 2 AT THE HOSPITAL I WORK CERTAIN PEOPLE DO THE 3-D MANIPULATION WHICH IS NICE AND DEPENDS ON EXPERIENCE AND TESTING 1 2 CHANGES/NEED MORE UP TO DATE INFO FROM OTHER TECHS ACROSS U.S. SHARED EXPERIENCE 1 2 COMMON AND NOT SO COMMON PROBLEMS THAT ARISE FOR DIFFERENT PROCEDURES AND HOW TO TROUBLESHOOT THROUGH THEM; VENIPUNCTURE; CONTRAINDICATIONS 1 2 CT has become a very wide spread modality since I started back in the mid 80's. Now, there are literally scanners placed that target only ONE of the benchmarks you list. In the 80's you did it all; therapy, invasive, trauma, etc... Today's younger scanners are finding it hard to meet the eligibility requirements to challenge the registry as a result. Continued development of Multi-slice CT that brings cardiac imaging into reality adds an additional challenge to the newer scanning technologis 1 2 EDUCATION IS ESSENTIAL 1 2 Generally, I would like to see more info on postprocessing. More info. on what to look for in certain diseases. 1 2 Hospital provide education or up our pay so that we can afford to go out and get it ourselves 1 2

96 HOSPITALS NEED BETTER TRAINING FOR TECHS THAT WORK EVENING AND NIGHT HOURS. THEY ARE NEVER TRAINED PROPERLY. BENCHMARKS SEEM TO BE ONLY FOR STAFF CT TECHS. INF NOT A STAFF CT TECH, THEN NEVER TRAINED PROPERLY. 1 2 Hospitals are not in the market for training their employees via CE provided by seminars, applications etc. It cost too much. CT techs are left on their own to pick up bits and pieces of info the best they can. 1 2 I AM NOT CONCERNED WITH THERAPY PLANNING. I AM MORE INTERESTED IN CTA, MULTI-SCANNERS, ANATOMY, AND CONTRAST PROCEDURES. 1 2 I do know other CT techs that would really appreciate the opportunity to enhance their skills in the different areas as listed above. 1 2 I feel less training is given to CT techs due to budget cuts, and educational needs are not being adequately meet when new high tech equipment is installed. Diagnostic x-ray techs are doing CT contrasted exams with very little training and no certification, and this concerns me. I feel that all CT Techs should be Certified or should not be performing CT scans. CT's are performed with radiation and at times contrast injected and a patient should have a well trained tech doing these exams. 1 2 I feel like any area in radiology that the longer you perform in a specialized area that your area of expertise will increase 1 2 I HAVE NOTICED AMONG OUR STAFF THAT THE MIDNIGHT AND WEEKEND STAFF DO NOT AND WOULD NOT BE ABLE TO SCAN OR USE OUR PROTOCOLS EASILY FOR POSTPROCESSING CTA STUDIES. 1 2 I THINK DEPT. RADIOLOGISTS SHOULD TAKE THE TIME I TAKE A MONTH TO TEACH CT TECHS SOMETHING AS WELL AS OTHER MODALITIES. 1 2 I think there should be more definite training for CT technologists instead of just on-thejob training, self-teaching. 1 2 I THINK THERE SHOULD BE REQUIRED CES PRE CT RECERTIFICATION 1 2 I think you covered all the areas. 1 2 I would like to see a better availability of materials, such as CDs, for preparing to take the CT registry exam. 1 2 I WOULD LOVE TO FIND OUT BETTER WAYS TO SCAN EXTREMETIES. INSTEAD IT S JUST TRIAL AND ERROR OR LISTEN TO ANOTHER TECH. I FEEL THAT THERE HAS NEVER BEEN MUCH IN THE WAY OF CONFERENCES THAT ONE CAN AFFORD OR HOME STUDIES IN CT. 1 2 Include physiology along with the anatomy. 1 2 INFORMATION CONCERNING BOARDS/CERTIFICATIONS ON MANUALS WOULD BE MOST HELPFUL 1 2 IT SHOULD BE CONFIDENTIAL 1 2 It will be interesting to learn how the standards would be established. 1 2 IT WOULD BE HELPFUL IF THERE WERE TEST PERTAINING TO THE REGISTRY SO IT COULD HELP PASS THE REGISTRY 1 2 IT WOULD BE NICE TO BE ABLE TO GET INDEPTH INFO ON NEW APPLICATIONS AND POSSIBLY NOT USED AT A TECHS CURRENT FACILITY 1 2 Look at current programs in existence for CT Programs 1 2 Make available online interactive training for the different levels and variable in CT. 1 2 MAYBE CONSIDERING WORKFLOWS IN A CLINIC SETTING AS OPPOSED TO A LEVEL 1 TRAUMA CENTER 1 2 MY MAIN JOB DESCRIPTION IS XRAY, BUT IF I HAVE THE TIME I TRY TO PERFORM CTS THAT DO NOT TAKE UP MUCH OF MY TIME 1 2 N/A MY EXPERIENCE IS LIMITED 1 2 Not sure exactly how a benchmark is used or set up 1 2 OUTPATIENT VS HOSPITAL CT 1 2 PET CT IS VERY NEW AND EXTREMELY DIAGNOSTIC BUT VERY DIFFICULT TO LEARN SINCE WE HAVE A RENTED PET CT SCANNER 1 2 SITE WHERE I AM EMPLOYED WOULD PROBABLY FAR SURPASS AN ESTABLISHED BENCHMARK 1 2 SOFTWARE SHOULD BE AVAILABLE FOR OFF-SITE HANDS-ON TRAINING, IE. A DISK FOR HOME USE AS AN INTERACTIVE, PRACTICAL TRAINER. TECHNOLOGISTS NEED MUCH MORE PRACTICAL TRAINING. A KEYBOARD IS A KEYBOARD. 1 2

97 The starting point for any new CT technologist at least in the state of PA and in a facility like ours would be a course in venipuncture. Fortunately when I started with the group of Radiologists that I work for (17yrs ago) I came without venipuncture experience, due to working in NJ prior for 10 yrs where technologists were not allowed to do an IV prep, My Dr's sent me to a local VO-Tech where I studied phlebotomy in a 6 week course and became certified through this program. 1 2 Trauma and position improvisation, for geriatric and major injuries. CT common sense, don't just push buttons. Know what the technical factors can do for the best exam possible. 1 2 VIRTUAL COLONOSCOPY SCANNING/RECONSTRUCTING IMAGES 1 2 Would it be Internet accessible or close to the rural areas of 1 2 Total

98 14. Does your employer require that CT technologists be certified? Organizing verbatim responses to open-ended questions, CT ENA AFTER 1 YEAR DOES ENCOURAGE CERT WITH ARRT EMPLOYER WANTS PRIMARY CT TECHS TO BECOME CERTIFIED BUT THOSE WHO CROSS-TRAIN IN CT...I AM NOT SURE IT'S NOT ABSOLUTELY REQUIRED BUT IT'S EXPECTED It is not a requirement as of now but soon to be on all new hires Not required but preferred Office requirements Our hospital requires it within 2 years of employment raises affected if not done They do not require but encourage certification They train us so we can take the ARRT test to be CT certified They want all of us at some point to be CT certified They want THE TECHNOLOGIST TO BE CERTIFIED BY ARRT AND THE STATE We are encouraged to become certified We must have a state license. We do not have to have CT certification w/ ARRT, though it is preferred WILL BE MANDATORY AND NEW CT TECHS WILL EMPLOY YOU W/O CERT. BUT DESIRES THAT YOU WORK TOWARD CERTIFICATES Total Other 1 CT ON STAFF MUST BE ARRT CERTIFIED ACR All technologists have to be ARRT All technologists must hold a NY state license and ARRT cert Also state license Also state licensure is required And state license, which is automatic with completion of ARRT ARRT (R) only ARRT and Illinois license are both required of all technologists, CT certification is not required ARRT CERTIFICATION ARRT for X-ray actually ARRT(R) ONLY ARRT, we will have mandatory certification as of January ARRT, state, and CT registered Basic radiology certification, advanced level is nice but often train students right out of school, Both ARRT and state license Both ARRT and state license are required (this questionnaire only lets me choose only one) Both ARRT and state licensure, plus CT certification (or at least in progress) Both state and ARRT By both state license and ARRT Certified as an RT (R) or certified as a RT(R) (CT) through the ARRT? Not very clear on your wording COLORADO DEPT. OF HEALTH CT TECHS GET YEARLY BONUS IF CERTIFIED AND MAKE $150 MORE PER HOUR Does not have to be specific to CT Facility requires ARRT certification for RT(R) but, no additional certification for other modalities FULLTIME CT TECHNOLOGISTS ONLY However it is a department goal I am the only certified technologist in my department. Seems no interest

99 I believe that this is a ruling solely by the hospital s CT/radiology department I think we will need to be very soon IN PRIMARY SPHERE OF EMPLOYMENT InTexas, we are also required to have a state license - general IT IS COMING NOT AS CT, BUT OF COURSE ARRT NOT IN CT, JUST RADIOLOGY NOT REQUIRED TO HAVE CT CERTIFICATION Only 1 technologist is currently CT certified at this time ONLY REQUIRE ARRT REGISTERED IN RADIOLOGY PREFER ARRT CERTIFICATION Radiology techs are given a few days to learn which buttons to push, no competency is established Registered in radiography, but not CT REQUIRED WITHIN 2 YEARS OF HIRE RT(R) CT State and ARRT State license System policy Tech should have CT license, if they are working as a CT tech Texas There is no incentive to be registered. However, we took it upon ourselves to get all registered They only need to be certified in radiography not CT Unfortunately, the state of Colorado does not require state licensure We DO require ARRT, not CT ARRT, although, I only employee CT registered at this time We feel it is validates their training We must also have a state license We must be certified by ARRT and State of FL Total

100 16. Which of the following best describes your workplace? Outpatient Facility OFFICE Outpatient OUT PATIENT ASSOCIATE AND HOSPITAL Outpatient Clinic OUTPATIENT DIAGNOSTIC FACILITY OUTPATIENT FACILITY Outpatient center Outpatient diagnostic center at a satellite center for a hospital with more than 300 beds Outpatient diagnostic imaging center OUTPATIENT FACILITY Outpatient facility owned by a major hospital OUTPATIENT IMAGING CENTER OUTPATIENT IMAGING CENTER AFFILIATED WITH A HOSPITAL OUTPATIENT IMAGING CENTER OF HOSPITAL--OFF SITE Outpatient imaging center within medical building Outpatient imaging facility OUTPATIENT RADIATION ONCOLOGY OUTPATIENT RADIOLOGY CENTER Outpt imaging center Outpt office attached to hospital with 300+beds where we help scan inpt as well We are an outpatient only CT dept. for the hospital Total Imaging Center Diagnostic imaging center Freestanding imaging center FREESTANDING IMAGING CENTER, PART OF A MULTICENTER ORGANIZATION Imaging center -private radiology office IMAGING CENTER IMAGING CENTER AFFILIATED WITH A HOSPITAL 300+ BEDS Imaging center outpatient type Multi-modality imaging center (ultrasound, flouro(x-ray) bone densitometry Total Emergency/Trauma/Ambulatory AMBULATORY SERVICE AMBULATORY SITE EMERGENCY SATELLITE FREESTANDING ER Freestanding outpatient/emergency care center associated with a 290 bed hospital Freestanding ER LEVEL 1 TRAUMA CENTER Level one trauma center for Level One Trauma Center/Teaching Hospital greater than 300 beds LTAC Major trauma center Major trauma center with 300 beds and two scanners TRAUMA CENTER Total Private Facility Also at a Dr.'s office that only scans sinuses Doctors offices for hematology and oncology center DR.S OFFICE 1 5.9

101 Physician's office Private PRIVATE FACILITY OWNED BY A TYPICAL BUSINESS MAN Private imaging facility PRIVATE OFFICE PRIVATE OTOLOARYNGOLOGY GROUP PRIVATE OUTPATIENT FACILITY PRIVATE OUTPATIENT IMAGING FACILITY Private physicians office with a radiology department Private radiology office PRIVATE RADIOLOGY OFFICE RADIOLOGIST OWNED IMAGING CENTERS Radiologist owned MR and CT facility Total Other 1 of 6 [company name] owned hospitals in the same city BEDS hospital and an outpatient services clinic bed BED LEVEL II TRAUMA CENTER About 400 beds ALSO CASUAL AT A 300 BED HOSPITAL ALSO PRN AT LARGER HOSPITAL Also work per diem with a 16 slice CT unit at a hospital, so I can still be up to date with my skill Applications and part time at midsize hospital ARMY HOSPITAL Cancer center CLINIC/ER NO BEDS Coastal 40 bed facility with great seasonal increase in population--large retired pop. Yr round CORPORATE OWNED HOSPITAL County Hospital/Level I Trauma Center CT/PET Educational facility with 275 beds...now adding children's hospital Free standing urological surgical center Full time medical equipment training manager for radiation oncology equipment: work per diem in CT GE TEST SITE Growing trauma center w/university resident training rad tech training ect Hosp. w/ more than 300 beds & teaching college w/ 1 vendor through entire hospital Hospital-run OP imaging center and a clinical setting for RT students at the community college HOSPITAL AND OP HOSPITAL BASED OFF-SITE IMAGING CENTER Hospital primarily dedicated to cardiac work, contains a heart institute Hospital with more than 300 beds + 2 outpt facilities Hospital with more than 300 beds and serves as educational institution I'm the civilian CT Tech at a Navy hospital I work for the local hospital which owns the outpatient center I also do locum mostly for CT I primarily work at a large hospital, but also work at smaller facilities and imaging centers I traveled the last 5 yrs... from huge trauma hospitals to small low volume rural I work at a university hospital KID FACILITY Major concert research hospital CLINIC, [city] Medical imaging facility Medical practice 1 1.4

102 Military hospital MOSTLY OUTPATIENT IN DR'S OFFICE. Small ER total 35 beds MY WORKSPACE IS VERY SMALL NEUROLOGICAL SURGEONS IMAGING BOTH AN OUTPATIENT AND INPATIENT FACILITY NONPROFIT HOSP Note question #15 pay is higher only for fact hold 2nd registry not specifically because it s ct Office building attached to hospital for service to outpatients OFF-SITE OUTPATIENT FACILITY Parkview Hospital in, it is a Level II Trauma Center PC Pediatric facility Satellite office of major hospital Second job freestanding imaging center SEEKING NEW JOB -- NO ROOM FOR GROWTH Siemens Medical Solutions, USA SMALL COMMUNITY HOSP Small rural facility, <40 beds TEACHING HOSPITAL The facility use to pay higher wages when the tech earned his CT cert....now they won t pay! The hospital is part owner of the outpatient facility TRAVEL TECH VARIES Traveling CT technologist UNFORTUNATELY, I HAVE MORE EXPERIENCE THAT ANY OF CT VA MEDICAL CENTER Vendor Vendor Applications Very large private radiology practice with 8 affiliated hospitals VETERANS CLINIC/HOSPITAL We are a basic ER hospital w/ 85 beds. We also have an urgent care attached and local students We are a trauma center with approx 900 beds We are part of a 5 hospital system where 3 of the other hospitals have more than 300 beds With hospital attached - we service the clinic & hospital Women s and children s hospital Total

103 17. Which of the following services are provided by the CT facility where you work? CTA CCTA, DENTAL IMPLANT SCANNING, Considering COLONOSCOPY CTA - ANGIOGRAPHY CTA - renal, carotid,iliac CTA CTAs, not cardiac however, some 3-D reconstruction Per diem work includes trauma, postprocessing, CTA Total D Imaging 3-D ADVANCED IMAGE PROCESSING D IMAGING D RECONSTRUCTION CTAs, not cardiac however, some 3-D reconstruction PET/CT, EVT, 3-D Total Heart Angiography - no cardiac CARDIAC CARDIAC CALCIFICATION SCORING Cardiac calcium scoring and bone densitometry Cardiac CT CARDIAC GATED STUDIES Cardiac score CARDIAC SCORING -- WILL START DENTAL SCANS SOON CARDIAC SCORING Cardiac scoring, advanced lung analysis CARDIAC SCORING, CT UROGRAMS Cardiac scoring, dental scans CARDIOVASCULAR IS VERY LIMITED CT ANGIO CT angiography CT ANGIOGRAPHY Head, neck, chest and abdomen angiography esp. trauma aorta and carotids/ intracranial OTHER VASCULAR, ABDOMINAL, CAROTID, RUNOFFS, ANGIOTYP STUDIES Second job CT colonography/virtual colonoscopy/cardiovascular (EBCT) UROGRAMS, CARDIAC SCORING Vascular Vascular, no cardiac Total Biopsy BIOPSIES BIOPSIES, EPIDURAL, ETC BIOPSY, CT GUIDED PROCEDURES BX, DRAINAGES Closed bx procedures, aspirations CT GUIDED BIOPSY CT GUIDED BX DENTASCANS -- CARDIAC SCORING -- ANGIOGRAPHY DRAINAGES, BIOPSIES Large practice of CT fluoroscopy; biopsies, pain management injections, drainages etc MANY DRAINAGE AND BIOPSIES We do biopsies but not surgery guided 1 7.1

104 Total PET CT-PET PET CT PET CT, BONE MINERAL DENSITY PET/CT PET/CT PET/CT, EVT, 3-D Total Urology UROGRAMS, CARDIAC SCORING Urological UROLOGY Total Dent Scan CT Dent-a-scans, QCT ( quantitative bone density) Denta Scans Dental implant, sinus insta stract DENTASCANS -- CARDIAC SCORING -- ANGIOGRAPHY Total Oncology CANCER TREATMENT Other 1 research protocol for a neurosurgery group for lumbar disc implants ABD CTA, BRAIN CTA Ablations ALL All of the above As well as HDR placements prior to treatment BABY DINOSAUR EGGS IN EMBRYO IN FOSSILIZED EGG Beta site for Siemens Medical Systems BIL ARTERIOGRAPHY/RUN OFFS Biopsy, abscess drain, tube placement; cardiac gating/coronary imaging BMD/QCT Bone density BONE DENSITY Calcium Scoring CT Clinical Applications CT colonography/virtual are coming soon among other advances CT guided sinus surgery CT Simulation by fall of CT STEREOTACTIC RADIOSURGERY CT TRAINING Currently use off-site clinics for education, however long range plans include a CT simulator Dept is currently under major construction, afterwards they will have a 16 and 32 slice scanner FIDUCIAL PLACEMENT FUSION AND COLONGRAPHY SOON HAVE OWN SCANNER I THINK THEY HAVE THIS IN NUCLEAR MED AREA INSTATRAK PROCEDURES PRIOR TO SINUS SURGERY Just acquired Philips' 16 slice Brilliance--expect to see more services provided in coming months Limited trauma/ limited ortho work 1 1.5

105 Lung cancer screening, coronary artery calcium screening, bone density Lung care calcium scoring Lung screenings MR MAMMO NUCLEAR MEDICINE MR/ULTRASOUND OCCASIONAL BIOPSY ONCOLOGY AND BLOOD DISORDER office PE STUDIES PE studies; aneurex studies; for image guided we are do sinus instastrack studies Pediatrics limited - noncontrast studies under age RECENT PURCHASE OF NEW CT UNIT WITH NEW EXAMS COMING ALONG RENAL DONOR, MESENTERIC EXAMS RADIATION THERAPY PLANNING SEDATION, ANESTHESIA Since I work in a level 1 Trauma center, I do a lot of heads, A/Ps, and C-spines SINUS PROTOCOLS SOME SPECIALISTS I DO KNOW BECAUSE WE HAVE NEW CT SOON TO CHANGE GETTING A 64 SLICE Spleen volumes at this hospital.this is my current position... done other things as traveler This is a pediatric orthopedic hospital with associated neurology patients Trauma Vendor applications Virtual airway studies, Brain perfusion VIRTUAL BRONCHI/STEALTH SURGERY GUIDANCE We are looking forward to providing some of the above services when we get our 16 slice machine We are scheduled to install 3-64 slice scanners and will be offering cardiac imaging next month We do a lot of cancer patients so our oncology scans are high We do everything and they want everything but do not want to hire appropriate staff We have a new 16 slice Toshiba scanner and currently numerous protocols are being designed and used We have tried some new protocols, like Perfusions but nothing that would use grants for research We will be implementing guidance CT for catheter placement for high dose and source treatments What used to be a good facility has turned into a $ grubbing corp. who forgot why we are there. PTs WILL BE GETTING 64 SLICE SOON Would like to and have capability, for fusion, currently do not Xenon gas head CT Total

106 18. For which of the following services are the CT procedures you perform used? CTA CTA-carotid, renal, iliac CTA CTA, NEURO AND BODY, 3-D IMAGING Total D Imaging 3-D RECONSTRUCTION Occasional 3-D Total Heart 1. General, 2. Trauma, 3. Cardiovascular Again, expect to see services expand drastically especially with cardiovascular application ANGIOGRAPHY CARDIAC CALCIFICATION SCORING CARDIAC CT Cardiac Scoring Cardiac scoring, Denta Scan CT ANGIOGRAPHY DENTASCANS -- CARDIAC SCORING -- ANGIOGRAPHY Head, neck, chest and abdomen angiography esp. trauma aorta and carotids/ intracranial I MEAN HEART SCORES Noncardiac angiography - CT guided biopsy-drainage PULMONARY ANGIOS Second job cardiovascular(ebct) UROGRAMS AND CARDIAC SCORING Vascular Vascular with no cardiac Total Biopsy BIOPSIES BIOPSIES, EPIDURALS, ETC Biopsy Biopsy, abscess drain, tube placement; cardiac gating/coronary imaging CT BIOPSIES DRAINAGE/BIOPSY/CRYO TREATMENT UNDER CT DRAINAGES, BIOPSIES Noncardiac angiography - CT guided biopsy-drainage Renal Stone Protocol, PE scan, CVA scans, biopsies, R/O orthopedic FX, R/O abdominal aneurism 1 9.1

107 Total PET PET CT, BONE DENSITY Urology UROGRAMS AND CARDIAC SCORING DentaScan Cardiac scoring, Denta Scan CT Dent-a-scans, QCT ( quantitative bone density) DENTASCANS -- CARDIAC SCORING -- ANGIOGRAPHY Orthopedic Renal stone protocol, PE scan, CVA scans, biopsies, R/O orthopedic FX, R/O abdominal aneurism Total Trauma General and trauma TRAUMA AND GENERAL. I WORK MIDNIGHT SHIFT Trauma patients and general diagnostic Total Oncology CANCER PT. STAGING Cancer screening program I work at both a radiation oncology center and a general diagnostic office Oncology ONCOLOGY AND BLOOD DISORDERS Oncology scans Oncology, pre and post and evaln for treatment Total Other AS THE MANAGER I DO NOT PERFORM ANY CT EXAMS BMD Bone densitometry Cancer scoring lung care Calcium Scoring CHILDRENS HOSPITAL- SEDATION PROTOLS CT GUIDED PROCEDURES CT spine, CT extremities, CT head, CT chest, CT renal and occasional CT abdomen CT TRAINING Diagnostic Diagnostic and interventional 1 2.7

108 Don't understand this question ENT ER (RENAL STONES, APPYS, ABD) Gen Gen diag/trauma/cta General and interventional GENERAL AND TRAUMA Heads, abd/pelvis, renal stone, chest I don't understand what is being asked for I mainly work in the outpatient facility of the hospital I MANAGE CT. I DO NOT PERFORM CT EXAMS I MANAGE THE CT DEPT. AND RADIOLOGY I only do brain CT' and non-con abdominal studies, as my duties are overloaded otherwise Lifetests- full body scans LOTS OF PE STUDIES PE STUDIES Perfusion CT of the head RENAL DONOR, MESENTERIC EXAMS X RT PLANNING Same as above Sinuses This question seems redundant of # Vendor applications We are a huge university we do it all Ee have a separate scanner for therapy treatment planning Total

109 21. Which of the following titles best describes your current job position? Traveling TRAVEL ASSIGNMENT TRAVEL TECH Traveling technologist Traveling technologist Traveling temp filling a staff slot Total Weekend/Nights WEEKEND SUPERVISOR WORK NIGHT SHIFT Total CT Specialist Clinical imaging specialist CT applications specialist CT Clinical applications specialist CT specialist Total PACs PACS admin/ct. I was CT lead for 5 yrs, but now mostly oversee PACS PACS administrator/ct technologist PACS MANAGER PACS/RIS Admin Total Other 3-D imaging 3-D lab manager 3-D TECH SPECIALIZES IN POST PROCESSING OF VIRTUAL COLONOSCOPY AND CTA 3-D VESSELS Acting 2nd shift lead tech ADMINISTRATOR and CHIEF TECHNOLOGIST Although my primary focus is CT, I am a multi-modality tech: CT, MR, mammo, and general x-ray Am also a clinical instructor for local junior college based diagnostic imaging program APPLICATIONS SPECIALIST AS OF DEC 2004 CURRENTLY Assistant director of radiology Assistant patient service manager Call-back CT tech

110 CT SCAN TECHS CHANGE CT Lead CT Tech, CLINICAL PRECEPTOR Contract technologist Contractor/traveler; may could be considered staff technologist CT lead technologist CT program director at 2 year state technical college CT staff technologist CT staff technologist CT SUPERVISOR/CLINICAL CT TECH CT tech 2 CT tech student CT TECH/XRAY TECH CT technologist CT technologist CT Technologist CT TECHNOLOGIST CT/MR TECHNOLOGIST CT/X-Ray CTA TECH Currently doing MR, doing CTs occasionally now after 10 years strictly CT, Also do CT call weekly. Currently working in angio/cardiac cath lab DIAGNOSTIC RT WORKING IN RADIATION ONCOLOGY Diagnostic tech Director of CT/MR DIRECTOR OF RADIOLOGY DIRECTOR/WORKING TECH DOSIMETRIST Educational director programs of radiography, CT and MR Floating MR/CT technologist FT instructor/coordinator for CT clinical, also work on call for a suburban hospital in CT I am a "working" chief technologists over MR, CT, U/S and x-ray, also the PACS administrator I am an educator, employed part-time in CT to maintain my clinical skills. I AM AN MR TECH I am the only CT tech here; I order supplies and do all the exams. I am the only night technologist and unable to perform all CT' and regular x-ray duties. it am the only rad tech in a private office setting- we only have a CT machine and it do all the scans I am the only technologist in the clinic. I do clinical instruction, didactic instruction and all of the CT sims in my department

111 I DO TRAVEL I HAVE TRAINED 10 TECHS IN 5 YEARS I was a supervisor for 12 years at a diff. hospital I WORK PARTTIME...IN BOTH CT AND GENERAL XRAY... I am a traveler and do CT most of the time at different hospitals and clinics LEAD CT TECH Lead CT tech/clinical instructor. LEAD CT/TECH LEAD TECH Lead tech eve shift 5 scanners at my disposal 2 ed, 2 inpt, 1 outpt 4 are 24-7 Lead technologist over radiology, CT and MR locum LOCUM TENENS Mammography now primary sphere--lol--"been there, done that, too old to keep up!!" Thanks for survey Manager of training for medical equipment; per diem CT 3rd shift trauma at 300+ bed hospital MEDICAL PHYSICIST MGR TITLE STRIPPED FROM ALL ANCILLARY DEPTS IN EARLY 200S BY HOSPITAL MR technologist MR TECHNOLOGIST MRI/CT/XRAY Tech MULTI-MODALITY (MR/CT) MULTI-MODALITY TECH - XRAY/CT My position is the lead MR, CT tech, & assistant manager for our facility. NOT WORKING NOW RETIRED -- 8 MONTHS Office manager ON-CALL CT TECH ONLY CT TECH ON EVENINGS Only technologist at this facility Out on maternity leave/full-time evening staff technologist Per diem because I am disabled Physician Liaison- modality coordinator Pool. PER DIEM - SEMI RETIRED Preceptor for all new radiology employees. PRN (as needed) staff technologist Program director who takes CT call 4 days/mo. to maintain CT skills and knowledge Quality Manager Rad CT specialist Rad specialist RAD TECH/CT TECH Rad/CT-Tech

112 Rad/CT tech RADIATION THERAPIST Radiation therapist and CT technologist. RESEARCHER RETIRED RIS, lead CT tech, clinical instructor and special procedures RN RPA/RT SENIOR APPLICATION SPECIALIST Senior tech radiology, CT tech, clinical coordinator, clinical instructor Site manager overseeing CT, NM, US, mammo, DXA, diag. rad. My background is CT scan for the last 25 yr SPECIAL IMAGING TECHNOLOGISTS SPECIAL PROCEDURES Staff CT tech and weekend supervisor STAFF RADTECH/CT TECH STAFF RT(R) Staff senior technologist CT/diagnostic (I serve 2 departmental needs) STAFF TECH STAFF TECH AND ASSISTANT DIAGNOSTIC IMAGING MANGER Staff tech x-ray/ct Staff tech/ct Staff technologist STAFF TECHNOLOGIST Staff technologist as well as preceptor for technologists Staff technologist, lead technologist (without title/pay), clinical instructor (without title/pay) Supervisor Supervisor/lead technologist/clinical instructor Supervisor/manager currently working primarily in CT SUPERVISOR/SENIOR TECH Supplemental weekends TECH TEMP TEMPORARY TECH TRAIN NEW CT TECHS ULTRASOUND TECH Vendor applications WHEN WILL CERTIFICATION IN CT BE REQUIRED WITH SPECIFIC CE CREDITS WORKING DIRECTOR...XR-CT-BD-TELERAD-FLUORO-EKG-CALL- WEEKENDS-AN AMAZING TECH 29 YEARS Working manager Working supervisor/manager Total

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