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Discussion: radiographers as practioners
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sahar8902 |
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sideshowjim |
1. RE: radiographers as practioners
Mar 24 2010, 6:43 PM EDT
I'd guess a review of the current literature would be a decent method, I imagine that there has been research into this area. Comparing factors such as levels of training and experience, criteria (appendicular exams only, or axial as well?), and the like.
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sahar8902 |
2. RE: radiographers as practioners
Mar 24 2010, 11:37 PM EDT
thankyou for your suggestion. Can you elaborate on criteria (appenducalar, axial etc)?
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sideshowjim |
3. RE: radiographers as practioners
Mar 25 2010, 3:43 PM EDT
appendicular exams = leg, arm, foot, wrist and the like. Axial = Chest, abdo, pelvis, spine and skull/facial bone views. In the NHS (UK) there are A&E nurses who can refer patients for x-rays, but typically only appendicular and only 1 exam (anke views, rather than ankle and knee views for example).Other criteria for comparing studies could involve the types of pathology likely to be present (trauma requesting, or orthopaedic, and so on), how the results were measured (did a radiologist check requests afterwards, did several, was it just a written test with examples), how much experience and training did the radiographers have, etc. Then there's the whole legal aspect to explore, who bears responsibility for incorrect refering and the like. And probably could look into the benefits and limitations of such a scheme, costs, extra imaging undertaken, requirements for image reporting and the like. Hope that helps Do you find this valuable? |
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sideshowjim |
4. RE: radiographers as practioners
Mar 25 2010, 9:11 PM EDT
also, what criteria would radiographers be requesting imaging on? If it's from doctors notes, then is that so different from what happens now? (everyone has done an extra view where we thought it was justified, haven't we?) . Can radiographers do physical examinations? Go for the Ottowa ankle rules for example? Could we do chest exams, stethoscope examination and everything?Is a big topic, so set your criteria right from the start Do you find this valuable? |
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mophed |
5. RE: radiographers as practioners
Sep 30 2010, 1:12 PM EDT
i think before you design a study, you have to be very clear and specific about your question. research is about solving a problem. therefore you first have to be clear about what exactly your problem is. once you have identified your problem, you have to do a feasibility study to determine if the problem is solvable, or worth solving. your question is 'are radiographers capable of being practitioners for justifying x-ray requests'. you should ask yourself what you mean by this title. From the above discussion, i assume you mean, and i would rephrase the title of your project to 'ARE RADIOGRAPHERS CAPABLE OF REQUESTING X-RAYS'. In other words, can radiographers make their own requests, instead of what currently happens, where we wait for docs and radiologists to request, and then we deliver the request. I assume, that you are not delving into the area of reporting? one other thing in connection with what sideshowjim says regarding criteria. this is all about being specific with regards to your research question. I assume this research is being done as part of your course studies. in this case particularly you have to be very specific regarding your study delimitations, since you more than likely will not have time to address your research question exhaustively, leaving room for other students later on to refine and extend your work. what i'm saying is study participants { radiographers } must be of known profiles {age, experience, training} and the area of interest { e.g chest, skeletal etc}. once you have a clear understanding of your question and participants, you should then look for an appropriate study design. this you will most likely arrive at after doing a literature review. in the end you may have to 'copy' somebody elses methodology.One possible method of doing this study, is to choose a specific hospital in public or private sector with radiographers trom one specific college, and ask Do you find this valuable? |
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mophed |
6. RE: radiographers as practioners
Sep 30 2010, 1:15 PM EDT
continuedshow them the notes of say 50 patients, and then ask them to request an xray, then compare their responses to those of the doctors who wrote the notes. obviously, the rads should not see the doctors plan for the patients. you could refine this by only choosing specific types of patients e.g. casualty patients Do you find this valuable? |
