Saturday, 13 June 2009

Revision, Examinations and Accident & Emergency

Hi, readers!

Apologises for not updating the blog for a while, but as you can imagine I've been SO busy. The last few weeks have seen me revising for end of year examinations, taking the examinations and undertaking further clinical placement in the accident & emergency department(s) of the hospital. What a crazy 6 weeks it's been.

OK, first off, I'll tell you all about the exams. Well, as mentioned previously there where 3 exams in total: a, Digital Imaging Systems, b, Digital Imaging: Skeletal Radiography, and c, an OSCE. This time around, each exam (apart from the OSCE) was 2 hours in duration and it was really surprising how much more 'work' there was to do in each exam compared to the last set back in January which were 'just' an hour and a half in duration. For the first exam 'Digital Imaging Systems' you had to answer 6 out of 8 questions provided, with each question offering a maximum of 20 marks. For some of the questions, you had to answer just one question; for others, there were between 3 and 5 sub questions. Examples of questions within the exam included: labelling and identifying structures of the colon, patient preparation, and aftercare for a barium meal examination, naming properties of radiographic contrast agent for intravenous injection, identifying, and describing the functions of the urinary system, defining certain chest pathologies, and describing correct radiographic projections for different parts of the body. It was tough, and hard to choose which questions to answer, but all in all, I think (hope) that I answered enough in order to pass. Time will tell...

The second examination 'Digital Imaging: Skeletal Radiography' was also a 2 hour examination, which was in 2 parts: Skeletal Anatomy, and Radiographic Technique. Examples of questions included within the anatomy section were: draw a labelled diagram of the left humerus to show both anterior and posterior views, describe different types of fracture, describe the knee joint to include joint classification, bones, articular surfaces and capsule, describe the process of fracture repair, describe a typical cervical vertebra, and how they differ from thoracic and lumbar vertebra. In the technique section of the exam, we were required to analyse, and describe in full how we'd carry out radiographic examinations for certain patient situations put to us; for example: 'A 36-year-old male presents walking unaided for a plain x-ray examination of his left knee. The request form states; "? Rheumatoid arthritis". Describe the plain radiographic examination of the knee using the following headings a, position of patient and image receptor, b, centering point and direction of central ray, c, patient care, d, radiation protection. Again, this was a difficult exam, but I hope all has gone well!

The final examination was something called an OSCE, which basically involved groups of 6-7 students going into a room to be faced with 10 work stations. You had 5 minutes at each station in which to answer varying questions such as describing radiation protection measures, or to critique a radiograph of a chest and abdomen. Once your 5 minutes was up, the 'buzzer' sounded, and you had to move onto the next station. I think it went pretty well, but you really had to concentrate hard, as you only had 5 minutes at each station, and each question was totally different, so you had to constantly flip your concentration and knowledge levels around for each station. Another tough exam, but rather enjoyable to be honest ;) All the end of year examinations will be marked and ready to view on July 13th, so wish me luck!

Once the examinations were over, it was straight back to clinical placement (no rest for the wicked!) and will be continuous until late July. I think most other degree courses finish for the year around now, so it just shows you that a radiography degree certainly isn't for the workshy!

For the last 4 weeks, I've been based in the accident & emergency department, which has been absolutely fascinating. I've been waiting to have a stint there for some time now, and I'm glad to have finally completed it. I've seen, and learnt so much in that department that it's difficult to remember everything to tell you all. It was extremely interesting to see how 'different' it is and feels working in a&e compared to the general outpatients ward which is where I had spent most of my placement time beforehand. You are being faced with a different set of circumstances in this department, and are (well, for students anyway!) constantly having to adapt and expand your knowledge and technique to cater for the hugely varying types of patient needs and requirements. Producing that all important diagnostic image in a&e can certainly be a real challenge sometimes, but the whole experience was one I'll never forget, and one that I really hope to undergo again in the not too distant future.

As well as a&e ward experience, I also had a week of theatre, and mobile placement. Again, I can't tell you how much I enjoyed it all. From fluoro screening a hip replacement procedure in theatre, to X-raying a patient using a mobile machine on a intensive care unit was all fascinating, and the amount you learn each day is incredible. The entire experience was truly enjoyable, and what I saw, and learnt in my time there is going to prove invaluable for the future. A great time!

Well, that's about it for this update, guys n girls, I have 5 weeks left of placement, and then that's pretty much year 1 wrapped up! It's all gone so quickly so far, it's unreal. Bring on year 2!

Catch you soon...Stumble Upon Toolbar

Saturday, 2 May 2009

An awesome two weeks

Hi, readers.

Since my last update, I've undergone another busy two weeks of clinical placement, and all's going very well so far.

The Easter holiday seemed to fly by, and apart from a few nights out, most of my time was spent revising for upcoming examinations in June. The past two weeks have seen me working in general X-Ray again, as well as a week in the Interventional Radiology department which was absolutely fascinating.

General X-Ray was, as always a great learning experience, and I am now gradually being given opportunities to take X-Rays by myself unsupervised which is great! (Although all images must be checked by qualified staff afterwards, before they are formally processed ready for reporting etc) Two examinations in particular that I am normally allowed to perform unsupervised now are chest X-Rays, and OPG's – both of which I am now more than confident in carrying out by myself. In addition to these two procedures, I have also taken a couple of hand, foot and wrist X-Rays unsupervised, and as the weeks go by, I'm finding that I am gradually being given more freedom in order to show that I am capable of performing certain examinations solo. Obviously, the majority are still undertaken with supervision, but it's a great feeling to know that the staff feel that I am competent enough to be able to take certain X-Rays without guidance, and also for them to be classed as competent diagnostic images – a great feeling!

This past week, I was based in Interventional Radiology. An extremely interesting, and eye opening time, which saw me assist, and participate in (when required) several procedures such as angiograms, arthrograms, nephrostomy's oesophageal stent insertions and removals, numerous liver biopsies and much, much more! I found it all extremely fascinating, and learnt so much that it is almost hard to remember it all! Watching the radiologists carry out these examinations with such precision and skill is just awesome, and they just make it all look so easy! Most procedures were carried out using a C-Arm image intensifier with others, such as the biopsies carried out using ultrasound technology, and others still; such as oesophageal stent removals, performed using an endoscope. A truly fascinating week working alongside an amazing team of dedicated professionals. Brilliant.

Next week, I think I am based in accident & emergency which I am really looking forward to, as not had a stint in that department yet, so I expect I'll be feeling even more knackered than I am now by this time next week! Being on your feet all day really tires you out, so one thing I am going to do today is purchase a decent pair of black shoes, because, believe me, at the end of the day your feet are crying out for rest, although I'm sure you get used to it after a while!

Well guys n girls, that's about it for this update, so I'll leave you with a few links to check out as usual, before heading off to the shops, and, no doubt, spending a couple of hours in the sunshine.

Talk soon...

http://artsytime.com/x-ray-by-nick-veasey/

http://news.bbc.co.uk/1/hi/health/7985142.stm

http://www.dailymail.co.uk/news/worldnews/article-1169861/Shocked-Russian-surgeons-open-man-thought-tumour--FIR-TREE-inside-lung.html

http://www.simplyphysics.com/flying_objects.html

http://inventorspot.com/articles/i_can_see_your_boobs_xray_glasses_become_reality_24729Stumble Upon Toolbar

Sunday, 5 April 2009

Clinical Placement

Hi people!

Well, since I was last here I'm pleased to report that I have completed a further two weeks of clinical placement, and all went well.

Clinical placement days and hours are Monday to Thursday from 9am till 4.30pm, giving us Friday and the weekend to 'relax' lol. Although everyone on the course had done a stint of clinical placement last November; after speaking with fellow students this week about how we all got on, I think we were all pretty surprised about how much we had forgotten since last time. When I say forgotten, I mean just little things that radiographers do each and every day as second nature, but which students are likely to forget due to having been away from placement for some time. Still, after a day or two back on the ward, everything learnt previously started to come back, and within a few days it was like I'd never been away.

Week one, saw me working in general X-Ray for the week. Basically seeing to outpatients, and on occasion, patients that had 'dropped in' so to speak, although really they are supposed to be seen by the accident and emergency ward. A fascinating week with me 'working' alongside numerous qualified radiographers, as well as year three students who are allowed to take X-Rays un-supervised. I took numerous chest X-Rays under supervison and assisted in countless examinations of hands, feet, wrists, abdomens, femurs, shoulder girdles and plenty of c, t, and lumbar spines. I really enjoyed the week, and I think everyone I worked alongside with is/was pleased with my progress. It's amazing how much you learn each and every day whilst there...gaining invaluable clinical experience and theory which will really help for my upcoming June examinations. One thing it really will help me with are patient preparation and examination techniques. Most of the patient positioning that I need to learn for the exams are pretty much drilled in now, so it's all been a great help!

Week two was a mix of working in the fluoroscopy department again, as well as learning how to use the main X-Ray department's computer system in order to process patients, deal with doctor's requests and referrals, as well as countless other areas of X-Ray ward administration... something which all radiography staff must be familiar with and able to use competently. Fluoro saw me witnessing plenty of barium enema, meal, follow through and video swallow procedures which never cease to amaze me. Observing live video swallows on the monitor and watching oespohogeal, stomach and intestinal reactions to the liquid amongst fellow student radiographers and doctors is a great experience; one that kinda makes you stand there for a moment and think to yourself "Wow, I'm really here, and a part of all of this" if you know what I mean... It's an awesome feeling.

Well, that's all I have to report at the moment, folks. From tomorrow we have two weeks Easter holiday before approximately 15 weeks of solid clinical placement (bar examinations in June), so I shall of course be updating the blog for you all throughout that period.

Right, I'm off to catch some late afternoon sun, and have a few beers.

Here's some more rad links for you to check out:

http://www.flickr.com/photos/medicalmuseum/255076065/

http://www.nytimes.com/slideshow/2009/03/23/science/032409-Scan_index.html

http://www.flickr.com/photos/roentgenator/2831644869/in//set-72157601198404570/

Talk soon...Stumble Upon Toolbar

Sunday, 15 March 2009

Just a quickie...

What a beautiful day it's been. Nice sunny weather, and plenty of females out and about wearing skimpy(ish) clothing. Nice. ;)

Just thought I'd post a quick entry on this fine Sunday evening. This week is the final week of lectures for year 1 of this degree. Seems crazy when I say it like that, but 'tis true. From Monday 23rd we have 2 weeks of clinical placement, two weeks holiday, 5 weeks clinical placement, a week of revision time, a week of end of year exams and then a final leg of 7 weeks non- stop placement taking us up to early/mid July and the end of year 1. Blimey! I know there's still a fair amount of revision, clinical placement time, and end of year exams to get through yet, but it's all just really flown by so far this year, and seems strange to think that after this week's done and dusted, there'll be no further lectures until year 2 commences in September.

I'm really looking forward to commencing clinical again, and can't wait to put all my knowledge (that makes me laugh) into practice. I know I've learnt a hell of a lot these past 6 months or so, but are there reeeally no more lectures after this week for year 1? Scary, but I guess I've learnt more than I think I have...well, I hope so anyway! Going to be putting in as much revision as possible these coming weeks, and feel pretty confident that in addition to that, all this forthcoming clinical placement, I shall be prepared, or as prepared as I'll ever be, for the end of year exams. Fingers n bits crossed for that!

Well, I haven't really got much else to report at present. I shall of course, be updating the blog throughout the coming weeks to share my placement experiences with you all - hopefully all will run smoothly, and I shall get through it all without causing any 'Carry On' type incidents..(see scene circa 2:50 into that clip ;)

Again, thanks to all of you that continue to follow this blog, and to all of you that have left messages, and emails of both support and thanks for keeping it going; it means a lot. I'm just glad it's been, and will, I hope, continue to be, a useful source not only for potential radiographers, but as your messages, and emails have shown me - all manner of medical professions, both here in the UK, and throughout the world. I continue to find that amazing, and it's just that which makes running this blog worthwhile.

Hope all's well with you lot. Talk again soon...Stumble Upon Toolbar

Sunday, 8 March 2009

The results are in

Hi, readers.

Apologies for such a long delay in updating the blog, but as you all know (or should know) - this degree really is pretty intense, so what with all the revision, exams and countless other things going on, I really just haven't had the time to update for a few weeks.

Well, it's now March, and the last six months of this degree really seem to have flown by. Looking at the yearly timetable, the first year of this degree ends on or around the 20th July, with re-sits for any examinations that need to be taken again commencing the 24th August. After that it's pretty much holiday again until September 09 and round 2, ding ding! Talking of examinations ...

Well, i'm not gonna go into too much detail, because as mentioned at the beginning of this blog, I don't want to 'out' myself so to speak, but what I can tell you all is this: Of the 4 examinations taken - 1 being an essay, I passed 3 and have to re-sit one of them. The three that I passed were well over the 40% pass mark, and the one that I 'failed' was just under 40%. To be honest with you, I was half expecting not to get the mark I would have liked for the one that I must re-sit - not because I hadn't put the revision in, because believe me, I did - but because, looking back, I guess I pretty much focused more on what I thought would be the hardest of all the exams - Radiation Science for Radiography, which, yes was difficult, but which I passed with a great mark (in the top quarter of around 55 students) so was well chuffed with that. I've actually managed to see the paper that I must re-sit, and although the mark was pretty low, at least I understand where I went wrong, and what I must do to improve on the mark when I take the re-sit. A few schoolboy errors were made, and one section in particular hadn't been memorised by myself atall which won't be the case if it turns up again when I re-take it. So, all in all, 3 out 4 passed is pretty good I think, and I'm more than content with that. Surprisingly, of the 55 odd students on the course, only about half of them passed all 4, with most gaining 3 passes, and the remainder gaining 2 or less, so it was a real mixture. It was also surprising to find out who passed and failed certain exams, with some people you'd expect to gain high marks in everything not doing so, and vice versa.

This term's lectures as mentioned in the previous post, are basically all anatomy and positioning based - Skeletal Radiography, and Diagnostic Imaging Systems. Both modules are pretty much continuing on from where we left off from last term, and there is a hell of a lot more to learn! For instance, where we learnt the basic anatomy of the skeleton last term, we are now focusing on specific anatomical regions of the body such as the shoulder girdle, pelvis and the cervical, thoracic and lumbar vertebrae. It's surprising just how much more there is to take in, and once again I'm trying my best to remember as much as possible by re-writing lecture handouts in my own time at home, as well as drawing pictures and diagrams and sticking them all over my walls lol - it really does help you to remember it all that way. Not only do these sections of anatomy appear harder to learn, there are just so many features of the bones and joints that must be remembered - fissures, foramen's, notches, condyles, epicondyles, trochanter's, tuberosity's, processes and so on and on and on... So, revision, revision, revision is what's needed once again, so that's what I'm just gonna have to do, and shall do!

We've also had several practice sessions in the labs for manual handling, first aid and of course positioning which are invaluable, and really do help put things into perspective. Remembering the correct patient positioning, centering and collimation techniques are pretty hard going, but nothing to be too concerned about at present, as all of this will eventually come naturally (I hope!) once we commence our second block of clinical placements at the end of this month which I'm really looking forward to. Practice, practice practice is what's needed, and I remember from my last placement that after a few procedures, things just stick in your mind, and you become less anxious about getting it 'wrong'.

Nothing else to report at present really. A few more students have dropped out in the last few weeks, but I guess that's going to be the same for pretty much every University degree. All in all though, I feel pretty confident about getting through this year OK, and am just going to spend my time revising for the second lot of examinations for this term's modules at the beginning of June, including of course my one re-sit.

OK, I hope all's well with you lot, and thanks for reading! I'll be back soon...

Before I forget, I just came across this earlier:

http://www.magnetnerd.com/Neodymium%20Magnets/Dirks%20Accident.htm (Ouch!)Stumble Upon Toolbar

Saturday, 31 January 2009

New Term, New Lectures

Hi,

Well, after the craziness of constant revision, and end of term exams earlier this month, it's back to 'work' so to speak, with the beginning of a new term and new lecture modules to get stuck into. Well, I say new lectures, but really they are similar lectures with a different module name. This term we have: 'Diagnostic Imaging: Skeletal Radiography' 'Diagnostic Imaging Systems' Facilitating Learning in Professional Practice - all of which takes us up to around March time, when we have another 2 weeks of clinical placement to look forward to. After the end of this term we have more end of module exams, before the third terms starts, which is literally 11 weeks of solid, uninterrupted clinical placement taking us right to the end of year 1 of this degree in July.

At present, we've really just had an intro into the new modules for this term, but for those who have shown previous interest in module content, I shall give you a brief overview of what each one entails. So far it looks as if they are a continuation of the previous terms modules, with slight alterations, obviously taking into account what we've covered so far.

The Diagnostic Imaging: Skeletal Radiography's unit guide's learning outcomes cover the following:

Identify and describe key features of the anatomical regions contained within the unit syllabus.

State relevant causative factors in bony trauma or disease of bone.

Demonstrate a knowledge of how surface markings for joints or prominent bony landmarks can be applied to radiographic techniques of the anatomical regions covered within the unit.

Select appropriate imaging techniques to demonstrate the anatomical regions contained within this unit syllabus and provide a brief narrative of the chosen technique.

Demonstrate a consistent awareness of patient management considerations and radiation protection related to the radiological investigations addressed in this unit.

Discuss relationships between technical components of examinations and the resultant images obtained in examinations of both upper and lower limbs, pelvis and spine.

Identify on anatomical model, dry bone, diagram or radiograph, key features of both upper and lower limbs, pelvis and spine.

Identify and demonstrate surface markings for joints, prominent bony landmarks and other bony features essential to radiographic techniques of both upper and lower limbs, pelvis and spine in the radiation lab setting.

Conceptualise three dimensional anatomical structures from texts, anatomical model.and live subjects, for the purpose of diagnostic imaging.

Demonstrate the basic radiographic techniques for imaging of both upper and lower limbs, pelvis and spine in the radiation lab setting.

The Diagnostic Imaging Systems unit guide's learning outcomes cover:

Describe the anatomy of the GI Tract and urinary system. Identify on anatomical models, diagrams or radiographs, key features of structures identified above..

Describe variations in radiographic techniques of the chest necessary for a variety of patient conditions.

Recognise the effects of an allergic reaction and outline the appropriate patient management procedures.

Identify the factors associated with the use of radiological contrast media for different examinations.

Describe and explain the appropriate techniques for basic radiography of the GI Tract and urinary system.

Explain the effects of common pathologies on images of the chest, GI Tract and Urinary systems.

Describe relationships between technical components of examinations and the resultant images obtained in the areas addressed.

Demonstrate awareness of patient management considerations and radiation protection related to the areas addressed.

The Facilitate Learning in Professional Practice unit guide's learning outcomes continue on a similar path as to the previous module entitled 'Allied Health Professions' which you can find on earlier entries to this blog. I don't have the actual unit guide for this module to hand, but having checked it out briefly last week, it looks as though it'll be taking off from where the previous module ended.

So, as you can see, it's a lot to get through once again, but all in all, I'm feeling pretty content with what I've learnt so far on this degree, and am happy with my progress to date. I'm finding that things are kind of clicking into place, and making a lot more sense now. I just really want to know my exam results so that I can know for sure if I've actually done as well, or even learnt as much as I think I have. Results aren't out till mid February apparently, so time will tell ... ;)

Once again, thanks for all your emails and comments on the blog, and do feel free to get in touch is you have any questions whatsoever.

Right, that's it for this update, and as per usual, I shall post again, once the new lectures get underway.

Before I sign off, here's a few links to check out as before:

http://inventorspot.com/articles/new_scanner_takes_stunning_image_8658 (Wow!)

http://bite-dose.com/science/mri-testing-in-america-has-revealed-startling-differences-in-the-brains-of-soldiers-with-combat-stress/

http://www.orlandosentinel.com/news/local/newsletter/sfl-xrays,0,6205541.photogallery

Speak soon ...Stumble Upon Toolbar

Friday, 16 January 2009

End of Term Exams Completed

Thank God that's over!

Hi people, just thought I'd update the blog again, and let you know what's been going on.

This week saw me taking end of term examinations for all modules studied so far, and also included one essay that was required for module completion.

Well, Monday saw the Allied Health Professions exam, and pretty much involved answering questions on NHS Structure, National Skills Frameworks, Health Care Policies, Legislation, Infection Control and on the various organisations, bodies and foundations that regulate, monitor and control the health care sector(s) In addition to this, we were required to analyse and discuss generic case studies which required us to use both prior knowledge and basic common sense in order to successfully elaborate, and comment on. This was a one hour examination, and seemed to go extremely quickly.

Tuesday saw the Radiation Science for Radiographers examination (2 hours) This, I felt, was going to be one of the harder examinations, and I wasn't wrong, lol. It covered pretty much everything that we had learnt throughout the module (see previous blog entry for unit guide information), and even though I felt confident in that I had done enough revision, there were still a few times in the exam where my mind went totally blank. However, after slowing down a little, and focusing, I think I managed to answer most questions OK, and feel fairly confident that I have managed to pass.

All the exams require 40% in order to pass, but each module tutor puts strong emphasis on the fact that yes, 40% is a pass, but we expect you to get much higher than this. 40% would show that you are able to answer the given questions, but a higher percentage would indicate to the tutor/examiner that you have an in depth awareness of what is being asked of you, and that you are able to discuss and elaborate on the questions with a higher degree of knowledge and understanding.

Wednesday came the big one! Fundamentals of Radiographic Technique (Anatomy and Positioning) I knew this was going to be the hardest of all the exams, not because I hadn't been able to absorb most of the information in lectures, or because I hadn't done enough revision for the exam, but because there was simply just so much to learn and remember throughout this module. Pretty much everything from the unit guide was included within this exam, and even though I was unable to answer some of the questions, the ones that I did answer, I felt that I had done so competently. I was glad to see that hand, wrist and foot X-ray images were included within the paper in which we had to correctly identify and label the bones and joints, as well as CT images of the abdomen at L1 level, which I hope I labelled correctly. Other areas of the exam included identifying correct patient preparation, positioning and projection, joint identification and classification, bone formation and fusion and numerous other areas such as regions and structures of the abdomen, blood flow to and from the heart, and structures of the superior, anterior and posterior mediastinum etc and so on ...

Finally, for the module Concepts of Diagnostic Imaging, we were required to submit a 2000 word essay on a typical radiographic procedure that we had observed and participated in whilst on our clinical placements.

Next week sees the start of term 2 with new lectures for the next two months or so, before almost 3 months of clinical placement, and end of term examinations once more in June some time. After that, if all goes well it's on to year 2 of the degree, so fingers crossed!

That's pretty much it for this update, so I hope you're all still enjoying reading the blog, and a Happy New Year to you all.

Shall update again soon ...

Oh, and before I go, here's a few links to some pretty interesting/eye opening rad based stories and video that I often come across whilst browsing the net. Enjoy!

http://www.foxnews.com/story/0,2933,479782,00.html

http://uk.youtube.com/watch?v=fxC-AEC0ROk&eurl=http://ovablastic.blogspot.com/2009/01/mri-magic.html

http://en.wikipedia.org/wiki/Carl_Tanzler


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