From: Ken Spong <[EMAIL PROTECTED]> --=======1C76BE5======= Content-Type: text/plain; x-avg-checked=avg-ok-A8F3460; charset=us-ascii; format=flowed Content-Transfer-Encoding: 8bit
Jenny, there are always challenges when we dare to open gates that lead to new paths. Training is an issue, and at least one Uni has taken up the gauntlet and offering a course in Interpretation of radiographs. The future will be won in small steps, with the co-operation and goodwill of our Radiologist colleagues. A first step will be the creation of Radiographer Initiated Opinion where we can utilise our unique position of direct contact with the patient, followed by an appraisal of the Radiograph at the time. The expression of an opinion at this point is often of considerable assistance to the Casualty / Emergency Dept MO (and also the nurse practitioner - NIXR) particularly at times when Radiology opinion is not immediately available, such as out of hours and also in smaller centres and rural and remote. A lot of hands being held up, right now shows we have been doing this sort of thing for a long time. Let's move to a place of recognition where we can develop those skills and get recognition for the service we provide. This means training and study with specific outcomes in mind. I am gathering resources for this project, and would welcome further comment and any creative assistance in developing this theme. What say you, my fellow Radiographers - a bright future or wither on the vine. Dare to dream, and work to make those dreams your reality. Ken At 04:17 4/02/2003 +1100, you wrote: > From: "Jenny & Geoff Parkes" <[EMAIL PROTECTED]> > >If people were prepared to put the work and effort in, provider numbers for >limited areas in imaging for radiographers and even sonographers may well be >an option. The UK experience could be extrapolated here somewhat. >The problem is that: >- more training in image interpretation is needed, esp to show a certain >level of competence in the eyes of the current reporting medical profession, >this is vital for those whose original courses did little interpretation. >- concerns over increased medico-legal liability >- most sit around wanting others to do the work - research needs to be >done, review of literature in like working environments needs to be done - >this takes time and effort. > >While many wish dreamily that they had more " professional status", just >dreaming gets you nowwhere. > >Jenny Parkes >----- Original Message ----- >From: "Ken Spong" <[EMAIL PROTECTED]> >To: <undisclosed-recipients:> >Sent: Monday, February 03, 2003 11:33 PM >Subject: Re: [AIRNEWS] Another aspect - Radiographer Initiated Opinions > > > > From: Ken Spong <[EMAIL PROTECTED]> > > > > Thank you, Teresa. Well, seems we are out in the wilderness, trying to > > convert the goats and camels. > > > > I have delayed responding in the (now vain) hope that someone else here in > > the land of OZ might have a similar vision. > > Nope. Maybe it really is the land of nod.... Since the original posting > > and your response - the AIRNEWS list has reflected the usual running over > > old paths, with no future vision. Makes me wonder if there is a creative > > spark left in Radiography. All the spatter and patter is about fixing, > > rather than making fresh paths. It is interesting that if a garment is > > fixed often enough it will eventually fall apart. > > > > Much of what you and I have stated is future based, but -- what if we >could > > create a beginning, with a grand vision to drive our expectations -- >maybe, > > just maybe, more of those students completing their Radiography degree > > just might stay to enrich our profession with their passion and zeal - >this > > is not to descry the newly qualified who have chosen Radiography as the > > vehicle for their future, just we need more people with courage and > > desire. And, what if some of the older brigade stopped trying to fall on > > their sword and instead took up the challenge of career-based advanced > > qualifications. > > > > So, how about it, leviathans out there. Feel the wind in the sails? >Maybe > > a smell of staleness in what is the "current impasse". > > > > I challenge each and everyone of you, my fellow Radiographers who have > > taken the time to get this far in this writing, to consider what > > Radiography is, and where it could go to given training and opportunity. > > > > Radiographer Initiated Opinions are a (fresh) beginning. Lets do it. > > > > Ken Spong > > > > At 06:26 23/12/2002 +0800, you wrote: > > > > >From: Teresa <[EMAIL PROTECTED]> > > > > > >Well said Ken, how about a name change to Radiographic Consultant or > > >Practitioner, lets define what we do and what we are capable of doing. > > > > > >Why can we not triage, order the xrays and do a verbal interpretation. We > > >won't get provider numbers in my career time, but we might get something >else. > > > > > >Lets start lobbying, lets get up and be heard, it has to be the whole > > >profession not just a few. > > > > > >Is this what we really want, or is it a few who have foresight into role > > >expansion. > > > > > >Its time for us to stand up and be counted, be a voice to be heard. > > > > > >Merry christmas everyone. > > > > > >Teresa Ong. > > > > > >At 09:00 PM 12/23/02 +1100, you wrote: > > >> From: Ken Spong <[EMAIL PROTECTED]> > > >> > > >>Been watching the "cost of state registration" conversation. > > >> > > >>A couple of comments. > > >>1. I believe that Registration is a State matter and cannot be > > >>administered Federally. > > >>2. The cost impost of QLD registration will mean that out of state > > >>locums, > > >>etc will likely dry up. > > >> > > >>On a brighter note, I enjoyed Ron Pepper's comments: > > >> "My bottom line is that the single most important issue that we >should > > >>be > > >>promoting is the legally recognised right & responsibility to report > > >>plain > > >>films at the level of a non-specialist doctor. > > >>When we have that, we will have the right to self determination, > > >>professional > > >>autonomy, registration and a cheap rebate provider number. > > >>As an aside, I note that in NSW, the NSWH refers only to Medical > > >>Radiation > > >>Scientists. However in hospitals, staff, public & MRS' themselves only > > >>use the > > >>term "radiographer" or "X-Ray guy". You are also specifically prohibited > > >>from > > >>offering an opinion, yet nurses & junior doctors routinely do so. But if > > >>you > > >>work with specialists & are respected, they invariably ask your opinion. > > >>This > > >>is the culture that we ourselves are unwilling to change." > > >> > > >>Lets cut to the chase. Who do we want to be? Leaders or followers? > > >>Without initiative, we are doomed to become gardener class-Xray guys and > > >> > > >>gals. We see the nurses take the initiative in NIXR's. Great move, and > > >>it > > >>can produce some improvement in patient management. What we need to get > > >> > > >>involved with is the other side of the coin. Let's face it, most of the > > >> > > >>nurses would welcome the input of the Medical Imaging Scientist / > > >>Technologist in being assured that there is or is not a fracture, that > > >>there is a problem in a chest Xray, that the additional information > > >>gained > > >>in the process of the Radiographic examination is conveyed back to where > > >>it > > >>can make a difference in the management of the patient. > > >> > > >>It is all about patient management outcomes, and we can either grasp the > > >> > > >>opportunity or walk away to self pity and despair. > > >> > > >>Now, not all will feel comfortable about offering an opinion - maybe not > > >> > > >>comfortable with doing so as being afraid of making a mistake, etc. > > >>That > > >>is what experience and training is about. Take the example of the NIXR > > >>program. > > >>So we could achieve a process profile similar to the NIXR > > >>program. Selected, voluntary, service oriented. Recognised, and > > >>respected > > >>for that skill and opinion. > > >>I'm all for it. Further training might incorporate more in-depth > > >>appreciation of images and a formal reporting process such as being > > >>developed at RBH, but for a kickoff, lets light the wick, and instead of > > >> > > >>standing back, grab hold and hang on. Enjoy the ride! > > >> > > >>Ken > > >> > > >> > > >> > > >>It's Life, but not as you may know it! - Try it! > > >>http://www.stargate.co.nz/healthy.htm > > > > +=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+= > This message is being broadcast by AIRNEWS, > the Australian Institute of Radiography list Server > > Send messages to [EMAIL PROTECTED] > For assistance send mail to [EMAIL PROTECTED] > Commands should be sent to [EMAIL PROTECTED] > >Opinions expressed on this list are not necessarily those of the >moderator, his assistants or those of the A.I.R. > > > >--- >Incoming mail is certified Virus Free. >Checked by AVG anti-virus system (http://www.grisoft.com). >Version: 6.0.445 / Virus Database: 250 - Release Date: 21/01/2003 It's Life, but not as you may know it! - Try it! http://www.stargate.co.nz/healthy.htm --=======1C76BE5======= Content-Type: text/plain; charset=us-ascii; x-avg=cert; x-avg-checked=avg-ok- A8F3460 Content-Disposition: inline --- Outgoing mail is certified Virus Free. 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