Advanced Practice MRTY3122 - Professional Issues and Leadership (Flashcards)

30 practice flashcards covering key concepts from the Advanced Practice MRTY3122 lecture notes, focusing on professional issues, leadership, imaging practice, policy, and career pathways.

What does PIE stand for and what is its purpose in radiography?

PIE stands for Radiographer Preliminary Image Evaluation. Its purpose is to provide a written comment describing potential pathology to assist emergency referrers when a radiologist's report is not yet available, enhancing patient safety.

In the 2019 PIE trial, what was the mean sensitivity of radiographer PIE?

71.1%.

In the 2019 PIE trial, what was the specificity of radiographer PIE?

98.4%.

What was the diagnostic accuracy reported in the 2019 PIE trial?

92.0%.

According to the 2018 RANZCR position, is radiographer commenting within the current scope of practice in Australia?

No. It is not considered within the current scope.

What is ASMIRT's stance on radiographer PIE versus radiologist reporting?

PIE is not reporting; radiologists retain final reporting responsibility. PIE aims to improve patient safety and support timely decision-making.

Differentiate scope of practice, role extension, and role expansion.

Scope of practice defines major areas of responsibility; role extension involves performing tasks outside normal training; role expansion is an enlargement of the role within education, theory, and practice.

What is Level 1 MRS in NSW and how are entry-level positions usually advertised?

Level 1 MRS is a redundant/obsolete classification; most entry-level NSW graduate MRP positions are advertised as Level 2 Y1.

What are the Level 3 MRS designations?

Level 3 Grade 1 Specialist MRS; Level 3 Grade 2 Consultant MRS; Level 3 Grade 3.

Name the six clinical specialties listed for ASMIRT Certification.

Cardiac angiography, Vascular angiography, MRI, CT, Mammography, PIE.

Where did the Red Dot system originate and what has it expanded to include?

Originated in the UK (first trialled in 1981). It began as an annotation to flag pathology and has expanded to roles such as radiographer reporting and prescribing in some contexts.

What is the main message of RANZCR's position on image interpretation by radiographers?

Radiographer commenting/reporting is not considered the right solution within current practice; reporting remains the radiologist’s responsibility.

What did ASMIRT state in response to RANZCR's draft on image interpretation (2019)?

PIE is not designed to enable reporting; a radiologist should still produce the final report; PIE is for patient safety and timely care.

What is the purpose of the RACS 3-strikes rule (SET) for surgical training?

If not selected for training after three rounds, the applicant is not allowed to apply again.

What change occurred in 2024 regarding Nurse Practitioner supervision?

The Collaborative Arrangement requirement was removed; nurse practitioners can prescribe PBS medicines and provide Medicare services without a supervising clinician, improving access in rural areas.

What did the PIE paediatric study (2025) report about its sample size?

498 paediatric skeletal radiographs were reviewed.

What was the overall accuracy reported in the paediatric PIE study (2025)?

93.3%.

What were the sensitivity and specificity in the paediatric PIE study (2025)?

Sensitivity 84.3%; Specificity 98.1%.

What does MBS stand for and how does it relate to imaging funding?

MBS stands for Medicare Benefits Schedule. Codes are sent to Medicare for reimbursement; private imaging is usually bulk-billed with possible gaps; private insurers rarely cover diagnostic imaging.

Name two major NSW industry imaging employers mentioned in the notes.

Examples include Sonic Healthcare and I-MED Radiology (also Llumus Imaging, Spectrum Medical Imaging).

Which bodies regulate or influence advanced practice radiography in Australia?

Governments (state and Commonwealth) and professional bodies such as ASMIRT; workplaces also regulate and influence practice.

What is the ASMIRT Advanced Practice Pathway?

A credentialing framework to recognise and develop advanced practice radiographers, including progression to Practitioner, Fellow, and Consultant levels, with requirements such as accredited programs and clinical learning contracts.

How is Advanced Practice defined in the notes?

Advanced Practice occurs when a practitioner regularly works beyond core boundaries with appropriate resources, education, and mentorship; regulated by government, professional bodies, and workplaces.

What is Medical Dominance as discussed in the slides?

A medical-optimised hierarchy that marginalises allied health contributions and limits scope expansion, often through subordination and exclusion.

What were the conclusions of the 2002 AIR Future Directions Working Party?

Change was required to radiographer education to meet healthcare demands; there was disagreement on future AP models and limited uptake of AP in Australia.

What are locum radiographers?

Locum radiographers work freelance to provide short-term coverage; they can earn excellent pay but face no job security and often travel frequently.

What is the difference between public sector and private sector radiography careers as discussed?

Public sector often has more job protections and structured progression; private sector typically offers faster progression and more flexibility but fewer protections and sometimes lower transparency in pay.

Which organization administers the Advanced Practice Pathway and provides certification, per the notes?

ASMIRT (Australian Society of Medical Imaging and Radiation Therapy).

Name two key modalities commonly involved in Level 3 advanced practice (as mentioned in the materials).

CT and MRI (also Angiography, Mammography, and other modalities were listed in broader AP discussions).

What typical three-year training progression in the public sector is described for radiographers (ED to Angio to Cath lab to CT)?

Year 1: ED/Outpatient X-ray; Year 2: ED/Outpatient X-ray plus Angio plus Theatre; Year 3: Angio plus Cath lab and CT.

What is the paediatric PIE study (2025) suggesting about training needs?

Results indicate high diagnostic accuracy overall; targeted training may be needed in regions frequently misinterpreted (extremities) to further improve PIE performance.

What is the main takeaway about collaboration between doctors and allied health in patient care?

Doctors are colleagues; mutual support and celebration of wins, with a shared aim of better patient care and outcomes.