diagnostic form b

8/12/2019 Diagnostic Form B

1/33


2/33

Form (B) IIR/RQRB

If yes please s$pply a notarised copy of.%a& ,o$r certificate of registration %doc$entary evidence that yo$

are la*f$lly in the state *hich is iss$ed "y the Garda NationalIigration B$rea$ %GNIB& and sho*ing the iigration stap

%"& /assport endorseent

The period of perission sho*n in the certificate and the passportsho$ld atch!

2* Copy of original diploma/degree and a trans"ript of all e:am results

sho$ing sub1e"ts studied and grades obtained*

5* ,"ademi" re"ord

* Do"umentation to indi"ate that your #ualifi"ation entitles you to

pra"ti"e as a diagnosti" radiographer in the "ountry $here your gained

your #ualifi"ations*

4* Fee of ;733 < $hi"h must be dra$n on an Irish Ban0 and payable to the

Irish Institute of Radiography*

6* If appropriate!! =arriage Certifi"ate0Change of nae certificate

>* ?hould the appli"ant hae any additional information they thin0 is

releant+ an outline $ill suffi"e* If re#uired it $ill be re#uested*

A//)ICANT

1! /ersonal Details

-ame of ,ppli"ant R#,NA)DO G! T'A))A 2R,ddress 1345 AG'ADAS ST! B'RA'#N()#,T#

6716 /8I)I//IN#S

IF yo$ are not an ##A national( are yo$ legally resident in Ireland,#S - NO - NO

If yes please s$pply a notarised copy of.

%a& ,o$r certificate of registration %doc$entary evidence that yo$are la*f$lly in the state *hich is iss$ed "y the Garda National

Iigration B$rea$ %GNIB& and sho*ing the iigration stap%"& /assport endorseent

The period of perission sho*n in the certificate and the passport

sho$ld atch!

Date of Birth A'G'ST 51( 149:

,ddress for "orresponden"e R#,NA)DO G! T'A))A 2R!If different DR! A8MAD ABANAM, 8OS/ITA)

A);8AMRA DISTRICT #


3/33

Form (B) IIR/RQRB

RI,AD8 >INGDOM OF SA'DI ARABIA

-ationality FI)I/INO

=ale/Female MA)#

@ear Qualified 3??9

3! General #d$cation

Date of ?e"ond Aeel %du"ation From 2'N# 144@

ToMARC8 3??1

-o* of @ears :

?ub1e"ts studied during se"ond leel edu"ation

?ub1e"t Date of ?tudy -ame of Certifi"ate $ith

grade $here appropriate

Filipino I

,raling 8anlipunan

I(?o"ial ?tudies)

%8= I (8hysi"al

%du"ation Health

and =usi")

alues %du"ation I

%nglish I

?"ien"e and

Te"hnology I

=ath I

Te"h* and Home

%"onomi"s I

RHE8 I(Reitali9ed

Homeroom Euidan"e

8rogram)

Filipino II

,raling 8anlipunan

II(?o"ial ?tudies)

%8= II (8hysi"al

%du"ation Health

and =usi")

alues %du"ation II

%nglish II

?"ien"e and

Te"hnology II

=ath II

Te"h* and Home

%"onomi"s II

RHE8 II(Reitali9ed

Homeroom Euidan"e

8rogram)

Filipino III

From

7>

7>

7>

7>

7>

7>

7>

7>

7>

7'

7'

7'

7'

7'

7'

7'

7'

7'

7

To

7'

7'

7'

7'

7'

7'

7'

7'

7'

7

7

7

7

7

7

7

7

7

2333

'5*6 8assed

'7*2 8assed

3*2 8assed

'3*2 8assed

>* 8assed

>6*' 8assed

'5*6 8assed

'5*2 8assed

'3*' 8assed

'7*2 8assed

>>*6 8assed

>' 8assed

>4*2 8assed

>4*6 8assed

>4 8assed

>6 8assed

'3* 8assed

>'* 8assed

>' 8assed

5


4/33


5/33

Form (B) IIR/RQRB

"! If -o+ $as your Diagnosti" Imaging "ourse "ondu"ted in %nglishG

,es( #nglish is $sed as a priary lang$age in school!

c! hat of your "urrent patient $or0load do you treat using %nglishG

1??

7! Radiographic #d$cation

Institution/?"hool/ Hospital of study/&niersity

-ame &-I%R?IT@ .F 8%R8%T&,A H%A8 RI,A

,ddress ,A,B,-E!,8.T% R.,D

A,? 8I-,? CIT@

8HIAI88I-%?

Eoerning Body/

8lease ti"0 ?tate

&niersity

Hospital

8riate

.ther+ please spe"ify

6 /RO2#CT D#TAI)S

Did you "omplete a pro1e"t as part

of your undergradate studiesG

,es

If @es

8lease state 7* Title

2* Aength of 8ro1e"t

ord Count

Aeel of ob ?atisfa"tion of

Ai"ensed Radiologi" Te"hnology

or0ing in 8riate and

Eoernment Hospital

7634 $ords

Aength of pro1e"t "an use up to

the total hours of the "ourse

sub1e"t $hi"h is 4 hours (Refer

to the atta"hed do"ument

Resear"h ,bstra"t)

/roect Str$ct$re

hi"h of the follo$ing elements $as

"oered in your resear"h pro1e"tG*

Aiterature Reie$

Resear"h =ethodology

Questionnaire

4


6/33

Form (B) IIR/RQRB

Aiterature Reie$

Resear"h =ethodology

Questionnaire

Retrospe"tie reie$

Data ,nalysis

?tatisti"al ,nalysis

Dis"ussion of Findings

Con"lusions

Re"ommendations

Data ,nalysis

?tatisti"al ,nalysis

Dis"ussion of Findings

Con"lusions

Re"ommendations

>* Radiographic $alification o"tained

Title (in full) BS RADIO)OGIC T#C8NO)OG,

9! Co$rse Details

8lease "omplete .-A@ for /riaryDiagnosti" Imaging #ualifi"ations

-ormal Course Duration

(years) : ,#ARS

Date Course "ommen"ed 2'N# 3??:

Date Course "ompleted A/RI) 3( 3??9

4! C)INICA) INFORMATION

Did your Clini"al 8ra"ti"e

in"lude %le"tie 8la"ement

Re"urrent

%le"tie

%le"tie

Clinical /ractice incl$des#lective /laceent thro$gh the#d$cation centre has affiliatedClinical /ractices *here interns

get to choose fro!

Hospital(s)

2$nior Internship

Ospital ng Maynila Medical Center

Senior Internship

.spital ng =aynila =edi"al Center

6


7/33

Form (B) IIR/RQRB

Aength of pla"ement

(in hours)

2$nior Internship

9?? ho$rs

Senior Internship

9?? ho$rs

Did you e:perien"e any prolonged

absen"e

i*e* oer 6 $ee0s/a monthG

NO

If @es state if time needed to be

made up

Not Applica"le

1?! Co$rse Content

-B please indi"ate any offi"ial re"ord of "lini"al pra"ti"e $ith this

appli"ation form*

&se @ear 7+ @ear 2 et"* to indi"ate $hi"h year(s) sub1e"t(s) $ere

"oered/studied

,"ademi" ?ub1e"ts Clini"al 8ra"ti"eAist range of e:perien"e you gained

during your "lini"al pra"ti"e

?ub1e"t %:perien"e

@ear 7

First Seester

2$ne 3??: = Octo"er 3??:

#NG) 1 = Co$nication SEills 1This is a study and

pra"ti"e of the prin"iples of

"orre"t $riting and the "lear

and logi"al presentation of

ideas* The "ourse fo"uses ondeeloping the studentsJ $riting

s0ills through the introdu"tion

of the different types of

e:pository $riting and other

forms of dis"ourse*

COM/ 1 = Basic Cop$terOperation 1

This "ourse deals $ith the

fundamentals of "omputer system+

data pro"essing "on"epts

deelopment using =? ord+ e!

mail and internet appli"ation upto the "omple:ity of using

>


8/33

Form (B) IIR/RQRB

different $indo$!based

appli"ation programs from the

latest ersion of =? .ffi"e

programs su"h as ord+ %:"el and

8o$er8oint*

FI)1?? = Sining ng/aEiEipagtalastasan

The "ourse proides

"ommuni"ation situations and

e:er"ises for deeloping the

four () languages s0ills in

8ilipino+ namely reading+

understanding+ spea0ing and

$riting* The "ommuni"ation

situations are of the

e:pository+ des"riptie+

narratie and argumentatie

types*

/S,1?3 = General /sychologyThis "ourse proides

students $ith a perspe"tie of

human behaior $ith input on

so"ial and psy"hologi"al

theories+ behaioral models and

te"hni#ues $hi"h enable the

students to ma:imi9e their

"apabilities to be effe"tie in

dealing $ith realities in life*

This in"ludes physiologi"al

basis of behaior+ e:ploring

state of "ons"iousness+learning+ memory+ emotion+

personality and abnormal

personality*

/8I1?1 = )ogicThe study of their methods

and prin"iples $ill lead the

learners to distinguish good

("orre"t) from bad (in"orre"t)

reasoning* The "ourse aims to

deelop analyti"al and dedu"tie

minds of the students to produ"e"lear ideas+ distin"t

1udgmentsJ+ alid and "onsistent

reasoning using the s"ientifi"

prin"iples and la$s of logi"

$hi"h $ill lead them to 0no$ the

ob1e"tie truths*

MAT8 1 = College Alge"ra

Eeneral =athemati"s for

freshmen deals $ith the

fundamental prin"iples of

"ollege algebra* Topi"s in"lude

sets+ real number system+algebrai" e:pressions and their

'


9/33

Form (B) IIR/RQRB

operations+ e#uations+

ine#ualities+ fun"tions and

relations and their graph+

systems of e#uations in t$o or

more ariables and their

appli"ations*

/8,S 1 = /hysics?tudy the fundamental of

0inemati"s+ thermodynami"s and

$ae motion* Topi"s in"lude

systems and units of

measurements+ the me"hani"s of

solids+ gases and li#uids+ the

0ineti" theory and temperature+

heat "apa"ity and thermal

e:pansion and $ae motion and

sound*

RT1?? = Intro to RadiologicTechnology

8rologue to Radiologi"

te"hnology edu"ation and

pra"ti"e $hi"h $ill proide an

understanding on s"ope+ outputs

and pra"ti"es of radiologi"al

s"ien"es in general and

Radiologi" Te"hnology in

parti"ular* This "ourse also

deals on the intera"tion of

s"ien"e and te"hnology and their

impa"t to so"iety andenironment*

OO1?? = General oology

This "ourse deals $ith

the study of the stru"ture and

bodily fun"tions of animals+

their habits+ $here and ho$ they

lie+ their relations to one

another and to their

enironment+ and their

"lassifi"ation in"luding

theories and la$s that relate to

animal life*

/#1?? = F$nd! Of /hysicalActivities

The study deals $ith the

philosophi"al+ so"iologi"al and

edu"ational foundations of

8hysi"al %du"ation+ ?ports and

ellness* It "oers theories and

prin"iples ne"essary to

understand the bases for the

arious physi"al a"tiities

inoled* The "ourse shallinterrelate the different


10/33

Form (B) IIR/RQRB

sub1e"ts into "ommon

understanding of their

importan"e in the life of human

being*

FC)1?? = The /erpet$alite. A8elper of God

The "ourse study a""urate

perpualite natures in seri"e

his fello$men* It dis"usses

manJs role in the "hur"h

espe"ially in responding to the

"all of loe and seri"e for

others* In"ludes so"ial

do"trine+ solidarity+ good

goernan"e+ pea"e+ good manners

and right "ondu"t

@ear 7Second Seester

Nove"er 3??: = March 3??7

/#3?? = Social Dances

This "ourse in"ludes

steps+ moements and musi"

related to dan"e parti"ularly

so"ial dan"e+ foreign dan"es and

also the 8hilippine fol0 dan"es*

These so"ial dan"es $hen learned

by the students foster

"amaraderie and so"iabilityamong the different members of

the so"iety* These dan"es aim to

0eep indiidualJs suppleness and

deelop "oordination+

fle:ibility and to 0eep the body

gra"eful*

C8#M = General Cheistry This "ourse in"ludes

simple "hemi"al "omputations+

stru"ture of matter+ "hemi"al

e#uations+ and e#uilibrium+ the

nature of organi" "ompounds+basi" bio"hemistry and nu"lear

"hemistry*

#NG) 3 = Co$nication SEills 3The "ourse is designed to

deelop the studentsJ oral

"ommuni"ation s0ills for

effe"tie personal+ group and

publi" "ommuni"ation in the

arious dis"iplines*

/8I1?3 = /hilosophy of Man

73


11/33


12/33

Form (B) IIR/RQRB

e:plains the Catholi" faith

inspiration of the Founders+

$hi"h be"ame the pillars of the

philosophy+ ision+ and mission

of the institution* The

dis"ussions in"lude the

8erpetualite alues+ the Aogo+the FCA 8aradigm+ the "omponents

of integral formation+ the

history and deotion to the

=other of 8erpetual Help* It

also introdu"es the students to

the initiation sa"raments of

Baptism+ Confirmation+ and Holy

%u"harist*

SOC1?5 = Socio;Anthro

?o"iology and ,nthropology

in"orporates t$o areas releantin studying "ulture and so"iety

in general* ?o"iology and

,nthropology "ombined $ill aim

to emphasi9e appli"ation of the

finding in terms of so"ial

liing and so"ial

interrelationship $ith man and

his so"iety as the sub1e"t

matter* ,nthropology $ill be

dealing on $hat happened in the

past and ?o"iology ta"0les on

$hat is going on at the present

time* It in"ludes the family+its role+ forms stru"ture and

Family 8lanning methods to help

students understand ho$

?o"iology shapes the so"iety of

the future*

/O)1?6 = /hilippine 8istory andC$lt$re

This "ourse deals $ith the

history and goernment of the

8hilippines that seres as the

guiding "harter of the resent8hilippine goernment as $ell as

the "on"erned indiiduals

embodied in it* It reeals not

only the 0ind of leadership+ the

politi"al e:perien"e+ the

so"iomoral alues and the

"ultural heritage that $e hae+

but also the aspirations and

details of our "ountry* The

details on the history of our

"ountry sho$ed an"ient to

present*

72


13/33

Form (B) IIR/RQRB

@ear 2

First Seester2$ne 3??7 = Octo"er 3??7

#NG:?? = /hilippine )iterat$re

This "ourse is a study ofthe literary forms or genres as

e:emplified by sele"ted literary

te:t from arious regions of the

8hilippines $ritten at different

periods in 8hilippine literary

history*

FC)5?1 = The /erpet$alite. A Manfor Other

F"l 5 $or0s on the premise

that the perpetualite is

basi"ally a so"ial being* Helies in a so"iety of $hi"h he

is ery mu"h a part* That

so"iety is basi"ally herein this

"ountry* But this "ountry is a

part of greater $hole+ the

"ommunity of nations* Thus+ a

perpetualite should loe his

"ountry+ yet he should also be

"on"erned of the realities

outside of it*

8#1?1 = 8ealth #thicsThe sub1e"t proides

information regarding the

follo$ing (a) different

organi9ational stru"tures of

Radiologi" Te"hnology Department

(b) different management and

superision tyles (") personnel

sele"tion and staff edu"ation

(d) inter!departmental

relationships (e) ealuation and

maintenan"e of respiratory "are

#uality standards (f)

departmental resour"esmanagement (g) ethi"al

standards*

8C3?1 = 8ealth Care 1Con"epts and prin"iples

in the proision of basi" health

"are in terms of health

promotion/maintenan"e and

disease preention at the

indiidual and family leel*

MAT1?3 = Basic Statistics

75


14/33

Form (B) IIR/RQRB

This is a study of

statisti"al operations+

e:pressions and treatment of

different formulas and

approa"hes and their usage in

resear"h and other fields of

dis"ipline* This in"ludes "ommonsampling pro"edure+ "olle"tion

and presentation of data+

fre#uen"y distribution+ measure

of "entral tenden"y+ measure of

dispersion+ s0e$ness and

0urtosis+ probability

distribution+ test hypothesis+

testing statisti"al hypotheses

and statisti"al operation in

resear"h*

/!#! 3 = Advance S*iingThe "ourse is designed for

parti"ipants $ho hae s$imming

e:perien"e and may be

"omfortable in the $ater of any

depth* The "ourse $ill proide

instru"tion in adan"e $ater

s0ills in"luding "omfortable

entry+ submersion+ floating+

breathing te"hni#ues+ and an

introdu"tion to adan"e s$imming

stro0es* The "ourse is intended

to help parti"ipant gain

"onfiden"e and self!relian"e inthe $ater*

ANA1?1 = Anatoy and /hysiology 8roides s"ientifi"

analysis and understanding of

the body parts and ho$ the body

fun"tions in relation to the

arious physi"al a"tiities* It

emphasi9es on the stru"tural

feature and fun"tional roles of

the follo$ing body systems

%ndo"rine+ Blood+ Aymphati"+Cardioas"ular+ Digestie+

Respiratory+ &rinary+ Aymphati"+

Reprodu"tie and other releant

information*

@ear 2

Second SeesterNove"er 3??7 = March 3??6

/#:?? = Gro$p0Tea Sports%BasEet"all&

8roides playing s0illsand performan"es in bas0etball

7


15/33

Form (B) IIR/RQRB

sports eents* Built!in

deelopment of s0ills ne"essary

for playing the eent is

emphasi9ed for instru"tional

purposes su"h as lead!up game+

lo$ organi9ed game a"tiities

su"h as KAaro ng AahiL andmodified games leading to

sports*

FC):?? = Filipino Christian)iving

This "ourse is an

introdu"tion of the story of the

Bible+ the nature and being of

Eod and the po$er of EodJs $ord

in oneJs life $ith emphasis of

the life+ person and ministry of

the Aord esus Christ* It alsoembra"es bibli"al and Christian

alues that $ill inspire the

students to lie uprightly and

to a"hiee e:"ellent and

honorable aspirations*

/O)1?1 = /hilippine /olitics Governent

This "ourse is a study of

the e"onomi"+ so"ial+ politi"al

and "ultural deelopment of the

8hilippines* The study fo"useson the serious problems that

"onfront the "ountry*

RT113 = Medical TerinologyDeals $ith arious medi"al

nomen"latures and their usage as

applied to spe"ifi" systems+

disease pro"esses+ and in1uries*

Dis"ussions in"lude prin"ipal

medi"al root $ord+ terms

referring to some general

aspe"ts of the pra"ti"e medi"ineand its allied profession+

medi"al terms to "ertain

pathologi"al pro"esses+

infe"tie pro"esses+ diseases of

arious system of body+

obstetri" terms+ and terms

related to medi"al instruments

and e#uipment*

8C3?3 = 8ealth Care 3Con"epts and prin"iples in

the proision of basi" health"are in terms of health

74


16/33

Form (B) IIR/RQRB

promotion/maintenan"e and

disease preention at the

indiidual and family leel*

STS1?3 = Science( Technology Society

The analysis from

histori"al and futuristi"

perspe"ties of the nature and

role of s"ien"e and te"hnology

in so"iety and of the so"io!

"ultural and politi"o!e"onomi"

fa"tors affe"ting the

deelopment of s"ien"e and

te"hnology $ith emphasis on the

8hilippine setting*

@ear 5

First Seester2$ne 3??6 = Octo"er 3??6

FC)7?? = Filipino Christian)ivingThis "ourse is an introdu"tion

of the story of the Bible+ the

nature and being of Eod and the

po$er of EodJs $ord in oneJs

life $ith emphasis of the life+

person and ministry of the Aordesus Christ* It also embra"es

bibli"al and Christian alues

that $ill inspire the students

to lie uprightly and to a"hiee

e:"ellent and honorable

aspirations**

RT157 = 'ltrasonography

?tudy of physi"al

foundation of &ltrasound and its

appli"ation to medi"al

diagnosis* Dis"ussions in"ludeultrasound theoreti"al

deelopment+ methodology and

releant terminologies+ physi"al

prin"iples of diagnosti"

ultrasound+ instrumentation and

operation+ operational modes+

fa"toring and image re"ording+

artifa"ts/pitfalls in

ultrasonography+ anatomi"al

presentation during s"anning+

interentional ultrasound and

#uality "ontrol*

76


17/33

Form (B) IIR/RQRB

RT156 = Radiation Theraphy

Deals $ith pre"ise

appli"ation of ioni9ing

radiation in the treatment of

neoplasti" gro$th+ a "omplete

and effe"tie treatment plan as

$ell as patient "are of on"ology"ases* This in"ludes the

theoreti"al deelopment of

appli"ation of radiation in

treatment of disease and as a

medi"al spe"ialty+ atoms and

radioa"tiity+ radiotherapy

e#uipments/units and "alibration

te"hni#ue+ prin"iples of isodose

planning+ radiobiologi"al

prin"iples in radiotherapy+

radiotherapeuti" malignan"ies+

"are of patient and #uality

"ontrol*

RDT5?? = Radiologic /hysics(#J$ipent Maintenance

,n introdu"tion to the

basi"s of ele"tri"ity+

ele"tromagnetism+ motors+

generators+ transformers and

re"tifiers* Dis"ussion in"ludes

mathemati"al reie$+ units of

measure+ stru"ture of matter+

ele"trostati"s+ "urrent+

ele"tri"ity and magnetism*?tudy of physi"al

prin"iples of radiation+ its

"hara"teristi"s+ properties+

intera"tion $ith matter and

appli"ation in radiologi"al

s"ien"es*

This is aimed to

familiari9e students $ith the

"ir"uitry of an :!ray unit+ :!

ray tube+ :!ray produ"tion+

nature of :!rays+ inerse s#uare

la$+ half alue layer+ as $ell

as to dete"t defe"ts interfering$ith the proper fun"tion of the

e#uipment and the fundamentals

of preentie maintenan"e*

RDT5?1 = Radiographic TechniJ$e Fil /rocessing0Analysis

Deals $ith the

understanding of the prin"iples

inoling a"tion of :!rays on

film emulsion and intensifying

s"reens+ pro"essing "hemi"als+

the arious systems anda""essories inoled in the

7>


18/33

Form (B) IIR/RQRB

"onersion of latent image into

isible radiographi" image

follo$ing se#uential steps in

manual and automati" pro"essing+

pro"essor operation and

maintenan"e+ and learn the

s0ills ne"essary to "riti#ueradiographi" images $ith

emphasis in re"ogni9ing

pro"essing faults $ith the aid

of radiographs and laboratory

e:posure e:periments*

Dis"ussions in"lude pro"essing

room design and a""essories and

regulatory re#uirements*

It also deals $ith

radiographi" imaging and the

produ"tion of #uality

radiographs through proper

sele"tion+ "omputation+generali9ation and appli"ation

of arious te"hni#ue fa"tors and

a""essory dei"es* Dis"ussion

in"ludes fa"tors affe"ting

radiographi" density+ "ontrast+

geometri" detail+ isibility and

distortion of detail+ and

te"hni#ue "onersion fa"tors

$ith the aid of radiographs and

laboratory e:periments*

RDT5?3 = Radiographic/ositioning Radiological/roced$res

?tudy of the general

foundation of positioning

te"hni#ue to obtain radiographi"

demonstration of anatomi"al

stru"ture of interest as $ell as

spe"iali9ed e:aminations of the

different body stru"tures and

organs $ithout "ontrast media*

This in"ludes anatomi" and

radiographi" positioning terms+

sour"e!to!image re"eptordistan"e and tube


19/33


20/33

Form (B) IIR/RQRB

te"hnology+ professional ethi"s+

releant medi"al 1urispruden"e+

and other legal and ethi"al

"on"erns*

,ear 5

Second SeesterNove"er 3??6 = March 3??@

FC)6?? = The /erpet$alite andSociety

This "ourse introdu"es the

indiidual students in the

deelopment of dynami" Christian

life and ethi"s that $ill gear

to a potential and harmonious

relationship $ith his Eod + his

family+ his "ommunity and his

life*

RDT:?? = Radio"iology andRadiation /rotection

?tudy of the ethi"s of

ioni9ing radiation on biologi"al

matters+ the prin"iples of

radiation prote"tion as $ell as

agen"ies and institutions

mandated to regulate and monitor

the safe use of radiation and

radioisotope in medi"ine* First

part $ith radiation biology

se#uen"e of eents leading tobiologi"al effe"ts from

radiation e:posure+ radiation

and "ellular targets+ effe"ts on

the organs+ "lassifi"ations on

radiation effe"ts+ fa"tors

modifying radiation effe"ts+

"ell surial "ure+ dose!

response "ure+ and e:posure and

dose radiology* The se"ond part

deals $ith radiation prote"tion

agen"ies responsible for

formulating poli"ies and

standard in radiationprote"tion+ effe"ts of radiation

and fun"tion of dose+ aims of

radiation prote"tion+ system of

dose limitations+ "ardinal

prin"iples of radiation

prote"tion+ designs of

radiologi" fa"ilities+ and

radiation of prote"tion of

radiation of $or0ers+ patients+

and general publi"*

RDT:?1 = Radiologic /athology?tudy of arious

23


21/33

Form (B) IIR/RQRB

pathologi" "onditions and its

effe"t on radiologi"al

pro"edures+ te"hni#ues and

oerall radiographi" image* This

in"ludes the general basis of

pathologi" "onditions and body

system disorders of thegastrointestinal system+ lier+

gallbladder+ and pan"reas+

respiratory+ renal+

"ardioas"ular+ neurologi"+

s0eletal and reprodu"tie

system*

RDT:?3 = Cop$teri+ed Toography%CT Scan& and Magnetic ResonanceIaging %MRI&

?tudy of prin"iples

inoled in diagnosti" imagingmodalities that produ"e "ross!

se"tional+ trans!a:ial+ "oronal

and sagittal images of the human

body* The first part of the

"ourse deals $ith CT!?"an to

in"lude its histori"al

deelopment and releant

nomen"latures+ "omparison $ith

"onentional radiography+ the

s"anner+ s"anning program+

"ontrast medium and #uality

"ontrol* The se"ond deals $ith

=RI+ its histori"al deelopmentand releant nomen"latures+

"omparison $ith "onentional

radiography+ nu"lear physi"al

prin"iples+ imaging te"hni#ue+

instrumentation+ biologi"al

effe"t+ basi" =R anatomy+

"ontrast medium and #uality

"ontrol*

RDT:?5 = Digital S$"tractionAngiograph %DSA& and

Interventional Radiology?tudy of prin"iples

inoled in Digital ?ubtra"tion

,ngiography and Interentional

RadiologyM the parameters of

imaging and e#uipment employed

in these subspe"ialties* The

first part deals $ith D?, to

in"lude the imaging "hain (:!ray

generator+ :!ray tube+ image

intensifier+ T lens system+ T

"amera+ ideo signal)+ manual

subtra"tion te"hni#ue+ digital

angiography+ subtra"tionte"hni#ues+ intra!arterial

27


22/33

Form (B) IIR/RQRB

ersus intraenous+ "lini"al

appli"ation+ and patient "are in

angiographies* The se"ond part

deals $ith therapeuti" and

diagnosti" interentions+

patient management and "are+

integral pro"esses+ "ontrastmedia+ e#uipment and te"hni#ues+

the radiologi" te"hnologistJs

role in angiography and

interention and arious

interentional pro"edures*

RDT:?6 = N$clear Medicine?tudy of the prin"iples

and instrumentation+ in -u"lear

=edi"ine and its diagnosti" and

therapeuti" appli"ations*

Dis"ussions in"lude the physi"sof nu"lear medi"ine+

instrumentation+ radio"hemistry

and radio!pharma"ology+ "lini"al

nu"lear medi"ine+ radiation

prote"tion and #uality "ontrol*

RDT:?@ = $ality Ass$rance $ality Control in MedicalIaging

?tudy of organi9ed effort

in a radiologi"al fa"ility to

promote #uality patient "are andmanagement and to ensure

"onsistent produ"tion of high

standard of #uality radiographi"

images $ith minimum e:posure to

patient and personnel* This

in"ludes dar0room #uality

"ontrol and standard dar0room

pro"essing te"hni#ues+

departmental standards for

radiographi" image #uality+

"ondu"t image of films analysis+

and #uality "ontrol tests for

e#uipment and a""essory deises*

RDT??1 = ResearchThis "ourse is "on"erned

$ith s"ientifi" study and the

different pro"esses it entails

to enable the Radiologi"

Te"hnology student to go through

the steps of the resear"h

pro"ess to produ"e an output+

$hi"h "an initiate "hange in

0no$ledge+ attitude and s0ills

in different settings* Topi"sin"lude nature and

22


23/33

Form (B) IIR/RQRB

"hara"teristi"s of resear"h+

resear"h problem and ob1e"ties+

reie$ of related literature+

resear"h design+ resear"h

instrument+ sampling designs+

data pro"essing and statisti"al

treatment+ data analysis andinterpretation+ resear"h

proposal and thesis $riting*

@ear

First Seester2$ne 3??@ = Octo"er 3??@

2$nior Internship

?eminar I

@ear

Second SeesterNove"er 3??@ = March 3??9

Senior Internship

?eminar II

%:perien"es "oers the follo$ing

,pplied 0no$ledge of anatomy+

physiology+ positioning and

radiographi" te"hni#ues to

a""urately demonstrate anatomi"stru"ture*

Deeloped the s0ills in

establishing e:posure fa"tors

and ealuating radiographi"

images*

%nhan"ed 0no$ledge+ s0ills and

attitudes in the appli"ation of

the prin"iples of radiation

prote"tion as $ell as la$s and

regulations goerning the

appli"ation of ioni9ing and

non!ioni9ing radiation in

medi"ine* Deeloped "ompeten"e in

e:er"ising independent

1udgement and dis"retion in the

te"hni"al performan"e of

medi"al imaging and therapeuti"

pro"edures*

%:perien"ed the follo$ing

Eeneral Nray

o CT ?"an

o &ltrasound

o =RI

o -u"lear =edi"ine

11! Details of Emlo!me"t as a Ra#io$%a&e%

Enter all radiographic positions held in date order beginning with most recentPlease e"s'%e t&at !o' e(lai" a"! $as i" !o'% )o%* &isto%! o" t&is fo%m

D,T%? H%AD

FR.=

T.

TITA%

.F

8.?ITI

.-

H%AD

-,=% O

,DDR%?? .F

%=8A.@%R

F&AA .R

8,RT

TI=%

AI?T %N8%RI%-C%

R%?8.-?IBIAITI%?

,-D %Q&I8=%-T

&?%D

CONTACT NAMEIN THISINSTITUTION

=ar

"h237

8res

ent

Radiol

ogi"Te"hno

DR* ,H=%D

,B,-,=@H.?8IT,A

F&AACTresponsibilities

Dr. Ahmed

Abanam

25


24/33

Form (B) IIR/RQRB

3 logist

CT

?"an

and

=RI

Te"hno

logist

,l Imam

,bdullah Ibn

?aud Ibn

,bdul ,9i9

Road+ ,l!

Hamra

Distri"t+%:it +

-ortheast of

Riyadh+ ?audi

,rabia

include:

&tili9e

"omputeri9ed

tomography

(CT) s"anners

to produ"e

"ross!se"tion

images of

patientsJ

internal

organs and

tissues for

the diagnosis

of medi"al

issues*

=ust be able

to a""urately

interpret a

physi"ianJs

s"anning

instru"tions+

administer

"ontrast

materials+

prepare and

operate the CT

s"an e#uipment

and position

the patient to

"apture the

appropriate

images* =ust

be in good

health+

be"ause

maneuering

e#uipment and

patients $ho

are disabled

may pose

physi"al

"hallenges*

CT s"anners

emit

radiation+

$hi"h "an be

harmful for

the

te"hnologist

and patient if

proper safety

pro"edures are

not follo$ed*

MRI

2


25/33

Form (B) IIR/RQRB

responsibilities

include:

8erforms =RI

e:aminations

of the brain+

body+ spine

and

e:tremities on

patients of

all ages

effe"tiely

ad1usting

s"anning

parameters for

different

patient body

habitus*

?ele"ts and

modifies

te"hni"al

fa"tors to

enhan"e

imagesM

Determines

appropriate

e#uipment for

s"anning up to

but not

limited to

body "oils*

=ust be able

to "losely

follo$ a

physi"ianPs

instru"tions+

prepare and

operate =RI

e#uipment+

position

patients

"orre"tly and

effe"tiely

re"ord there#uested

diagnosti"

images*

.ther Duties

,s ,ssigned

X-Ray/ C-Armresponsibilities

include:

8erforms

all imaging

24


26/33

Form (B) IIR/RQRB

pro"edures

$hi"h are

offered by the

department+

follo$ing e:am

proto"ols on

neonatal+

pediatri"+

adult and

geriatri"

patients*

Completes

paper$or0 and

"omputer

related

duties*

,ssists

radiologists+

staff

physi"ians+

and nursing

and hospital

personnel $ith

radiologi"al

seri"es*

=aintains

department

fa"ilities+

e#uipment+ and

materials in a

"ondition to

promote

effi"ien"y+

health+

"omfort+ and

safety of

patients and

staff*

Che"0s

e#uipment+

supplies and

a""essories on

a regular

daily basis*

eeps supplies

"urrent and

replenished*

8ro"esses

film+

ealuates for

te"hni"al

#uality anda""urate

patient

Dr*

Dimayuga

26


27/33

Form (B) IIR/RQRB

,pr

il

233

'

=ar"

h

2373

Chief

Radiol

ogi"

Te"hno

logist

/N!ray

Te"hni

"ian

H%,ATH TR%-D?

=%DIC,A

CAI-IC O

DI,E-.?TIC

C%-T%R

F&AA

identifi"ation

and side

labeling*

X-Rayresponsibilitiesinclude:

8lans+

assigns+

superises and

reie$s $or0

of staff

inoled in

Radiology

department

and in mobile

N!Ray seri"esdeliery*

Coordinates

a"tiities

$ith

departmental

staff to

assure ma:imum

effe"t+

minimi9e

dupli"ation+

and enhan"e

betterutili9ation of

resour"es*

%stablishes

priorities for

ealuation or

resear"h

deelopment

and monitors

progressM

assist in

"ompilation of

statisti"al

data for

departmental

ealuation

purposes*

,ssist in the

deelopment of

administratie

and

operational

poli"ies+

pro"edures and

regulations*

2>


28/33

Form (B) IIR/RQRB

?uperises as

$ell as

perform

diagnosti"

imaging

studies under

the

dire"tion/supe

rision of a

Radiologist

8erforms

all imaging

pro"edures

$hi"h are

offered by the

department+

follo$ing e:am

proto"ols on

neonatal+

pediatri"+

adult and

geriatri"

patients*

8erforms all

pro"edures in

a safe manner

Completes

paper$or0 and

"omputerrelated duties

,ssists

radiologists+

staff

physi"ians+

and nursing

and Clini"

personnel $ith

radiologi"al

seri"es*

=aintainsdepartment

fa"ilities+

e#uipment+ and

materials in a

"ondition to

promote

effi"ien"y+

health+

"omfort+ and

safety of

patients and

staff*

Che"0s

2'


29/33

Form (B) IIR/RQRB

e#uipment+

supplies and

a""essories on

a regular

daily basis*

eeps supplies

"urrent and

replenished*

8ro"esses

film+

ealuates for

te"hni"al

#uality and

a""urate

patient

identifi"ation

and side

labeling*

=onitors staff

performan"e to

ensure that

the highest

leel of "are

$ith the least

amount of

radiation

e:posure is

being

administered

to patients* =a0es

re"ommendation

s regarding

hiring+

dis"ipline and

promotions of

subordinatesM

authori9es

leae and

oertimeM

ealuates and

rates employee

performan"e*

=aintains

"onfidentialit

y of all

patient

information

a""ording to

"lini"al

guidelines and

regulations*

8erforms other

duties asassigned

2


30/33

Form (B) IIR/RQRB

13! /ost Grad$ate or other post J$alification ed$cation in radiography!8lease "omplete for all "ourses and "ontinue on separate sheet if

ne"essary*

Course Title -ot ,ppli"able

8la"e studied

Type of "ourse+

8lease ti"0

&ltrasound =agneti" Resonan"e Imaging

Computed Tomography Radionu"lide Imaging

Therapy planning .ther+ please spe"ify

Course "ommen"ed

Course "ompleted

Full or part!time

Brief summary of

"ourse "ontent

Type of assessment %:amination ritten

.ral Continuous ,ssessment

8ro1e"t or0 .ther

=CQJs Course or0

Full title of a$ard

obtained

Course Title

8la"e studied

Type of "ourse+

8lease ti"0

&ltrasound =agneti" Resonan"e Imaging

Computed Tomography Radionu"lide Imaging

Therapy planning .ther+ please spe"ify

Course "ommen"ed

Course "ompleted

Full or part!time

Brief summary of

"ourse "ontent

Type of assessment %:amination ritten

.ral Continuous ,ssessment

8ro1e"t or0 .ther

=CQJs Course or0

Full title of a$ard

obtained

53


31/33


32/33

Form (B) IIR/RQRB

STAT*M*NT 0 RADIO!RAP12

Any recognition granted on the basis of fraudulent or falsified information, material misrepresentationor misstatement designed to mislead the IIRRT, shall be invalid and may be subject to criminal

sanctions. The onus for ensuring the full and accurate disclosure of information rests with theapplicant.

Imaging or treatment of patients for which the applicant does not have the necessary competence isdefined as a breach of the Code Practice of the IIRRT, and could lead to steps being taen resultingin the practitioner being struc off and rendered ineligible to practise the regulated profession.

! I declarethat the information given in this document and in all attached forms is true andaccurate.

! I declare that I have not made a previous application for validation"recognition and that Ihave read, understood and agree to abide by the IIRRT code of conduct #www.iir.ie$.

! I declare that I have not been found guilty by any recognised professional body havingjurisdiction in the matter of any professional misconduct or am under current investigationwithin the scope of my profession as a diagnostic radiographer or radiation therapist resultingin the imposition of any suspension, fine, penalty or disciplinary measure.

! I declarethat I am fit to carry on the practice of diagnostic imaging or radiation therapy in thelanguage of the area of Ireland where I intend to practice.

! I understand that failure to disclose full information, or any deliberate misrepresentation ofinformation, is a serious matter and will invalidate my application.

! I agree to notify the IIRRT, in writing, of any change of personal details, e.g. change ofsurname or address, as and when any such changes occur.

%ame of Applicant& Reynaldo !' Tualla 3r'

'ignature of Applicant& (((((((((((((((((((((

)ate& August *, +*-

NOT*S

*. Recognition of professional ualifications is not to be regarded as an endorsement or adeclaration of the applicant/s suitability for employment in any particular post, which is aseparate matter for assessment by the employer in the normal way in accordance with theprescribed selection criteria.

+. Recognition of professional ualifications does not give automatic right to membership of theIIRRT. If your application for recognition is successful you can apply for membership of theIIRRT through the website #www.iir.ie$.

000000000

VALIDATION PROCESS EU DIRECTIVE 89/48

52


33/33

Form (B) IIR/RQRB

REQUIRED INFORMATION SOUGHT IN AGREEMENT WITH DEPARTMENT OFHEALTH & CHILDREN

Chec*list+. ,orm A

- ,"ll completed dated signed and stamped/. ,orm 0

1. 2roo# o# Citi3enship i.e. cop o# birth certi#icate or passport

4. Cop o# original diploma5degree

6. Academic record

7. ,ee o# 8+99 which m"st be drawn on an Irish 0an* and paable to the Irish Instit"te o#&adiograph.

:. Doc"mentation to indicate that the ;"ali#ication entitles the applicant to practice as a DiagnosticImaging &adiographer in the co"ntr where the ;"ali#ications were obtained.

. Sho"ld o" ha!e an additional in#ormation o" thin* is rele!ant a list5o"tline onl o# thein#ormation need be incl"ded. Sho"ld the &?&0 re;"ire the additional in#ormation the will

re;"est it to be #orwarded.

Comlete# Ali+atio"s s&o'l# ,e se"t to-A""ette L!o"sP%ofessio"al E#'+atio"

Natio"al Vali#atio" P%o.e+tHealt& Se%/i+e E(e+'ti/e

HR Di%e+to%ate0e%li" Pa%*Gal)a! Tel- 123 445126 E7mail- A""ette8l!o"s9&se8ie

THE VALIDATION PROCESS-

The application will be chec*ed in the 'alwa o##ice and the sent to the II&5&?&0 i# complete

A letter o# ac*nowledgement will be sent to the applicant b the 'alwa o##ice with a re#erence n"mber.If a" ali+atio" is i"+omlete it )ill ,e %et'%"e# to t&e ali+a"t

Follo)i"$ assessme"t

The 'alwa o##ice will be noti#ied o# the o"tcome b the II&5&?&0

The Department o# Health @ Children will in#orm the applicant o# the o"tcome o# the !alidationprocess.

diagnostic form b

Documents