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    he American egistry of adiologic echnologists

    2 orthland rivet. aul M 20-

    hone () 8-0048

    www.arrt.org

    MACAC

    MAMA AA

    CCA AB

    and

    ACA MAA

    ducation thics xamination = he A quation for xcellence

    olicies procedures and information in this

    handbook supersede previous editions

    21

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    he American egistry of adiologic echnologists

    Northland rive t. aul Minnesota -

    elephone ) 8-48

    isit our website at www.arrt.orgCopyright by he American egistry of adiologic echnologists. All rights reserved.

    eproduction in whole or in part is not permitted for any purpose without the written consent of the A.

    7KLV&HUWLFDWLRQ+DQGERRNis designed to help you understand and to applyDQGSUHSDUHIRUWKHFHUWLFDWLRQSURFHVV,WLVSXEOLVKHGIRUHDFKFDOHQGDU\HDUbut changes to policy or procedures may occur during the year so be sure tocheck www.arrt.org/handbooklinks for updates.

    nformation in this handbook supersedes that in any prior versions. A takescare to ensure that candidates receive handbooks that correspond to the year ofpotential exam date.

    o ensure that you are as successful as possible you will want to read thefollowing information very carefully and keep this handbook for future reference.

    ,QWKHVHSDJHV\RXZLOOQG ,QWURGXFWLRQDQGEDFNJURXQGPDWHULDORQ$557DQGLWVFHUWLFDWLRQSURJUDPV 'HWDLOVRQLPSRUWDQWHOLJLELOLW\UHTXLUHPHQWVIRUFHUWLFDWLRQFDQGLGDWHV $QRXWOLQHRIWKHWRSLFVFRYHUHGLQWKHH[DP* 6WHSE\VWHSLQVWUXFWLRQVRQDSSO\LQJIRUDQGVFKHGXOLQJ\RXUH[DP 7LSVRQWKHH[DPIRUPDW 7HVWFHQWHUUHTXLUHPHQWVDQGSURFHGXUHV ,QIRUPDWLRQRQZKDWKDSSHQVDIWHU\RXFRPSOHWHWKHH[DP

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    ntroducing A

    1LQH'HFDGHVRI+LVWRU\ .................................4rganizational tructure .................................4Mission-riven .............................................4-

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    pholding xam ecurity

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    isclosing xam nformation ..........................8 &DQGLGDWH$JUHHPHQWRQ([DP'LVFORVXUHotential isclosure cenarios .......................9

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    ine ecades of istory

    7KH\HDUZDV7KH/LQFROQHPRULDOZDVGHGLFDWHGRQD\$UVWFODVVSRVWDJHVWDPSFRVWWZRFHQWV,QVXOLQZDVWKHUHYROXWLRQDU\new treatment for diabetes.

    And ister M. Beatrice Merrigan took her adiography exam on ovember . heWHVWLQFOXGHGHVVD\TXHVWLRQVDQGDSUHVFULEHGVHWRIUDGLRJUDSKV6KHZDVQRWLHGRIKHUFHUWLFDWLRQWKHGD\DIWHU&KULVWPDVZKHQVKHHDUQHGWKHGLVWLQFWLRQRIEHLQJWKHFRXQWU\VUVW5HJLVWHUHG7HFKQRORJLVW

    e were the egistry founded earlier that year by the adiological ociety oforth America with support of the American oentgen ay ociety and the Americanociety of -ay echnicians.

    he egistry was incorporated in 9 as the American egistry of -ayechnicians. ts board was appointed by the adiological ociety of orth Americaand the American ociety of -ay echnicians. By the end of the decade therewould be more than 2400 egistered echnologists.

    n 944 the American College of adiology assumed the responsibility of appointingboard members along with the American ociety of adiologic echnologists.

    orty years after its founding the egistry expanded its program of examination andFHUWLFDWLRQE\DGGLQJH[DPVLQQXFOHDUPHGLFLQHWHFKQRORJ\DQGUDGLDWLRQWKHUDS\At that time the organizations name changed to he American egistry of adiologic7HFKQRORJLVWVDQDPHPRUHLQFOXVLYHRIDOOWKUHHGLVFLSOLQHVRIFHUWLFDWLRQ%\WKHHQGRIWKHV$557ZRXOGERDVWDWRWDORIFHUWLFDWHVVRPHLQnuclear medicine technology and nearly 00 in radiation therapy.

    he decade of the 90s saw a sweeping expansion of As offerings. he newSRVWSULPDU\FDWHJRU\ZDVODXQFKHGZLWKFHUWLFDWLRQLQFDUGLRYDVFXODULQWHUYHQWLRQDOtechnology and mammography. ew disciplines were added as technology emerged.

    As the millennium ended A had converted all of its exams from paper-and-pencilto computer-based testing.

    ine decades after its founding more than 00000 egistered echnologists knownas ..s attest to the success and strength of he American egistry of adiologicechnologists.

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    rganizational tructure

    A nine-member Board of rustees determines A policies. he Board is composedRIYH5HJLVWHUHG7HFKQRORJLVWVDSSRLQWHGE\WKH$PHULFDQ6RFLHW\RI5DGLRORJLFechnologists and four radiologists appointed by the American College of adiology.Board members are selected to serve four-year terms a new appointment orre-appointment from each group being made each year. Meetings of the Board ofrustees are held semi-annually. he Board is supported by a staff that conducts theroutine business of the egistry.

    Mission-riven

    he mission of he American egistry of adiologic echnologists is to promoteKLJKVWDQGDUGVRISDWLHQWFDUHE\UHFRJQL]LQJTXDOLHGLQGLYLGXDOVLQPHGLFDOLPDJLQJinterventional procedures and radiation therapy. he disciplines of interest includebut are not necessarily limited to radiography nuclear medicine technology radiationtherapy magnetic resonance imaging sonography mammography computed

    ntroducing

    A

    A he American

    egistry of adiologic

    echnologists promotes

    high standards of patient care

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    individuals in medical imaging

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    WRPRJUDSK\TXDOLW\PDQDJHPHQWERQHGHQVLWRPHWU\FDUGLDFLQWHUYHQWLRQDOUDGLRJUDSK\vascular-interventional radiography cardiovascular-interventional radiography vascularVRQRJUDSK\DQGEUHDVWVRQRJUDSK\$557DOVRRIIHUVFHUWLFDWLRQIRUUDGLRORJLVWDVVLVWDQWV

    n support of this mission A: DGRSWVDQGXSKROGVVWDQGDUGVIRUHGXFDWLRQDOSUHSDUDWLRQIRUHQWU\LQWRWKHSURIHVVLRQ DGRSWVDQGXSKROGVVWDQGDUGVRISURIHVVLRQDOEHKDYLRUFRQVLVWHQWZLWKWKHOHYHO RIUHVSRQVLELOLW\UHTXLUHGE\SURIHVVLRQDOSUDFWLFHDQG GHYHORSVDQGDGPLQLVWHUVH[DPLQDWLRQVWKDWDVVHVVWKHNQRZOHGJHDQGVNLOOV XQGHUO\LQJWKHLQWHOOLJHQWSHUIRUPDQFHRIWKHWDVNVW\SLFDOO\UHTXLUHGE\SURIHVVLRQDO

    practice in the discipline.

    n addition to initial recognition A operates an ongoing system of annual registrationWRLGHQWLI\LQGLYLGXDOVZKRFRQWLQXHWRGHPRQVWUDWHWKHLUTXDOLFDWLRQVE\DGKHULQJWRWKHVWDQGDUGVRISURIHVVLRQDOEHKDYLRUDQGFRPSO\LQJZLWKFRQWLQXLQJHGXFDWLRQUHTXLUHPHQWV

    he activities of the organization are primarily national in scope but includeinternational activities to the extent they impact practice or standards in thenited tates and .. territories.

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    rimary

    A provides a primary category

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    of radiologic technology:

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    adiographers apply ionizing radiation

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    screen or other imaging system to

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    uclear Medicine echnology

    uclear medicine technologists use

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    adiation herapy

    adiation therapists use ionizing-

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    to administer therapeutic doses

    of radiation as prescribed by physicians

    for treatment of disease.

    Magnetic esonance maging

    Magnetic resonance imaging technologists

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    anatomic andor physiologic conditions

    of the body to assist physicians in the

    diagnosis of disease.

    onography

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    of the human body to assist physicians in

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    wo Categories of

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    UHVRQDQFHLPDJLQJTXDOLW\PDQDJHPHQWERQHGHQVLWRPHWU\FDUGLDFLQWHUYHQWLRQDOUDGLRJUDSK\YDVFXODUinterventional radiography sonography vascular sonography and breast sonography. A also offers

    FHUWLFDWLRQIRUUDGLRORJLVWDVVLVWDQWs.

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    disciplines as indicated below:

    adiography

    is asupporting

    category for

    uclear

    Medicine

    echnology*is a supporting

    category for

    adiation

    herapy

    is a supportingcategory for

    onography**

    is asupporting

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    omography

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    *** egistration in both adiography and Mammography as supporting categories is needed for

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    thics

    ur pledge to promote high standards of patient care includes enforcing highstandards of ethics among egistered echnologists and among candidates forFHUWLFDWLRQ$OOFDQGLGDWHVPXVWFRPSO\ZLWKWKH5XOHVRIWKLFVFRQWDLQHGLQWKH

    A tandards of thics (Appendix )

    he ules of thics are standards of minimally acceptable professional conduct forall egistered echnologists and candidates. he ules are intended to promote theprotection safety and comfort of patients. egistered echnologists and candidatesengaging in any of the conduct or activities noted in the ules of thics or who permitthe occurrence of such conduct or activities have violated the ules of thics and aresubject to sanctions.

    ne issue addressed by the ules of thics is conviction of a crime which includesmisdemeanor gross misdemeanor or felony the only exceptions being speeding andparking violations. All alcohol andor drug related violations must be reported.

    &RQYLFWLRQDVXVHGLQWKLVSURYLVLRQLQFOXGHVDFULPLQDOSURFHHGLQJZKHUHDQGLQJor verdict of guilt is made or returned but WKHDGXGLFDWLRQRIJXLOWLVHLWKHUZLWKKHOGGHIHUUHGRUQRWHQWHUHGRU WKHVHQWHQFHLVVXVSHQGHGRUVWD\HGRU a criminal proceeding where the individual enters a plea of guilty or no contest

    QRORFRQWHQGHUHRU there is a pre-trial diversion.

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    n the .. A-recognized programs are those accredited by one of the following: RLQW5HYLHZ&RPPLWWHHRQGXFDWLRQLQ5DGLRORJLF7HFKQRORJ\5&57IRUUDGLRJUDSK\UDGLDWLRQWKHUDS\DQGPDJQHWLFUHVRQDQFHLPDJLQJ RLQW5HYLHZ&RPPLWWHHRQGXFDWLRQDO3URJUDPVLQ1XFOHDUHGLFLQH7HFKQRORJ\5&17IRUQXFOHDUPHGLFLQHWHFKQRORJ\ RLQW5HYLHZ&RPPLWWHHRQGXFDWLRQLQ'LDJQRVWLFHGLFDO6RQRJUDSK\5&'6>WKURXJKWKH&RPPLVVLRQRQ$FFUHGLWDWLRQRI$OOLHG+HDOWKGXFDWLRQ3URJUDPV&$$+3@IRUVRQRJUDSK\RU 6L[UHJLRQDODFFUHGLWLQJRUJDQL]DWLRQVGLYLVLRQVWKDWDFFUHGLWGHJUHHJUDQWLQJ

    institutions for radiography nuclear medicine technology radiation therapymagnetic resonance imaging and sonography.

    utside the .. A-recognized programs are those accredited by oneof the following: &RQRLQW$FFUHGLWDWLRQ6HUYLFHVRIWKH&DQDGLDQHGLFDO$VVRFLDWLRQRU $XVWUDOLDQ,QVWLWXWHRI5DGLRJUDSK\

    etails on A-accepted accreditation mechanisms appear in Appendix A.

    nformation on recognition of radiologist assistant programs can be found by visitingwww.arrt.org/handbooklinks.

    7KH6PLOLWDU\DOVRRIIHUVDFFUHGLWHGSURJUDPV&RPSOHWLQJDOOUHTXLUHPHQWVRIDPLOLWDU\EUDQFKTXDOLHVDVHGXFDWLRQDOHOLJLELOLW\IRU$557FHUWLFDWLRQ,I\RXGLGQRWVDWLVI\DOOIROORZRQWUDLQLQJUHTXLUHPHQWVIRURQHRIWKHVHSURJUDPV\RXPXVWHQUROOin and graduate from an educational program accredited by a mechanism acceptableto A. ndividuals educated in the .. military should review Appendix B of thishandbook for further information.

    &DQGLGDWHVIRU$557SULPDU\FHUWLFDWLRQPXVWDVSDUWRIWKHLUHGXFDWLRQDOSURJUDPVGHPRQVWUDWHFRPSHWHQF\LQGLGDFWLFFRXUVHZRUNDQGDQ$557VSHFLHGOLVWRIFOLQLFDOSURFHGXUHV6DWLVIDFWLRQRIWKDWUHTXLUHPHQWPXVWEHLQGLFDWHGE\VLJQDWXUHRI\RXUSURJUDPGLUHFWRUDQGLIUHTXLUHGDQDXWKRUL]HGIDFXOW\PHPEHURQ\RXUDSSOLFDWLRQIRUFHUWLFDWLRQ

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    Candidates who completed an accredited educational program on or before

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    xamination

    A designs examinations in collaboration with content experts from variousVSHFLDOWLHV7KHSULPDU\H[DPVFRQVLVWRITXHVWLRQVGHVLJQHGWRPHDVXUHWKHknowledge and cognitive skills underlying the performance of the major tasks typicallyUHTXLUHGZLWKLQWKHSURIHVVLRQ

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    $557RZQVWKHFRS\ULJKWIRUWKHH[DPLQDWLRQV/DZSURKLELWVDQ\DWWHPSWWRreproduce all or part of the examinations. Anyone caught removing exam materialsfrom the test center whether by physical removal or by reproducing materials frommemory will be prosecuted to the full extent of the law and will have eligibility forFHUWLFDWLRQUHYRNHG6HHWKHIROORZLQJSKROGLQJ[DP6HFXULW\VHFWLRQfor more information.

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    ilot uestions

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    otential isclosure cenarios

    cenario hen its hen its not Bottom line

    ducator askscandidates to stop byafter the exam to let meknow how it went.

    f the invitation and thefeedback to the educatorrelates to their generalexperience ( thought theWHVWZDVQRWDVGLIFXOWDV expected).

    his type of invitationfrom an educator maybe misinterpreted by thecandidate and thestudent may think thatthe educator is askingthe candidate to revealcopyrighted information.

    f the candidate is asked to reveal AsTXHVWLRQVRUWKHLUDQVZHURSWLRQVWKHQKHor she will need to report the educator tothe A thics Committee. he educa-tor should stop the candidate immediatelyfrom revealing any exam content sincedoing so may subject both the candidateand educator to As ethics process.

    Candidate tells anothercandidate he test wasYHU\GLIFXOW,IHOWOLNH,didnt have enough time.

    he candidate is simplytelling another candidatehow they felt about theexam. his is all rightbecause the candidateis not revealing any of$557VTXHVWLRQVRUWKHanswer options.

    ne candidate (orpotential candidate)asks another candidateDERXWWKHVSHFLFTXHVWLRQV

    ,I$557VTXHVWLRQVRUDQVZHURSWLRQVDUHVKDUHGWKHVHLQGLYLGXDOVPD\QGthemselves part of an A ethicsinvestigation andor legal complaint.

    Candidate to educator:ou didnt teach meDERXWWKLVTXHVWLRQWKDWDVNHG>VSHFLFTXHVWLRQ@ felt unprepared.

    ever. t is not all right and itwill never be all rightto reveal AsFRS\ULJKWHGTXHVWLRQV(or answer options)

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    of an A ethics investigation andorlegal complaint.

    Candidate tells apotential candidate thatthere were multiple-choice and sorted-listTXHVWLRQVRQWKHWHVW

    his is public informationQRWHGLQWKHFHUWLFDWLRQhandbook.

    ts not all right to revealanything beyond whatsin the handbook.

    eep the conversation limited to whatspublic information such as the contentVSHFLFDWLRQVDQGWKHUHVQRSUREOHP

    Candidate asks anothercandidate dont thinkthat understood thisTXHVWLRQ>UHODWHVTXHVWLRQ@'R\RXNQRZwhat they were asking?

    ever. t is not all right andit will never be all rightto reveal AsFRS\ULJKWHGTXHVWLRQV(or answer options)to anyone.

    As noted two boxes up candidates signnumerous documents stating that theyZLOOQRWVKDUHH[DPTXHVWLRQVDQG$557expects the candidates to abide by thoseFRQWUDFWV7KRVHZKRGRQWPD\QGthemselves part of an A ethicsinvestigation andor legal complaint.

    Candidate says to apotential candidate f were you would bring asweater it was cold atthe test site.

    his candidate issimply telling anothercandidate about theirsurroundings at thetest site. his is all rightbecause the candidate isnot revealing any of$557VTXHVWLRQVRUWKHanswer options.

    f it leads a candidate(or potential candidate)to ask anothercandidate about theVSHFLFTXHVWLRQV

    ,I$557VTXHVWLRQVRUDQVZHURSWLRQVDUHVKDUHGWKHVHLQGLYLGXDOVPD\QGthemselves part of an A ethicsinvestigation andor legal complaint.

    otential candidate saysto a candidate ereWKHUHDORWRITXHVWLRQVRQ>VSHFLFWRSLF@"

    ever. his candidate shouldbe aware of the topicsthat are contained in theexam from the contentVSHFLFDWLRQVSXEOLVKHGLQWKHFHUWLFDWLRQhandbooks and shouldnot be asking for moreVSHFLFLQIRUPDWLRQWKDQis contained in thatpublication.

    f the potential candidate is asking theFDQGLGDWHWRUHYHDO$557VTXHVWLRQVRUthe answer options then this conversationviolates both theA tandards ofthics and the legal contract that both thecandidate and the potential candidateKDYHVLJQHG,IDVNHGWKLVW\SHRITXHVWLRQthe potential candidate should be shownWKHFRQWHQWVSHFLFDWLRQVDQGVKRXOGEHZDUQHGRIWKHFRQVHTXHQFHVRIUHYHDOLQJ$557VFRS\ULJKWHGTXHVWLRQVRUWKHLUanswer options.

    ant to know more? Check out As exam security video which shows theSRWHQWLDOFRQVHTXHQFHVRIYLRODWLQJWKLVSROLF\DWwww.arrt.org/videos.

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    Agreement of Candidates

    $OOFDQGLGDWHVIRUFHUWLFDWLRQPXVWDWWKHWLPHRIWKHLUDSSOLFDWLRQSOHGJHWRabide by the Agreement of Candidates included in Article ection .02 of the

    Aules and egulations. Candidates should read and be familiar with theAules and egulationsLQFOXGHGDV$SSHQGL[+RIWKLVKDQGERRNSULRUWRVLJQLQJDQGsubmitting an application.

    ame equirements

    ou must use your legal name when completing theDSSOLFDWLRQ$OHJDOQDPHLVGHQHGDVWKHQDPHDSSHDULQJRQDELUWKFHUWLFDWHPDUULDJHFHUWLFDWHRUlegal name change document. icknames shortenednames or partial names should not be used. he onlydiscrepancy that is permitted is a full middle name that

    VWDUWVZLWKWKHVDPHPLGGOHLQLWLDOWKDWLVRQ\RXU$557OH,I\RXUQDPHKDVDFXOWXUDOvariation make sure to use the same variation for both your application and your s.

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    Application iming

    ou may mail your application as early as three months in advance of youranticipated graduation date. A returns applications that are submitted moreWKDQWKUHHPRQWKVLQDGYDQFHXQOHVVWKH\DUHVSHFLFDOO\VHQWIRUDQHWKLFVreview. hotocopies of the application are not accepted.Candidates completing educational programs anuary 20 and beyond havethree years from their program completion date to be determined eligible.&DQGLGDWHVZKRJUDGXDWHGEHIRUHDQXDU\KDYHYH\HDUV

    hese time limitations apply whether or not candidates have been working theirVWDWHUHTXLUHG$557FHUWLFDWLRQLQWKHSDVWRUWKH\ZHUHGHSOR\HGRYHUVHDVthrough the military.

    ,I\RXUHTXLUHDQHWKLFVUHYLHZEHDULQPLQGWKDW\RXUHOLJLELOLW\WLPHIUDPHQHHGVto accommodate the review. n other words you should submit your applicationas early as possible so A can complete the review and you can completethe application process within the time frame. (ee box on page for moreinformation on ethics review.)

    f you are not determined eligible within the eligibility time limitation you mustUHTXDOLI\E\PHHWLQJWKHLQLWLDOUHTXLUHPHQWVRIHOLJLELOLW\IRUWKHGLVFLSOLQHLQZKLFK\RXDUHDSSO\LQJIRUFHUWLFDWLRQ5HTXDOLI\PHDQVWKDW\RXPXVW

    FRPSOHWHWKHQHFHVVDU\HGXFDWLRQDODQGHWKLFVUHTXLUHPHQWVDQGGHPRQVWUDWHclinical competency.

    A will send a Candidate tatus eport (C) to you once your applicationhas been processed. Although it usually takes less time for processing allow upto four weeks from the date A receives your application or longer if an ethicsUHYLHZLVUHTXLUHG

    xamination indow

    ou may schedule your exam appointment for any time during a set examinationwindow. enerally examination windows begin on the ednesday after theapplication is processed and extend for 90 calendar days. or example if anapplication is processed on riday April 9 20 the examination window

    begins on ednesday April 24 20 and ends on Monday uly 22 20.

    f an application is processed prior to the educational program completion dateon the application form the examination window will begin on the programcompletion date.

    our exam window will close automatically after 90 days or if you miss anappointment an exam appointment is not canceled in time or you fail to complywith the non-disclosure agreement at the test center (see page 2). f you dontschedule an appointment within your window you forfeit your fee. o open a newexam window you would have to re-apply with a new fee.

    f you need an extension for your current exam window you must cancel anyexisting appointment (see Canceling or e-scheduling our Appointment

    RQSDJHDQG\RXUZULWWHQUHTXHVWVLJQHGGDWHGDQGLQFOXGLQJ$557,'number or social security number and birth date) for a window extension mustbe received at A before your current window expires.

    est Centers

    A examinations are administered by earson the electronic testingbusiness of earson ducation. heir network of more than 200 high-security testFHQWHUVLVVSHFLFDOO\GHVLJQHGDQGEXLOWIRUSURIHVVLRQDOOLFHQVXUHDQGFHUWLFDWLRQPDUNHWVLQWKH6DQGLWVWHUULWRULHV7KHLULQWHUQDWLRQDOWHVWFHQWHUVDUHHTXLSSHGWRdeliver A exams in selected cities in Canada urope Asia and Australia.

    $5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    Avoid rocessing

    elays

    Make sure your application iscomplete the information is current

    DQGWKHFRUUHFWIHHLVHQFORVHG

    Most applications are returned due WRQRIHHLQFOXGHG+DYH\RX questions not answered or

    GDWHVRIWUDLQLQJQRWOLVWHG

    f you have been previously clearedfor an ethics violation as evidenced

    E\DOHWWHUIURP$557LQGLFDWH1R

    WRWKHHWKLFVTXHVWLRQZKHQOOLQJ

    RXWDQHZDSSOLFDWLRQ

    he photograph on your application PXVWEHRISDVVSRUWTXDOLW\LH

    clear and able to identify

    IDFLDOIHDWXUHV

    unning ut of Time?

    xtend xam indow

    or orfeit ee

    ,I\RXGRQWWDNHWKHH[DPZLWKLQ

    \RXUH[DPZLQGRZ\RXZLOOIRUIHLW

    \RXUIHH,I\RXQHHGPRUHWLPH

    \RXPD\UHTXHVWDQH[WHQVLRQVHH

    SDJHVE\VXEPLWWLQJ\RXUwritten request to A before the

    FXUUHQWZLQGRZH[SLUHV

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    A geographic list of test center locations appears in Appendix of this handbook butkeep in mind that location changes may occur after publication. Current test centerlocations and driving directions may be viewed at www.pearsonvue.com/arrt.(isiting www.arrt.org/handbooklinkswill also link you to earson .)

    esting Accommodations

    f you desire any deviation from standard testing procedures as outlined in thisKDQGERRN\RXPXVWVXEPLWDUHTXHVWZLWK\RXUDSSOLFDWLRQ7KLVUHTXLUHPHQWDSSOLHVWRDQ\WHVWLQJDFFRPPRGDWLRQVLQFOXGLQJUHTXHVWVWRXVHPHGLFDODLGVVXFKDV

    LQVXOLQSXPSVSLFRPDJQLHUVOXPEDUSLOORZVDVWKPDLQKDOHUVHWF

    A complies with the Americans with isabilities Act (AA) and provides testingDFFRPPRGDWLRQVRQO\ZKHQWKH$'$UHTXLUHPHQWVDUHPHW$557ZLOOFRQVLGHUWHVWLQJDFFRPPRGDWLRQVUHTXHVWVRQO\ZKHQ\RXVXEPLW$'$GRFXPHQWDWLRQZLWK\RXUFHUWLFDWLRQRUUHH[DPLQDWLRQDSSOLFDWLRQ

    7REHFRQVLGHUHGIRUWHVWLQJDFFRPPRGDWLRQV\RXPXVWVXEPLWDFRPSOHWHG5HTXHVWIRU$5577HVWLQJ$FFRPPRGDWLRQVIRUPZLWK\RXUFHUWLFDWLRQDSSOLFDWLRQ

    n addition you must submit documentation verifying your functional impairment.5HTXHVWVIRUWHVWLQJDFFRPPRGDWLRQVZLOOQRWEHFRQVLGHUHGZLWKRXWWKLVGRFXPHQWDWLRQ

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    Acknowledgment of eceipt

    ithin four weeks of receiving your application A will mail a Candidate tatuseport (C) to you (see Appendix for sample). ue to processing volume during

    WKRVHIRXUZHHNVZHPD\QRWEHDEOHWRFRQUPE\SKRQHWKDW\RXUDSSOLFDWLRQKDVEHHQUHFHLYHG$SSOLFDWLRQVWKDWLQFOXGHGRFXPHQWDWLRQIRUHWKLFVUHYLHZRUUHTXHVWVIRUWHVWLQJDFFRPPRGDWLRQVPD\UHTXLUHDGGLWLRQDOSURFHVVLQJWLPH

    f you want faster acknowledgment that A has received an application you havetwo options: mail the application materials to A using the .. ostal ervicesUHWXUQUHFHLSWUHTXHVWHGRSWLRQRULQFOXGHDVHOIDGGUHVVHGSRVWDJHSDLGSRVWFDUGfor A to mail back. A will not return postcards without postage.

    Application eview

    hen A receives your application staff reviews it to verify that you haveFRUUHFWO\FRPSOHWHGWKHIRUPDQGVDWLVHGDOOHOLJLELOLW\UHTXLUHPHQWV

    ncomplete ApplicationsA will return an incomplete application to you.ncomplete applications

    most typically result from: missing or unacceptable photograph (for photographUHTXLUHPHQWVVHHSDJHELUWKGDWHRUVRFLDOVHFXULW\QXPEHUQRWSURYLGHGinaccurate birth year or training dates documentation for an ethics review notprovided or explained application fee incorrect or not submitted or Agreement ofCandidates not signed. 3URJUDPGLUHFWRUVDUHUHTXLUHGWRFRPSOHWHWKHHGXFDWLRQDOSURJUDPVHFWLRQVof the application. Applications must be signed by the program director and ifapplicable the authorized faculty member who is on record at A. tampedsignatures are not acceptable.

    inding of neligibility

    f A receives information indicating ineligibility after already authorizing you

    to take the examination A will remove authorization and notify you. neligibleindividuals are not allowed to take the exam and their application fees are notrefunded. f you initially appear to be eligible but A later receives evidenceof ineligibility and you have completed the examination A cancels yourexamination results and you forfeit your fee.

    f you are ruled ineligible you may re-apply when you achieve eligibility.Contact A at () 8-0048 ext. 80 for re-application information. ,I\RXEHOLHYHWKDW\RXKDYHPHWWKHHOLJLELOLW\UHTXLUHPHQWVDVVWDWHGLQWKLVKDQGERRN\RXPD\DSSHDOGHFLVLRQVRILQHOLJLELOLW\7KHHOLJLELOLW\UHTXLUHPHQWVWKHPVHOYHVKRZHYHUPD\QRWEHDSSHDOHG$SSHDOVOHWWHUVUHTXHVWLQJUHFRQVLGHUDWLRQRIDSSOLFDWLRQVPXVWLQGLFDWHWKHVSHFLFQGLQJVRILQHOLJLELOLW\EHLQJFRQWHVWHGDQGPXVWEHDFFRPSDQLHGE\DDSSHDOVIHH/HWWHUVPXVWEHUHFHLYHGDW$557ZLWKLQGD\VRIQRWLFDWLRQRILQHOLJLELOLW\

    Candidate tatus eport C)

    A will mail a Candidate tatus eport (C) to you (see Appendix for sample)after your eligibility is determined and your application is processed. he CFRQWDLQVFDQGLGDWHLGHQWLFDWLRQLQIRUPDWLRQ\RXUSHUPDQHQWVL[GLJLW$557,'number and examination window dates.

    otify A right away before scheduling your exam appointment if anyLGHQWLFDWLRQLQIRUPDWLRQLVLQFRUUHFW,I\RXORVH\RXU&65RUGRQRWUHFHLYHLWwithin the anticipated processing time of four weeks call A at () 8-0048ext. 80.

    $5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    A ollow-up

    to Applicationt takes a few weeks for A to

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    ead here about how your

    application is acknowledged

    reviewed and processed.

    Changes to our

    ligibility tatus

    f you are involved in any

    legal action that results in

    DFRQYLFWLRQDVGHQHG

    E\$557DIWHUDSSO\LQJ

    but before taking the

    H[DPLQDWLRQ\RXPXVW

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    he examination window shows the dates during which you may take the exam.After your window expires your C is no longer valid and a completedUHDSSOLFDWLRQIRUPDQGIHHDUHUHTXLUHG

    ,I\RXUHTXHVWHGDQGTXDOLI\IRUWHVWLQJDFFRPPRGDWLRQV\RXZLOOUHFHLYHDORQJZLWK\RXU&65VSHFLDOVFKHGXOLQJLQIRUPDWLRQDQGZULWWHQFRQUPDWLRQRIWKHaccommodations to be provided (see esting Accommodations on page 2).

    erifying ducation

    A contacts the director of the educational program indicated on the applicationto verify that you have successfully completed both the clinical and didactic phasesRIWKHSURJUDPDVLWZDVDFFUHGLWHGDVZHOODVWKH$557VSHFLHGFRPSHWHQF\UHTXLUHPHQWV7KLVLQFOXGHVDOODFDGHPLFGHJUHHUHTXLUHPHQWVLIWKHSURJUDPLVaccredited as degree granting. Completion of just the professional component ofGHJUHHJUDQWLQJSURJUDPVGRHVQRWVDWLVI\WKHGHJUHHUHTXLUHPHQW

    Address or ame Changes

    f any changes to your name or address occur after you have submitted yourapplication form notify A immediately before scheduling your examappointment. Changes cannot be processed at the test center. At the test centerthe name on your s must match the name as it appears on your C (the onlySHUPLVVLEOHH[FHSWLRQLVPLGGOHLQLWLDOYHUVXVPLGGOHQDPHDVORQJDVWKHUVWOHWWHUVPDWFK6HHWKH1DPH5HTXLUHPHQWVVHFWLRQRQSDJHIRUPRUHLQIRUPDWLRQ

    1DPHFKDQJHSURFHGXUHVDUHYHU\VSHFLF&KDQJHVWR\RXUQDPHPXVWEHaccompanied by documentary evidence of the change (e.g. photocopy of marriageFHUWLFDWHRUFRXUWRUGHUVKRZLQJQDPHFKDQJH

    1DPHFKDQJHUHTXHVWVPXVWEHUHFHLYHGDWOHDVWEXVLQHVVGD\VEHIRUHDscheduled exam appointment to allow enough time for both A and earson WRSURFHVVWKHFKDQJH5HTXHVWVUHFHLYHGOHVVWKDQEXVLQHVVGD\VEHIRUHWKHexam may not be processed in time which may result in you being turned away fromthe test center and forfeiting your fee.

    f the name on your doesnt match the C cancel the appointment (seeCanceling or e-scheduling our Appointment on page ) and correct thediscrepancy by phoning A at () 8-0048 ext. 80. ont schedule anew appointment until you receive a new C and verify that all changes weremade correctly.

    xtending an xam indow

    f circumstances make it impossible for you to schedule an exam during the assignedZLQGRZ\RXPD\UHTXHVWDZLQGRZH[WHQVLRQIURP$557YLD63RVWDO6HUYLFHRUID[,IID[LQJVHQG\RXUUHTXHVWWR

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    date. aturday and unday are not considered A business days. our new examZLQGRZZLOOEHJLQRQWKHGD\DIWHU$557SURFHVVHVWKHH[WHQVLRQUHTXHVW$557ZLOOQRWDFFHSWUHTXHVWVIRUVSHFLFZLQGRZGDWHV

    RUODWHUHTXHVWVUHFHLYHGDIWHUWKHODVWGD\RIWKHFXUUHQWZLQGRZRUPRUHWKDQthree window extensions you must submit a re-application form and fee.

    7RUHTXHVWDZLQGRZH[WHQVLRQUVWFDQFHO\RXUH[LVWLQJH[DPDSSRLQWPHQWD[DUHTXHVWIRUH[WHQVLRQWRDQGFDOOH[WODWHUWRFRQUPUHFHLSW,QFOXGHGDWHQDPHDGGUHVVHLWKHU\RXU$557,'QXPEHURU\RXUbirth date and social security number and your signature. A will send you a new&65ZKHQ\RXUUHTXHVWLVSURFHVVHG

    cheduling our Appointment

    3HDUVRQVFKHGXOHVDSSRLQWPHQWVRQDUVWFRPHUVWVHUYHGEDVLV$VVRRQDVyouve been granted an exam window you may schedule your appointment one oftwo ways: FDOOWKH3HDUVRQ&DOO&HQWHUDWWKHWROOIUHHSKRQHQXPEHUVKRZQRQ\RXU &65RQGD\ULGD\DPSP&HQWUDO7LPHRU RQOLQHDWWKHwww.pearsonvue.com/arrtwebsite (see tip box at left for details).

    ven if you dont want to take the exam immediately its better to schedule earlyto obtain your desired appointment. f you delay too long in scheduling your examDSSRLQWPHQW\RXPD\QRWQGDQDYDLODEOHDSSRLQWPHQWSULRUWR\RXUH[DPZLQGRZexpiration date. f your window is allowed to expire you must submit a re-applicationform and fee to receive a new examination window. (ee xtending an xamindow on page 4- for details.)

    ou will be providing and receiving a great deal of important information whenscheduling your appointment with earson . t is your responsibility to managethat information each step along the way.

    ave our nformation Available

    +DYH\RXU&65DWKDQGZKHQJRLQJRQOLQHRUFDOOLQJWRVFKHGXOH

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    OWHUVHWWLQJVDQGRUFRQWDFWWKH3HDUVRQ&DOO&HQWHUWRFRQUP\RXUDSSRLQWPHQWGDWHDQGWLPHDQGUHTXHVWWKDWDQHZFRQUPDWLRQHPDLOEHVHQW

    $557LVQRWDEOHWRFRQUPH[DPGDWHVWLPHVRUORFDWLRQVIRU\RXUH[DPLQDWLRQnor can A provide driving directions to test centers.

    Missing our Appointment

    f you fail to keep an appointment or to re-schedule it as detailed in the nextVHFWLRQ\RXDUHUHTXLUHGWRIRUIHLW\RXUDSSOLFDWLRQIHH+RZHYHUDPLVVHG

    appointment does not count as an attempt for the three-attempt three-yearlimit policy (explained on page 24). A is not responsible for appointmentdiscrepancies between you and the test center.

    Canceling or e-scheduling our Appointment

    ou may cancel or re-schedule an appointment up to 24 hours (one businessday) prior to the scheduled appointment either by phone at (800) 2-90(leaving a message on an answering machine is not acceptable) or atwww.pearsonvue.com/arrt (be sure to follow the prompts to complete theSURFHVV3HDUVRQZLOOVHQG\RXDQHPDLOFRQUPDWLRQHDFKWLPHDQappointment is made changed or canceled.

    %HJLQQLQJLQ3HDUVRQZLOOFKDUJHDUHVFKHGXOLQJIHHIRUH[DP

    appointments that are canceled or re-scheduled. earson will collect feesby credit card payment at the time the appointment is canceled or re-scheduled.his includes all changes made online or via the earson Call Center.

    ,I\RXPDNHRUFDQFHODQDSSRLQWPHQWEXWGRQWUHFHLYHDQHPDLOFRQUPDWLRQIROORZXSE\SKRQLQJWKH&DOO&HQWHUWRFRQUPLWVHHER[DWWRSRISDJH7KHtable below shows that appointments for a given time on the scheduled examday must be canceled by that same time on the preceding business day.

    cheduled

    xam ay

    Cancel/Change eadline

    same time as appointment)

    Monday riday of the preceding week

    uesday Monday of the same week

    ednesday uesday of the same week

    hursday ednesday of the same week

    riday hursday of the same week

    aturday riday of the same week

    or example if someone is scheduled to test at9 a.m. on Monday he or she must call by 9 a.m.on the preceding riday to cancel the appointment.

    : ational holidays and weekends are notconsidered business days.

    f you fail to appear for a scheduled appointment and

    dont re-schedule through the prescribed procedureyou will forfeit your application fee. o re-scheduleyou will have to submit a re-application form and fee.either A nor earson is responsible forappointment errors.

    A will on a case-by-case basis consideremergencies resulting in hospitalization or death ofimmediate family members that occur after the cancelFKDQJHGHDGOLQHULWWHQUHTXHVWVIRUUHVFKHGXOLQJLQWKHVHFLUFXPVWDQFHVPXVWEHDFFRPSDQLHGE\RIFLDOdocumentation and must be received by A within0 days after the scheduled exam date.

    Calling to e-schedule?

    emember to Cancel

    XVWEHFDXVH\RXUHTXHVWWRUHVFKHGXOH\RXUH[DPDSSRLQWPHQW

    doesnt mean that the initial appointment is automatically

    FDQFHOHG$QXQFDQFHOHGDSSRLQWPHQWLV\RXUUHVSRQVLELOLW\

    SRWHQWLDOO\UHVXOWLQJLQIRUIHLWLQJ\RXUDSSOLFDWLRQIHH

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    initial appointment remains in effect until you formally approve

    DQHZDSSRLQWPHQWGDWHWLPH,I\RXFDQWQGDQDSSURSULDWH

    alternative appointment and plan to call back later your initial

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    nvalid ? Cancel

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    est Center nvironment

    earson test centers provide computerized testing for many organizations.Be aware that other exams may be administered in the test center at the same timeas A exams.

    RVWWHVWFHQWHUVDUHORFDWHGLQEXLOGLQJVFRPSULVHGRIVHYHUDORWKHURIFHV7HVWcenter personnel try to maintain a comfortable temperature in the testing rooms. nspite of these efforts the room may be too cool or too warm for your preference.ress accordingly.

    HHSLQPLQGWKDWWKHUHPD\EHRWKHUH[DPLQHHVZKRDUHUHTXLUHGWRW\SHHVVD\TXHVWLRQV,I\RXIHHOWKLVW\SLQJPD\EHGLVUXSWLYHWR\RXUWHVWLQJEHVXUHWRUHTXHVWearplugs before beginning your exam.

    ollow roceduresest center personnel adhere to designated procedures to ensure that theiroperations meet A criteria for standardized testing. eview the followinginformation before the examination to become familiar with the procedures.

    Arrive arly

    +DYLQJDOUHDG\FRQUPHGWKHORFDWLRQRIWKHWHVWFHQWHUSODQ\RXUVFKHGXOHDQGURXWHto ensure that you arrive at least 0 minutes before the scheduled appointment toallow time for check-in procedures. Be sure to allow ample time for your commuteespecially if inclement weather is a factor.

    f you arrive at the test center minutes after your scheduled appointment you

    PD\EHUHTXLUHGWRIRUIHLWWKHDSSRLQWPHQW,IDQDSSRLQWPHQWLVIRUIHLWHGWKHWHVWcenter will report to A your failure to take the examination. A does not refundapplication fees on forfeited appointments.

    o be considered eligible for a new examination window you must submit are-application form (included with the otice to Absentee Candidate from A)and fee.

    hoto ignature alm ein ecognition )

    KHQ\RXDUULYHDWWKHWHVWFHQWHU\RXZLOOEHUHTXLUHGWRVKRZWZRIRUPVRILGHQWLFDWLRQERWKRIZKLFKVKRZ\RXUVLJQDWXUHDQG\RXUSUHSULQWHGQDPHDVLWDSSHDUVRQ\RXU&65QHRIWKH,'VPXVWEHDFXUUHQWRIFLDOJRYHUQPHQWLVVXHGSKRWR,'6HHWKHER[EHORZIRUH[DPSOHVRIWKHWZRW\SHVRI,'VUHTXLUHG

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    ([DP

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    ayeres a preview of what youll

    encounter when you open the

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    MA Must be government-issued havepre-printed

    name photo and signatureDQGQRWEHH[SLUHG

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    UHHQ&DUGVRUDQ\RWKHU,'VWKDWGRQRWKDYH\RXUVLJQDWXUHwill not be

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    our name on the government-issued must be the same as that on recordZLWK$557DVUHHFWHGRQ\RXUPRVWUHFHQW&65

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    QVFKHGXOHGEUHDNVDUHVXEWUDFWHGIURPWKHDOORZHGWHVWLQJWLPHthat is the clock is not stopped during unscheduled breaks.

    A recommends that you complete the tutorial to familiarize yourself with thetesting program as well as the online calculators. ou must click A for thenon-disclosure agreement (see box on page 2) that appears after the tutorial andbefore the exam.

    est-Center estrictions

    Maintaining a standardized testing environment ensures that the exam results of all

    A candidates are earned under comparable conditions and represent fair andDFFXUDWHPHDVXUHPHQW7HVWFHQWHUVWDIIDUHUHTXLUHGWROHDQLQFLGHQWUHSRUWDQ\WLPHsomething out-of-the-ordinary occurs.

    All candidates must adhere to the following regulations:

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    3DJHUVDQGFHOOXODUWHOHSKRQHVDUHQRWDOORZHGLQWKHWHVWLQJURRP,I\RXEULQJRQHLWPXVWEH turned off and remain in your assigned locker at all times for the duration of your exam.

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    n the event of a test-center closing earson will try to contact you tore-schedule the exam appointment. ou may also call earson to re-schedule.

    :KDWLIWKH&RPSXWHU([SHULHQFHV7HFKQLFDO'LIFXOWLHV"

    QUDUHRFFDVLRQVFDQGLGDWHVPD\HQFRXQWHUWHFKQLFDOGLIFXOWLHVDWWKHWHVWFHQWHU,I\RXH[SHULHQFHDWHFKQLFDOGLIFXOW\QRWLI\WKHWHVWFHQWHUDGPLQLVWUDWRULPPHGLDWHO\7HVWFHQWHUSHUVRQQHOZLOOPDNHHYHU\HIIRUWWRFRUUHFWDQ\GLIFXOWLHVDVTXLFNO\DVSRVVLEOH

    hould the test center experience a loss of power back-up systems are in placeso every reasonable effort will be made to retrieve testing data. nce power isrestored you will be able to continue your testing session from the point where youwere interrupted.

    ,I\RXHQFRXQWHUWHFKQLFDOGLIFXOWLHVWKDWFRXOGLPSDFW\RXUVFRUHHQVXUHEHIRUH\RXOHDYHWKHWHVWFHQWHUWKDWWKHDGPLQLVWUDWRUOHVDUHSRUW

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    Candidate Comments

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    ome scores may be rendered invalid because ofcircumstances beyond a candidates control such as technicalGLIFXOWLHV$557LQYHVWLJDWHVHDFKRIWKHVHVLWXDWLRQVKHQthis results in a cancellation of scores A arranges for amakeup administration of the exam at no additional cost.

    core eporting

    ou will see a preliminary scaled score on the computerscreen after completing the review portion of the exam. A

    SUHOLPLQDU\VFRUHLVQRWFRQUPDWLRQRISDVVLQJWKHH[DPrinted copies of the onsite scores are not available. ponexiting the preliminary score screen neither A nor testcenter staff can reproduce the score at a later time.

    $IWHUYHULI\LQJDOOHOLJLELOLW\UHTXLUHPHQWV$557ZLOOPDLO\RXURIFLDOVFRUHUHSRUWWR\RXUDGGUHVVRQOHZLWK$557

    f your Candidate tatus eport listed a conditional codeDQGWKLVFRGHLVQRWVDWLVHGZLWKLQVL[PRQWKVRI\RXUexamination date your scores will be canceled. An eligibilitystatus code means that A has contacted yourprogram director to verify your program completion dateDQGLVDZDLWLQJFRQUPDWLRQ

    Allow two to three weeks after the examination for A toPDLO\RXURIFLDOVFRUHUHSRUW[DPUHVXOWVDUHQRWJLYHQRXWover the telephone. f your results have not arrived three weeksafter your examination date call A.

    ou must pay replacement fees if results are lost due to an address change that youGLGQRWUHSRUWWR$5575HTXHVWVIRUGXSOLFDWHUHVXOWVEH\RQGGD\VDIWHUUHVXOWVwere originally mailed are also assessed a fee for replacement.

    nterpreting cores

    A uses scaled scores to report examination results. caled scores aremore meaningful than raw scores (i.e. number or percentage correct) because

    WKH\WDNHLQWRDFFRXQWWKHGLIFXOW\RIDSDUWLFXODUH[DPFRPSDUHGWRRWKHUIRUPVof the same exam. herefore a scaled score of represents the same level ofexam performance regardless of what examination form was administered.

    otal scores are reported on a scale that ranges from to 99. eep in mind thatA total scaled scores do notHTXDOWKHQXPEHURUSHUFHQWDJHRITXHVWLRQVDQVZHUHGFRUUHFWO\$WRWDOVFDOHGVFRUHRILVUHTXLUHGWRSDVVDQH[DPDQGWKHQXPEHURIFRUUHFWDQVZHUVUHTXLUHGWRDFKLHYHDVFRUHRIZDVGHWHUPLQHGthrough a standard-setting (or passing score) study. A and panels of expertsfrom each discipline periodically review the passing score to assure its validity.

    erformance on each section of the exam is also reported using scaled scores.ection scores range from 0. to 9.9 and are reported in one-tenth point intervals(e.g. 8. 8.). hese scores are designed to provide information to candidates

    regarding their strengths and weaknesses in particular content categories. achsection score can be considered as a separate score. or example a scaledsection score of .9 would indicate that ifthat section had been the whole examthe total score would have been a 9. t is important to note that except forthe onography exam (see box at right) passfail decisions are based on thetotal numberof items correct and noton individual section scores. Because examsections have different numbers of items a simple average of scaled sectionscores will not re-create the total scaled score. ince section scores are basedRQIHZHUH[DPTXHVWLRQVWKH\DUHQRWDVUHOLDEOHDVWKHWRWDOVFDOHGVFRUHDQGshould be interpreted with some discretion.

    2$5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    $SDVVLQJVFRUHDORQHGRHVQRWFRQVWLWXWHFHUWLFDWLRQ

    $OORWKHUFHUWLFDWLRQHOLJLELOLW\UHTXLUHPHQWVPXVWDOVREH

    VDWLVHG6HHWKH&HUWLFDWLRQ(OLJLELOLW\5HTXLUHPHQWV

    VHFWLRQRQSDJH

    3DVVLQJ6FRUHLQ,WVHOILVRW&HUWLFDWLRQ

    reliminary cores vs. inal cores

    he scaled score you receive at the test center

    DIWHUFRPSOHWLQJWKHH[DPLVD35(/,,1$5

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    24 $5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    elayed core eporting

    ,I$557QGVWKDWLQIRUPDWLRQRUIHHV\RXSURYLGHGDUHLQDFFXUDWHRULQFRPSOHWHA may cancel the scores or hold the results for six months after the date of theexamination. f the issue is not resolved after six months the scores are canceled. finvestigation determines that you were ineligible to take the examination scores arealso canceled. A will not refund your fees.

    Appeals of xam coring

    $557HPSOR\VVHYHUDOTXDOLW\FRQWUROSURFHGXUHVWRHQVXUHWKDWDOOH[DPLQDWLRQVDUHVFRUHGZLWKFRPSOHWHDFFXUDF\+RZHYHU\RXPD\UHTXHVWDUHYLHZRIWKHDFFXUDF\of the scoring process if you feel an error has occurred.

    ,I\RXGHVLUHDUHYLHZRIVFRULQJ\RXPXVWVHQGDOHWWHURIUHTXHVWGHWDLOLQJWKHVSHFLFUHDVRQDVFRULQJHUURULVVXVSHFWHG5HTXHVWVPXVWEHSRVWPDUNHGZLWKLQ4 days of the score report having been mailed by A and must be accompaniedE\DIHH$557ZLOOUHYLHZ\RXUUHVSRQVHVWRHDFKTXHVWLRQFRPSDUHWKRVHresponses to the answer key and recalculate both raw scores and scaled scores.

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    Annual enewal vs.C Biennium

    he difference between annual

    renewal and the C biennium

    is that annual renewal is the

    routine maintenance of the

    registration of your A

    FHUWLFDWHV,WUHTXLUHV

    UHVSRQVHWRWKH+DYH\RX

    questions as well as ongoing

    agreement to comply with the

    A ules and egulations

    DQG6WDQGDUGVRI(WKLFV7KH

    &(ELHQQLXPLVWKHPRQWKperiod of time during which

    you must complete and report

    DPLQLPXPRIKRXUVRI

    FRQWLQXLQJHGXFDWLRQDFWLYLWLHV

    ou report C every other

    \HDULQFRQXQFWLRQZLWK\RXU

    UHQHZDORIUHJLVWUDWLRQ

    ,QLWLDO&HUWLFDWLRQ

    &RQJUDWXODWLRQV

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    2

    Continuing ducation equirements for

    enewal of egistration

    Continuing education (C) is an integral part of As emphasis on educationDVDQHVVHQWLDOWRROIRU57VLQGHOLYHULQJTXDOLW\FDUH,QWKHVHWLPHVRIVZHHSLQJtechnological innovation ..s cant afford to be out of the education loop for longperiods of time.

    $557VFRQWLQXLQJHGXFDWLRQUHTXLUHPHQWVIRU57VPDQGDWHWKDWHYHU\WZR\HDUVDregistrant must either obtain 24 continuing education credits acceptable to A or

    pass an exam in an additional discipline recognized by A.

    17&RQWLQXLQJHGXFDWLRQUHTXLUHPHQWVIRU5HJLVWHUHG5DGLRORJLVW$VVLVWDQWVDQG$557FHUWLHGVRQRJUDSKHUVGLIIHUVRPHZKDWIURPWKRVHQRWHGKHUH7KRVHindividuals should refer to a link at www.arrt.org/handbooklinks IRUVSHFLFV

    SRQHDUQLQJ\RXUUVW$557FHUWLFDWLRQ\RXDUHVXEHFWWR$557VFRQWLQXLQJHGXFDWLRQUHTXLUHPHQWVEHJLQQLQJZLWK\RXUQH[WELUWKPRQWKRUH[DPSOHLI\RXSDVVDQ$557FHUWLFDWLRQH[DPLQDUFK\RXVKRXOGEHJLQDFFXPXODWLQJPDQGDWRU\&FUHGLWVRQWKHUVWGD\RI\RXUQH[WELUWKPRQWKHYHQLI\RXUELUWKmonth immediately follows the month you passed the exam.

    But dont begin too early: any credits earned before your biennium begins willnot be counted.

    ,I\RXGRQWPHHWWKHFRQWLQXLQJHGXFDWLRQUHTXLUHPHQWVIRUUHQHZDORIUHJLVWUDWLRQ\RXZLOOQG\RXUVHOILQ&3UREDWLRQVWDWXVRUVXEHFWWRUHLQVWDWHPHQWRUUHTXDOLFDWLRQUHTXLUHPHQWVVHHVHFWLRQVRQQH[WSDJHGHVFULELQJWKRVHVFHQDULRV

    echnologists already registered in a discipline who become registered in additionaldisciplines maintain their original C reporting schedule based upon their initialFHUWLFDWLRQ7KHFRQWLQXLQJHGXFDWLRQUHTXLUHPHQWLVFUHGLWVUHJDUGOHVVRIWKHQXPEHURI$557FHUWLFDWHVKHOGE\DUHJLVWUDQW

    he Continuing ducation equirements for enewal of egistration areincluded in this handbook as Appendix . etails are also available atwww.arrt.org/handbooklinks.

    $5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    &(7LPHOLQHIRUHZO\&HUWLHG57V

    $GDSWWKLVJUDSKLFDOUHSUHVHQWDWLRQRIWKHWLPHOLQHGHVFULEHGDERYHWR\RXUSHUVRQDOWLPHOLQHGDWH\RXSDVVWKHH[DPUVW

    GD\RI\RXUQH[WELUWKPRQWKDQGWKHWZR\HDUVIROORZLQJWRVHHZKHQ\RXFDQEHJLQHDUQLQJ&(DQGZKHQ\RXQHHGWRKDYH

    DFFXPXODWHGDQGUHSRUWHGFUHGLWV,I\RXKDYHTXHVWLRQVSKRQHH[WIRUDGGLWLRQDODVVLVWDQFH

    xample:

    assed xam ext birth month eport C creditsMarch 20 ept 20 arn C credits from ept. 20 to August 20 before ept 0 20

    our 20 timeline:eport C credits

    RQWK\RX

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    Appendices

    2$5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    &5&RQWLQXLQJXDOLFDWLRQV5HTXLUHPHQWV

    $557FHUWLFDWHVHDUQHGEHJLQQLQJDQXDU\DUHWLPHOLPLWHGWR\HDUV7RPDLQWDLQ\RXUUHJLVWUDWLRQ\RXZLOOQHHGWRIXOOOFRQWLQXLQJTXDOLFDWLRQVUHTXLUHPHQWV&5

    uring a window of opportunity prior to the 0-year period various tools such as self-assessments and inventories of knowledge will be available todetermine areas of individual need and prescribed educational activities willSHUPLWFDQGLGDWHVWRPHHWWKHUHTXLUHPHQWV7DNLQJWKHFHUWLFDWLRQH[DPZLOO

    QRWEHUHTXLUHG

    he goal is to show that you havePDLQWDLQHGTXDOLFDWLRQVDVLPSOLHGE\WKH57GHVLJQDWLRQDQGDVGHQHGE\WKHERG\RINQRZOHGJHLGHQWLHGLQWKHFRQWHQWVSHFLFDWLRQVIRUWKHWKHQcurrent exam (as opposed to the examXVHGIRULQLWLDOFHUWLFDWLRQ

    RUPRUHLQIRUPDWLRQFKHFNRXWWKH&RQWLQXLQJXDOLFDWLRQV5HTXLUHPHQWVvideo at www.arrt.org/videos.

    einstatement of egistration by xamination

    5HLQVWDWHPHQWLVWKHSURFHVVRIUHVWRULQJDQ$557FHUWLFDWHZKRVHUHJLVWUDWLRQhas not been maintained.

    ,I\RXIDLOWRPHHW&UHTXLUHPHQWVE\WKHHQGRI\RXU&SUREDWLRQSHULRGyou move into reinstatement-through-examination status. ote that theUHLQVWDWHPHQWH[DPLVWKHVDPHDVWKDWFXUUHQWO\XVHGIRUFHUWLFDWLRQ

    5HLQVWDWHPHQWE\H[DPLQDWLRQLVDOVRUHTXLUHGLI\RXUFHUWLFDWLRQKDVEHHQrevoked as a result of an ethics violation in which case sanction removal is alsoDSUHUHTXLVLWHIRUUHLQVWDWHPHQWf you apply for reinstatement by examination you have three attempts to passthe exam within a three-year time frame that begins with the starting date of

    \RXUUVWUHLQVWDWHPHQWH[DPZLQGRZ

    5HTXDOLFDWLRQIRU&HUWLFDWLRQf the reinstatement by examination candidate has used up the three-attemptthree-year limit the only pathway back to reinstating registration is to onceDJDLQVXFFHVVIXOO\FRPSOHWHDOOGLGDFWLFDQGFOLQLFDOFRPSHWHQF\UHTXLUHPHQWVof an accredited educational program. his pathway is also open to individualsZKRKDYHQRWHVWDEOLVKHGHOLJLELOLW\IRUFHUWLFDWLRQEHIRUHWKHLUHOLJLELOLW\SHULRGends (see box on page ) and those who failed a fourth attempt or waited toolong after a third attempt (VHH7KUHH$WWHPSW7KUHH

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    Appendix A

    A-Accepted

    Accreditation Mechanisms

    heA ules and egulationsUHTXLUHWKDWFDQGLGDWHVIRUFHUWLFDWLRQLQUDGLRJUDSK\QXFOHDUPHGLFLQHWHFKQRORJ\UDGLDWLRQtherapy sonography* magnetic resonance imaging* and radiologist assistant** must have completed a formal educationalprogram accredited by a mechanism acceptable to A. ffective August 200 an acceptable mechanism is administered byan agency that:

    LVUHFRJQL]HGE\WKH&RXQFLOIRU+LJKHUGXFDWLRQ$FFUHGLWDWLRQ&+$DQGRUWKHQLWHG6WDWHV'HSDUWPHQWRIducation () as an accrediting agency and if such recognition is as a ational nstitutional and pecialized

    $FFUHGLWLQJ%RG\KDVDVFRSHWKDWLQFOXGHVUDGLRORJLFWHFKQRORJ\RUDOOLHGKHDOWKDQG HYDOXDWHVSURJUDPVRULQVWLWXWLRQVXVLQJVWDQGDUGVHQGRUVHGE\$5577KHVHVWDQGDUGVDUHRXWOLQHGRQRXUZHEVLWH

    visit www.arrt.org/handbooklinks to access the information.

    o verify the accreditation status of a certain program or institution consult the appropriate accrediting agencys website.

    or information on educational programs in radiography radiation therapy or magnetic resonance imaging accredited by the ointeview Committee on ducation in adiologic echnology (C) contact:

    oint eview Committee on ducation in adiologic echnology www.jrcert.org 20 orth acker rive uite 280 (2) 04-00Chicago llinois 00-82

    or information on educational programs in nuclear medicine technology accredited by the oint eview Committee on ducationalrograms in uclear Medicine echnology (CM) contact:

    oint eview Committee on ducational rograms in uclear Medicine echnology www.jrcnmt.org2000 . anforth oad uite 0 20 (40) 28-04dmond klahoma 00

    RULQIRUPDWLRQRQHGXFDWLRQDOSURJUDPVLQVRQRJUDSK\DFFUHGLWHGE\WKH&RPPLWWHHRQ$FFUHGLWDWLRQRI$OOLHG+HDOWKGXFDWLRQ3URJUDPV&$$+3LQFROODERUDWLRQZLWKWKHRLQW5HYLHZ&RPPLWWHHRQGXFDWLRQLQ'LDJQRVWLFHGLFDO6RQRJUDSK\(C-M) contact:

    oint eview Committee on ducation in iagnostic Medical onography www.jrcdms.org02 niversity Blvd. uite 00 (44) 9-2llicott City M 204

    or information on educational programs in radiography nuclear medicine technology radiation therapy or sonography accreditedby the Canadian Medical Association (CMA) contact:

    Conjoint Accreditation ervices of the Canadian Medical Association www.cma.ca8 Alta ista rive ttawa (800) 4-420Canada

    or information on educational programs in radiography or radiation therapy accredited by the Australian nstitute of adiography(A) contact:

    Australian nstitute of adiography www.air.asn.au Box 9 Collingwood ictoria (0) 949 Australia 0

    127(&DQGLGDWHVPXVWVXEPLW$,56WDWHPHQWRI$FFUHGLWDWLRQZLWKWKHLUFHUWLFDWLRQDSSOLFDWLRQWR$557

    or information on educational programs in radiography nuclear medicine technology radiation therapy sonography or magnetic

    FRQWLQXHGRQQH[WSDJH* A also offers a post-primary eligibility pathway for sonography and

    magnetic resonance imaging. or additional information visit www.arrt.org/handbooklinks.

    ** or information on radiologist assistant educational programs visit www.arrt.org/handbooklinks.

    28 $5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

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    29$5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    resonance imaging that are housed in post-secondary degree-granting institutions accredited by a egional nstitutional AccreditingAgency contact the appropriate agency listed below.

    LGGOH6WDWHV&RPPLVVLRQRQ+LJKHUGXFDWLRQ www.msche.orgelaware istrict of Columbia lorida Maryland (2) 2-0ew ersey ew ork ennsylvania uerto ico

    869LUJLQ,VODQGV

    ew ngland Association of chools and Colleges www.neasc.orgConnecticut Maine Massachusetts (8) 4-40

    1HZ+DPSVKLUH5KRGH,VODQG9HUPRQW

    orth Central Association of Colleges and chools www.ncahigherlearningcommission.org+LJKHU/HDUQLQJ&RPPLVVLRQ+/&

    Arizona Arkansas Colorado llinois ndiana owa

    .DQVDVLFKLJDQLQQHVRWDLVVRXUL1HEUDVND

    1HZH[LFR1RUWK'DNRWD2KLR2NODKRPD

    6RXWK'DNRWD:HVW9LUJLQLD:LVFRQVLQ:\RPLQJ

    orthwest Commission on Colleges and niversities www.nwccu.orgAlaska daho Montana evada (42) 8-4224

    2UHJRQ8WDK:DVKLQJWRQ

    outhern Association of Colleges and chools www.sacscoc.orgCommission on Colleges (404) 9-400 $ODEDPD)ORULGDHRUJLD.HQWXFN\/RXLVLDQD

    Mississippi orth Carolina outh Carolina

    7HQQHVVHH7H[DV9LUJLQLD

    estern Association of chools and Colleges www.wascweb.orgAccrediting Commission for Community and (4) 0-024

    unior Colleges (ACCC)enior College Commission (CC) (0) 48-900

    California awaii

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    7KLVSDJHLQWHQWLRQDOO\EODQN

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    Appendix C

    FRQWLQXHGRQQH[WSDJH

    Copyright by he American egistry of adiologic echnologists. All rights reserved.

    MAGNETIC RESONANCE IMAGING

    DIDACTIC AND CLINICAL

    COMPETENCY REQUIREMENTS

    Primary Pathway Eligibility Requirements Effective January 2006eriodic eview completed 9No changes

    Candidates for certification in M through the primary pathway are required to meet therofessional equirements specified in Article of the $557 5XOHV DQG 5HJXODWLRQV. hisdocument lists the didactic and clinical competency requirements for certification referenced inthe 5XOHVDQG5HJXODWLRQV. Candidates who complete a formal educational program accredited

    by a mechanism acceptable to the A will have obtained education and experience beyondthe requirements specified here.

    Didactic Requirements

    Candidates must successfully complete coursework addressing the topics listed in the A&RQWHQW6SHFLILFDWLRQV IRUWKH([DPLQDWLRQLQ 0DJQHWLF5HVRQDQFH,PDJLQJ. hese topicsmay also be covered in curricula published by organizations such as the A or M.

    Clinical Requirements

    As part of their educational program candidates must demonstrate competence in the clinicalactivities identified in this document. emonstration of clinical competence means that the

    program director or designee has observed the candidate performing the procedure and thatthe candidate performed the procedure independently consistently and effectively.

    Candidates must demonstrate competence in the areas listed below.

    x even mandatory general patient care activities.

    x eventeen mandatory M procedures and ten electives to be selected from a list of M procedures.

    x ix mandatory quality control tests.

    Documentation

    he following pages identify specific clinical competency requirements. Candidates maywish to use these pages or their equivalent to record completion of the requirements. he

    pages do N need to be sent to the A.

    o document that the didactic and clinical requirements have been satisfied candidates musthave the program director and authorized faculty member if required) sign the(1'256(0(17 6(&7,21 of the Application for Certification included in the &HUWLILFDWLRQ

    +DQGERRN.

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    2 $5573ULPDU\3DWKZD\05,&HUWLFDWLRQ+DQGERRN

    MRI Clinical Competency Requirements

    he clinical competency requirements include the general patient care activities listed below andthe M procedures and quality control procedures listed on subsequent pages. emonstration ofcompetence should include variations in patient characteristics e.g. age gender medicalcondition).

    1. General Patient Care

    Requirement: Candidates must demonstrate competence in the seven patient care activities listedbelow. hese activities should be performed on patients; however simulation is acceptable if state orinstitutional regulations prohibit candidates from performing the procedure on patients.

    General Patient CareDate

    Completed

    Competence

    Verified By

    C

    ital signs blood pressure pulse respiration

    temperature)terile technique

    tandard niversal) recautions

    ransfer of patient

    Care of patient medical equipment e.g. oxygentank tubing)

    enipuncture

    2. MRI Procedures

    Requirement: Candidates must demonstrate competence in the mandatory procedures listed inthe following table. or the mandatory procedures candidates must be evaluated while scanningactual patients. Candidates are also required to demonstrate competence for of elective

    procedures. (OHFWLYHSURFHGXUHVVKRXOG EH SHUIRUPHGRQ SDWLHQWVKRZHYHUXS WR RQH-half of theelective procedures may be performed on volunteers as long as your institution has a policy thatassures the protection of both the volunteers and the institutions interests.

    hen performing the M procedures the candidate must demonstrate appropriate:

    x patient care skills including: evaluation of requisition or medical record; patient identification;documentation of patient history including allergies; safety screening; patient assessment;explanation of procedure; appropriate M safety procedures; and patient discharge with post-

    procedure instructions.

    x technical and procedural skills including: selection of imaging coil; patient positioning; protocolselection; parameter selection; image display; filming; archiving; and documentation of

    procedure and patient data in appropriate records.

    x evaluation skills including: analysis of the image for technical quality; demonstration of correctanatomic regions; and proper labeling.

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    FRQWLQXHGRQQH[WSDJH

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    Magnetic Resonance Imaging

    Clinical Competence Requirements

    MRI ProcedureMandatory

    or Elective

    Date

    Completed

    Patient or

    Simulated

    Competence

    Verified By

    Head and Neck

    brain with contrast M

    brain without contrast M

    internal auditory canal M

    orbit (

    pituitary M

    MA brain M

    soft tissue neck including thyroidtrachea and nasopharynx)

    (

    MA carotid M

    Spine

    thoracic M

    lumbar M

    cervical M

    sacrum/coccyx (

    Thorax

    brachial plexus (

    mediastinum (

    cardiac (

    breast (

    great vessels (

    Abdomen and Pelvis

    abdomen M

    biliary (

    abdominal M angiography M

    male pelvis (

    female pelvis M

    Musculoskeletal

    elbow (wrist M

    hand (

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    B. C C A C C AA C )1. atie nt valu atio n 9)A . pide miolo gy and tiolo gy

    .c ance rrisk fac tors2 .p reva lence and inc iden ceB .C anc erc reen ing

    C . igns and ym ptom s . hys ical xam inati on .m ag ing tudie s(C M e tc.) . ther ia gnos tic tudie s

    .la bre sults2 .s urgic alre ports

    2.A na tomy hys iolo gy ath oph ysio log y ath olo gy ympha tic rain ag ean dMeta sta tic atte rns rela ted toth eIR OOR ZLQ J2 )A .B rain and pin alC ordB .+ HDG and ec k(in clud esth yroid an ds aliva ryg lands )C .B reas t ./ XQJ .A bdo men elv is a nd

    .e soph agu ssto mac hs mall bow ella rgeb owe lrec tuma nd anu s2 .p ancre asa dre nall iver and gall blad der

    .u reters kid ney bla dder and ure thra . epro duc tive

    .p rosta tete ste s2 .e ndom etriu m cerv ixov arie sute rusv agin aan dvu lva

    . kele tal+ M isce llane ous .ly mph oma (Ho dgkin sa ndn on-

    H odg kins )2 .s arco mas (bon ean dso fttis sue) .m ultip lem yelo ma4 .s kin .le uke mia .m yco sisfu ngo ides .b one marro wtr ans plan t8 .b enig n(he tero topic bon eke loid

    A Me tc.)

    . u mor Cla ssifi cati on )A. +LVWR SDWK ROR JLF7 \SHV EH QLJQ sarc om as

    carc inom ase tc.)B. +LVWR SDWK ROR JLF UDGH.p urp ose (diffe ren tiatio nan dgro wth rate )

    2.g rad ings yste m( - 4e tc.)C. 6WDJ LQJ EDV LFFR QFHS WVQ RWV SHFLIL FVLWH V

    .p urp ose2.c om pone nts (M - etc .)

    4. re atment pti ons in dica tion sb ene fits ris ks) )A. Che moth era pyB. urg eryC. ad iatio nh erap y. exte rnal beam

    2. brac hyth erap y*.M ult imo dality trea tme nt

    . a diati on iss ue ole ranc e1 4)A. 7ROH UDQF H/H YHOV ( )B. Adv erse ffe ctsC. os eto Critic al truc tures. ad iobio logic al acto rs(d ose frac tiona tion

    volu me etc.). Biolo gic ala ctors (ag ean atom icv aria tionmed icalc ond ition setc .). Med ical acto rs(c onc urre ntm edic ation s

    prio rsurg ery pac ema kers etc .). th era ctors (ra dios ensiti zers radio pro tecto rse tc.)

    +C on tribu tion from th er ourc es. chem oth erap y2. brac hyth erap y*. othe rfield s(p rior orab uttin ge tc.)4. radia tion effe ctm odifie rs

    *n lyba sicco ncep tsrela tedto com monu seso fbrac hythe rapyare covere din cludin gdos etos urrou nding tissu eand radia tionprote ction issu es. pecific proc edure sand isoto pech aracte ristic sare notco vere d.

    MRI ProcedureMandatory

    or Elective

    Date

    Completed

    Patient or

    Simulated

    Competence

    Verified By

    hip/bony pelvis M

    ankle M

    shoulder M

    foot (

    long bones (

    knee M

    temporomandibular joint (

    M arthrography (

    Special Imaging Procedures

    M (

    image post-processing (

    extremity M angiography (

    spectroscopy (

    fM (

    3. Quality Control Procedures

    Requirement: Candidates must demonstrate competence in all six quality control activities listedbelow.

    Quality Control Procedure

    Date

    Completed

    Competence Verified By

    signal to noise

    center frequency

    film quality control

    transmitter gain or attenuation

    geometric accuracy

    equipment inspection e.g. coils cablesdoor seals)

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    Appendix

    Copyright 2009 by he American egistry of adiologic echnologists. All rights reserved. eproduction inwhole or part is not permitted without the written consent of the A.

    C CCA AMA MAC AC MA

    ublication ate: ecember 2009mplementation ate: anuary 200

    he purpose of the A xamination in Magnetic esonance maging is to assess theknowledge and cognitive skills underlying the intelligent performance of the tasks typicallyUHTXLUHG RI VWDII WHFKQRORJLVWV SUDFWLFLQJ LQ WKLV VSHFLDOL]HG DUHD ,Q RUGHU WR LGHQWLI\ WKHknowledge and skills covered by the examination the A conducted a job analysis studyinvolving a nationwide sample of M technologists. he results of the job analysis are reflectedin this document.

    he table below presents the four major content categories covered on the examination alongZLWKWKHQXPEHURIWHVWTXHVWLRQVLQHDFKPDRUFDWHgory. he remaining pages of this documentlist the specific topics addressed within each major content category. he approximate number ofWHVWTXHVWLRQVDOORFDWHGWRHDFKWRSLFDSSHDUVLQSDUHQWKHVHV

    Content Categoryumber ofuestions2

    A. atient Care 0

    B. maging rocedures 2

    C. 'DWD$FTXLVLWLRQDQG3URFHVVLQJ

    . hysical rinciples of mage ormation _4

    200

    . A special debt of gratitude is due to the hundreds of professionals participating in thisproject as committee members survey respondents and reviewers.

    2. DFKH[DPLQFOXGHVDQDGGLWLRQDOXQVFRUHGSLORWTXHVWLRQVQWKHSDJHVWKDWIROORZWKHDSSUR[LPDWHQXPEHURIWHVWTXHVWLRQVDOORFDWHGWRHDFKFRQWHQWFDWHJRU\DSSHDUVLQparentheses.

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    &RQWHQW6SHFLFDWLRQVIRUWKH([DPLQDWLRQLQ0DJQHWLF5HVRQDQFH,PDJLQJFRQWLQXHG

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    A. A CA )

    . egal and thical rinciples 4)

    A. &RQILUPDWLRQRI[DP5HTXLVLWLRQ

    . verification of patient identification

    2. FRPSDULVRQRIUHTXHVWWRFOLQLFDOindications

    B. /HJDO,VVXHV

    . common terminology (e.g. negligencemalpractice)

    2. legal doctrines (e.g. respondeatsuSHULRUUHVLSVDORTXLWXU

    C. Patients Rights

    . informed consent (written oral implied)

    2. FRQILGHQWLDOLW\+,3$$

    . Patients Bill of Rights (e.g., privacy,

    access to information health careproxy research participation)

    . A tandard of thics

    . M creening and afety 11)

    A. creening

    . biomedical implants(e.g. pacemakersclips)

    2. ferrous foreign bodies

    . medical conditions (e.g. renalfunction pregnancy)

    4. prior diagnostic or surgical proceduresB. TXLSPHQW6DIHW\

    . placement of conductors (e.g.C leads coils cables)

    2. cryogen safety

    . DQFLOODU\HTXLSPHQWLQSUR[LPLW\

    4. emergency procedures (e.g.TXHQFKILUH

    C. nvironment

    . climate control (temperature humidity)

    2. gauss lines

    . magnetic shielding

    4. shielding. warning signs

    . Biological Considerations

    . ield

    a. specific absorption rate (A)

    b. biological effects

    c. A guidelines

    2. tatic and radient Magnetic ields

    a. biological effects

    b. A guidelines

    . Acoustic oise

    . atient Assessment Monitoring andManagement )

    A. outine Monitoring

    . vital signs

    2. physical signs and symptoms

    . sedated patients

    4. claustrophobic patients

    B. mergency esponse

    . reactions to contrast

    2. other allergic reactions (e.g. latex)

    . cardiacrespiratory arrest (C)

    4. physical injury trauma or burn

    . other medical disorders (e.g. seizuresdiabetic reactions)

    . life-threatening situationsHJTXHQFKSURHFWLOHV

    C. atient ransfer and Body Mechanics

    . $VVLVWLQJ3DWLHQWVZLWKHGLFDOTXLSPHQW

    . implantable devices (e.g. infusioncatheters pumps pacemakers others)

    2. oxygen delivery systems. other (e.g. nasogastric tubes

    urinary catheters)

    (ection A continues on the following page)

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    A. A CA Cont.)

    . nterpersonal Communications )

    A. Modes of Communication

    . verbal written

    2. nonverbal (e.g. eye contact touching)

    B. Challenges in Communication

    . patient characteristics (e.g. culturalfactors physical or emotional status)

    2. strategies to improve understanding

    C. atient ducation

    . explanation of procedure (e.g. risksbenefits)

    2. follow-up instructions

    . referral to other services

    . Medical erminology

    . nfection Control 4)

    A. erminology and Basic Concepts

    . types of asepsis

    2. VWHULOHWHFKQLTXH

    . pathogens (e.g. fomites vehicles

    vectors)

    4. nosocomial infections

    B. Cycle of nfection

    . pathogen

    2. source or reservoir of infection

    . susceptible host

    4. method of transmission(contact droplet airbornecommon vehicle vector borne)

    C. tandard recautions(general patient contact)

    . handwashing

    2. gloves gowns

    . masks

    4. medical asepsis disinfection

    . Additional or ransmission-Based3UHFDXWLRQVHJ+HSDWLWLV%+,tuberculosis)

    . airborne (e.g. negative ventilation)

    2. droplet (e.g. particulate mask)

    . contact (e.g. gloves gown)

    . isposal of Contaminated Materials. linens

    2. needles

    . patient supplies

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    &RQWHQW6SHFLFDWLRQVIRUWKH([DPLQDWLRQLQ0DJQHWLF5HVRQDQFH,PDJLQJFRQWLQXHG

    B. MA C 2)

    1. ead ecka. brainb. internal auditory canalc. pituitaryd. orbite. soft tissue neck (e.g.

    parotids nasopharynxetc.)

    f. angiographyg. spectroscopyh. fM

    2. pine

    a. cervicalb. thoracicc. lumbo-sacral

    . horaxa. brachial plexusb. cardiacc. breastd. mediastinume. angiography

    4. Abdomena. liver spleen pancreas

    b. kidneys adrenalsc. peritoneum

    retroperitoneumd. biliarye. angiography

    MB

    1)

    12)

    )

    8)

    . elvisa. bladderb. rectumc. ovaryd. uteruscervixe. vaginaf. prostateg. testesh. angiography (iliac

    and run-off)

    )

    . Musculoskeletala. temporomandibular jointb. shoulderc. elbowd. wriste. handf. hipg. ankleh. kneei. footj. long bonesk. arthrographyl. angiography

    MB

    1)

    C

    uestions about each of the studieslisted on the left may focus on any ofthe following factors

    . $1$7

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    C. AA AC A C )

    1. ulse equences 1)

    a. pin cho

    . conventional spin echo

    2. fast spin echo ()

    b. nversion ecovery

    . 2. /$,5

    c. radient ecall cho ()

    . conventional gradientecho

    2. fast gradient echo

    d. cho lanar maging ()

    e. Calibration cans. filtering2. parallel imaging

    2. ata Manipulation )

    a. k-space Mapping illing

    b. ourier ransformation

    c. ost rocessing

    . Maximum ntensityrojection (M)

    2. Multiplanareconstruction7HFKQLTXHV35

    . subtraction4 volume rendering

    d. Cardiac Analysis

    . pecial rocedures )

    a. MA M

    . flow dynamics2. time-of-flight. phase contrast4. contrast enhanced. fluoro-triggering. timing bolus. automatic bolus

    detection (e.g. smartprep care bolus)

    b. XQFWLRQDO7HFKQLTXHs

    . diffusion2. perfusion. spectroscopy4. fM

    c. ynamic maging

    (ection C continues on the following page)

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    C. AA AC A C Cont.)

    4. equence arameters ptions

    VHHFKDUWEHORZ_________________________________________________________________________________________

    a. maging arameters (22)

    . 2. . 4. number of signal averages (A). flip angle (rnst angle). . matrix8. number of slices9. slice thickness gap

    0. SKDVHIUHTXHQF\. echo train length2. effective

    b. maging ptions ()

    . 2--2. bandwidth. slice order4. saturation pulse. gradient moment nulling. VXSSUHVVLRQWHFKQLTXHVHJIDW

    water etc.). selective excitation8. physiologic gating triggering9. in-phaseout-of-phase

    0. rectangular

    . anti-aliasing2. parallel imaging

    uestions will address the interdependence of theimaging parameters and options listed on the leftand how those parameters and options affect imageTXDOLW\DQGFRQWUDVW

    . ,$$/,7

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    . CA C MA MA 4)

    1. nstrumentation 14)

    a. lectromagnetism. aradays law2. types of magnets

    (superconductive permanent

    resistive). magnetic field strength

    b. 5DGLRIUHTXHQF\6\VWHP. coil configuration2. transmit receive coils. transmit receive bandwidth4. pulse profile. phased array

    c. radient ystem. coil configuration2. slew rate. rise time

    4. duty cycle

    2. undamentals 1)

    a. uclear Magnetism. /DUPRUHTXDWLRQ2. precession. gyromagnetic ratio4. resonance. pulse. HTXLOLbrium magnetization. energy state transitions8. phase coherence9. free induction decay ()

    b. issue Characteristics. relaxation2. 2 relaxation. 2* (susceptibility)4. proton (spin) density. flow. diffusion. perfusion

    c. 6SDWLDO/RFDOL]DWLRQ. vectors2. coordinate system. physical logical gradient

    4. slice select gradient. phase-encoding gradient. IUHTXHQF\UHDGRXWJUDGLHQW. k-space (raw data)

    . Artifacts )

    a. Cause Appearance of Artifacts. aliasing2. ibbs truncation. chemical shift

    4. magnetic susceptibility. UDGLRIUHTXHQF\. motion flow. partial volume averaging8. crosstalk

    b. Compensation for Artifacts

    4. uality Control )

    a. lice hickness

    b. patial esolution

    c. Contrast esolution

    d. ignal to oise

    e. &HQWHUUHTXHQF\

    f. ransmit ain

    g. eometric Accuracy

    h. TXLSment nspection (e.g. coilscables and door seals)

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    Appendix

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    Appendix

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