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Medical Radiation
Technologists Board
Protecting and promoting the health of
New Zealanders by ensuring Medical Radiation Technologists are competent and fit to practice.
Jennifer de Ridder
NZIMRT Symposium 2011Lending A Hand
Overview�HPCCA 2003
�MRTB Membership
�Medical Science Secretariat (MSS)
�APC Holders
�Training scope of practice trends
�Registration applications
�Registration examination assessments
�MRTB projects
�Scope of Practice Review
�Contact details
Medical Radiation
Technologists Board
Health Practitioners Competence Assurance Act (HPCAA) 2003
Purpose of Act
To protect the health and safety of members of the public by providing for mechanisms to
ensure that health practitioners are competent and fit to practice their
professions.
www.mrtboard.org.nz
MRT Board Members
• Jennifer de Ridder Chair MRT -RT
• Julia Metcalfe Deputy Chair MRT - US
• Julia Andrew MRT –DI
• Beryl Kelly MRT -DI
• Prue Lamerton MRT - NM
• Shelley Park MRT – DI&MRI
• Maureen Waaka MRT -DI
• Megan Campbell Lay Person
• Rosanne Hawarden Lay Person
• Sue McKenzie Lay person
Medical Radiation
Technologists BoardHPCA Act 2003
MRTB responsibilities
�Setting the standard for registration in NZ
�Monitoring of degrees & post-graduate diplomas in NZ
�Registration of new graduates
�Registration of overseas qualified MRTs
�Issuing of annual practising certificates (APCs)
�Ensuring every registered MRT is competent to practise
within their scope of practice (SOP)
�Disciplinary and complaints investigations
Medical Science Secretariat
(MSS)Provides operational support to the MRTB &
Medical Sciences Council (MSC)[email protected]
�MSS is a not for profit company
•CEO/Registrar – Mary Doyle
�Professional Standards Co-ordinator – Jenny Lee
�Registration Managers – Sherly Adie & Lana Guest
�Finance/Administration – Beverley Irvine
•Executive Administrator – Claire Lovewell
Annual Practicing Certificates
0
200
400
600
800
1000
1200
1400
1600
2009/10 1599 287 111 336 47
2010/11 1503 272 125 332 49
Di-
GeneralRad Th MRI US Nuc Med
Training Scopes – APC Trends
0
20
40
60
80
100
2009/10 89 62 3
2010/11 75 58 4
TSOP
- MR
TSOP
- US
TSOP-
NM
Registration Trends –Diagnostic Imaging General
0
50
100
150
200
2008/09 185 9 37
2009/10 154 12 9
2010/11 131 4 7
Registered Declined Offered REA
Registrations TrendsRT and MRI
0
20
40
60
80
2008/09 38 1 0
2009/10 30 2 1
2010/11 64 1 1
Registered Declined Offered REA 0
5
10
15
20
25
30
35
2008/09 35 1 2
2009/10 29 1 2
2010/11 34 1 2
Registered DeclinedOffered
REA
Registration TrendsUS and Nuclear Med
0
5
10
15
20
25
30
35
2008/09 29 4 2
2009/10 26 1 3
2010/11 35 3 0
Registered DeclinedOffered
REA
0
1
2
3
4
5
6
7
2008/09 7 1 2
2009/10 3 0 1
2010/11 4 0 2
Registered DeclinedOffered
REA
Registration Examination
Assessments (REAs)
Registration Examination
Assessments (REAs)
�Previously competency based assessment (CBA)
�Application for registration qualifications are not
considered substantially equivalent to prescribed NZ
qualification – can be offered an REA
�3 month familiarisation period at an approved NZ
clinical site
�Under supervision of a nominated MRT
�Logbook and cultural/legislative questionnaire
completed and returned to the Board prior to REA
Registration Exam Uptake Past 3 years
0
10
20
30
40
50
60
DI-G MRI NM RT US
Total REA offered
Total REA taken up
• Diagnostic General – influx of applications from the
Philippines, however few took up the option of an REA.
Registration Exam Results2008 - 2010
05
101520253035
Pass 31 0 2 3 0
Fail 9 0 1 0 1
Di-Gen RT MRI US NM
NB: Return to work examinations are not included in this data.
Recent MRTB Projects
�Review of overseas qualification assessment process
�Two Board approved assessors�Education and Clinical expert�Review of documentation required
�Australian Registration Board�National Registration July 2012�Radiographers, RTs, Nuc Med
�Website Redevelopment�Update details online�Online renewal of 2012 APCs
�Competency documents�All scopes reviewed
Scope of Practice Review• Why
– Current scopes defined in 2003/04 in preparation for the HPCA Act.
– Seven years on review for relevance to practice and technology.
– 2008 review of the Act recommendation
• Scopes of Practice1. Diagnostic Imaging – General. Practises Diagnostic Imaging –
General: Involves the use of ionising radiation to gain a diagnostic image for evaluation.
2. Radiation Therapist. Involves the use of treatment planning systems, ionising radiation and radionuclide's for radiation treatment planning and delivery.
3. Nuclear Medicine Technologist: Involves the use of radionuclide's to gain a diagnostic image for evaluation.
4. Sonographer. Practises Diagnostic Imaging – Ultrasound: Involves the use of ultrasound waves to gain a diagnostic image for evaluation.
5. Magnetic Resonance Imaging Technologist. Practises Diagnostic Imaging –Magnetic Resonance Imaging: Involves the use of magnetic resonance to gain a diagnostic image for evaluation.
Scope of Practice continued:
6. Trainee Nuclear Medicine Technologist. Undertaking training in an approved medical
radiation technology programme in nuclear
medicine imaging.
7. Trainee Sonographer. Undertaking postgraduate
training in an approved medical radiation
technology programme in ultrasound.
8. Trainee Magnetic Resonance Imaging Technologist. Undertaking postgraduate training
in an approved medical radiation technology
programme in magnetic resonance imaging.
For Comparison:-
• Scope of Practice - Pharmacist
• The practice of pharmacy includes the custody, preparation and dispensing of medicines and pharmaceutical products, the provision of advice on health and well-being, including health screening, and the selection and provision of non-prescription medicine therapies and therapeutic aids. The pharmacist acts as a medicines manager, ensuring safe, quality use of medicines and optimising health outcomes by contributing to the selection, prescribing, monitoring and evaluation of medicine therapy. The pharmacist researches information and provides evidence-based advice and recommendations on medicines and medicine-related health problems to patients, their carers and other healthcare professionals. The pharmacist is an integral part of the healthcare team.The practice in this context goes wider than pharmacists directly working with patients to include teaching, advising, research, policy development and management, given that such roles influence clinical practice and public safety.
Key Themes
• Working outside parameters of defined SOP.
• Practitioners who don’t have breadth of practice.
• Blending of technologies across scopes.
• The role of training scopes.
• The role of post graduate scopes.
• The international context.
• Practitioners undertaking medical imaging related interventions but are not currently registered – e.g. cardiac sonographers
• Additional themes identified during consultation.
How will the review be undertaken?
• A consultation document about to be drafted.
• Document released via website, email etc
• Consultation results collated.
• Board consideration and decision as to any changes.
• Changes published late 2011 early 2012.
MRTB Contact
Contact with the Board is through its Wellington Office at:
• Level 7Sovereign House34-42 Manners StWellington
• Postal Address:
PO Box 11-905Wellington 6142
Telephone: +64 4 801 6250
Fax: +64 4 381 0270
Email: [email protected]
Website: www.mrtboard.org.nz