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CAR Position:. Because of the shortage of MRT’s, in Canada, projected to worsen in the future, And while supporting a higher level of education for those who so choose,
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CAR Position: • Because of the shortage of MRT’s, in Canada, projected to worsen in the future, • And while supporting a higher level of education for those who so choose, • The CAR is opposed to the concept of a degree program level of competence as a minimum requirement for certification, for employment in Canada. CAR Resolution MW02-17, Mar 2002
MRT Responsibilities • Patient safety and comfort • Exam preparation and performance • Image quality/technical evaluation • Quality assurance
Examinations/Procedures • CAR has published standards of performance for radiologists • Technologists assist in a greater number as they become less invasive • Smaller centres are doing some “specialized” ones, because it is part of the radiologists training(ex: biopsy,drainage )
MRT and Nursing • Patients are hooked up to more technology in hospital than ever before (lines/devices) • High level of acuity in hospital and unsupervised work (when to call for help?) • More quality control (ex:infection)is required than before
Other MRT Responsibilities • Inventory/ordering of supplies in a small department (ex:rural).. Entry level ? • Monitoring patients when nurse not present (ex post exam, waiting for porter/ambulance) . Entry level ?
Technological change: PACs ,teleradiology CR, DR CT and MRI etc Office/Outpatient work vs Hospital (complexity, local needs/practices) School or on-the-job training: who can best deliver? MRT’s Competency Requirements
Recruitment/Retention of MRT Affected by • Education Requirements • Remuneration • Working conditions/hours (ex:private clinics) • Family • Cost of living • Local amenities (urban/rural)
MRT Recruitement • Does a “degree” make MRT less attractive as a career? (because of the time/expense) • What kind of mindset/interest is needed, to become a good MRT today/tomorrow • Is the aim to form an individual for a career or train him/her to do specific tasks?
MRT Training • Does the entry-to practice mean capable of “office/outpatient radiology” exams? • Do educators/employers prefer on-the-job training, for anything “complicated”? • Do the payers recognize greater expertise? • What advantage does a MRT degree confer in the Canadian job market?
A radiologist’s personal perspective • The team approach to care requires better educated professionals (for efficiency) • Health care management, on a day to day basis, is the business of all health care providers (to make the best use of $)
A radiologist’spersonal perspective • Patients expectations and knowledge, (through the internet,) demand more expertise from all health care professionals. • A well educated professional can deal better with the increasing daily stresses of the health care workplace.