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Capítulo IV: Evaluación Interna

4.1 Análisis Interno AMOFHIT

4.1.2 Marketing y ventas (M)

Frequency Percent

10 YEARS EXP. HELPS ONLY WITH GIVING WHAT TO LOOK FOR IN IMAGES BUT A 1.5 YEAR EXPERIENCE TOSHIBA PERSON STILL HAS TO TRAIN THE OTHERS TO

USE HIS EQUIPMENT. 1 1.1

A CT TECH WHETHER EXPERIENCED OR NOT - CERTIFIED OR NOT IS STILL ENTRUSTED WITH A PTS LIFE. THEY SHOULD ALL MEET AND EXCEED A

PROFESSIONAL LEVEL BENCHMARK 1 1.1

A professional-practice benchmark would also provide consistency in the CT field as well

as inspiring education and learning new methods within the field. 1 1.1 A SPECIFIC STANDARD SHOULD BE DEVELOPED. ALL THAT PERFORM CT

A SUGGESTED TRAINING CURRICULUM FOR NEW TECHNOLOGISTS WOULD BE

HELPFUL 1 1.1

A tangible standard should be in place. As to what that is I could not say. 1 1.1 Absolutely! There is such a wide variety of possibilities in CT that no facility can perform

all things. As such there should be at least two different scales with cross-over areas. 1 1.1 All CT techs should be held to the same level of knowledge and skill set. If you decide to

have various levels of experience they should be compensated accordingly and

mandated to be mentored while performing CT exams 1 1.1

All technologists who perform CTs, whether registered or not, should be highly skilled in

CT 1 1.1

All techs should provide patients with the highest quality of care and should be performing at the same level or should be guided by those that can ensure only the highest quality of

scans are done 1 1.1

An R.T. program should get a student to a level that they understand the basics of CT. A separate school like for nuclear medicine or ultrasound would seem to be something in

the not too near distant future. 1 1.1

As a 20yr technologist who basically trained by way of “See-one/Do-one/Teach-one”; I feel it is imperative to set benchmarks higher now than ever before for new technologists

due to the extreme advancement in technology seen 1 1.1

AS A SMALL CT DEPT WHOSE NUMBERS ARE RISING RAPIDLY, I FEEL THAT WE SHOULD BE TAUGHT BY OUTSIDE OR EMPLOYER PROVIDED EDUCATION FREQUENTLY SO ALL WHO DO CT ARE ALL KNOWLEDGEABLE AT THE SAME LEVEL ....PROVIDES NOT ONLY CONFIDENCE WITHIN OURSELVES BUT HELPS OUR

DEPT TO MOVE ON EQUALLY. 1 1.1

As important as it may be to know all aspects of CT in order to provide quality patient care, many facilities provide CT imaging at different levels. It is important not to "lump" all CT tech's experience together as some may never perform exams that others do

routinely. 1 1.1

BENCH MARKS SHOULD BE THE SAME FOR ALL LEVELS. I THINK IT WOULD HELP

AND FORCE HELP AT LOWER LEVELS TO LEARN MORE. 1 1.1

Benchmarks would also be useful in assessing/comparing the opportunities within your

organization to those outside. 1 1.1

Comparing how things were done 25 years ago to now, I believe the emphasis is definitely moving to more advanced postprocessing technique. With the new “volume”

scanners in the market, postprocessing will become the technique 1 1.1 Computed tomography is getting so diverse that I never had any problems catching up

with procedures in 14 years until this year. After, AAA grafts, pulmonary embolus, and

brain perfusions now we learning cardiac studies and that 1 1.1 CT is a job, you should know how to do all aspects, doesn't need to be broken down to

different procedures unless working in a huge facility 1 1.1

CT is a modality that is constantly changing, and therefore the only way to reach everyone it affects is to benchmark with peers in the same profession. So the

communication needs to be there, either in print or electronically. 1 1.1 CT is now too complicated with the new equipment available and the fusion of modalities

to become just an on-the-job skill advancement. There is now the need for CT courses in

the education system for the initial training of techs 1 1.1

CT OR TECHS IN GENERAL THINK WHEN THEY ARE DONE SCANNING THEIR JOB IS OVER. THEY DO NOT HAVE ANY IDEA WHERE OR WHAT HAPPENS AFTER IMAGES ARE SHIPPED TO PACS, OTHER MODALITY KNOWLEDGE THAT EFFECTS

CT IS 1 1.1

CT should be more than pushing buttons, which, a lot of techs have become. The technology is out there; let's use it and help our patients, doctors, community, and

ourselves better diagnosis. 1 1.1

Even techs who have been doing CT for a long time need to be reminded of do's and

don’ts. 1 1.1

EVEN THOUGH I BELIEVE THAT WITH MORE EXPERIENCE COMES MORE

KNOWLEDGE, THERE STILL NEEDS TO BE A BASELINE. 1 1.1

EVERYONE IN THE COUNTRY SHOULD BE DOING THE SAME PROTOCOLS IN RESPECT TO THEIR SPECIFIC SCANNER. DO WHAT IS BEST FOR THE PATIENT

for me, i think that benchmarks would be invaluable. i take great pride in my work and strive to do the absolute best job that i can. which means keeping up with new stuff and giving the radiologist the best scan possible for him to be able to make an accurate

diagnosis. 1 1.1

GENERAL benchmark should be set accordly, What I'm trying to say, suppose a "Super Tech" has been working at a Childrens Hospital for 15 years. One can say the are the greatest Tech The same Hospital,and has been very loyal and knows how to do everything. There are many procedures done that they would struggle with,they would only shine at the Childrens Hosp.You take a CT tech from a Neuro hosp.Vascular center,Cardiology or Oncology setting and it's ths the same.ADJUSTMENTS SHOULD

BE ADJUSTED 1 1.1

Great idea 1 1.1

Great idea and it should be a standard benchmark for every technologist interested in being certified in CT. I don't think however that there should be another test $ to come up

to the certification of this or any other modality 1 1.1

GREAT IDEAS 1 1.1

I agree that a benchmark should be established, some techs do not do the same types of exams that others so. Some do limited exams, but are paid the same wage. MY concern is that if you start distinguishing between say a staff tech and maybe one that has had experience on the post processing side, that there will become some very hard feelings. What if you would like to learn more post processing, but your facility keeps you stuck

where you are with no chance of extra training? 1 1.1

I am sincerely tired of techs who are trained to push buttons without appreciating what we

do. 1 1.1

I APPRCIATED THE FACT THAT THE ARRT CT TEST/APPLICATION PROCESS ADJUSTED FOR TECHNOLOGISTS LIKE ME WHO TO BIOPSIES AND MORE

TRAUMA (HEAD, SPINE, CHEST, CHEST FOR PE, ABD AND PELVIS) 1 1.1 I BELIEVE ALL THESE AREAS ARE IMPORTANT ASPECT OF CT. THESE CAN BE

EITHER A QUICK REVIEW OR INTRODUCTION TO AREAS THE TECH HASN’T

PREVIOUS KNOWLEDGE IN. 1 1.1

I believe benchmarks should be set according to your scope of practice, not experience. 1 1.1 I BELIEVE THAT A PROFESSIONAL BENCHMARK WILL KEEP TECHNOLOGISTS UP

TO DATE ON MORE PROCEDURES AND PROTOCOLS. THEY WILL WANT TO BE

MORE INFORMED TO DO BETTER. 1 1.1

I BELIEVE THAT TESTING ??? LEVELS OF EXPERIENCE IS A GREAT IDEA LIKE "E"

???. GIVES MEANTIMES TO PROGRESS ??? IT-? I , 11 9 1 1.1

I BELIEVE THAT THE PROFESSIONAL PRACTICE BENCHMARK IS AN EXCELLENT

IDEA 1 1.1

I believe this would help guide techs as they would come into CT as a profession of

choice. The bench mark could help guide the individuals onwards into CT. 1 1.1

I HOPE ALL THIS IS STARTED SOON 1 1.1

I think it is perfect for the maintenance of CE credits and knowledge of a field of ever- changing technology. In the short amount of time I've been in the field, CT has evolved

so much, imagine what it will be like in another 5 1 1.1

I think many new technologists lack professional integrity. A higher standard must be placed on the CT registry eligibility requirements. A cross-trainee asked if he/she could

receive sign-off during the first week of indoctrination 1 1.1 I think such a benchmark would be very helpful in providing the best care possible for

patients. It would also help to assure that all technologists are well versed in all aspects of CT, not just those that work one particular shift.It would also assure the lesser

experienced technologist could have another way to ensure they get the best training that

they can without skipping some valuable aspects that are not used every day in practice. 1 1.1 I THINK THE MOST IMPORTANT ASPECT OF CT FOR ALL CT TECHS TO MAKE

SURE THEY ARE UP TO DATE ON, IS THE METHODS (PROTOCOLS) FOR THE NEWWER SCANNERS, AS THESE NEW SCANNERS WILL CHANGE THE WAY

SCANS ARE PEFORMED. 1 1.1

I think there should be a way to differentiate those techs that have mastered skills

required for more “high end” CT. 1 1.1

I think there should be such a tool. This would depreciate the drastic range of knowledge held by techs. During one shift of work, there might be one tech who is extremely knowledgable and others who barely know basic anatomy. This might bring those on the

I THINK YOU NEED BENCHMARKS -- TOO WIDE A GAP BETWEEN NEW TECHS AND THEIR KNOWLEDGE AND TECHS THAT HAVE BEEN IN PRACTICE SINCE THE

BEGINNING 1 1.1

I think you'd need to benchmark based on the type of equipment you work on. 1 1.1 I would like to see a required amount of credits required in order to maintain the CT

registry. Sort of like ultrasound does. 1 1.1

If there are any benchmarks out there anywhere right now I don't know it. So developing

something at this time would be of great value. 1 1.1

It will allow technologists that work in smaller institutions to be exposed to technology that

they wouldn't normally see. 1 1.1

It would be very valuable to enhance anyone’s career and to use as a reference for

anyone to refer back to if they have questions. 1 1.1

it would greatly help, I believe, as some of our techs are only trained to do the most common exams. I myself really enjoy learning new things, and would like to have more

opportunities available to me that would fit into my busy schedule, and available time. 1 1.1

Keep it very up to date 1 1.1

Lot of button pushers in my dept. folks unable to pass registry, doing procedures by a set written procedure, no thinking outside the box to allow for pt. size, cardiac function, or for

that matter type of IV site, or distance 1 1.1

Many clinics and offices do not do highly invasive procedures and would mostly use only routine diagnostic procedures, therefore CT testing that covers these other areas wouldn't

be very useful; as compared with ultrasonography 1 1.1

OR BENCHMARK SOMEONE LEARNING ON WORKING IN AN OFF-SITE FACILITY. DOES NOT ALWAYS DO THE SAME WORK AS A BROAD RANGE OF CTS AS A

HOSPITAL. 1 1.1

PRESSURE SHOULD BE PUT ON THE MANUFACTURERS OF OUR EQUIPMENT TO PROVIDE IN-DEPTH INSTRUCTION, NOT “PUSH THIS BUTTON” APPROACH. WE AS TECHNOLOGISTS ARE GOING TO LOSE OUR SKILLS BY DEPENDENCE ON

SOFTWARE AND PREDETERMINED PROTOCOLS 1 1.1

PROVIDE EDUCATIONAL OPPORTUNITY AND TESTING ANUALLY - I DON'T

BELIEVE YEARS OF EXPERIENCE MATTER. FIELD CHANGES ANNUALLY. 1 1.1 PROVIDE THE EUDCATION WITH CES FOR THE BENCHMARKS WHERE CT TECHS

FALL SHORT 1 1.1

RADIOLOGISTS WILLING TO TEACH WOULD BE VERY HELPFUL TO RAISE THE

BENCHMARK 1 1.1

Regardless of clinical setting, keeping up with current trends should be important to us all. 1 1.1 Regardless of experience a technologist should know where they stand in relation to the

industry standard, this includes the understanding of equipment 1 1.1 should push for registry in the individual modalities as a requirement for the benchmark

at a certain level of experience. i think by 2 years of experience they should be required

to have the advanced registry, otherwise people are just put their to push buttons. 1 1.1 Since I am a fairly inexperienced CT technologist, I feel the benchmarks would be helpful. 1 1.1 Some of the hospital has nonqualified CT tech, who has no license and work just as a

push button and everyone should be certified in CT even before they are hired. Moreover,

there should be a time limit, for how many years tech could ...[truncated] 1 1.1 Some technologists know how to push buttons but do not have the understanding of what

they are looking at. You need skills to interpret your images. 1 1.1

Stress documentation of results. 1 1.1

Technologists trained on-the-job in small institutions may not have the exposure to the full range of CT applications you propose above. They may perform to the highest standard at their facility, but not meet the benchmark. I'm an experienced CT tech and would be concerned about Fusion modalities,CT sim, and PACS questions in my scope of practice.

Smaller facilities don't offer this type of exposure. 1 1.1

THE BENCHMARK IS A MUST FOR A CT TECH TO KNOW AND PRACTICE EVERYDAY IN THE JOB. SO, THIS SHOULD BE INCORPORATED IN THE CT

CERTIFICATION EXAM. 1 1.1

The benchmarks would be extremely valuable. 1 1.1

The latest info concerning protocols, shielding and injection rates. I think that the technology of the new MDCT scanners has evolved to the point that protocols should be

reviewed every 6 months to ensure the lowest dose for the ... [truncated] 1 1.1 THERE ARE SO MANY TYPES OF SCANNERS, AND THE FIELD CHANGES SO

THERE ARE TOO MANY OJT TECHNOLOGISTS SET LOOSE WITH NO F/U OR BENCHMARK TO EVALUATE SKILL LEVELS. CONTINUOUS EVAL. WOULD BE

FANTASTIC. 1 1.1

THERE IS DEFINITELY NOT ENOUGH EDUCATION FOR CT. I HAD TO LEARN

MOST OF MY CT EDUCATION ON MY OWN. THERE'S NOT ENOUGH RESOURCES. 1 1.1 There needs to be more help for the cross-training tech. On-the-job training by another

CT tech is not enough. I took the registry 3 years ago and felt like all the study material I

reviewed was not on the test. 1 1.1

They need to pay attention mostly in current CT technology knowing the multi-slice scanners, cross-sectional anatomy abnormalities, and new protocols specially angio

protocols. 1 1.1

THIS IS A GOOD IDEA. THERE ARE TOO MANY TECHNOLOGISTS DOING CT THAT ONLY KNOW HOW TO PUSH THE RIGHT BUTTONS AND HAVE NO

UNDERSTANDING OF WHY OR WHAT THE MACHINE IS DOING. THIS WOULD HELP

IMPROVE THESE TECHNOLOGISTS IN THE AREAS 1 1.1

THIS MAY MAKE SOMEONE DOING CT COME TO UNDERSTAND IT BETTER 1 1.1 This would be very helpful to someone just coming in to the modality and a checklist for

someone with a couple years so they know where to expand education. I myself keep up

on things all the time to teach my staff. 1 1.1

Time and chance happen to all men. The experience of time in the modality eventually makes or breaks the tech.people in mva's rarely remember anything.getting the scans done in the shortest and lest traumaticway enabling the radiologist to interpret the scans to help the doctors and surgeons is what i dothere are a lot of button pushers out there with certificates and a lot of real ct techs without themtechnology has leveled the field. a

good caring tech is worth his/her weight in gold. 1 1.1

TO BECOME MORE OF A PROFESSIONAL - ALL OF THE ABOVE ASPECTS WOULD HELP TO BECOME A MORE CREDIBLE CT TECH. I FEEL THAT A BETTER

UNDERSTANDING OF THE RAPIDLY GROWING CHANGES IN CT WOULD MAKE

ALL FEEL LIKE MORE OF A SPECIALITY. 1 1.1

Too many ill-trained CT techs are practicing with little knowledge. I hope this will help assess where they need more education. Many are “cross-trained” in two days to push

the buttons and have no concept of CT, cross-sectional 1 1.1

Valuable for self-assessment and improvement of department quality and marketing tool 1 1.1 VERY HELPFUL IF DIVIDED INTO CATEGORIES BASED ON EXPERIENCE TO

ALLOW A TECH TO MOVE UP IN CATEGORIES AS THEY GAIN EXPERIENCE 1 1.1 We all need to be on the same playing field. I do agree that if you have an individual that

is more advanced you are going to have those who are just meeting the mark. It is the

responsibility then of the excellor to share that 1 1.1

We need more CT oriented continuing education opportunities. 1 1.1

We need to raise the bar overall. 1 1.1

WE ONLY DO VERY GENERAL CT AT OUR VERY SMALL FACILITY, BUT I WOULD

STILL LIKE TO LEARN 1 1.1

We should always keep are standards high. Experience and education should be job one 1 1.1 WHEN YOU ARE IN A SITUATION ON CALL, YOU HAVE TO BE CAPABLE OF DOING

WHATEVER CT EXAMS ARE REQUIRED. WE DO HAVE BACKUP WHEN

SITUATIONS ARISE AND THE CALL PERSON IS NOT KNOWLEGEABLE TO DO THE

PROCEDURE. 1 1.1

Would allow tech. to select areas that apply to their specific area of employment and/or

areas that need beefing up. 1 1.1

Yes to 'C' since not all sites have PACS, multi-slice scanners, CT simulations, or

interventional/cardiac capabilities or exposure. 1 1.1

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