Capítulo IV: Evaluación Interna
4.1 Análisis Interno AMOFHIT
4.1.3 Operaciones y logística. Infraestructura (O)
Frequency Percent
A LOT OF THIS WOULD DEPEND ON COST - WITH CE CREDITS. ASRT, STATE LICENSURE, COST BECOMES AN ISSUE BECAUSE THIS FACILTY DOESN'T
COMPENSATE FOR CERTIFICATION 1 1.2
A separate category should be set for technologist with advanced CT angio education
and training 1 1.2
ANY BODY DOING CT SCANS AS THEIR PRIMARY JOB -- OF OVER 3 CONTINUING
AS A TECH OF 31 YEARS, I HAVE A TERRIFIC LOVE FOR LEARNING NEW PROCEDURES AND FACETS OF MY PROFESSION. HOWEVER, I HAVE NO INTENTION OF PURSUING ADVANCED LEVELS OF CT AT THIS TIME AS OUR
FACILITY IS TOO SMALL FOR IMPLEMENTATION. 1 1.2
As long as the benchmarks are for my own personal goals and not something that is
mandated. 1 1.2
BENCHMARK NEEDS SOME KIND OF WAY TO ADJUST SKILL LEVEL BASED ON HOW OLD THE EQUIPMENT IS THAT YOU ARE USING IS SO MANY SOFTWARE(S)
OUT THERE TO WORK WITH. 1 1.2
Benchmarking can be useful in individual settings, but not everyone has the opportunity to learn advance skills in different areas of CT. Not all scanners are equal or are the work settings in which some are placed, in which to provide advanced applications for most
technologists to learn these different skills. 1 1.2
Benchmarks and knowledge should be made to adapt to different types of facilities and specialties. Not all facilities or shifts will perform many of the specialty tests you will make
all people learn. 1 1.2
BENCHMARKS ARE VALUABLE BUT ONLY AT THE LEVEL OF THE PARTICULAR FACILITY. I WOULD HATE TO SEE THE SAME EXPECTATIONS OF A 75 BED
FACILITY TO A 975 BED ONE. 1 1.2
Benchmarks need to be adjusted based on area of country/size of facility you work in. Large-progressive departments have access to newer technology sooner than smaller
rural departments. I have seen this firsthand moving from 1 1.2 Competency must be pro-rated to a level of achievement/experience 1 1.2 Consideration should be given to the types of studies seen in the CT setting. If a tech
works in a sports injury clinic, he/she will not likely have much experience in Cats or
cardiac work. 1 1.2
COSIDERATION MUST BE GIVEN FOR THOSE AREAS OF THE COUNTRY WHERE
THE TYPES OF EXMAMS ARE LIMITED (I.E., SMALL RURAL HOSPITALS). 1 1.2 COULD BE SET/LISTED SEPARATELY FOR PERSONS WITH CT
REGISTRY/CERTIFICATE 1 1.2
CT TECH SHOULD RECEIVE SOME SORT OF PROFESSIONAL EDUCATION CURRENT SCANNING PRACTICES REQUIRE MORE THAN ON-THE-JOB TRAINING.
THIS WOULD ALSO PROMOTE MORE DEVELOPMENT IN THE FIELD OF CT 1 1.2 CT technology develops so fast that techniques that were used 5 years ago are no longer
valid. Recent experience is more important than much experience 1 1.2 Department specific models should be recognized. Most technologists work in a general
CT practice. 1 1.2
Depending on where you work , different levels of experiences will be gained e.g.
teaching hospital vs. a small office 1 1.2
DIFFERENT LEVEL BENCHMARKS WOULD BE VALUABLE BECAUSE A NEW CT TECHNOLOGIST MIGHT NOT UNDERSTAND OR FULLY COMPREHEND A HIGHER
LEVEL BENCHMARK BECAUSE OF THEIR INEXPERIENCE. 1 1.2
Due to the shortage of CT Techs, hospitals have taken to employing grad techs, fresh out of school, and putting them out, with limited training, by techs, that only know what their
dept does. They end up being nonthinking, button pushers. 1 1.2 Due to various skill levels of techs and facilities, many levels of benchmarks would be
encouraged myself had to wait over three years for the facility to update their equipment
to a multi-detector system, and they are still not 1 1.2
Each tech is a different human being, and should be treated as such, however if someone doesn’t feel strongly enough about learning something new, then they should not 'waste'
their time or the valuable time of instructors or others 1 1.2 Establish differing levels of CT classifications such as CT Tech I, CT Tech II, etc. with
corresponding pay levels. 1 1.2
FACILITIES DIFFER SO MUCH IT WOULD BE A HARD COMPARISON TO CREATE 1 1.2
FRUSTRATION 1 1.2
I believe it would be hard to do and be effective as different CT jobs focus on different services. Even though you may read or hear new information or up to date information if
you don't consistently use it you can lose the info 1 1.2
I feel ONLY professionally certified CT technologists should be performing CT exams on
I FEEL THAT THE DIVERSITY OF MACHINES/FACILITIES ACROSS THE COUNTRY AND WHICH PROCEDURES ARE COMPLETED AT THESE FACILIITES UNDER DIFFERING RADIOLOGIST OPINIONS ON HOW THEY ARE COMPLETED WOULD
MAKE BENCHMARKS DIFFICULT 1 1.2
I perform only pediatric CT studies. Most benchmark evaluations may be on adult issues; of which I am very weak. Although some benchmarks may be universal, most CT techs
are limited by the type of imaging facility they work in. 1 1.2 I PERSONALLY LIKE TO READ MORE RESEARCH ABOUT ENHANCING MY SKILL
BUT I LIKE TO DO IT AT MY OWN PACE AND AT MY OWN TIME 1 1.2
I THINK CT DEPT SHOULD DEVELOP BENCHMARKS IN SOME OF THESE AREAS, BUT THEY NEED TO DEVELOP A PASSABLE TIME SCHEDULE TO ALLOW FOR
TECHS TO BE ABLE TO DO THE TRAINING 1 1.2
I think that patient volume and type of exam should be taken into consideration. 1 1.2 I THINK THAT THE BENCHMARK SHOULD REFLECT A LEVEL FIELD FOR ALL CT
TECHS REGARDLESS OF EXPERIENCE. IT WOULD BRING ALL TECHS TO THE
SAME LEVEL. 1 1.2
I think the benchmarks should not only be adjusted for level of experience but also for the type of practice in which the technologist is employed, not all facilities perform all the
procedures listed under #12 above. 1 1.2
I think we should hold the employers accountable to hiring personnel that are properly
trained and skilled in CT. 1 1.2
I THINK YOU NEED TO INCLUDE THE TYPE OF FACILITY THE TECHNOLOGIST IS WORKING IN. SOME INSTITUTIONS DO NOT REQUIRE OR UTILIZE ALL OF THE
ABOVE SKILLS. 1 1.2
I WOULD LIKE TO BE BASIC AND VERY TO UNDERSTAND. DO NOT WRITE AS IF W'ERE AT A DOCTOR'S LEVEL. KEEP IT TO HOW IT WOULD HELP IN EVERDAY
SITUATIONS. 1 1.2
IF ARRT DESIRES MORE KNOWLEDGE - PROVIDE MATERIALS 1 1.2
If this professional/practice benchmark is used to assess skills in CT, it would be nice to keep in mind how big the facility is for which one is working and the number of exams done in one day. It would also be important to keep in mind other duties for which the CT technologist is responsible. Would this tool be used only for self assessment? Would it be
used by employers to penalize employees who need further skills? 1 1.2 If we are to believe that experience is helpful in achieving professional goals, then the
benchmark will be self-adjusting according to study and experience. 1 1.2 If you only work on a single slice scanner, no matter how much you read about multi-slice
scanners or other advances in CT, you really don't get the full benefit of learning. Would I
be penalized because I only know single slice scanners? 1 1.2 In order to create a standard of performance I feel that the goal should be a skill level to
be obtained by all who practice, much like the CT examination is a standard exam. 1 1.2 IT DEPENDS WHERE YOU WORK. I WILL NEVER NEED TO KNOW THERAPY
PLANNING - BUT I DO FUSIONS AND HEART SCORES. 1 1.2
It is fine to learn new techniques, but if the scanner you use every day isn't capable, or the place you work is not using progressive and new scanning capabilities, then you will
not continue to keep that skill if you don't use it 1 1.2
IT SHOULD ALSO BE BASED ON THE TYPE OF SCANS YOU DO. E.G., DUAL PANCREAS, AAA ANGIOS, AND CARDIAC. NOT ALL PLACES ARE ABLE TO DO
THESE PROCEDURES. 1 1.2
IT WOULD BE NICE TO PICK AND CHOOSE 1 1.2
IT WOULD ENSURE THAT ONLY THOSE TECHS WITH SOME PROFICIENCY ARE
PERFORMING CTS 1 1.2
IT'S UP TO THE RADIOLOGY TO DEMAND THIS LEVEL OF TRAINING. THE MORE
THEY REQUIRE THE MORE THE CT TECHNOLOGIST WILL LEARN 1 1.2
LETTING TECHNOLOGISTS KNOW WHERE THEY STAND ACCORDING TO YEARS
OF EXPERIENCE VS. KNOWLEDGE 1 1.2
MANY OF US DO NOT WORK IN AN ATMOSPHERE WHERE ACCESS TO SEVERAL ASPECTS OF CT ARE AVAILABLE AND MAY NEVER, MAKING IT DIFFICULT TO BE
PROFICIENT IN THOSE AREAS. EXPERIENCE IN CT IS INVALUABLE 1 1.2 Nationally ranked CT technologist levels, i.e. tiers or Tech I, Tech II 1 1.2 Not all CT techs work in all areas of CT. There needs to be different benchmarks for
NOT ONLY DIFFERENT LEVELS OF EXPERIENCE, BUT PRIOR TRAINING (EX. NON
SCHOOLED VS. PROFESSIONAL PROGRAM STUDENTS). 1 1.2
Only to provide the different levels based not only on experience but also on facility size
due to smaller organizations not performing some of the advanced protocols 1 1.2 Our hospital also has smaller hospitals that are associated with us. Their CT
departments are much smaller and staffed with x-ray techs that are cross-trained. I
imagine most times they do OK. Several times a day though they call 1 1.2 REALLY NOT SURE HOW USEFUL SOMETIMES I THINK THAT MORE RESULTS IN
LESS PEOPLE FEEL OVERWHELMED AND THEN DON'T CARE 1 1.2
Regarding question C, I feel that years of experience are not as important for adjustments. However, I feel that the size/ patient load of the institution should be
considered. 1 1.2
Regional area, hospital size vs. specialty, rural vs. trauma center are dictating factors in what a CT technologist's level is. Third shift trauma center will see a greater range of
acuity patient then rural first shift technologist 1 1.2
SEPERATION BY CT SUBSPECIALTY THAT YOU PRIMARILY WORK IN, IE., CARDIOVASCULAR CT/RAD TX AND ONCOLOGY SIMULATION/GENERAL AND
TRAUMA CT 1 1.2
Should be separated by experience - such as intro to cross-sectional anatomy, physics, contrast, protocols. Then more in-depth for intermediate techs. Then go as far as
advanced-for the techs-such as learning different abnormalities. 1 1.2 Should be variable according to what level of advancement the equipment is that you
work with. Should take into account what procedures are and are not done at the facility
you work at. 1 1.2
Skill level is very dependent on each person’s desire to do the best job that they can. I feel that even if you supply a source for improvement if you don't have the desire you
aren't going to go there. 1 1.2
Skills assessment should vary by facility as some facilities do not place an emphasis on
certain exams depending on their patient volume and type of scanner. 1 1.2 SMALLER CLINICAL SETTINGS DO NOT HAVE THE TECHNOLOGY OR
COMPLEXITY OF EXAMS AS LARGER INSTITUTIONS 1 1.2
SMALLER HOSPITALS DON'T DO WHAT SOME OF THE BIGGER HOSPTIALS DO
SUCH AS RECONSTRUCT AND ANGIO. 1 1.2
Some private Dr. office's in our town have CT scanners in them. These technologists are very limited in their CT skills because they are scanning basic body parts. It would be difficult for them to assess things such as post processing and angio work. They just
aren't exposed to it, yet they are registered CT techs. 1 1.2
Some sites do not perform the exams listed above 1 1.2
SOME WORKPLACES OFFER ONLY LIMITED EXAMS SO YEARS MIGHT NOT
RELATE TO INCREASED LEVELS OF BENCHMARKING 1 1.2
Technologist new to training in CT would need all of the above listed. Technologist in this field for so many years can bypass many of the above but need continual training on post proccesing, advantage workstations, and obtaining CTA's, and other vascular studies.
The technology is ever changing, and continued education is a neccessity. 1 1.2 TECHS SHOULD WORK A YEAR IN CT BEFORE TAKING CT TEST. MOST TAKE
THE TEST FOR ANOTHER CERTIFICATE AND NEVER WORK IN CT 1 1.2
THE "BENCHMARK" NEEDS TO BE SPECIFIC FOR CT/SIMULATION VS. DIAGNOSTIC CT. THEY ARE VERY DIFFERENT AND REQUIRE DIFFERENT
TRAINING AND SKILLS. 1 1.2
The provision to include links to resources to further tech CT skills is essential if
assessments are completed. 1 1.2
The value of a benchmark for me would mostly be for guiding and training new CT techs
working with me 1 1.2
There are significant differences in CT angio vs. routine diagnostic scans vs. full body
scans 1 1.2
There should be a certificate awarded to technologists as they pass particular benchmarks. This would be helpful when applying for positions. It has been common practice for the past few years to allow students and uneducated individuals run CT departments. There seems to be a huge lack of respect for CT Technologists and what there knowledge brings to the table in regards to patient care and the production of
There should be different benchmarks for inpatient techs vs. outpatient techs. There also needs to be a common vocabulary established between all techs in CT so that
communicating would be easier and so would the registry. 1 1.2 These benchmarks may be helpful to somebody like myself, but I think I may feel very
differently if I had been in the field many years. 1 1.2
These benchmarks would be helpful if I worked for a place that did some advance work. However it is rural and small and we just do what is needed for the job. I did work for a
level one trauma and we did do a lot of new things 1 1.2
These benchmarks would be separate from each other? Some people may not need the
additional training in all areas 1 1.2
This would be a good tool for personal use. My fear is that something like this would be
used by employers to evaluate one technologist against another. 1 1.2 UNFORTUNATELY, AS IN REAL ESTATE, THE KEY IS LOCATION, LOCATION,
LOCATION. CT TECHS SKILLS ARE LIMITED BY THE CAPABILITIES OF THEIR
EMPLOYER (HOSPITAL CLINIC RURAL BIG CITY) 1 1.2
YOU MUST TAKE INTO CONSIDERATION THAT DIFFERENT FACILITIES HAVE
DIFFERENT USES OF THEIR MACHINES. 1 1.2
YOU NEED TO HAVE A MORE AGGRESSIVE APPROACH; AFTER ALL, THE
REGISTERED TECHS SHOULD SET THE STANDARD IN THIS IMAGING MODALITY.
THEN MAYBE I WILL STRONGLY CONSIDER TAKING THE TEST 1 1.2
You need to start somewhere. Not all CT techs are on the same level and not all CT techs use all the benchmarks. But in order to see where one fall short of their competency
needs to be monitored. 1 1.2
Total 84 100
Other
Frequency Percent
2 OR 3 LEVEL STARTING WITH BEGINNERS IN CT THROUGH ADVANCE CT
EDUCATION 2 4
85% is patient care 1 2
A CT technologist has different levels of education as well as abilities; therefore the more senior CT technologists should be compensated in pay for their knowledge levels and
abilities. 1 2
A PAY STEP PROGRAM FOR THE MORE YOU KNOW AND DO, THE MORE PAY
YOU WOULD RECEIVE 1 2
Again, depending on the service a facility is willing to provide to its community and the efficiency of the equipment being used would determine the benchmark needed. I know
of very few hospitals that provide perfusion brain scan 1 2
ALL AGE GROUPS HAVE DIFFERENT PROFESSIONAL NEEDS 1 2
Angio 1 2
APPROPRIATE ACCREDITATIONS FOR VARIOUS LEVELS OF CT EXPERIENCE
AND LICENSURE 1 2
As an experienced CT technologist I feel very comfortable doing most if not all types of scans to include CT coronary angio, CT abdominal runoffs and the normal old PE
protocol 1 2
AT THE HOSPITAL I WORK CERTAIN PEOPLE DO THE 3-D MANIPULATION WHICH
IS NICE AND DEPENDS ON EXPERIENCE AND TESTING 1 2
CHANGES/NEED MORE UP TO DATE INFO FROM OTHER TECHS ACROSS U.S.
SHARED EXPERIENCE 1 2
COMMON AND NOT SO COMMON PROBLEMS THAT ARISE FOR DIFFERENT PROCEDURES AND HOW TO TROUBLESHOOT THROUGH THEM; VENIPUNCTURE;
CONTRAINDICATIONS 1 2
CT has become a very wide spread modality since I started back in the mid 80's. Now, there are literally scanners placed that target only ONE of the benchmarks you list. In the 80's you did it all; therapy, invasive, trauma, etc... Today's younger scanners are finding it hard to meet the eligibility requirements to challenge the registry as a result. Continued development of Multi-slice CT that brings cardiac imaging into reality adds an additional
challenge to the newer scanning technologis 1 2
EDUCATION IS ESSENTIAL 1 2
Generally, I would like to see more info on postprocessing. More info. on what to look for
in certain diseases. 1 2
Hospital provide education or up our pay so that we can afford to go out and get it
HOSPITALS NEED BETTER TRAINING FOR TECHS THAT WORK EVENING AND NIGHT HOURS. THEY ARE NEVER TRAINED PROPERLY. BENCHMARKS SEEM TO BE ONLY FOR STAFF CT TECHS. INF NOT A STAFF CT TECH, THEN NEVER
TRAINED PROPERLY. 1 2
Hospitals are not in the market for training their employees via CE provided by seminars, applications etc. It cost too much. CT techs are left on their own to pick up bits and pieces
of info the best they can. 1 2
I AM NOT CONCERNED WITH THERAPY PLANNING. I AM MORE INTERESTED IN
CTA, MULTI-SCANNERS, ANATOMY, AND CONTRAST PROCEDURES. 1 2
I do know other CT techs that would really appreciate the opportunity to enhance their
skills in the different areas as listed above. 1 2
I feel less training is given to CT techs due to budget cuts, and educational needs are not being adequately meet when new high tech equipment is installed. Diagnostic x-ray techs are doing CT contrasted exams with very little training and no certification, and this concerns me. I feel that all CT Techs should be Certified or should not be performing CT scans. CT's are performed with radiation and at times contrast injected and a patient
should have a well trained tech doing these exams. 1 2
I feel like any area in radiology that the longer you perform in a specialized area that your
area of expertise will increase 1 2
I HAVE NOTICED AMONG OUR STAFF THAT THE MIDNIGHT AND WEEKEND STAFF DO NOT AND WOULD NOT BE ABLE TO SCAN OR USE OUR PROTOCOLS EASILY
FOR POSTPROCESSING CTA STUDIES. 1 2
I THINK DEPT. RADIOLOGISTS SHOULD TAKE THE TIME I TAKE A MONTH TO
TEACH CT TECHS SOMETHING AS WELL AS OTHER MODALITIES. 1 2
I think there should be more definite training for CT technologists instead of just on-the-
job training, self-teaching. 1 2
I THINK THERE SHOULD BE REQUIRED CES PRE CT RECERTIFICATION 1 2
I think you covered all the areas. 1 2
I would like to see a better availability of materials, such as CDs, for preparing to take the
CT registry exam. 1 2
I WOULD LOVE TO FIND OUT BETTER WAYS TO SCAN EXTREMETIES. INSTEAD IT’S JUST TRIAL AND ERROR OR LISTEN TO ANOTHER TECH. I FEEL THAT THERE HAS NEVER BEEN MUCH IN THE WAY OF CONFERENCES THAT ONE CAN
AFFORD OR HOME STUDIES IN CT. 1 2
Include physiology along with the anatomy. 1 2
INFORMATION CONCERNING BOARDS/CERTIFICATIONS ON MANUALS WOULD
BE MOST HELPFUL 1 2
IT SHOULD BE CONFIDENTIAL 1 2
It will be interesting to learn how the standards would be established. 1 2 IT WOULD BE HELPFUL IF THERE WERE TEST PERTAINING TO THE REGISTRY SO
IT COULD HELP PASS THE REGISTRY 1 2
IT WOULD BE NICE TO BE ABLE TO GET INDEPTH INFO ON NEW APPLICATIONS
AND POSSIBLY NOT USED AT A TECHS CURRENT FACILITY 1 2
Look at current programs in existence for CT Programs 1 2
Make available online interactive training for the different levels and variable in CT. 1 2