Weekly outline

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  General

  Fluoroscopy for Physician Assistants, Cohort 27

  Winter, 2022

  Course Description

  This course prepares the student to take the State Department of Health Service's examination for the Fluoroscopy Permit. The course covers radiation safety issues consistent with Title 17; regulatory provisions; anatomy and physiology; the radiobiologic effects on human tissue; image intensification; image recording systems; and facility design, survey and quality assurance. The course will be conducted in an asynchronous manner. The clinical portion must be completed at a KPSAHS affiliated clinical site with a Physician Supervisor holding a California Radiology Supervisor/Operator permit OR a California Fluoroscopy Supervisor/Operator permit. The student will have three quarters (nine months) from the start date of the class to complete both didactic and clinical portions of the KPSAHS course and a certificate of completion will be awarded once these tasks are accomplished.

  ** This course is scheduled to close September 24, 2022  as per the terms of your enrollment agreement. All course work (didactic and clinical) must be completed by that time!**

  This course has NOT been approved for CME credit.

  READ ALL INSTRUCTIONS!!

  • State of California Fluoroscopy Application for PAs File

    Here is the application for the State.

  • WebEx ARF Player File

    Please download this player to view WebEx recordings. This may only work on computers and not phones or tablets.

  • PA Fluoroscopy, Cohort 27 Syllabus File

    Here is the syllabus for PA Fluoroscopy, Cohort 27, Winter 2022.

    Please ensure you're using the 11th edition of the Bushong text as the syllabus follows that edition. There may be indications on the lecture of differing chapters and they refer to previous editions of the textbook.

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  3 January - 9 January

  Week 1: Orientation

  This week, take a look at the AAPA/ASRT Educational Framework, the Content Specifications for the Fluoroscopy exam, and the forms you will need for your clinical education.

  You MUST view the Radiation Safety video AND take a short quiz related to it PRIOR to performing ANY clinical work.

  There is an introductory video so take a look at that. 

  • PA Fluoroscopy Course Introduction File

    Information about the course. This is 14 minutes in length and about 30 MB.

  • PA Fluoroscopy Course Introduction. File

    PDF to accompany the Introduction to the Course video.

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  • Video Recording - Introduction to Radiation Safety File

    This video must be viewed and the associated quiz must be passed PRIOR to Fluoroscopy Unit Orientation and exposing patients to radiation. The video is just over 13 minutes long and is 32 MB in size.

  • PDF for Intoduction to Radiation Safety File

    This PDF accompanies the video "Introduction to Radiation Safety."

  • **Quiz - Introduction to Radiation Safety**

    Once you have watched the video, take this associated quiz. You must pass the quiz with 80%. 

    The quiz is timed for 20 minutes. Please e-mail me for the password.

  • AAPA/ASRT Educational Framework for Fluoroscopy File
  • Fluoroscopy Exam Content Specifications File

    Content Specifications for Fluoroscopy Examination effective January 1, 2018.

  • Clinical FAQs File

    FAQs regarding clinical hour documentation.

  • Clinical Document Video File

    Please watch this video regarding your clinical procedures. View PRIOR to completing orientation checklists and AFTER you have passed the Radiation Protection Quiz

    The video is 11 MB and 13 minutes in length.

  • You may perform your clinical education at the same time as the didactic portion of the course. You MUST complete the fluoroscopy device orientation checklist for each piece of equipment you will be using during the clinical portion. This must be completed and approved by me PRIOR to performing ANY procedures. You will also need to log 40 hours+ spent in fluoroscopy and your procedures must be logged on the Fluoroscopy Clinical Experience form. This log form captures time spent in fluoroscopy as well as the procedures.

    • Clinical Forms Required
      • Fluoroscopic Device Orientation Check V11_7_2_2020.pdf
      • Fluoroscopy Clinical Experience V15_4.17.20.pdf
  • **Fax documents to (877) 702-4063 for approval before moving on to the next step.**

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  10 January - 16 January

  Week 2: Introduction to X-ray and Radiation - Production, Characteristics, and Interaction with Matter

  Reading: Bushong, Chapters 1, 5 - 9

  • Video Lecture 1A: X-rays and Radiation - Discovery, Types, and the X-Ray Tube File

    This covers Introduction to X-rays and Radiation: Discovery, Types, and the X-ray Tube

  • Lecture 1A File

    PDF version to accompany video. This can be printed and/or downloaded to your devices.

  • Video Lecture 1B: X-Ray Production File

    Introduction to Radiation, part 1B: X-ray production, this video is just under 14 minutes and is 25 MB in size

  • Lecture 1B File

    PDF version to print or download.

  • Video Lecture 1C: Interaction with Matter; Inverse Square Law File

    This is about 15 minutes in length and 14 MB in size.

  • 1C - Lecture Notes File

    For downloading and/or printing.

  • Quiz for Introduction to Radiation

    You will be able to do this quiz as often as you need to. No grades, just practice for you. This quiz is NOT timed but later on I will set some timing on the quizzes. The final is timed - 100 questions in one hour.

  • Fluoroscopy Safety Article File

    This is a reprinted article from "Outpatient Surgery" discussing radiation safety using both large and mini c-arms.

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  17 January - 23 January

  Radiation Biology: Biology and Detrimental Effects of Radiation

  Reading Assignment: Bushong, Chapters 29 - 34

  This topic will take us two weeks to get through as there is a lot of information.

  • PA Fluoroscopy - Radiation Biology (Lecture 1) - File Version

    This is a recording for the same topic but from last quarter. The information is not significantly different from what I presented on Thursday, January 22, 2015. Again, you will need the ARF player if you're going to download the file.

  • WebEx ARF Player File

    ***You will need this player add-on to view the WebEx. I don't know if it works for anything but a computer.***

  • PA Fluoroscopy: Radiation Biology (Lecture 1) File

    This is an MP4 version of the WebEx.

  • Radiation Biology - PDF Version File

    This is the PDF version for 1/22/15

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  24 January - 30 January

  Radiation Biology: Deterministic Effects, Stochastic Effects, and Radiation Quantities and Units
  

  I will post a lecture about the clinical component.  Please ensure you understand the clinical requirements as per the State regulations. You will need to supply an orientation sheet for each unit you're working with and a procedures / clinical time document. The forms are at the top of the course page.

   

  • Video Lecture 2A: Radiation Biology - Deterministic Effects File

    Part 2 of Radiation Biology. This covers Deterministic Effects.

    This lecture is about 21 minutes in length and 37 MB.

  • Lecture 2A: Radiation Biology - Deterministic Effects File

    Student version in PDF for printing or download.

  • Video Lecture 2B: Radiation Biology - Stochastic Effects File

    Video lecture on Stochastic Effects.

    This is 12 1/2 minutes and 20 MB.

  • Lecture 2B: Radiation Biology - Stochastic Effects File

    PDF version to print or download.

  • Video Lecture 2C: Radiation Quantities and Units (Part 1) File

    Radiation Quantities and Units, Part 1  

    This is 23 minutes and 45 MB.

  • Video Lecture 2C - Radiation Quantities and Units (Part 2) File

    Radiation Quantities and Units, Part 2 

    This is 16 minutes and 40 MB.

  • Video Lecture 2C: Radiation Quantities and Units (Part 3), Conversion Problems File

    Calculations and conversion problems. This is 15 minutes in length and 20 MB.

  • Lecture 2C: Radiation Biology - Radiation Quantities and Units File

    This is a student version for print or download. The video lectures cover all of this Power Point.

  • ASRT Fluoroscopy: Radiation Protection and Safety File

    This is Module 1 from the ASRT's Fluoroscopy series. In PDF format.

  • ASRT Fluoroscopy: Radiation Protection of the Eye File

    This is Module 5 of the ASRT Fluoroscopy Series.

  • Radiation Biology Quiz
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  31 January - 6 February

  Fluoroscopic Unit Operation and Safety

  Reading Assignment: Bushong, Chapter 25

  This may take us two weeks to get through as it is important to understand how the unit works and its impact on Radiation Protection, which will follow contrast media.

  • Video Lecture 3A-Fluoroscopic Unit Operation & Safety (Part1): Image Intensifier Construction File

    This first video lecture of Fluoroscopic Unit Operation and Safety features the construction of the image intensifier for those units that are so equipped.

    This is 10 minutes and 16 MB.

  • Video Lecture 3B - Fluoroscopy Unit Operation & Safety (Part 1): Brightness Gain, Magnification, & Dose Change File

    This is 15 minutes and 19 MB in size.

  • Video Lecture 3C-Fluoroscopy Unit Operation & Safety (Part 1): Automatic Brightness Stabilization, TV Cameras, & Monitor Resolution File

    This is 15 minutes in length and 19 MB in size.

  • Fluoroscopic Unit Operation and Safety, Part 1 File

    PDF student version of the entire lecture. I'll be breaking the lecture up in shorter videos.

    For download / printing.

  • ASRT Fluoroscopy: Operation and Safety of Fixed Fluoroscopy Units File

    This is Module 2 from the ASRT Fluoroscopy series and is in PDF format.

  • Video - Image Intensifier: How it Works File

    This is 4 minutes long and 7 MB in size.

  • Image Intensifier Graphic File

    This should help reinforce the concept of magnification and what happens when magnification is used. **NOTE** This will be in a Shockwave file ( *.swf) and many computers no longer support this type of file.

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  7 February - 13 February

  Fluoroscopic Unit Operation and Safety (continued)

  Contrast Media

  There will be handouts only for the contrast media portion.

  • ASRT Fluoroscopy: Mobile Unit Safety and Operation File

    This is Module 4 from the ASRT's Fluoroscopy series and is in PDF. This one should be of particular interest as it pertains to mobile units, which is what most of you are using.

  • Fluoroscopic Unit Operation and Safety, Part 2 - Influence on Patient Dose (PDF Version) File

    Here is the PDF version of this week's presentation.

  • Fluoroscopic Unit Operation and Safety, Part 2 - Influence on Patient Dose (PPT Version) File

    This is the PowerPoint version of this week's presentation.

  • Fluoroscopic Unit Operation and Safety, Part 2 - WebEx Recording (File Version)

    This is the file version of the WebEx lecture from November of 2014. The other file was corrupt. You will need to download the ARF player to view.

  • 3D_Fluoroscopic Unit Operation & Safety, Part 2: Influence on Patient Dose File

    This is an MP4 version of the WebEx. It is one hour 26 minutes in length and 16 MB in size.

  • Quiz - Fluoroscopy Equipment and Operation

    This quiz will cover construction and operation of the fluoroscopy unit

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  14 February - 20 February

  Radiation Protection, Part 1: Operational Procedures; Conducting the Fluoroscopy Examination; State Regulations

  • California Title 17 - Standards for Protection from Radiation File

    This is a portion of the California Code of Regulations, Title 17 (Public Health) Subchapter 4 (Radiation) that pertains specifically to Fluoroscopy. Make sure you understand the definitions and realize anything with a number is fair game.

  • California Title 17 - Radiologic Technology File

    I'm adding this portion as there is some useful information. I have NOT included mammography, industrial x-ray, or radiation therapy.

  • California Title 17 - Physician Assistant Fluoroscopy File

    This is the portion of the California Code of Regulations, Title 17 (Public Health) Subchapter 4 (Radiation) that pertains specifically to Physician Assistants and Fluoroscopy.

  • ASRT Fluoroscopy: Regulation and Radiation Protection File

    This is Module 3 in the ASRT Fluoroscopy Series.

  • Radiation Protection, Part 1 - Operational Procedures, Radiation Protection (PDF Version) File

    This is the PDF version of the material we will cover for this week.

  • Radiation Protection, Part 1 - Operational Procedures; Radiation Protection (PPT Version) File

    This is the PowerPoint version of the lecture for this week. 

  • Radiation Protection, Part 1 - Make-Up Slides (Video) File

    This is a video of the PowerPoint containing the first six slides of the lecture I forgot to record. 

    It's almost 9 minutes and 13 MB in size.

  • 4A_Radiation Protection, Part 1 (Video of WebEx) File

    This is the MP4 version of Radiation Protection, Part 1. This is one hour 10 minutes in length and 14 MB.

  • Radiation Protection, Part 1 - Recording of 2/19/15, File Version

    This is the downloadable file version of the WebEx recording of Thursday, February 19, 2015. You will need the ARF player to view.

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  21 February - 27 February

  Radiation Protection, Part 2: Personnel Protection; Personnel Monitoring; Potentially Pregnant Patients & Operators

  Reading Assignment: Bushong, Chapters 35 through 37, 39-40

  I will be including portions of Title 17, the State of California document relating to radiation standards in Fluoroscopy. There is also a portion of Title 17 pertaining to Physician Assistants and Fluoroscopy.

   

  • Radiation Protection, Part 2 - Personnel Protection; Personnel Monitoring (PDF Version) File

    This is the PDF version of this week's subject. Suitable for download and notetaking.

  • Radiation Protection, Part 2 - Personnel Protection; Personnel Monitoring (PPT Version) File

    This is the PowerPoint version of this week's lecture. Suitable for viewing or downloading to print. 

  • WebEx Recording (File): Radiation Protection, Part 2 - Personnel Protection; Personnel Monitoring

    This is the file version of the WebEx recording of February 26, 2015. This is suitable for download and viewing at a later time. You will need the ARF player to view.

  • 4B_WebEx MP4 Version - Radiation Protection, Part 2: Personnel Protection and Monitoring File

    This is the MP4 version of the WebEx. It is 59 minutes in length and 11 MB in size.

  • Quiz - Radiation Protection

    Remember to review Bushong, Chapters 35 - 37 for this quiz. This exam will be timed for 40 minutes and you will still be able to take it as many times as needed. 

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  28 February - 6 March

  Digital Fluoroscopy and Quality Control

  Reading Assignment: Bushong, Chapters 26 and 27

  • Digital Fluoroscopy Handouts File

    This is the PDF version of this week's lecture.

  • Digital Fluoroscopy Handouts File

    This is the PowerPoint version of this week's lecture.

  • Digital Fluoroscopy - Make Up (Video) File

    Look at this one FIRST. This is the first portion of the presentation that was missed during the WebEx. 

    It is about 25 minutes long and 43 MB in size.

  • WebEx Recording - Digital Fluoroscopy File

    This is the file version of the presentation of 3/5/15. You will need the ARF play to view.

    Password is KaiserPA3

  • 5_Digital Fluoroscopy (Video of WebEx) File

    Look at this SECOND. This is the MP4 version of the WebEx in Digital Fluoroscopy. It is 46 minutes long and 10 MB in size. *WARNING* This contains PHI!

  • ASRT Fluoroscopy: Image Quality and Analysis File

    This is Module 6 in the ASRT Fluoroscopy Series.

  • Digital Fluoroscopy Quiz

    This quiz is timed for 30 minutes.

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  7 March - 13 March

  Free Week

  This is an opportunity to catch up this week on the lectures and quizzes. Remember that all tasks must be complete prior to taking the final. Once you're ready, I'll give you the password for the final.
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  14 March - 20 March

  Review / Final Exam

  This week we will review some of the major concepts, including the math.

  • Review Lecture 3/12/15 File

    This is in PDF format.

  • webEx Recording - Review File

    This is the file version of the WebEx Review presentation of 3/12/15. You will need to download the ARF player to view the file.

  • 6_Review MP4 Version (of WebEx) File

    This is the MP4 version of the Review WebEx. It is an one hour 24 minutes and 15 MB in size.

  • IAEA Link for Fluoroscopy URL

    This is from the IAEA (International Atomic Energy Agency) RPOP (Radiation Protection of Patients) and contains some really good information about Radiation Protection during fluoroscopy. Take a look around as you will find information in the "Radiology" category as well as the "Other Specialties and Imaging Modalities" category.

  • Study Shack Flashcards - Fluoroscopy URL

    This is something I found online through Study Shack. It is a Fluoroscopy review by James T Kelley and you may find this useful. Judging from the last update, the material does not cover digital fluoroscopy.

  • Math Review Resources (Click to Open) Folder

    PPT (in PDF) and Sample Math Problems

  • Fluoroscopy Final Quiz

    Welcome to the Final. You will have 60 minutes (1 hour) to complete 100 questions. Please DO NOT START the exam until you are ready.  Remember, keep an eye on the time and 75 is needed to pass. Your score will be available at the conclusion of the exam.

    For this final, we require 75% to pass.

    Please e-mail me for the password once you have completed all of the tasks of the course, including ALL quizzes. In your request, please include your full name as that must appear on your completion certificate.

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  21 March - 27 March