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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 2011 Lending 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.

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 www.mrtboard.org.nz

Medical Radiation Technologists Board HPCA 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) mrt@medsci.co.nz 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 1600 1400 1200 1000 800 600 400 200 0 Di- General Rad Th MRI US Nuc Med 2009/10 1599 287 111 336 47 2010/11 1503 272 125 332 49

Training Scopes APC Trends 100 80 60 40 20 0 TSOP - MR TSOP - US TSOP- NM 2009/10 89 62 3 2010/11 75 58 4

200 Registration Trends Diagnostic Imaging General 150 100 50 0 Registered Declined Offered REA 2008/09 185 9 37 2009/10 154 12 9 2010/11 131 4 7

Registrations Trends 80 60 40 RT and MRI 35 30 25 20 15 20 0 Registered Declined Offered REA 2008/09 38 1 0 2009/10 30 2 1 2010/11 64 1 1 10 5 0 Registered Declined Offered REA 2008/09 35 1 2 2009/10 29 1 2 2010/11 34 1 2

Registration Trends US and Nuclear Med 35 7 30 6 25 5 20 4 15 3 10 2 5 1 0 Registered Declined Offered REA 0 Registered Declined Offered REA 2008/09 29 4 2 2009/10 26 1 3 2010/11 35 3 0 2008/09 7 1 2 2009/10 3 0 1 2010/11 4 0 2

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 60 50 40 30 20 Total REA offered Total REA taken up 10 0 DI-G MRI NM RT US Diagnostic General influx of applications from the Philippines, however few took up the option of an REA.

Registration Exam Results 2008-2010 35 30 25 20 15 10 5 0 Di-Gen RT MRI US NM Pass 31 0 2 3 0 Fail 9 0 1 0 1 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 Practice 1. 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 7 Sovereign House 34-42 Manners St Wellington Postal Address: PO Box 11-905 Wellington 6142 Telephone: +64 4 801 6250 Fax: +64 4 381 0270 Email: Website: mrt@medsci.co.nz www.mrtboard.org.nz