Medical Imaging and Radiation Oncology Professional Core Curriculum

Sponsoring Organizations
The following organizations supported the development of and endorse the core curriculum document:
  • American Association of Medical Dosimetrists
  • American Society of Radiologic Technologists
  • Association of Collegiate Educators in Radiologic Technology
  • Association of Educators in Radiological Sciences
  • Medical Dosimetrist Certification Board
  • Society of Nuclear Medicine . Technologist Section


The sponsoring organizations acknowledge the efforts of the project team.

Jack Barr, M.S.M., R.T.(R), FASRT
Program Director, Radiologic Technology
Concord Career Institute
Denver, Colo.

Robin Famiglietti, B.S., R.T.(T), CMD
Chief Dosimetrist
Moffitt Cancer Center
Tampa, Fla.

Mary Hare, M.Ed., R.T.(T), CMD
SUNY Health Science Center
Syracuse, N.Y.

Marilyn Holland, B.S., R.T.(R)
Program Director, Radiologic Technology
University of Iowa Hospitals and Clinics
Iowa City, Iowa

Katie Kuntz, M.A., R.T.(R), RDMS, RVT
Rochester, Minn.

John Lampignano, M.Ed., R.T.(R)(CT)
Faculty, GateWay Community College
Phoenix, Ariz.

Joy Renner, M.A., R.T.(R)
Director, Division of Radiologic Sciences
University of North Carolina
Chapel Hill, N.C.

Rees Stuteville, M.Ed., R.T.(R)(CT)(MR)
Associate Professor, Medical Imaging Technology
Oregon Institute of Technology
Klamath Falls, Ore.



Medical Imaging and Radiation Oncology

Professional Core Curriculum






I. Anatomy - Gross and Sectional

II. Physiology

III. Medical Terminology

IV. Pathology

V. Algebra

VI. Computer Competency

VII. Philosophy of Health Care

A. Health care approaches
1. Holistic health care
a. Physical

b. Psychosocial

c. Spiritual


2. Disease/injury specific care


VIII. Health Care Accreditation and Regulation

A. Continuous Quality Improvement
1. Goal of quality improvement

2. Quality control

3. Quality assurance


B. Accreditation/regulatory issues

1. Purpose of accreditation

2. Education program accreditation

a. Programmatic accreditation

b. Regional accreditation agencies

c. National proprietary agencies

d. State agencies and others

3. Health care facilities accreditation

4. Health care professional credentialing

a. Certification

b. Licensure

c. Registration


5. Credentialing agencies

a. National organizations

b. State agencies

c. Medical Dosimetrist Certification Board (MDCB)

d. Nuclear Medicine Technologist Certification Board (NMTCB)

e. State agencies and others


6. Regulatory agencies

a. Food and Drug Administration (FDA)

b. Nuclear Regulatory Commission (NRC)

c. Occupational Safety and Health Administration (OSHA)

d. U. S. Department of Transportation (DOT)

e. State agencies

7. Advisory agencies
a. International Commission on Radiation Units and Measurement (ICRU)

b. National Council on Radiation Protection and Measurement (NCRP)

IX. Health Care Economics and Delivery Systems
A. Payment systems

B. Current issues in U. S. health care: cost, quality and accessibility


1. Conflicting factors

2. Disease/accident prevention vs. treatment

3. Education and distribution of health professionals


C. Problems facing U. S. health care


1. Lifestyle choices

2. Indigent care and social inequities

3. Child health issues

4. AIDS

5. Sexually transmitted diseases

6. Physical and mental abuse

7. Aging population

8. Availability of government funding

9. Escalating costs

10. Fraud and abuse


D. Health care delivery systems

1. Hospitals

2. Outpatient clinics

3. Public health

4. Home health

5. Nursing/extended care facilities

6. Emergency medical system

7. Mobile clinics

8. Others


E. Health care consumer services

F. Community education


1. Purpose

2. Providers

3. Recipients

a. Patient/family/advocate

b. Other health care providers

c. Community


G. Health care facilities

1. Philosophy/mission/vision/culture

2. Organizational structures

X. Medical Imaging and Radiation Oncology Professionals
A. Bone densitometry technologists

B. Computed tomography technologists

C. Cardiovascular-interventional technologists

D. Health physicists/medical physicists

E. Magnetic resonance technologists

F. Mammographers

G. Medical dosimetrists

H. Nuclear medicine technologists

I. Quality managers

J. Radiation therapists

K. Radiographers

L. Radiology nurses/oncology nurses

M. Sonographers/vascular technologists/echocardiographers

N. Others


XI. Health Care Communications

A. Elements of communication
1. Nature of communication - verbal/nonverbal/written/electronic

2. Perception and motivation in communication

3. Sensitivity to diverse populations

4. Barriers to communication

B. Skills
1. Nonverbal and verbal codes and cues

2. Active and empathetic listening

3. Understanding the audience

4. Delivery and visual enhancements

5. Facilitation through silence, reinforcement, questioning


C. Communication skills

1. Team building

2. Conflict resolution

3. Negotiation

4. Patient documentation

XII. Professional Ethics and Law
A. Codes of ethics
1. Examples of professional codes

2. Ethical theories

3. Ethical principles

4. Employee responsibilities

5. Work ethic

B. Patient Bill of Rights

C. Patient confidentiality and privacy

1. Medical records

2. Teaching files

3. Ethical behavior

4. Modesty and privacy


D. Scopes of Practice

E. Practice Standards

F. Liability/legal issues

1. Civil liability

2. Intentional torts

3. Assault

4. Battery

5. False imprisonment

6. Infliction of emotional distress


a. Intentional

b. Negligent


7. Defamation


a. Slander

b. Libel


8. Vicarious liability

9. Elements of torts

10. Jurisdiction

11. Negligence

a. Elements

b. Contributory

c. Comparative


12. Medical standards of care

13. Burden of proof

14. Res ipsa loquitur

15. Respondeat superior and personal liability

16. Documentation of errors and other problems

17. Consent


a. Informed

b. Uninformed

c. Implied


18. Patient directives

a. Living wills

b. Do not resuscitate orders (DNR)

c. Health care surrogate (health care power of attorney)


G. Employer/employee responsibilities

1. Labor laws and unions

2. Employment discrimination laws

3. Harassment in the workplace

a. Quid pro quo

b. Hostile work environment

c. Protected persons

d. Unwelcome conduct

e. Employer's liability

f. Sexual harassment

g. Harassment

h. Employer's responsibility for prevention and prompt remedial action

i. Assault and battery

j. Infliction of emotional distress

k. Invasion of privacy

l. Wrongful discharge

4. Conditions of employment
a. Position descriptions

b. Drug screening

c. Background checks

d. Misrepresentation

5. Liability coverage
a. Employer

b. Personal

6. Equipment safety regulations

7. Safety

a. Hazard identification and control

b. Policies and procedures

1) OSHA

2) Centers for Disease Control (CDC)

3) Facility

4) State

c. Employee training

d. Fire, electrical and chemical safety

e. Injury prevention

f. Safety/quality improvement committees


8. "Whistleblower" protection

XIII. Patient Assessment, Monitoring and Care
A. Assessment
1. Introduction to the medical record

2. History and physical

3. Laboratory values

4. Vital signs

5. Electrocardiogram (ECG)

6. Pulse oximetry

7. Communicaiton needs

8. Age, gender and cultural factors


B. Patient physical assistance

1. Body mechanics

2. Dressing and undressing patients

3. Transferring patients

4. Safety devices

5. Assistance with body functions

C. Infection control and aseptic techniques
1. Asepsis

2. Cycle of infection

3. Standard (universal) precautions

4. Wound care

5. Isolation precautions

6. Surgical asepsis/sterile technique


D. Tubes, catheters and vascular access lines

1. Urinary catheters

2. Oxygen therapy/suction therapy

3. Tubes: nasogastric (NG), feeding, chest

4. Venipuncture/IV administration

5. Vascular access lines: Hickman, Port-A-Cath

E. Medication administration
1. Medication classifications

2. Pharmacodynamics/pharmacokinetics

3. Routes of administration

4. Commonly used medications

5. Drug reference guides


F. Medical emergencies

1. Nausea and vomiting

2. Vertigo/fainting/syncope

3. Seizures

4. Diabetic reactions

5. Shock

6. Respiratory distress/arrest

7. Cardiac arrest

8. Choking/aspiration

G. Emergency care
1. Cardiopulmonary resuscitation (CPR)

2. Heimlich maneuver

3. First aid

4. Respiratory support

5. Equipment and drugs

6. Code coordination/management

XIV. Professional Development

A. Professional organization: purpose, function and activity
1. National/international

2. State

3. Local


B. Continuing education

1. Purpose

2. Sources

3. Benefits

4. Ethical considerations (fraud)

5. Agencies requiring continuing education


C. Career planning and development

1. Educational opportunities

2. Career opportunities and practice settings


D. Employability skills

1. Resume/curriculum vitae

2. Cover letters

3. Portfolios

4. Search process

5. Application process

6. Interviewing skills

7. Negotiating skills