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CAMRT news

2017
Volume 35; Issue 3

Publication Mail Agreement


No. 40068990
Return undeliverable Canadian
Addresses to Circulation Department

Canadian Association of
Medical Radiation Technologists
1300-180 Elgin Street
Ottawa Ontario K2P 2K3
Tel: (613) 234-0012 or 1-800-463-9729
Fax: (613) 234-1097
www.camrt.ca
Get your CPDs online
many new
MTMI Webinars
open for
Canadian registrations!

go to w w w . m t m i . n e t
click Technologist, choose a modality
and look for the Canadian Flag!

Aug 19 Mastering Digital Radiography


Sept 16 MRI Safety Guidelines
Sept 28 Cultural Sensitivity in Healthcare
Sept 30 Digital Breast Tomosynthesis
Oct 14 CT Dose Considerations & Image Quality
Oct 21 Mammography: Analysis & Advanced Techniques
Nov 4 Trauma Radiography
Dec 2 Digital Mammography-Mastering the Technique

800-765-6864
In this Issue
CAMRT Board of Directors 2017

President
Karren Fader, RTNM

Page 4 Presidents Message


British Columbia
Meena Amlani, RTR Page 5 CEOs Update on Trends, Opportunities & the CAMRT

Alberta Page 6 Advocacy Update


Susan Fawcett, RTT
Page 7 CAMRT joins Choosing Wisely Canada!
Saskatchewan
Karen Davis, RTT Page 9 Advanced Practice in Radiation Therapy: Certification in Canada!

Manitoba Page 11 The Path to Appropriate Imaging


Sandra Luke, RTR, RTMR, ACR
Page 12 Recap 2017 CAMRT-OAMRS AGC
Ontario
Page 14 Award Winners
Liz Lorusso, RTR, RTMR

Page 15 CAMRT Honorary Awards


Quebec
Micheline Jett, RTNM Page 16 Volunteer Opportunity: CAMRT Members Lounge

New Brunswick Page 17 CAMRT Foundation Update


Jennifer Carey, RTR, CTIC
Page 18 75 Years of Association: CAMRT and the Brodie Family
Nova Scotia
Page 19 My Experience: Clinical Placement
Jonathan Bower, RTNM
Page 20 Career Column
Prince Edward Island
Gailyne MacPherson, RTR, ACR Page 21 CAMRTs 2017 Research Grant Recipient

Page 22 Updates from the JMIRS


Newfoundland & Labrador
Breanne Teasdale, RTT Page 24 Provincial Reports

Page 26 CPD Highlights

CAMRT news 2017

The CAMRT News is the official member newsletter of the


Canadian Association of Medical Radiation Technologists
(CAMRT). It reaches approximately 12,000 members
within the field of medical radiation sciences. On the cover... Photos from the 2017 CAMRT-OAMRS
AGC held in Ottawa, ON.
Advertising: For information about advertising rates in
the CAMRT News, please contact us at 1-800-463-9729
or by email at jmcgregor@camrt.ca. See below for
issue deadlines. Publication Mail Agreement
No. 40068990
Return undeliverable Canadian
Addresses to Circulation Department
Canadian Association of
Medical Radiation Technologists
1300-180 Elgin Street
Ottawa Ontario K2P 2K3
Tel: (613) 234-0012 or

Submissions: Do you have a story idea or a topic you


1-800-463-9729
Fax: (613) 234-1097
www.camrt.ca

would like us to write about? We welcome your feedback


and suggestions.
Please email us at jmcgregor@camrt.ca. DISCLAIMERS:

Number 1 December 5 Last week of January Opinion Pieces: The opinions expressed in the opinion pieces within this newsletter are those of
the author(s) and do not necessarily state or reflect the views of the CAMRT. The CAMRT and its
Number 2 March 5 Third week of April employees do not express or imply any warranty or assume any legal liability or responsibility for
Number 3 June 15 Last week of July the accuracy, completeness, or usefulness of any information in this section. Authors submitting
material to this column are permitted to publish anonymously, if requested.
Number 4 September 7 Third week of
October
Advertising: Although all advertising material is expected to conform to ethical (medical)
standards, inclusion in this publication does not constitute a guarantee or endorsement of the
quality or value of such product or of the claims made of it by its manufacturer.
Presidents Message
A Look Back at the AGC open to a similar interpretation. However,
The CAMRT 75th AGC was an amazing we have chosen words that best reflect
celebration! Ottawa is a beautiful who we are now and how we practice.
city, and the location in the heart
of the Capital could not have been To take this thinking even further we
more perfect. The scientific program need to recognize that the equipment
was full, diverse, and of high quality. used, although advanced, is just a tool.
The social events were well attended We have a tendency to identify ourselves
and entertaining. To showcase the as a CT technologist, an MR technologist,
accomplishments of our members, or a dosimetrist. Within our own group,
we had a Celebration of Excellence it may make sense and be a simple way
reception. In this issue, we offer a to describe our area of practice. However,
quick recap of the conference events is it really best to be identifying ourselves
on pages 12-17, including a listing of by our tools? I would suggest not.
our award winners. For myself, it was Instead, we need to think about how we
a tremendous experience rich with want to be viewed and, therefore, seen,
learning, networking, and information as a member of the team contributing to and, after a decade of tireless effort by
gathering. So much so, that it will likely patient care and management. a core working group, the CAMRT APRT
take me the next year to explore and act Certification Process has gone live!
on the topics, ideas, and issues that have When we speak of ourselves, it should With three therapists having already
me curious and motivated. be as clinicians, practitioners, providers. completed the program, the hope is
What we do as we engage, educate, that more will follow as different roles
and care for our patients is what defines are recognized as advanced practice.
our practice. Concentrating on our See page 9 for more information, and to
contribution, not the tools, will shift the hear from our newly certified APRTs! All
focus and illuminate the true value of the work already done, and preliminary
our practice. However, we should not discussions held with individuals and
dismiss the fact that we are experts in groups, bodes well for the imaging group
making extremely technical equipment as CAMRT embarks on a project for APMI
execute life-impacting diagnostic studies Certification.
and therapies. It is exactly that blend of
nurturer and geek that makes us unique:) Link up with me on Linkedin or follow me
on Twitter @KarrenFader!
Reflecting on our Image Evolving Practice
In celebration of the 75th anniversary, The focus of our practice is made even
CAMRT posted a picture of a conference more evident when we consider roles
brochure from many years ago. It said, that require more autonomy, in-depth
We care about our image and it was a patient education, critical decision

We need to think about how we want to be viewed and, therefore, seen,


as a member of the team contributing to patient care and management.

picture of a technologist with a piece of making in patient management, and


equipment and a patient. It struck me additional formal education. These pillars
that we have, in fact, changed our focus of advanced practice are based on care
and how we define ourselves, which is of the patient and not highly advanced
evident by our current branding. We technology, so it stands to reason that
now see ourselves as The very image of the foundation of our practice is also
care. Looking at the pictures associated patient focussed.
with this slogan, it is a technologist or
therapist with a piece of equipment and These aspects of advanced practice
a patient. Visually, without the words, it is were identified by some key therapists

4
CEOs Update: Trends, Opportunities &
the CAMRT
Submitted by Franois Couillard organizations, like the EANM, the CANM, kits. The challenge in the years to come
and the ANZSNM. The major theme of will be to find a way to fund these price
It is mid-June and I have finally ended the conference was the renaissance increases in an environment under
a two-month stretch of meetings. It anticipated in nuclear medicine from economic pressure.
seems like this year was particularly the commercialization of theranostics,
intense. I have attended conferences and individualized therapies that combine The next day, Karren Fader and I flew to
meetings outside the office just about diagnostic and therapeutic capabilities Montreal to attend a stakeholder session
every week since April 21st. Why does in a single agent. The renewed interest organized by the CAR during their annual
the CEO of a national association spend in nuclear medicine agents is much meeting. The session featured 3 panelists
so much time interacting with outside needed, as utilization has been dropping from different regions of the country
organizations? To inform the association since 2006 for SPECT isotopes. There debating the virtues of private imaging
of trends and create opportunities that were many sessions on isotope supply clinicsno clear consensus emerged.
support our strategic goals. Let me give and it was reassuring to see all the work
you a snapshot of what transpired from being done to ensure a stable future In early June, CAMRTs Director of
my spring meetings. supply of Tc-99m. During this meeting, Membership, Karen Morrison, and I
we concluded an accord with the SNMMI drove to Montreal again to meet with
International meetings: European for a speaker exchange program. We also the new Executive Director of CIRA
Congress of Radiology (ECR) - Vienna reached an agreement with the ANZSNM during their annual meeting. Daniel
and Society of Nuclear Medicine and who will make our scientific journal, the Lapointe has a wealth of expertise in
Molecular Imaging (SNMMI) - Denver JMIRS, their official publication. association management, he wrote two
The ECR is one of the best radiology textbooks on the topic in Quebec. He
conferences in the world. I attended reiterated his support to our 2018 joint
this meeting with Karren Fader, our conference. We had an excellent chat
President. It was a true success, with a about collaboration opportunities in the
record attendance of 25,000 participants. areas of education, advanced practice,
This is now a global meeting, not and advocacy.
just European (the ESR boasts 69,000
members worldwide). Not only did we Regional conferences: British
attend a lot of very informative sessions, Columbia, Manitoba, and Quebec
but we also met with many international Every year I try to attend 2 or 3 provincial
sister societies, like the ISRRT, the SCOR, conferences to meet our members and
and the EFRS. Did you know that most support local organizations. BC did not
European countries are in the process of have a provincial conference this year.
standardizing education programs to a Instead I attended the 2017 West Coast
4-year undergraduate with integrated Imaging Conference put together by two
programs (radiological sciences, nuclear very energetic CAMRT members, Lorie
medicine and therapy all in one)? Did Canadian national annual Marchinkow and Rosey Manhas. There,
you know that the title of our profession conferences: Canadian Association of I gave a talk about the changing role
is being standardized to Radiographer Nuclear Medicine (CANM); Canadian of the technologist and promoted the
in most European countries (with a few Association of Radiologists (CAR); and education offerings of the CAMRT. I also
exceptions, like France and Greece)? Canadian Interventional Radiology visited our members at the Vancouver
There are many innovations coming out Association (CIRA) General Hospital and BC Cancer Agency.
of Europe. For example, the University of I was invited to give a talk on the
Bradford is experimenting with motion economics of Mo-99 production at In May, I took a quick 24-hour trip
capture technology that is translated the April CANM annual conference in to Winnipeg to attend the MAMRT
into a software program, which allows Toronto. Karren Fader and I had a very Annual General Conference. It had
MRTs to practice positioning and check productive meeting with the CANM record attendance. Members were very
technique without actual radiation leadership where we discussed plans engaged and debated many important
exposure. for a joint conference in 2018. The motions.
conference had a special industry focus.
The SNMMI is the equivalent of the RSNA There is impetus to sustain investments Again in May, I spent several days in
for nuclear medicine. Karren Fader and in the modality. Prices must go up to Rivire-du-Loup, to participate in the
I spent a lot of our time there with the ensure profitability and guarantee annual conference of OTIMROEPMQ.
leadership of international and national Canadian access to isotopes and cold This is always the largest provincial

5
conference in our field. This year, close to misconception among many Quebecers organizations and individuals, and
500 participants attended the meeting. that they have to take the CAMRT exam created opportunities for our members.
Again, I ended up on the program, and in addition to OTIMROEPMQs exam to They are assisting in promoting our
gave a talk to the nuclear medicine become CAMRT members. education programs, research, and
stream. I spent 2 days at our booth and influencing and evolving practice in
met many potential new members. There I am very pleased with the results Canada and around the world. They are
was a lot of interest in our education of these many outreach activities. essential to continuing to evolve as a
programs. I was able to correct the They helped build bridges with other better association for our members.

Advocacy Update
Advocacy is an important function Canadian Partnership for Quality advocacy, the AAC is currently looking
of the CAMRT. The association uses a Radiotherapy for new members from all disciplines.
number of different opportunities, from To learn more and to apply, please visit:
participation on important committees Canada Safe Imaging http://www.camrt.ca/blog/2017/07/06/
to meetings with stakeholders in become-a-member-of-camrts-advocacy-
government and elsewhere, to represent Choosing Wisely Canada, a new advisory-council/.
the views and priorities of MRTs across initiative for CAMRT, for which
the country. the association will be preparing Grassroots Advocacy Award
several recommendations on While we are proud of our advocacy
Committee and Collaborative appropriateness in medical radiation efforts in Ottawa, the CAMRT is also
Advocacy Activities technology (see page 7) seeking to recognize the tireless
Your association has been working advocacy of its members across the
hard to represent your views and CAMRT Advocacy country with its Grassroots Advocacy
priorities with different stakeholders Government relations at the federal award. Nominations for this award will
in government, in other healthcare level (with both elected officials and be opening soon -- information can be
professions, and elsewhere. members of the public service) is a found on the Honorary Awards section of
growing area of activity and advocacy for the website.
The CAMRT has been playing an the organization. Following the success
increasingly prominent role at HEAL of the 2016 CAMRT Day on the Hill,
(Organizations for Health Action). CAMRT the organization, through its Board, its Since 1985 Since 1
CEO Franois Couillard, a member of leading members, and its staff, has held Since 1985
the HEAL management committee for a number of meetings. The most recent
several years, has recently been elected round of meetings between CAMRT MSK MS
as official co-chair of HEAL. This is an
important success for the association,
staff and government MPs this June
gave CAMRT the opportunity to talk in
MSK
Need To Find Need To
Muscles, Tendons Muscles, T
as it not only guarantees that CAMRT substantial detail about its initiatives in Need To
1985 Find
orSince
Ligaments? or Ligam
continues to have MRT views heard at advanced practice and appropriateness.
the influential HEAL table, but also that
Muscles, Tendons
the CAMRT name will become more Planning is underway to ensure a MSK
The Burwin courses offer The
or Ligaments?
to successfully
all the
challengeto
the
Burwin
theory
courses o
successfully
Registry. challe
and more associated with initiatives for number of meetings between CAMRT Need To Find
change in health. representatives and government officials The 30
Burwin
CMEscourses
Muscles,For Each
Tendonsoffer all
Course30 the
CMEs For E
throughout the fall of 2017 to push theory to successfully
or Ligaments? challenge
In addition to HEAL, the CAMRT forward on advanced practice and the Registry.
continues to be involved and lead a appropriateness. www.burwin.com
www.burw
The Burwin courses offer all the theory
number of other committees: to successfully
30 CMEschallenge
For Eachthe Registry.
Course
The CAMRT Advocacy Advisory Council
1-877-625-5297
30 CMEs For(Central EachTime)1-877-625-5297 (Centra
The Medical Imaging Team, (AAC) meets once a year to discuss 1-800-322-0737 (Atlantic Time)
Course
1-800-322-0737 (Atlant
which remains an important emerging issues in medical radiation www.burwin.com
venue for discourse with our peer technology, and to set the associations www.burwin.com
organizations in imaging advocacy priorities. This year, the AAC,
in concert with the CAMRT Board, has
The Multistakeholder Working Group identified the areas of advanced practice 1-877-625-5297
1-877-625-5297 (Central Time)
(CentralTime)
Time)
1-800-322-0737 (Atlantic
on Medical Isotopes, giving MRTs a and appropriateness as priority advocacy 1-800-322-0737 (Atlantic Time)
voice in influential discussions about areas. If you have a passion for moving
medical isotope supply the profession forward and an interest in

6
CAMRT joins Choosing Wisely Canada!
Submitted by Karen Born, PhD, Knowledge It is worthwhile reviewing the lists of Dont routinely do screening
Translation lead, Choosing Wisely Canada recommendations, as approximately a mammography for average risk women
and assistant professor at the Institute of quarter of recommendations are related aged 40 49. Individual assessment
Health Policy, Management & Evaluation to imaging practices. For example, 4 out of each womans preferences and risk
at the University of Toronto of 11 recommendations on the Family should guide the discussion and decision
Medicine list are related to imaging. regarding mammography screening in
As practicing medical radiation These include: this age group.
technologists, do you ever see a patient
and wonder was this test or procedure Dont do imaging for lower-back pain Dont order DEXA (Dual-Energy
that they underwent really necessary? unless red flags are present. X-ray Absorptiometry) screening for
Was the risk from false positives and osteoporosis on low risk patients.
radiation exposure worth it to improve Dont order screening chest X-rays
their health? You are not alone in those and ECGs for asymptomatic or low risk
questions. A recent Canadian Institute outpatients.
of Health Information report found that
up to 30% of all health care in Canada
offers no value to patients and can do
more harm than good. Unnecessary care
is driven by a complex web of factors
related to the pressure of clinical work,
uncertainties, and the systems that
deliver health care services.

This is the driving motivation of the


Choosing Wisely Canada campaign that
was launched in 2014. The campaigns
mission is to help clinicians and
patients engage in conversations about
unnecessary tests and treatments. This
can be really difficult, and Choosing
Wisely Canada has resources to help you.

Choosing Wisely Canada is clinician-


led, and at the core of the campaign
is the belief that it is a clinicians
professional responsibility to use health
care resources responsibly. Canadian
clinicians have taken up the call with
the majority of national medical
professional societies releasing or
actively working on evidence-based lists
of recommendations, Things Clinicians
and Patients Should Question. Other
national clinician associations have
joined the campaign, with recently-
released lists from the Canadian Nurses
Association, Canadian Association of
Critical Care Nurses and Canadian Society
of Respiratory Therapists.

Other national clinician societies such as


the Canadian Pharmacists Association
are currently working on developing lists
of recommendations.

7
The recommendations on this list and Clinicians who have implemented
all Choosing Wisely lists are developed Choosing Wisely Canada
using the shared principles that they recommendations and had a measurable
include tests, treatments, and procedures impact have also developed Toolkits
that are frequently used and expose that are free to download. These contain
patients to harm, are evidence-based, information, ideas, and tools on how to
and are within the scope of practice of get started on similar implementation
that group of clinicians. projects. Toolkits span inpatient medicine
and primary care, and more are being
Having the Conversation with your added. Check out the campaign website
Patients to access these toolkits.
Choosing Wisely Canada is much more
than just lists of recommendations we We hope that the recommendations,
also have tools and resources to help you patient materials, and implementation
talk to patients about unnecessary care. resources help you start to think about
We have plain language information how you can incorporate Choosing
for patients that offers advice on how Wisely into your practice!
they can avoid unnecessary testing or
treatment. Choosing Wisely Canada The CAMRT is excited to be a part of the
has a publicly facing campaign, More Choosing Wisely Canada campaign. The
Is Not Always Better, that is designed association is currently in the process of
to increase public awareness about developing its own list of MRT-focused
unnecessary care through posters and recommendations with informed
multimedia. This includes a simple tool, stakeholders. These recommendations
the Four Questions. will inform care and help to further
promote appropriateness in the
Posting the Four Questions poster in profession.
your reception areas and exam rooms
can encourage patients to ask questions
about whether that test, treatment, or
procedure is really necessary.

The Choosing Wisely Canada Four


Questions to Ask Your Health Care
Provider:
1. Do I really need this test, treatment
or procedure?
2. What are downsides?
3. Are there simpler, safer options? Certificate in interventional radiology (CIR) seeking
4. What happens if I do nothing?
replacement committee member
Join the Implementation Community There is currently one (1) vacancy for would be an asset
In addition to offering tools for having a Radiological Technologist on the Have prior writing experience with
conversations with patients, we also offer Certificate in Interventional Radiology strong writing skills
support for implementing Choosing Committee.
Wisely recommendations into your This is a 3-year term with the option to
practice or organization. Local practice Interested Candidates must: renew for another 3-year term.
environments differ and clinicians Be currently working in
across Canada are implementing interventional radiology and have a Please forward a current resume, a
recommendations in many innovative minimum of 3 years experience covering letter outlining how you meet
ways. Interprofessional collaboration is Be a full practice member of the the above selection criteria and two
essential to improving quality and safety, CAMRT references by September 22, 2017.
and reducing unnecessary care. Can attend an annual 2-3-day
spring meeting in Ottawa For more information and/or
There is a wide spectrum of Have a valid CIR designation and/or submission of application, please
implementation, from education and a CIR designation in progress contact Melanie Brub, Manager,
awareness raising activities to hard Have completed the CAMRTs Continuing Professional Development
coding in recommendations to order sets Interventional Radiology 1 & 2 at mberube@camrt.ca or by fax at 613-
or Electronic Medical Records. courses and/or Certificate program 234-1097.

8
Advanced Practice in Radiation
Therapy: Certification in Canada!
CAMRT is excited to announce the was achievable.
completion of its Advanced Practice This work would not have been
Registered Technologist (APRT) I was fortunate enough to have been possible without the many
Certification pilot. More exciting still, working many years within the palliative contributions from the candidates, the
we are pleased to announce our first and stereotactic radiosurgery programs, APRT(T) Certification Committee, as
advanced practice therapists! We had making the case submission write ups well as contributions from Cancer Care
three radiation therapists from palliative quite attainable. Demonstrating the Ontario, the Canadian Association of
and head and neck specializations required competencies within these Radiation Oncology and the Canadian
successfully complete all three phases of cases, however, did add that extra Organization of Medical Physicists.
the APRT Certification pilot. All three also challenging piece! The CAMRT thanks all of you for your
support.
receive the distinct honour of being the
first MRTs in Canada to carry the APRT(T) And last, but certainly not least, the oral
Whats more, the CAMRT is also
designation after their names. exam. Trying to decide what to devote
excited to announce that Advanced
some extra study time to, and trying
Practice Certification in Radiation
On this landmark occasion for the to predict what the focus of any one Therapy is now officially open! To learn
profession, we wanted to highlight question within the three-hour exam more, please visit: aprt.ca: If you are
these three individuals and let them would be was a very nerve wracking interested in applying for Certification,
relay their experience from the pilot and experience. please be sure to review your eligibility
their thoughts on advanced practice in and relevant certification materials
medical radiation technology. I am excited for what this does for (Certification Handbook, Competency
our Radiation Therapy profession. It Profile, etc.). For any enquiries, please
Lori Holden gives a different opportunity for those contact Katherine Smith at ksmith@
RTs wishing to expand their practice camrt.ca.
to a higher and recognized level.
With nursing and other allied health Michelle Lau
professions offering an advanced
practice option, I think its very important
to also have a certified APRT(T) title. It
puts all disciplines on the same playing
field and has the potential to further
collaborations on yet another level.

If you are interested, I strongly encourage


Well, I can honestly say I am both proud you to apply for this APRT certification or,
and relieved to have completed the APRT if you feel you arent quite ready, reach
Certification pilot process and become out and enquire as to how to prepare
a certified Advanced Practice Radiation yourself and gain some of the necessary It has been exciting to be part of the
Therapist! requirements. You wont regret it. Certification pilot process for the past
1.5 years it is, after all, Canadas first-
What a journey it was, partaking in all Finally, I did want to congratulate the ever MRT qualification program through
three phases of the APRT Certification. certification development team on which radiation therapists can gain the
From the initial portfolio assembly, to such an accomplishment, representing APRT(T) designation after successfully
the case submissions and, finally, to the years of work! From vision to fruition demonstrating their extended scope of
challenging oral exam, each step seemed congratulations! practice through portfolio development,
to build on the last, culminating in the clinical case defence, and oral
putting it all together exam. examination. As radiotherapy technology
advances and the need for symptom
At first, each task seemed quite daunting. management through continuity of care
Deciding on how to present the increases, radiation therapists are taking
previous 5 years worth of experience a bigger role in radiation medicine.
and knowledge into a portfolio format
seemed insurmountable, but with the
help of the guidebook and mentors, it

9
This was the ideal time to introduce the Lilian Doerwald-Munoz As an advanced practice candidate, the
concept of advanced practice in our CAMRT provided me with a mentorship
growing field. service. I found my mentor extremely
helpful in terms of navigating the
Like any new practice development, program and preparing me for the
there is a learning curve for all oral examination. Along with the
stakeholders involved, and I am grateful mentoring service, the certification
to be a pioneer in this journey. Having process equips you for success by
had a similar experience as one of the providing a comprehensive handbook.
graduates of the first baccalaureate The handbook guides you in completing
Medical Radiation Sciences program each of the three phases of the
for Radiation Therapy [2002] at the certification process; preparing the
University of Toronto, there were portfolio, selecting the clinical cases, and
numerous opportunities for me to I have been a radiation therapist for studying for the oral examination.
provide meaningful feedback for process 16 years, and for the last 8 years I have
improvement and fine-tuning. It was worked as a clinical specialist in the At times, pursuing APRT Certification was
motivating to be part of it all, and I treatment of head and neck cancers. I demanding, but in my experience all the
look forward to contributing more to chose to complete APRT Certification work you do throughout this process
the certification process in the near because I wanted to obtain national really comes together to prepare you to
future, as continual development will credentials as an advanced practitioner. undertake this challenge and any future
definitely solidify APRT(T) practice and It was a chance to challenge myself and challenges that you may encounter while
its place in cancer care in the country and an opportunity to expand my current practicing at an advanced level. What I
worldwide. scope of practice. I highly recommend found most rewarding upon completion
this certification process for individuals of the certification work was the
who are also seeking a new challenge, confidence in the skills and knowledge
and are interested in pursuing higher I gained to work as an advanced
education in radiation therapy. practitioner in radiation therapy.

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10
The Path to Appropriate Imaging
Submitted by Stephanie Schofield, RTR helps people listen. So instead of just move around the room and learn about
complaining (although I still do that), I other attendees publications and current
decided to share our audit results, our work, and engage in small conversations
stories, and our hopes for being better around thought-provoking ideas. This
patient advocates. gave people who may not like to speak
in large groups an opportunity to have
My audits were simple; they were their work shown, and provided a chance
based on my coworkers opinions for informal questions and answers.
on what was appropriate to them as
healthcare professionals. We looked at Communication was a topic that
over-ordering, inappropriate ordering, was frequently mentioned, and the
requests with no pertinent clinical importance of open communication
history, and errors. I talked about what between all the groups within diagnostic
it meant to feel angry, unqualified, imaging departments was discussed.
apathetic, and helpless as a technologist When physicists talk about low dose, it is
trying to do what is best for the patient based on the imaging requested being
when it sometimes seems like it is us appropriate; and, when a technologist

When I was 22, I began my career as an


x-ray technologist performing general When a technologist talks about their experiences with
imaging. I felt I was contributing to the inappropriateness and dose concerns, it helps physicists to understand
health and wellbeing of patients; my why technologists may be concerned with low doses.
images would provide a diagnosis or
alter care. It was rewarding, and over the
years there were exciting changes such against the world. I talked about the talks about their experiences with
as evolving from film to CR to DR, and future, Choosing Wisely, and working as inappropriateness and dose concerns,
witnessing the technology of CT, MRI, a collaborative team with other health it helps physicists to understand why
and PACS transform DI departments professionals and clinicians to change technologists may be concerned with
across Canada. Then, one day, 20-plus ordering practices. We cannot wait for low doses.
years later, I came to the sad realization radiologists alone to change the system,
that the DI path I was on had changed we must be involved. I talked about the I met some amazing people whom I will
into something that I did not like truth of appropriateness: we make rules be pestering with questions in the future,
anymore; I was no longer contributing and lists, but we do not follow them, and and look forward to seeing them again.
to patient care in a way that felt we need to start. At the end of the conference, when each
appropriate, beneficial, or cost effective, group was asked what they would take
and it was killing my soul. I was honored to speak alongside Dr. away, I was personally mentioned for my
W. Miller, President of the CAR at the enthusiasm and as an example of good
In 2016, I got an email from the time, regarding our perspectives on communication, since I constantly talked
organizers of the COMP Winter School appropriateness. I was nervous, but the about the great relationship I have with
asking if I would participate in the support in that room was incredible. I the physicist that I work with, and our
upcoming 2017 conference, the first was also invited to facilitate a workshop team approach.
Winter School to explore general and participate in a panel on radiation
radiography. I was asked to present safety. They even invited me to speak I left the conference feeling much better
The Path to Appropriate Imaging: in the mammography workshop that about my path than before. I realized the
A NS Technologists Perspective. happened prior to the Winter School. path to appropriate imaging may be long
I had presented this at the 2016 a one, but it will not be a lonely one.
CAMRT conference and CAMRT This was one of the most interesting
Director of Education, Elaine Dever, conferences I have ever attended. I
had recommended me to the COMP found the idea of bringing radiologists,
committee. I was truly honored. physicists, and medical radiation
technologists together to discuss
So how did I go from soulless to issues from different perspectives to
speaking? Well, I realized that doing be enlightening, educational, and
audits of the work that we do as x-ray rewarding. One of my favorite things was
technologists around appropriateness when we divided into smaller groups to

11
Conference Recap
2017 CAMRT-OAMRS AGC
Another year has come and gone Foundation Activities CAMRT and OAMRS Presidents Event
from social gatherings to all the fantastic The CAMRT Foundation once again As the evening continued after the
educational sessions, this year has hosted their annual Roentgen Ramble awards ceremony, attendees moved
proven yet again to be one for the books. run/walk for attendees and had their into the grand hall for the Presidents
The 2017 CAMRT-OAMRS Annual General annual raffle, where fantastic prizes were Event, where great food and laughs were
Conference (AGC) ran from April 27-30th won. See page 17 for more Foundation shared, not to mention an absolutely
in Ottawa, Ontario. updates. hypnotizing performance from CAMRT
member Joyce Warren.
We Got Social!
The AGC brought many laughs and good
times, and also created opportunities
for social gatherings and meetings.
AGC attendees had the opportunity to
enjoy some good food, drinks, and good
company at The Heart & Crown in the
Byward Market Thursday evening, where
they danced the night away. Attendees
also socialized between presentations
during lunch and breaks and spent
some time in the exhibit hall where they
checked out this years vendors. You
could feel the buzz in the air as everyone
got together.

CAMRT Awards
The CAMRT awards were given out at
the Celebration of Excellence Reception,
where cocktails and appetizers were
enjoyed. Roentgen even made an CAMRT Annual General Meeting
appearance! See pages 14-15 for a full The CAMRT AGM took place on Friday
listing of winners. April 28th and was filled with questions
and fantastic insight for the future.

12
Educational Sessions Introducing our New Board of We Celebrated the 75th Anniversary
The AGC was filled with plenary lectures Directors of CAMRTs Inception
and education sessions dabbling in The new Board of Directors was
breast imaging, interventional radiology, announced at the AGC in Ottawa this As you know, we are celebrating our
sonography and much, much more. year. These individuals are instrumental history and getting members involved
in developing policies and in the through varied and fun contests on
continuing implementation of the historical themes throughout the year.
strategic plan. Changes are effective as of
July 1, 2017. See table of contents for full We made sure to celebrate at the
board listing. Annual General Conference this year,
with historical highlights of CAMRT
throughout the years.

A large, four-paneled poster was


displayed in the foyer just outside the
exhibit hall for members to admire,
and pore over for photos of colleagues
and friends.

For those that couldnt attend, we


have launched a new history section
of the CAMRT website that shares the
information from the panels and more.
Commemorative Lectures Check it out!
Lisa Di Prospero took our breath away Check out what everyone was up to
with her fantastic Welch Memorial over the course of the conference by
Lecture, Being Comfortable with viewing #camrt_oamrs17 on Twitter and
Uncomfortable. Facebook.

Lisa took us on a journey of discovery


that helped us realize that reframing
the sense of being uncomfortable as an
energy can be harnessed and leveraged,
rather than being intimidating. 2017 CAMRT-OAMRS Annual
General Conference- Record of
Attendance

MRTs who attended the 2017 CAMRT-


OAMRS Annual General Conference in
Ottawa, Ontario may now view their
Record of Attendance.

View it now

OAMRS also had the Mary F. Cameron


Lecture, presentated by Debbie Havill. 2018 and Beyond
This talk explored the impact - positive Check out the new 2018 Conferences
and negative - individuals have within and Events model page and watch the
our world of medical imaging and webinar.
therapy using anecdotes, documented
research and our stories. Conference and Events Page:
http://www.camrt.ca/events/2018-
conferences-and-events-model/.

Webinar: https://www.youtube.com/
watch?v=Z-pzjRTxsD0&feature=youtu.
be&utm_.

13
Award Winners

Awards of Excellence Competitive Awards- Exhibits

Radiological Technology Jennifer Garrow, RTR Dr. Marshall Mallett Dominique Zwicker and Derek
Program: Fanshawe College, ON Student Award Garson (NS)
Exhibit: Limitations of Bariatric
Magnetic Resonance Jennifer Guertin, RTR, CTIC, Imaging
Imaging RTMR
Program: Red River College, MB Dr. Marshall Mallett Katelyn Bellerose and Mikiko Morris
Student Award, (AB)
Nuclear Medicine Kaylee J. Gardner, RTNM Certificate of Merit Exhibit: Unwrapping a Mummy:
Program: SAIT Polytechnic, AB Advancing Radiologic Imaging
Technology as a Non-Invasive Tool for
Radiation Therapy Lisa Adey, RTT Anthropological Research
Program: CancerCare Manitoba, MB

Competitive Awards- Essays Competitive Awards- Speakers

Bayer MR Award Susan J. Crisp, RTNM, RTMR and CAMRT Speakers, Sidsel Pedersen, BASc, RTR (AB) and
Krista Dawdy, RTT (ON) 2017 ASRT@RSNA Virginia Marie Sanders, RTR (AB)
Essay: Building an MRI Safety Conference Presentation: Its the Parts that Matter
Culture From the Ground Up
ASRT Speaker, 2017 Regina Ley, AS, RT(T) (USA)
Sister Mary Arthur Lysa Nicole Lever, Student (NS) CAMRT-OAMRS Presentation: The Quest for Hakuna
Sharing the Light Conference Matata: My Journey into Community
Essay: Bone Palliation Therapy
Award for Castration Resistant Prostate Global Outreach
Cancer
CAMRT Speaker, 2017 Jill Sutherland, MHS, RTT (MB)
ASRT Radiation Therapy Presentation: Enhancing the Patient
L J Cartwright Student Deanna Lee Burns, Student (NS) Conference
Award Experience: Driving Continuous
Essay: 90Y Radioembolization: A
Quality Improvement through Patient
Safe and Effective Option
Reported Outcomes
L J Cartwright Student Anastasia Gasheva, Student (AB)
Award, Certificate of Essay: Looking Into an Improved
Merit Lateral Wrist View: Qualitative and Board Recognition
Quantitative Investigation of the
20 Axial Lateral Wrist X-Ray View
Outgoing Board Julie Cyr, RTR (NB)
Dr. Petrie Memorial Katherine Hurley, Student (NS) Member presentation
Award Essay: Peptide Receptor
Radiotherapy in the Management Past President Deborah Murley, RTR (PEI)
of Progressive and Symptomatic presentation
Neuroendocrine Tumours with
High Somatostatin Receptor Presidents Medal Robert Gilbert, PhD (NS)
Expression Associate Professor, Dalhousie School
of Health Sciences

14
CAMRT Honorary Awards
The CAMRT Honorary Awards are The Dr. Marshall Mallett Lamp of by ones peers and is designed to
a collection of awards presented Knowledge Award, honour a member of the CAMRT with
to members at the pinnacle of the honouring distinguished service to the Association.
profession. The winners of these awards a CAMRT A Life Member is an individual who
earn the highest recognition from member has supported their profession and
their association by their dedication, who has professional association at the provincial,
commitment and exceptional made a national and international levels
contributions to our profession. significant throughout their career, and whose
These awards were presented at the contribution leadership has served to motivate others
Celebration of Excellence at the 2017 to the to become involved in professional
CAMRT-OAMRS AGC in Ottawa. profession activities.
and/or
The Award for Early Professional association at a A New Honorary Life Member
Achievement, honouring a CAMRT national level in the field of education In 2017, the CAMRT also awarded
member who, at an was presented to the equally prestigious Honorary Life
early stage in Sarah Kristensen, RTT. Membership status to the long-time,
their career, dedicated, and soon-to-be-retiring
has provided A New CAMRT Life Member Director of Education at CAMRT, Elaine
inspiration In 2017, the prestigious CAMRT Dever, RTR, ACR.
and Life Membership was awarded to Elaine received this honour in
leadership Patricia Munro, RTNM. Trish inspired recognition of her contributions made
to their generations of MRTs as an educator in over 50 years in the field of medical
colleagues Nuclear Medicine at the QE11/Dalhousie radiation technology. Over 25 years
by acting as a Program in Halifax, NS, retiring last year. as a volunteer with both the NBAMRT
role model of As a volunteer, she was deeply involved and the CAMRT, Elaine served on every
professionalism and/ with the CAMRT. From the development type of committee. She was
or volunteerism was presented to of certification exams and CAMRT Best president of the
Steven Brown, RTT. Practice Guidelines, to competency NBAMRT from
profile revision, to the Education 1989-91 and
The Steward of the Profession Award, Advisory Council, she was an active became
honouring a contributor to many important a Board
CAMRT CAMRT initiatives. member
member In addition, for CAMRT
who has she was in 1999.
advocated a leader For the last
for and both in her 12 years,
worked to province Elaine has been
advance (as long- leading from
the time Board within as the Director of Education at
profession at member the national association, where she
both the and NSAMRT has transformed and modernized the
national and President) and associations CPD and certification.
provincial levels was presented to nationally as The improvements she has made for
Brian Liszewski, RTT. CAMRT Board member from 2008 to all of us, through her contributions as
2014. Those she inspired the most noted technologist, educator, staff director,
that it was her effervescent energy, mentor, committee member, and
evident at once, that caused others to MRT leader are truly amazing, and are
follow her lead. appreciated by us all at CAMRT (See all
previous Life Members).
Trish joins a prestigious group of Life
Members that have shaped and defined
the CAMRT over the years.

Life Membership at CAMRT represents


the highest form of recognition

15
Volunteer Opportunity:
CAMRT Members Lounge
Are you a passionate advocate of the additional Members Lounge your name
CAMRT? Do you appreciate the member members in your province your province of residence
benefits, services, and programs, as the name of your employer and your
well as the value in belonging to your Volunteers will receive personalized professional title
national professional association? orientation to the CAMRT, its programs one sentence on what you think
We are recruiting volunteers from each and services, and will be compensated the CAMRT does REALLY well, and
province to create the first CAMRT for their representation on our behalf one sentence on what you think the
Members Lounge. (example: if you volunteer to staff CAMRT should REALLY do better
the CAMRT booth at your provincial
Selected volunteers will be asked to AGC, or at a social event, we will pay We thank you in advance for your
assist in representing the CAMRT at your registration fee for the event(s), consideration. All submissions will
the Annual General Conference in their if applicable). In addition, your be kept for 12 months following the
home province. Depending on where contributions will be recognized on the submission deadline; however, only
you live, this could include: CAMRT website, via the e-News, and those chosen to participate in the
in the volunteer edition of the CAMRT Members Lounge program will be
staffing the CAMRT booth at your Newsletter. contacted.
provincial AGC (in collaboration with
a CAMRT staff person); Please send your expression of interest,
representing the CAMRT at relevant including the following details, to
member social events; Francine Caron at fcaron@camrt.ca
providing input or feedback (1.800.463.9729 ext 225) by September
into province-specific trends or 30th, 2017:
initiatives; or,
assisting in the recruitment of

Professional Practice Leader


Diagnostic Imaging Services
Interior Health is seeking a permanent
full time Professional Practice Leader to
provide clinical leadership and day-to-day
operational management to Diagnostic
Imaging department in 100 Mile House.

We value Canadian trained Medical


Radiation Technologists and are seeking
to expand our team. Here you will find
an enviropnment that will challenge your
professional, technical and practical skills.

For a challenging, growth-oriented


career in a beautiful natural setting where
balanced lifestyle choices abound, come to
Interior Health!

Apply today at Jobs.InteriorHealth.ca to


competition # 00993189.

Jobs.InteriorHealth.ca
Questions? Email:Tracy.Mooney@InteriorHealth.ca

16
CAMRT Foundation Updates
Activities at the AGC Preliminary Affinity Programs
The CAMRT Foundation Board would estimates Our affiliation with Johnson Inc.
like to thank all of those who came out suggest we Insurance and BMO MasterCard
to support the Foundation at the AGC in raised over continued to be very profitable in
Ottawa. $6,000 this 2017, and the Foundation benefited by
year. We receiving over $15,000 from these affinity
On Thursday would like to programs. Unfortunately, our affiliation
evening, we thank all our with MasterCard will not continue
hosted nearly members for in 2018, due to low membership
100 people their generous support. participation.
at our annual
Pub Night. The Grant and Scholarship Recipients Any time a member obtains a no
theme of the This year we received an overwhelming obligation quote on home or auto
evening was Red 21 scholarship applications. The total insurance from Johnson, the Foundation
and White and Plaid and Denim and amount of grants and scholarships receives $20. Log on to www.johnson.ca
Toques and Birthdays (Canadas 150th, awarded was over $26,000. and go to get a quote and enter CAMRT
CAMRTs 75th, and the Foundations Foundation as the sponsorship program,
30th!) The event took place in a great The recipient of the 2017 William Doern or call 1-800-563-0677.
space at the Heart and Crown Pub, in Leaders of Tomorrow Scholarship was
the Byward Market. Playoff hockey was Lauren Barnett. Lauren is in her second
followed by live music that had people year studying radiological technology
dancing well into the night. Great prizes at Fanshawe College, and her many
were available to be won throughout accomplishments include high academic
the night, as well as a 50/50 draw, which standing, strong leadership skills, and
earned the Foundation $187.00. community involvement.
Finally, the CAMRT Foundation Board
On Saturday morning, 15 Roentgen Congratulations to our 2017 Grant would like to greatly thank the team at
Ramblers got out at 7:00 am, raising Recipients: the CAMRT office for their enthusiastic
money with a 2.5 km walk or 5 km run. Rupinder Atwal support throughout the year!
Unfortunately, Amanda Bolderston
the route was Jenna Bruderer
flooded, but Megan Brydon
detours Jennifer Carey
were made Anna Cumming
and all Cindy Fisher
participants Julie Hall
returned Christine Hill
safely! Deanne Holloway
Everyone received Cecilia Kim
a Roentgen Ramble t-shirt sponsored by Para Kouhestani
AngioDynamics. Jenna Bruderer was Del Leibel
awarded a Samsung Galaxy tablet for Joshua Noonan
raising the most money. This makes her Tyler ODonohue
the best fundraiser for the second year in Jodie Piercey
a row. Keith Sutherland
Regina Tam
Saturday evening during the Presidents Janet Walker
Banquet, we hosted our Annual Jackie Wallace
Foundation Raffle. This year we had over Adrian White
40 prizes, including gift cards, jewelry,
and electronics. A second 50/50 draw To apply for one of our grant or
also took place, earning us another scholarship opportunities in 2018, please
$187.00. visit the Foundation webpage on the
CAMRT website: http://www.camrt.ca/
about-camrt/camrt-foundation/ .

17
75 Years of Association: CAMRT and
the Brodie Family
This article was submitted by past and impressive, is that my dad and mom
CAMRT President, Bill Brodie, recounting managed to bring up 9 children, 5 girls
his amazing family history with the and 4 boys, with my dad being the only
association over the last 75 years. For more breadwinner. My brother eventually
information on the 75th anniversary of went on to become a family physician,
CAMRT, please visit the website: http:// while I continued on and succeeded
www.camrt.ca/about-camrt/history/. Do in diagnostic imaging management
you have a story to share? Please contact positions in Quebec and Ontario, as
us at jmcgregor@camrt.ca! well as being heavily involved with the Classmates with a state-of-the-art X-Ray machine,
CAMRT, including two years as President and yes, cones really were used!
My dad grew up on a farm in Roblyn, in 1995 and 1996.
Manitoba, where he was born in 1914. In
the 1920s the family moved to Brandon, Looking back, I have memories of my
where he eventually took a job as an dad bringing home some fogged film
orderly at the Brandon Mental Hospital sheets of green plastic that we kids used
after finishing school. When the Second to soak in warm water in the bathtub
World War broke out, being from the to scrape off the green stuff (the film
prairies, he naturally enlisted in the navy. emulsion) and then use the clear plastic
Because of his hospital experience, and for school projects. I can still remember
his soft-spoken, patient personality, the smell of that emulsion. Suffice it to
he was selected to train as an X-Ray say, environmental protection rules were John Brodie with a stereoscopic viewer, circa 1942.
Technician, and was sent to the Royal not prevalent in the fifties and sixties.
Victoria Hospital in Montreal for training
in 1941-42. He joined the Canadian My dad passed away in 1988, at the
Society of Radiological Technicians Royal Victoria Hospital, in one of the first
(membership number 108). As a member palliative care units in Canada, if not
of the Royal Canadian Navy, he was the firstbut that is a story for another
stationed in Cape Breton and served time. When the Spring 2017 CAMRT
on the HMCS Nanaimo, a corvette that Newsletter came in the mail, with the
accompanied the troops and supply ship unique photo collage on the cover, I did
convoys across the North Atlantic. a double-take. Could it be?

In 1945 at the end of the war, on his way Copy of a photo from a 1955 Royal Victoria Hospital
back to Manitoba, he stopped in at the CAMRT news Newsletter, published on the occasion of opening
2017 a new X-Ray Department in the newly constructed
Royal Vic to visit Dr. Carleton Pierce, the Volume 35; Issue 2
Surgical Pavilion of the RVH in Montreal.
Chief Radiologist during the time he
had trained. Dr. Pierce was also a Navy
The sepia-toned photo in the upper right
veteran, from the United States Navy,
section is a photo of my father and his
and he immediately offered my dad a
colleague, Henry Simpkins, attending
positionand the rest, as they say, is
the CSRT Conference in Montreal in
history. My dad returned to Brandon to
1945. It occurred to me, as the CAMRT
collect his wife and young son Dennis,
celebrates its 75th anniversary (and as I
and returned to Montreal to work at the
near my own retirement), that our family
Vic, where he stayed until his retirement
has maintained a connection with the
over 30 years later.
CAMRT from its creation, right up to the
present day. Pretty amazing. On behalf of
The fact that he was successful at
my mom (now 96 years old), my brother
his work and enjoyed what he did is
Dennis, and myself, we wish the CAMRT
evidenced by the fact that my older
continuing success!
brother, Dennis, and I both followed
in his footsteps and certified as Publication Mail Agreement
No. 40068990
Return undeliverable Canadian
Addresses to Circulation Department

Radiological Techniciansmy brother in


Canadian Association of
Medical Radiation Technologists
1300-180 Elgin Street
Ottawa Ontario K2P 2K3
Tel: (613) 234-0012 or 1-800-463-9729

approximately 1962, and myself in 1972.


Fax: (613) 234-1097
www.camrt.ca

What many people may find surprising,

18
My Experience: Clinical Placement
Submitted by Zainab Zaheer, RTT Many of my patients initially held the to be ready to go home every single
same sentiment. But thats just it. The night and reflect on your strengths and
advantage of being a student is that weaknesses, so that you can spend
you start off with a clean slate. I had no the rest of your time reviewing all the
past negative experiences shaping the necessary material and start again fresh
way I was interacting with my patients. the next day. Thats the thing about
The only thing in the back of my mind healthcare. The weekend that you just
was that I wanted to be there for people spent crying in your bed because of all
like my aunt; people that had young the stress from placement, research, and
children waiting for their parents to your personal life is insignificant when
come back home healthy. I wanted to looking at the bigger picture. Once you
be there for people like me; people who walk through the entrance of the cancer
had interacted with HCPs that ultimately center, you leave it all behind for the sake
made them feel silly and inferior for not of your patients. Im kidding about the
knowing everything about the human crying part, of course maybe.
body.
So why do I love it so much? This
I started with actively observing how the sounds clich, but becoming a radiation
radiation therapists I worked with treated therapist helped me grow in ways that
our patients. I would pick and choose no other experience in my life did.
Before I begin, I must warn you: I am not all the traits I admired about them and Striving to become a better student
a writer. I just know how to passionately would try to incorporate these traits into each day pushed me to become a better
pour out my heart and soul about my own practice. I attended the rounds person. I developed professionalism,
basically everything in life. Perhaps at the hospital in an attempt to cultivate responsibility and, most importantly,
that is why Carly (CAMRTs publications new skills and knowledge. I strived to empathy. People need each other. The
manager) asked me to write this. We met apply the conclusions I made from the cancer centre helped me to escape from
at the social event for RTi3 where she data of the patient-centered research I reality, but didnt let me turn a blind eye
discovered that I was a storyteller. So, Ill was conducting with the cancer centre. to it. Those eight hours every day were
begin with a story my story: However, the most valuable lessons were spent with patients going through one
learned through asking patients what of the toughest times of their lives. I
Like many healthcare professionals they needed from me and listening to realized how much illness still exists in
(HCPs), I wasnt born wanting to become their thoughts and concerns about their this world, despite all the technological
a radiation therapist (it feels so weird therapy. This past year, I tried my best to advances. Instead of knowing the fact
calling myself that - finally!). I initially become the person that I would want my and feeling helpless, I was blessed with
wanted to be a spy (still do). My hands HCP to be. the opportunity to be present with my
would go weak as soon as I would enter patients and do something about it! I was
a hospital and Id always be on the Of course, theres also the technical in a place where brilliant minds and hard
lookout for blood, because it made me component of this job. You need to workers were persevering, as a team,
queasy. I only found out about radiation always keep in mind that once you with the intention of helping others
therapy after it was used to treat my deliver radiation, you can never take it improve and giving them a chance at a
aunts cancer. It was my second-last back. That is why an essential part of better life.
year of high school, and I was trying to being a radiation therapist is monitoring
figure out what to do with my life. After all aspects of the treatment in real time I was asked to share my experience of
doing hours of research and talking and making sure it all makes sense as being a third-year radiation therapy
to practicing radiation therapists, I per the principles of physics and biology. student and I can easily say that it was
convinced myself that this was the path This can be difficult to do with the the best thing that has ever happened to
I wanted take. But it wasnt until the last highly advanced technology mankind is me. They say it takes a village to raise a
year of my degree, clinical placement, constantly inventing (I am still in awe of child. Well, it took my friends and family,
when I discovered what being passionate linear accelerators). my professors at Michener and UofT, the
about radiation therapy truly feels like. whole radiation therapy department at
I would be lying to you if I said that the Credit Valley Hospital, and every single
You may think that a 20-year-old starting stress of being evaluated on everything one of my patients to get me to where I
placement would definitely lack the skills you say or do, combined with the am today. Especially my patients.
or experience to target tumours with pressure of being responsible for another
high doses of radiation, or be able to persons well-being, didnt get to me at
carry the difficult conversations with her times. As a student, the work doesnt
cancer patients about their diagnoses. end with your eight-hour shift. You need

19
Career Column: PACS Administrator
This recurring column focuses on careers back to Fredericton to be closer to our images and reports no matter which
in medical radiation technology. We families. Weve been in Fredericton, New hospital they were acquired in. We
will explore different career paths, offer Brunswick now for thirteen years. also have a Telestroke program in the
advice, and talk to those who have made a province where surgeons leverage the

2
transition from one area of the profession How did you find out about your provincial PACS to determine the course
to another. In this edition, we hear from current position, and what drew of action for the patient, regardless
Derek Harris BSc, RTR, who moved from you to this role? Can you tell us a of the location of the patient and the
MRT to Provincial PACS Administrator bit about the transition from clinical to on-call surgeon. Another benefit of the
for the Department of Health in New administrator? provincial PACS is during a downtime of
Brunswick. I have always enjoyed playing around a local PACS cluster. When a local PACS
with computers and, when a position cluster has a planned downtime or an
came up for a PACS Administrator in emergency downtime, then we can

1
Where did you go to school, and our hospital region, I wanted to apply. I switch over to the provincial PACS and
what/where were your first jobs as had only been at this hospital for a little carry on with minimal effort.
an MRT? over a year and I knew that two other,

4
After I got my Bachelor of Science at more qualified people had applied for What does your job as Provincial
UNB in Fredericton, I didnt know what the position, so I didnt apply. Since PACS PACS Administrator entail? What are
career path to choose. I wrote the PCAT was a new concept in our field and the some of the challenges or benefits
for pharmacy and applied to Dalhousie position wasnt in our union, very few to your position?
University. At the same time, I discovered people ended up applying for the job. My job as Provincial PACS Administrator
the Saint John School of Radiological Not only did few people apply, but the has been quite different from the
Technology program. I really didnt have two people who were more qualified regional PACS administrator position.
an interest in pharmacy and the thought than myself also turned down the job. Previously, I had to work with a lot of
of going to school another four years, My manager at the time knew that I physicians and other users, managing
plus the cost to do so, weighed heavy was interested and he talked to the issues and teaching people how to
on me. When I met with Elaine Dever director of radiology, who allowed me access and use PACS. Now, we work
(current CAMRT Director of Education), to submit an application. So I basically with the PACS Administrators from
who was the director of the school at the got the position by default, haha! The each Zone in the province and with
time, she informed me of all the career transition from clinical to administrator other departments as we integrate with
possibilities within radiology and that was a huge learning curve. I knew what other applications within the Electronic
interested me. Also, it was a low cost, I was doing as an MRT, but PACS was so Health Record. Now we do database
two-year program. The downside was new and I was the only one in our region maintenance, QA, data integrity and
that they only accepted 6 students per doing it, so I had to figure it out as I went system monitoring. Some of the benefits
year. My wife, who was my girlfriend along. The director of radiology at the of this position are that I learned
at the time, was also looking at career time, Laurie Blanchard, really trusted me web design tools such as PHP, HTML,
paths. We both applied, not letting the and allowed me figure things out. With Javascript and I have learned how to
school know we were in a relationship. the help of Brett Fraser, who was our navigate through databases such as SQL,
We thought perhaps one of us would Biomedical Engineer, we were able to MySQL and Oracle.
get in but, as it turned out, we both did. implement PACS in nine hospitals with

5
It was a wonderful school and we had a radiology department and 20+ more Do you have any advice for MRTs
great instructors. After we graduated, hospitals/facilities that needed viewing considering entry into similar
we got married and moved to Edison, capabilities. After acting in that position positions?
New Jersey and worked there for a year for two and a half years, the province was Apply for the job if you are interested,
as technologists. It was our first job as looking for a PACS administrator to help you just never know!
MRTs and we worked at the JFK Medical implement a provincial DI repository. I

6
Center. You might have heard about applied for the position and have been Does your wife, Amy, keep you
this hospital in the past few years, it was here since. connected to front-line practice? Do
the rehabilitation center the comedian you talk shop at home?

3
Tracy Morgan recovered in after his What are the benefits of a provincial Amy and I always talk shop at home.
accident. We enjoyed our time there for PACS, especially on patient She tells me about her hard cases, funny
a year but we couldnt renew our visas, outcomes? situations, and sad stories. She keeps me
so we left and moved to Sydney, Nova Since New Brunswick is a small province, connected to the patients.
Scotia, where we both found jobs as patients must travel around to different
MRTs. Cape Breton was a beautiful place hospitals to get the care they need. A
and the people there were amazing provincial PACS allows doctors and care
but after a year and a half, we moved workers to access all of the patients

20
CAMRTs 2017 Research Grant
Recipient
Submitted by Harinder Grewal, RTNM, CTIC In 2016, JDMI was one of the first CAMRT annually awards a research
departments to initiate a project to grant of up to $5,000 for original
internally develop general radiography research related to the medical
image quality assessment criteria and radiation sciences. The deadline for
establish a technologist peer review applications for the 2018 grant is April
program for general radiographers. 1, 2018. More information is available
For imaging technologists, peer on the CAMRT Website.
review is focused on two key drivers
of technologist work performance:
image quality and consistency. With Niagara Health Systems
more than 90% participation from 80 Trillium Health Partners
technologists over the past year, the
general radiography technologist peer The goal of this project is twofold:
review program has been successful in
promoting collaborative learning among 1. Use a consensus-based approach,
peers. Critical drivers of the program informed by evidence and expert
included strong leadership support, opinion, to develop image quality
designation of five Quality Leads to assessment criteria for the purpose
govern the program, and the design of of technologist peer review
quality rounds where anonymized peer
review cases with potential educational 2. Validate image quality assessment
merit are reviewed to allow for learning criteria with a group of external
This year, the CAMRT Research Grant and continuous improvement. stakeholders comprising experts
will support the project: Consensus- and end users who have not been
Based Development of Image Quality Amongst the feedback received from involved in the development
Assessment Criteria for Technologist our current group of participants was a process.
Peer Review. request for criteria that were more user-
friendly, rooted in evidence, and that On behalf of the team at JDMI, I would
Peer review plays a critical role in better reflected technologist practice. like to take this opportunity to thank the
reducing discrepancy and error in An initial evidence review found that CAMRT Grant Committee for awarding
medical imaging. The American there was a lack of established criteria our project the 2017 Research Grant.
College of Radiology (ACR) and for general radiography and other
Canadian Association of Radiologists modalities that could be used in a
(CAR) has established guidelines and technologist peer review setting. To that
recommendations for radiologist end, this project will focus on developing
peer review. At the Joint Department assessment criteria to be used in a
of Medical Imaging (JDMI) including peer review setting by technologists Are you on #slack yet?
Sinai Health System, University Health specializing in nuclear medicine, and will Join the new Communities of Practice
Network, and Womens College Hospital, also aim to modify the existing criteria in platform now to take part in great
radiologists have been performing peer general radiography. discussions!
reviews since 2011. Radiologists conduct
peer review by reviewing reports and The methodology for criteria Register Now
submitting scores using a 4-point development is consensus-based,
scoring scale, based on ACR and CAR informed by evidence and expert
recommendations. All 75 radiologists opinion, in partnership with imaging
within our department participate in the technologists from imaging centers
program and each of our seven radiology across Ontario. Stakeholders from the
divisions conduct Quality Rounds on following sites will be collaborating on
a quarterly basis to identify and share the project:
learning outcomes.
Joint Department of Medical
Imaging (JDMI)
St. Michaels Hospital
North York General Hospital

21
Updates from the JMIRS
Recognizing our Top Reviewers Peer review is one of the most Peer reviewing is not a task to be
The success of JMIRS is a direct reflection important components of the scientific undertaken lightly it a great privilege
of our dedicated team of international process, providing a source of credibility and honour to be asked to give an
peer reviewers who critically evaluate and quality assurance to the collective opinion on the value and quality of
manuscript submissions. Every year, the body of knowledge. As a reviewer, I someone elses work. By the time you
journal recognizes the contribution of feel it is both a responsibility get to read a submitted paper a lot of
the volunteers who review manuscripts and an honour to work has gone into the study and the
with formal letters, educational credit be charged with paper, and many people will have had
hours, and a listing on the website. Every critiquing the work the opportunity to offer comments and
year we also select top reviewers in each of my colleagues. opinions, so you are not just reviewing
discipline, who are awarded a plaque. It has also had the the paper you are reviewing all the
We asked our winners to submit a few effect of improving work that has gone before. Conducting
thoughts about their contributions as my own academic research and writing papers are hard
reviewers. writing skills, leading things to do there is no perfect
me to critically assess my work from a study and there is also no perfect
Thank you to the JMIRS for this award, reviewers point of view. It is a joy and a paper everyone will have a slightly
although I feel like reviewing is already privilege for me to be able to contribute different opinion about the quality
a very rewarding experience. Being a to the radiation sciences professions and value of someone elses work. Very
reviewer provides an opportunity to and the CAMRT by reviewing for JMIRS. rarely do I want to reject a submission
volunteer within my I would encourage anyone with an outright - as far as possible I will try
profession, while interest to volunteer. to offer encouragement and advice,
at the same time Merrylee McGuffin, Top Reviewer sometimes over multiple revisions, to
keeping informed help researchers improve their writing
of new initiatives I find reviewing a real treatwhat a and presentation skills. Experience in
and developments. privilege to read the original work of teaching and supporting students in an
Ive learned a a colleague who has the passion to academic setting is great preparation for
great deal through investigate a new idea or advance an peer reviewing as you learn to be both
review activities. I would existing one. Whether it is a well-crafted critical and supportive in a way that is
recommend it to anyone interested paper from an experienced author, or a encouraging rather than judgmental.
in getting involved, and encourage more tentative first I have been particularly pleased over
everyone to recognize that if you work foray from a new the last few years to see and review
in the MRT field you have a great deal author, a reviewer more qualitative research papers try to
of expertise to rely on. When reviewing, has the fortunate improve the robustness of publications
you just have to be bold, be brave, and opportunity to learn in this emerging field in our discipline.
be honest. Just tell it like it is! In a polite something new while Anne Marie Culpan, Top Reviewer
and respectful way, of course. - Alison providing advice for
Giddings, Reviewer of the Year the work to be shaped
Jean Wilson (R),
so it can be shared with colleagues presenting Anne
I began peer reviewing while I was in around the world. MRS professionals Marie Caulpan (L)
school finishing my PhD. At the time, are finally making their mark through with the plaque for
my program director suggested that high quality research and change, and Top JMIRS Reviewer.
Originally published
with my research and medical imaging I gain something every time I read a in the Society of
background, peer reviewing would be published paper: one way that I can give Radiographers
a positive way to give back to the field. back for what I gain is to contribute to magazine.
He was certainly correct. No matter what the reviewing process and ensure that
level a person is at in their career, I feel more of that valuable new work makes
it is extremely important to volunteer its way into our body of knowledge. New Interested in volunteering as a peer
in whatever capacity works for them. reviewers should grasp the opportunity reviewer?
For new reviewers beginning this to get involved: while they might feel The JMIRS is always recruiting
process, the best advice that I could nervous, its important to remember interested volunteers to participate
give is not to stress over a review. If you that theyll be reviewing alongside more in the peer review process. Contact
do not feel comfortable with a certain experienced colleagues and under the editor@camrt.ca with an expression
area of research, its ok to turn down stewardship of an expert Editor. of interest and we will create your
the request. - Victoria Barnosky, Top Sharon Maresse, Top Reviewer account! New to research? We are
Reviewer happy to start you off slowly and pair
you with experienced reviewers for
your first review.

22
collaborative teamwork. This article is a
CME article and provides the equivalent
of 2 hours of continuing education that
may be applied to your professional
development credit system.

Call for Papers for 2018


We are preparing a special issue of
the JMIRS on the topic of Personalised
Medicine, which is defined as medical
care in which treatment is customized for
an individual patient. We invite MRTs, as
well as our inter-professional colleagues,
to submit papers by May 1, 2018. For
more information, please see here: http://
www.camrt.ca/blog/2017/02/15/jmirs-
call-for-papers-for-2018/. Questions?
Contact the Managing Editor: editor@
New JMIRS issue now available! camrt.ca.
Check out the latest edition of the
Journal of Medical Imaging and Radiation Introducing the annual JMIRS Cover The winning cover image from 2016, by
Sciences at www.jmirs.org here is a Art Competition CAMRT member Mai Vo from Alberta.
selection of some of the great articles We need your creativity to make the
included in this issue: cover for our upcoming special issue
5.1675. Accepted formats include EPS,
even more special! The theme of this
PDF, TIFF or JPEG for electronic artwork.
Finding Purpose, Passion, and Happiness issue is Image Guided Therapy. What do
in Your Profession you picture when this aspect of medical
Submissions can be sent directly to
This commentary outlines the journey radiation technology meets art? We want
editor@camrt.ca. The winner will be
that Catherine Wang and her team at the to see your inspiration!
selected by the JMIRS Editorial Board,
Joint Department of Medical Imaging and will have their artwork displayed
in Toronto have undergone to create The contest is now open, and runs until
on the cover of JMIRS Volume 48#4, to
a culture of academic practice for all October 1, 2017. Artwork should be
be published in December 2017. Start
imaging professionals. original if you are reproducing any
planning your entry now!
part of an image or text, please make
Information Loss Via Visual Assessment sure that all the rights are cleared both
of Radiologic Images Using Modified for print and electronic publication. We
Version of the Low-Contrast Detailed are looking for an image that is 7.125 x
Phantom at Direct DR System
Quality in radiology images can be
assessed by determining the levels of
information retained or lost in an image.
In this study, using a traditional CD
phantom (air-Perspex) and a modified
CD phantom, the authors demonstrate
that the material within the CD phantom
influences total information loss (TIL) and
image quality figure (IQF) measurements.
The modified CD phantom provides a
more realistic account of TIL and IQF for
soft tissue radiology imaging.

Collaboration in Health Care


Health care involves the participation e
dlin
of patients, family, and a diverse team Dea stract st
Ab 1
for sion: 3 7
of often highly specialized health care u b mis er 201
S ob
professionals. Involvement of all these Oct
team members in a cooperative and
coordinated way is essential to providing
exceptional care. This article introduces
key concepts relating to interprofessional

23
Provincial Reports
Newfoundland In February, President Allison Kahl months, and included numerous
The NLAMRT resigned from her position on Council in-person and virtual touchpoints,
celebrated the due to personal reasons. Council eventually culminating in a vote that
2017 graduation appointed Melanie Hilkewich to took place from May 31 to June 18, 2017.
this past month. position of SAMRT President for 2017;
The first image although she has not been on Council In all, 892 BCAMRT members cast
is the Medical for a while she has experience as SAMRT, their votes in this referendum. 43.6%
Radiography Class CAMRT and Saskatchewan Association of members voted for the BCAMRT to
of 2017 on their of Medical Imaging Managers (SAMIM) continue as-is (with internal efficiencies);
graduation day. president. Finally, Brenda Lock has been while 56.4% voted for change, with the
And the second image are some award elected as Vice President for 2017. CAMRT delivering provincial association
winners from this graduating class. services to members in BC. This result
Annual General Meeting and gives the BCAMRT and CAMRT the
Conference: mandate to work together to implement
The 2017 Annual General Meeting the transition to the CAMRT provincial
(AGM) and Conference will be held on service delivery model in BC. Both
September 9th in Saskatoon. It will organizations are collaborating closely to
be a one day joint conference with 3 ensure a smooth transition by December
associations: SAMIM, Saskatchewan 31, 2017.
Association of Medical Diagnostic
Sonographers (SADMS) and SAMRT. It is worth noting that the introduction
of this new model for provincial service
British Columbia delivery in BC will not affect national
With the expected establishment of a association services already provided by
regulatory college the CAMRT all provincial association
on the horizon, services in BC will be funded through
the BCAMRT provincial member dues and will be
had been managed by a new CAMRT employee
investigating ways dedicated to this purpose.
to streamline
its services to The CAMRT will endeavour to keep
minimize the you informed through this process as
Exemplary Patient Care Award - Jennifer Trickett, impact new and when updates become available.
Roy Crowle Memorial Award for Clinical Excellence college dues In the meantime, should you have any
- Sara OKeefe, David Beresford Memorial Award would have on its members. As part of questions, we ask that you address these
for Mentoring and Leadership - Sara OKeefe and
this investigation, the BCAMRT contacted to ctopham@camrt.ca.
Melissa Coles
the CAMRT to discuss ways in which the
two organizations might work together
to achieve these goals for their common
Saskatchewan members. Discussions regarding this
possible collaboration took place
between the two organizations over
a couple of years, resulting in the
formulation of two options for the future
of provincial association services for
MRTs in BC, including the establishment
Council and Office Updates: of a model whereby the CAMRT would
The SAMRT Executive Director Chelsea deliver these important provincial
Wilker accepted a position in The Regina services.
QuAppelle Health Region; we thank
Chelsea for all her dedication and hard In March of this year, the BCAMRT
work on behalf of the SAMRT. Debbie Board opened a consultation process
Schatz began as the new Executive with their membership to discuss the
Director in April 2017. Most recently options for the future of provincial
Debbie has worked with the Provincial association services in in the province.
Ministry of Health. This consultation process lasted several

24
Alberta CAMRT, including being the CAMRT the ACMDTT website. The College was
representative on the Medical Isotopes also active at the Sonography Canada
and Imaging Modalities Advisory Conference 2017 in Vancouver, BC on
Committee. He was also involved in the May 25-27. The conference is the largest
policy development for the formation of educational and networking event
the ACMDTT. for sonographers in Canada. Along
with the College of Medical Radiation
2017 ACMDTT Honorary Life Kathy Hilsenteger, RTT, ACT, started Technologists of Ontario (CMRTO), the
Membership Recipients her career in the profession as a radiation ACMDTT presented a joint presentation
The ACMDTT recognized two individuals therapist. She was a Council member to the Sonography Canada Board on the
at the Colleges Annual Awards of the Alberta Association of Medical importance of self-regulation. Both the
Presentation for their outstanding Radiation Therapists (AAMRT) and was ACMDTT and CMRTO also addressed the
dedication, commitment and instrumental as the AAMRT membership conference breakfast audience.
contributions to their professions. organization transformed into the
regulatory ACMDTT, as she was the Stroke Ambulance
Terrence Ell, RTNM, PhD, FCAMRT, has Colleges first CEO/Registrar. ACMDTTs Karen Stone, CEO/Registrar,
devoted himself to the development visited the University of Alberta Hospital
of MRTs provincially, nationally and Diagnostic Imaging Services department.
internationally. He began his career as a She explored the amazing Stroke
Nuclear Medicine technologist in 1980 Ambulance, the first of its kind in Canada.
and over the years has been involved With its own built-in CT scanner, the
with many aspects of the profession. ambulance crew can scan the patients
brain before they even reach the
hospital. Karen extends special thanks to
the fabulous crew and staff.

Kelly Simpson, ACMDTT President presents the


ACMDTT Life Membership to Kathy Hilsenteger,
RTT, ACT

She helped develop the College at the


Kelly Simpson, ACMDTT President presents the provincial and national levels, liaising
ACMDTT Life Membership to Terrence Ell, RTNM, with organizations such as the CAMRT,
PhD, FCAMRT CAET and Sonography Canada. She
was a founding member of the Alliance
Karen Stone, ACMDTT CEO/Registrar had a tour of
of MRT Regulators of Canada. She is the amazing University of Alberta Hospital Stroke
As an instructor in the nuclear medicine currently the Executive Director of the Ambulance and its own built-in CT scanner.
program at the Southern Alberta Alberta Federation of Regulated Health
Institute of Technology (SAIT), he has Professions.
touched the lives of multiple classes of
students. For more than three decades, Regulation of Diagnostic Medical
in the role of Clinical Instructor in Nuclear Sonographers (DMS)
Medicine at Calgarys Foothills Medical The ACMDTT continues to actively
Centre, he has positively influenced the reach out to the DMS community in
professional lives of more than a full preparation of the impending regulation
generation of technologists. of sonographers in Alberta expected
to be proclaimed by the provincial
He is currently the Vice President of the government this fall as part of the Health
Americas for the International Society Professions Act (HPA).
of Radiographers and Radiological
Technologists. He has spoken as In-person and video conference
an ISRRT representative at the Pan presentations have been made
American Health Organization, a branch throughout the province for the key
of the World Health Organization, stakeholders in the public health sector,
as well as at conferences in Brazil, physician community clinics, and
Trinidad and Barbados. He has held educational institutions. Videos and fact
numerous volunteer positions with sheets are on a dedicated DMS page on

25
CPD Highlights
FULL LENGTH COURSES

An Introduction to Research: NEW FALL 2017


This full length course is an introduction qualitative type, develop a hypothesis will be discussed. Health professionals
to research for allied health professionals. or aim statement, and design data will learn how to compile results from
It explains why research is important collection and data analysis strategies acquired research data sets and derive
in allied health and details different for the specific types of research studies. conclusions. Dissemination techniques,
types of research. It provides a basic They will also be provided with the such as how to write up research, for
understanding of research principles, knowledge to perform a literature review scientific journal publication, conference
designs and processes, enabling the and critically review published research presentation, or in poster format, will
beginning researcher to design a simple articles for validity, reliability and bias; also be reviewed. Financial support
research study from start to finish, and skills useful for performing research and is an integral component of research;
apply the results to improving clinical for evaluating the quality of research approaches to funding will also be
practice. After course completion, health studies that are available in professional included in the course.
professionals will be able to focus their journals. Ethical concerns in research
research, whether of a quantitative or and the use of research ethics boards

An Introduction to Pharmacology for the Imaging Technologist:


SIGNIFICANTLY REVISED
This full length course is designed to medications, specific system medications as adverse effects. The goal of this
introduce pharmacology as it applies and the variety of pharmaceuticals course is for the student to obtain an
to an imaging technologist in the used in the diagnostic imaging field. understanding of the fundamentals of
diagnostic imaging field. Students The focus is on drug classification, pharmacology.
will be introduced to topics including: administration, metabolism, indications
common medications, classification of and contraindications for use, as well

QUICK SELF STUDIES


The Life Cycle of the Breast: COMING SOON
This quick self-study course provides an puberty, the childbearing years, the development, function and atrophy, over
exploration of the female breast and the menopausal years, and old age. There is the lifetime of a woman.
developmental and functional changes focus on the hormonal influences within
that occur with the breasts over the the body, as well as artificial hormones,
course of a lifetime, through infancy, and how they influence breast

Stereotactic Body Radiotherapy: COMING SOON


This quick self-study course is intended simulation, treatment planning and to understand overall basics of SBRT
to introduce the learner to stereotactic quality assurance will all be discussed in and how it applies within the different
body radiotherapy (SBRT) and its role relation to SBRT. As well, there will be departments within radiation therapy.
within radiation therapy. The course a brief overview on individual tumour The learner will also understand how
will provide an introduction to SBRT, sites that benefit from stereotactic body SBRT will benefit specific patients and
its evolution and indications for use radiotherapy. When the course has been tumours sites.
for certain patients. Immobilization, completed the learner should be able

26
MRI in Radiation Therapy: COMING SOON
This quick self-study course will therapy. This course will discuss MRI radiation therapy both in simulation and
introduce to the learner the basics of image formation, patient safety, and in treatment.
Magnetic Resonance Imaging (MRI) and common image sequences. This course
how it is being integrated into radiation will also explore how MRI is being used in

For more information about these or other courses, please contact the CAMRTs Continuing Professional
Development department at cpd@camrt.ca.

CAMRTs Canadian Dosimetry Certificate (CDC) vs MDCBs Certified Medical Dosimetrist (CMD)

Since the CAMRTs release of its Canadian Dosimetry Certificate program in 2008, the field of medical
dosimetry continues to undergo significant change. The Canadian Dosimetry Certificate (CDC) is a highly
specialized designation in dosimetry that is recognized in Canada as well as known internationally.

The CAMRT is often asked how its Dosimetry courses and its CDC program compare to the CMD designation.
Here are some key differences:

1. The three individual CAMRT dosimetry courses can be taken individually without pursuing the CDC
designation. They are recognized and approved for Category A credit by the CAMRT and for credit by the
MDCB.

2. The CDC designation is granted once all three courses have been successfully completed, a Summary of
Clinical Competence completed and a Research Project is completed.

3. In line with the CAMRTs commitment to lifelong learning, the Dosimetry Committee strongly advocates
for continued competence through continuing professional development.

4. CDC is a program.

The CDC requires more than the successful completion of an examination. It is a comprehensive educational
program, consisting of didactic, clinical and research components, leading to a nationally recognized
designation.

A table detailing the comparisons between both programs can be found on our website: http://www.camrt.
ca/professional-development/certificate-programs/cdc/

For more information on either of these programs, please contact:

CAMRT: dosimetry@camrt.ca

MDCB: info@mdcb.org

27
My coverage was there for
me when I needed it most.

During an X-ray procedure,


I accidentally caused injury to a
patient. They sued me for damages.
Luckily, my CAMRT PLI was able to
make a settlement. Without it, I would
have had to pay more than $5,000 out
of my own pocket. My coverage was


there for me when I needed it most.

pli.camrt.ca

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