Clinical Practice 3A
CP3 builds upon scientific knowledge and clinical experiences from previous semesters. This placement concentrates on general radiographic positioning and radiographic image analysis of the skeleton, chest, abdomen contrast imaging, trauma, and pediatric radiography. Students advance to an intermediate level including mobile imaging, A&E, paediatrics, geriatrics, skull/dental imaging, contrast imaging, angiographic/vascular studies, and ultrasound imaging.
Clinical Focus Areas
Clinical Completion Requirements
Students must successfully complete all four of the following conditions to pass this clinical course:
Attendance: must not exceed 15% absence of total assigned clinical days
Professional attitude: professional behaviour with staff and patients, correct dress code (lab coat and TLD)
Clinical workbook: completion of all required case reports signed by clinical preceptor and supervisor
OSCE: must pass the Objective Structured Clinical Examination at end of semester
Workbook Case Report Requirements
Total required: 40 case reports — all must be signed by both the clinical preceptor and clinical supervisor.
General X-Ray
20 reports required
Required fields: Date, patient age/gender/ID, pregnancy status, clinical history, examination requested, projections taken, KVp/mAs/SID, exposure index, image quality, anatomy & pathology interpretation, radiation protection & infection control
Mobile X-Ray
5 reports required
Required fields: Date, patient details, clinical history, examination requested, projections taken, KVp/mAs/SID, patient condition & nursing staff interactions, radiographic process adjustments, image quality, anatomy & pathology interpretation, radiation protection, learning outcomes
Contrast Examination
5 reports required
Required fields: Date, patient details, clinical history, pre-examination preparation & informed consent, contrast agent details, medications, cooperation with medical/allied health staff, radiation safety, projections & timing, post-processing & image quality, anatomy & pathology interpretation
DSA (Angiography)
5 reports required
Required fields: Date, patient details, clinical history, indications, procedure, previous imaging, projection & anatomical area, field size, catheter type & tip position, injection parameters (volume, rate, KVp), acquisition rate (fps) — if available
Ultrasound (Upper & Lower Abdomen)
5 reports required
Required fields: Date, patient details, clinical history, examination requested, pre-examination preparation & consent, transducer selection, region scanned & methods, image optimization, challenges faced by sonographer, student role, learning outcomes
Clinical Skills Assessment Rubrics
The following structured rubrics are used by clinical supervisors to assess student competency during placement.
Course Learning Outcomes (CLOs)
Knowledge
Demonstrate an understanding of the multidisciplinary approach to the clinical management of paediatrics, the elderly and patients in accident and emergency situations.
PLOs: PLO2, PLO5
Practical
Evaluate appropriate general radiographic examinations for the musculoskeletal and respiratory systems and the abdomen on adult patients with minimal supervision while documenting the use of digital or AI-enabled workflow tools when available.
PLOs: PLO1, PLO3, PLO4
Manage fluoroscopy sessions in terms of the radiographer's role, so that an appreciation of the nature of the professional inter-relationship between all members of the multi-disciplinary team is revealed and the team's duty of care obligation to the patient during diagnostic imaging procedures is evident.
PLOs: PLO2, PLO3, PLO5
Participate in digital subtraction angiographic examinations.
PLOs: PLO1, PLO3, PLO4
Clinical Competencies by Domain
Positioning
Mobile X-Ray operation and positioning
Trauma & emergency radiographic positioning
Paediatric radiographic techniques
Geriatric patient management
Skull & dental imaging
Spinal imaging — C-Spine, T-Spine, L-Spine (AP/Lateral/Oblique)
Femur (AP/Lateral), Abdomen (Supine/Erect), Humerus & Shoulder
Advanced Modalities
Contrast examination procedures
DSA / Angiographic procedures
Ultrasound — upper & lower abdomen
Patient Care
Patient-centered communication
Safety
Radiation protection & ALARA principles
Infection control procedures
Image Critique
Processing and sending images in PACS system
Radiographic image analysis — anatomy & pathology
Course Requirements
Prerequisites
Co-requisites
Assessment Breakdown
Workbook Summary
Key Performance Indicator
Clinical students must achieve at least 60% of the marks allocated for each assessment component to pass the clinical course.
Course Coordinators
Program Learning Outcomes
PLOs addressed by this course
Demonstrate foundational and advanced knowledge of human anatomy, physiology, pathology, and the physical/technical principles of medical imaging, with emphasis on radiation biology, safety, and regulatory standards.
Exhibit effective communication skills in oral and written forms, tailored to healthcare settings, while demonstrating professionalism, ethical responsibility, and cultural sensitivity.
Apply patient care principles and safety measures, including radiation protection, correct positioning, and optimal exposure, to produce high-quality diagnostic images while minimizing patient dose.
Integrate AI-assisted imaging protocols into diagnostic practice to enhance image quality, efficiency, and patient safety.
Analyse medical images and imaging system performance, identifying normal, abnormal, and artifact appearances, and recommend improvements to optimize diagnostic outcomes.