Clinical Practice 5D
CP5D is the final clinical placement, running concurrently with CP5A, B, and C. Students consolidate all clinical competencies at the advanced level, preparing for graduation and professional practice.
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: 50 case reports — all must be signed by both the clinical preceptor and clinical supervisor.
General X-Ray
15 reports required
Required fields: Date, patient age/gender/ID, pregnancy status, clinical history, examination requested, projections taken, KVp/mAs/SID, exposure index, image quality (PGMI), image interpretation of anatomy & pathology, radiation protection & infection control
CT Scan
10 reports required
Required fields: Date, patient details, clinical history, examination requested, patient preparation & instructions, positioning & anatomical area, eGFR (kidney function test), imaging protocol, scan ranges, scanning parameters, reconstruction details, contrast details, window settings, dose info (CTDI/DLP)
MRI Scan
10 reports required
Required fields: Date, patient details, clinical history, examination requested, patient care & safety instructions, receiver coil, patient/coil placement, protocol selected, sequences with parameters, anatomical area covered, IV contrast media, artefacts & minimisation, pathology appearance, learning outcomes
Ultrasound (Upper & Lower Abdomen)
10 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
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, acquisition rate (fps) — if applicable
Clinical Skills Assessment Rubrics
The following structured rubrics are used by clinical supervisors to assess student competency during placement.
Course Learning Outcomes (CLOs)
Knowledge
Describe the selection of clinical CT and MRI imaging protocols.
PLOs: PLO1, PLO4
Explain the use of quality control measures relevant to medical multislice CT and MRI.
PLOs: PLO4, PLO5
Intellectual
Synergise image appearances and health assessments in the clinical environment using appropriate terminology.
PLOs: PLO2, PLO4
Practical
Prepare the cooperative patient for the implementation of multislice CT scanning protocols.
PLOs: PLO3, PLO4
Conduct pre-scanning screening of MRI patients and provide clear instructions prior to performing MRI.
PLOs: PLO2, PLO3, PLO4
Demonstrate familiarity with the use of CT and MRI workstation software to provide a range of image options, including selected AI-assisted post-processing tools.
PLOs: PLO4
Clinical Competencies by Domain
X-Ray
General X-Ray — Advanced level (any body part)
CT
CT Imaging — Intermediate level (any body part)
CT protocol selection & scanning parameters
CT image interpretation & evaluation
MRI
MRI Imaging — Intermediate Beginner level (any body part)
MRI patient safety screening
MRI patient preparation & positioning
MRI image interpretation & evaluation
MRI safety — implant screening, metallic object removal
Ultrasound
Ultrasound — upper & lower abdomen
Positioning
Positioning proficiency — all projections
Safety
Radiation protection — paediatric, adult, reproductive age
Infection control — hand hygiene, PPE, decontamination
Basic Life Support (BLS) — completed training
Image Critique
Image quality — exposure settings, artefact identification, troubleshooting
Patient Care
Patient communication — verification, consent, privacy, cooperation
Patient movement — critically ill, elderly, MRI transfer
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.