Mammography Training

PgC – Professional Practice in Mammography

Introduction to the Module

This is a newly validated course and is a complete PgC in Mammography Practice that replaces the Principles and Practice of Mammography (P&P) and the original Certificate of Competence. This quadruple module is part of the MSc pathway in Medical Imaging hosted by Kingston University.

Details of ‘Professional Practice in Mammography’ RA7013 & RA7014 (Quadruple - Module) are set out in the Information to the Applicants booklet in the University Pack and also in the specific St George’s Information pack which can be applied for directly from the St George’s Training Team.

These modules are designed to equip students with skills in clinical mammography, supported by the knowledge and understanding underpinning mammography practice.

Radiographers will benefit from a high level of individual tuition at St. George’s NHSBSP National Breast Screening Training Centre or associated Satellite Centres, to enable consolidation of the taught component through additional practice and experiential learning at their clinical base.

Our standards are high. Radiographers who successfully complete the courses at St. George’s NHSBSP National Breast Screening Training Centre are recognised nationally and internationally for their high level of expertise, the ability to reflect and apply theory to their working practice and for a consistent level of performance.

We ensure our clinical trainers, either at St. George’s NHSBSP National Breast Screening Training Centre or Satellite Centres, are radiographers who participate in Continuing Professional Development and gain qualifications appropriate for supervising adult learning in the workplace.

If you have any further questions, please do not hesitate to contact the Training Office at St. George’s NHSBSP National Breast Screening Training Centre. A member of our Training Team will always be happy to speak with you personally.

PROFESSIONAL PRACTICE IN MAMMOGRAPHY (1)

PRE-REQUISITES: None

CO-REQUISITE: PROFESSIONAL PRACTICE IN MAMMOGRAPHY (2)

MODULE SUMMARY

This module is a core module in the MSc in Medical Imaging (Mammography) and runs concurrently with Professional Practice in Mammography (PPM -2). The module introduces students to the basic knowledge and skills in mammography to enable them to develop professional clinical competencies. The module will also develop critical evaluation of the basic mammographic technique in the clinical environment. Core factual material is provided via keynote lectures during attendance of the identified academic week.

AIMS

The aims of this module are to:

• Facilitate the professional development of the student to enable them to gain the experience and expertise necessary to become an effective, competent, independent mammography practitioner within the multidisciplinary breast care team in which they are a member.

• Provide the skills and knowledge in mammography to enable the student to develop the competencies to practice in a range of environments to the professional and national standard.

• Facilitate the critical evaluation of the chain of care and practices provided by health care professionals for the women from access of the service to diagnosis and treatment and associated support services and to make recommendations with regard to the quality of the service offered.

LEARNING OUTCOMES:

On successful completion of the module, students will be able to:

1. Competently and safely perform routine mammographic examinations to the standard necessary to optimise diagnostic accuracy;

2. Critically evaluate mammographic technique and diagnostic quality of images and make recommendations to improve practice;

3. Make informed critical judgements with regard to the operation of the x-ray imaging equipment and local established mammographic quality control practices;

4. Make critically informed judgements on aspects of the quality of care delivered by different professional groups working in local breast care services from the perspective of the women requesting or requiring the service;

5. Review, reflect and report on the experiences of women who access breast care services and make recommendations as to an appropriate course of action to improve poor practice or to disseminate good practice;

ASSESSMENT STRATEGY

Assessment of the learning outcomes will be through an essay of 4000 words. Independent learning skills will be developed throughout the module through structured visits and critical appraisal of the literature. Clinical competence will be assessed periodically through workplace observations and the evaluation, by the student, their mentor and a trainer and following a set criteria, of 50 examples of the student’s current practice; evaluation of 20 sets of ‘Images’ commenting on quality issues such as technique and sensitometry, and where appropriate, a remedial action plan (OSCE).

PROFESSIONAL PRACTICE IN MAMMOGRAPHY (2)

PRE-REQUISITES: None

CO-REQUISITE: PROFESSIONAL PRACTICE IN MAMMOGRAPHY (1)

MODULE SUMMARY

This module is a core module in the MSc in Medical Imaging (Mammography) and runs concurrently with Professional Practice in Mammography (PPM – 1). The module further expands the knowledge and skills obtained in PPM(1) and introduces additional mammographic assessment technique and associated breast pathology. The module will also develop the student’s role as a mentor enabling educational support to junior colleagues. Core factual material is provided via the keynote lectures during attendance of the identified academic week.

AIMS

The aims of this module are to:

• Facilitate the professional development of the student to enable them to gain the experience and expertise necessary to become an effective, competent, independent advanced mammography practitioner within the multidisciplinary breast care team in which they are a member.

• Provide the skills and knowledge in additional mammographic assessment techniques and associated breast pathology to enable the student to develop the competencies to practice in a range of environments to the professional and national standard.

• Provide the skills and knowledge necessary for the student to undertake the role of mentor and provide educational support for the assistant practitioner workforce and other junior members of staff with whom she works.

LEARNING OUTCOMES:

On successful completion of the module, students will be able to:

1. Competently and safely perform additional and advanced mammographic examinations undertaken for clients with a range of different physical, medical and other special-needs, to the standard necessary to optimise diagnostic accuracy;

2. Critically evaluate additional advanced mammographic technique and diagnostic quality of images and make recommendations to improve practice;

3. Make informed critical judgements with regard to the operation of the x-ray imaging equipment used within assessment clinics;

4. Recognise and evaluate common breast pathology and the potential need for further assessment.

5. Appraise the knowledge, understanding and communication and interpersonal skills demonstrated by different professionals delivering the service and where appropriate, compare and contrast these with their own ability to communicate effectively in the workplace with women and professional colleagues

6. Provide and appraise ongoing mentorship and educational support to Assistant Practitioners, student radiographers and other junior members of staff working within the service.

ASSESSMENT STRATEGY

Assessment of the learning outcomes will be through completion of a logbook of cases with reflections in which they reflect on the communication & interpersonal skills demonstrate and their role as a mentor to junior staff
Clinical competence will be assessed periodically through workplace observations and the evaluation, by the student, their mentor and a trainer and following a set criteria, of 30 examples of the student’s current practice representing a range of additional views or images of women presenting with a range of special needs plus an evaluation of 10 sets of images, commenting on the pathology and where appropriate, suggesting additional appropriate views (OSCE).

Clinical Requirements

We believe for Radiographers to complete the module successfully, they need access to regular Mammography. Before a place on the module is confirmed, assurance must be received in writing, signed by the Applicant’s Superintendent or Line Manager that they will have access to a minimum of 10 Mammograms per week for the majority of their training.

Only Radiographers who we feel are able to gain the qualification working within their own departments are accepted onto the clinical component. If the Radiographer or her department feel it is necessary to gain additional experience by performing Mammograms away from her department, we would not oppose the decision. However, while this may expedite learning, this is in no way a condition of training at St. George’s NHSBSP National Breast Screening Training Centre.

The equipment which the Radiographer will use during training at their own unit must enable her to carry out the tasks required by the course. St. George’s NHSBSP National Breast Screening Training Centre will ask for some equipment details to ensure this is possible.

Radiographers will be asked to name a Mentor, who will be a Radiographer holding a recognised Mammography qualification.

While St. George’s NHSBSP National Breast Screening Training Centre will support and advise students with at least three tutorials (more if required), Radiographers coming on the module will need the support of their Superintendent and Colleagues.

Teaching and Learning Strategies

Our aim is for the teaching and learning methods employed to be both interesting and stimulating for the student. We strive to create an environment that is non-threatening and sympathetic to the varying needs of individual Radiographers. While the students are strongly supported, they are also encouraged to seek knowledge on their own, to think independently and critically, to reflect and apply theories to their working practice.

Module Operational Procedure

The length of the quadruple module is one year. We will negotiate a completion date with individuals which meets the requirements of the University and St. George’s NHSBSP National Breast Screening Training Centre.

1. Application will only be considered when the designated forms have been correctly completed with all the required information and returned as previously indicated.

In conjunction with the University you will be informed as soon as possible as to the success of your application.

You will be asked to attend St. George’s NHSBSP National Breast Screening Training Centre for five days of Lectures, Workshops and Demonstrations. This will provide the foundation on which to build for the assessments and the clinical week.

2. A date will be agreed for the Clinical part of the module. This is for one week either at St. George’s NHSBSP National Breast Screening Training Centre or associated Satellite Centres for clinical training.

During the Clinical Week the Radiographer will undertake examinations under supervision as indicated in the Log Book. If currently working in Mammography, Radiographers are asked to bring some examples of previous work to this part of the course so we may gauge and build on experience and knowledge.

3. Radiographers return to their departments for completion of the Log Book and additional practice. It is during this time that Radiographers undertake the visits, reading and written assignments. They are also offered opportunities for tutorials at St. George’s NHSBSP National Breast Screening Training Centre, Satellite Centres or Home Units with Trainers, sometimes on a one to one basis or in small groups. Continual individual support for Radiographers during training is a feature of our courses and contributes to the success of the candidates.

4. Full details of the assessment for the module will be provided in the course handbook, and discussed during the academic week.

Mentor

Radiographers attending St. George’s NHSBSP National Breast Screening Training Centre for training will be asked to name a Mentor, a Radiographer who holds a recognised Mammography qualification.

Criteria for the Radiographer as a Mentor

A Mentoring Radiographer should: -

1. have completed the appropriate Postgraduate Modules in Mammography or hold an appropriate Mammography qualification;

2. regularly undertake Clinical Mammography;

3. regularly undertake Quality Assurance and Quality Control procedures;

4. be familiar with the Quality Standards, for Radiographers as set out in the NHS BSP guidelines;

5. devise a Protocol and Schedule for the mentoring process (the Protocol
should make clear that the mentoring and associated clinical activities are proper, agreed, planned and audited).

6. provide tutorial support for the student on a regular basis;

7. inform the module leaders at St. George’s NHSBSP National Breast Screening Training Centre if the student is experiencing unresolved difficulties at tutorials. This may include limited access to practice;

8. advise and confer with the module leader on any problems which might arise.

Module Cost

The module cost for Professional Practice in Mammography for NHS employees are reviewed annually. The current fee is £2,200 (September 2009). This fee covers the Academic and Clinical weeks, tutorial/marking time, University registration and presentation to the Exam Board and reflects the fact that the Postgraduate Certificate Award now constitutes of 4 modules rather than the previous 2. Lunches and refreshments are provided during the Academic week. You will be asked for the name and address of your Finance Department for invoicing purposes.

The College of Radiographers’ registration fee for the Postgraduate Award in Mammography Practice is currently £50.00 (2008) for members and £65.00 for non-members. Registration to the College is not compulsory at this present time although will be discussed with candidates during their Academic week at the Training Centre for clarification.

Tutorial Costs

The Travel costs for tutorials are the responsibility of the Radiographer’s employing unit. We encourage the Radiographer to travel to the Training Centre for these tutorials. However, it is sometimes more practical for a trainer to travel to a central location and arrange to see several Radiographers from different units. In such cases, costs will be divided and employing units invoiced.

St. George’s NHSBSP National Breast Screening Training Centre has considerable experience in delivering the Principles and Practice of Mammography and The College of Radiographer’s Postgraduate Award. We would be pleased to welcome you to our centre for training.

Satellite Centres

It is essential that the clinical training is completed in an authorised screening unit but we recognise that St George’s London may not be the best location for everyone. Therefore we have teamed up with four other fully authorised training satellites where teams are equipped to deliver the clinical training to the high quality required. You may opt to complete this module at any one of these sites.

St George's Breast Education Centre
St George's Hospital
Blackshaw Road
Tooting
London
SW17 0QT [Map]

Tel: 020 8767 8864 or 020 8725 1534
Fax: 020 8767 8864 or 020 8682 0044

Guildford
Jarvis Breast Screening & Diagnostic Centre
Stoughton Road
Guildford
Surrey
GU1 1LJ

Coventry
Warwickshire, Solihull & Coventry Breast Screening service
Coventry & Warwickshire Hospital
Stoney Stanton Road
Coventry
CV1 4FH [Map]

Ipswich
East Suffolk Breast Screening Unit
Ipswich hospital NHS Trust
Heath Road
Ipswich
IP45PD

Gateshead
Gateshead Breast Screening Unit
Queen Elizabeth Hospital
Sheriff Hill
Gateshead
Tyne & Wear
NE9 6SX

Truro
Cornwall Breast Screening Service
The Mermaid Centre
Royal Cornwall Hospitals Trust (Treliske)
Truro
Cornwall
TR1 3LJ

Mammography Assistant Practitioner Training (MAPT)
View details of this course