Radiography Advisory Meeting Minutes

Nov. 18, 2021, 4 p.m.

Meeting place

Zoom

Facilitator

Janelle Murphy, LLCC Radiography Program Director

Attendees

Members in attendance

Dr. Vern Lindquist, LLCC Vice-President of Academic Services; Micaela Childress, LLCC Student Success Coach; Karen Sanders, LLCC Foundation, Executive Director; Sherri McLaughlin, Jacksonville High School Guidance Counselor; Dr. Curt Settlemoir, Central Illinois Radiologic Associates, Medical Advisor; Lance Malloy,Springfield Memorial Health Outpatient Services Manager; Anna Miller, Springfield Memorial Health, CI; Rebecca Weakley, Memorial Cares, CI; Patti Brown, Director of Imaging, Jacksonville Memorial Health; Doug Ferrill, Taylorville Memorial Health, Radiology Manager; Joanne VanLeer, Director of Imaging, St. John’s Hospital; Shanna Wall,St. John’s Hospital, CI; Holly Krepel, Taylorville Memorial Hospital, CI; Shannon Meier, St. Francis Hospital, CI; Meghan Scheer, Passavant Area Hospital, CI; Janelle Murphy, LLCC Radiography Program Director; Andy Harmon, LLCC Radiography Program Faculty and Clinical Coordinator; Lindsay White, LLCC Radiography Program Lab Assistant; Laurel Bretz, LLCC Director of Community Education; Brenda Bale, Springfield Clinic, Director of Imaging; Charity Mizera, Springfield Clinic, Radiology Operations Manager; Brooklyn Loos, Springfield Clinic, Radiology Operations Manager; Michael Wempen, Springfield Clinic, CI

Members absent

Dr. Cynthia Maskey, LLCC Dean of Health Professions; Marjorie King, Director of Imaging, Springfield Memorial Health; Kurt Brauer, Springfield Memorial Health, Inpatient Imaging Manager; Trinity Flowers, Hillsboro Area Hospital, Imaging Supervisor; Jane Johnson, Hillsboro Hospital, CI; Emily Burg, St. John’s Hospital, CI; Kayla Boone, Passavant Area Hospital, CI; Jen Lewis, St. Francis Hospital, Imaging Manager; Chad Nickelson, OCI, CI

Guests

N/A

Agenda

  1. Zoom gallery view introductions
  2. Overview of current students
  3. Program effectiveness data
  4. JRCERT standards revision effective 2021
  5. Employer survey results
  6. Graduate survey results
  7. Assessment data 2021-2022
  8. Annual review of program mission statement
  9. Miscellaneous
  10. Open forum

Minutes

1. Introductions

  • In light of this being a Zoom meeting, Janelle introduced everyone with their name and role. The program is pleased to introduce Lindsay White as the new laboratory assistant.

2. Overview of current students

  • (Janelle) There are currently 15 1st year students and 12 2nd year students.
  • First Years, Class of 2023
    • Each June the program starts with 16 students, the 1st year class lost one student in the 2nd semester for a personal reason.
    • We have at least one 1st year student placed at each of our clinical sites.
  • Second Years, Class of 2022
    • The 2nd year class has lost 4 students. Of the four, two were dismissed for academic reasons (1st and 3rd semester), one withdrew for a personal reason in the 1st semester, and one was dismissed for repeated absenteeism.
    • We have at least one 2nd year students placed at each of our clinical sites, except for Jacksonville Memorial Health.
  • The application period is currently open for the class that will start in June 2022. Any student who meets the program’s admission requirements can apply until Friday, January 28, 2022, by 5 p.m.

3. Program effectiveness data

  • (Janelle) The LLCC Radiography program is accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT). The program is required to complete an Annual Report for the JRCERT as an aspect of maintaining accreditation. The 2020 Annual Report was completed and submitted in September 2021. There are three pieces of information that are required as data indicating our program’s effectiveness; Credentialing Exam Pass Rate, Program Completion Rate, and Job Placement Rate. This information, as well as almost anything else you’d like to know about our program, can be found on LLCC’s radiography webpage. The data submitted is as follows:
    • ARRT Credentialing Exam Pass Rate – The five-year average for graduates passing the ARRT exam on the 1st attempt is 98.1%. In the five-year average, there was one student who did not pass on the 1st attempt. Fortunately, this graduate did pass on the 3rd attempt and is gainfully employed as a radiographer. The timeframe used for reporting on the 2020 Annual Report is 2016-2020. This information was well received by the attendees and there were no additional comments brought forth for discussion. View Credentialing Examination Rate information in the LLCC Radiography Program Effectiveness Data document.
    • Job Placement Rate - The five-year average for the program’s job placement rate for those graduates seeking active employment within 12 months is 100%. The timeframe used for reporting on the 2020 Annual Report is 2016-2020. The employers who hired our Class of 2021 graduates in some capacity were Springfield Memorial Health (CT, MRI, and diagnostic imaging), St. John’s Hospital (Surgery, Mammography, and diagnostic imaging), Jerseyville Community Hospital (diagnostic imaging), and Springfield Clinic (Imaging). This class was extremely affected by Covid due to clinical site being closed to students from approximately March – August. At the start of the summer semester, only ½ of the students were allowed back into clinical. Many students had a lot of clinical time to make up and we did deal with some incomplete grades in RAD 200. Fortunately, everyone was back on track by the start of the spring semester. Two of the graduates are furthering their education. One did not seek employment and is enrolled in the LLCC DMS program starting in August. The other student transferred to SIU-C for Radiation Therapy. This information was well received by the attendees and there were no additional comments brought forth for discussion. View the Job Placement Rate information in the LLCC Radiography Program Effectiveness Data document.
    • Program Completion Rate (Attrition) – Per JRCERT requirements, the completion rate is now reported annually and not as a 5-year average. The benchmark set by the program is a 75% completion rate and the completion rate for 2020 is 78.57%. This result meets the set benchmark; however, completion rate continues to be an area of concern for the program, and we are continually seeking ways to improve the outcome. View the Program Completion Rate information in the LLCC Radiography Program Effectiveness Data document.
  • The program has had an action plan in place to improve its retention rates for quite some time. Strategic pieces of the action plan include:
    1. Change to a Selective Admission process, instituted in 2014
    2. Student Success Plan, instituted in January 2015
    3. Mid-Semester Student Progress Meetings, instituted 2015
    4. Easier access to positioning lab with afterhours and weekend availability and the option to sit in on other lab sessions
    5. Change to Clinical Final exam rules, effective June 2018. Students previously were expected to pass the clinical final exam with a score of 80% or higher. This wasn’t a rule in any of the non-clinical courses, so the program decided to drop this requirement since clinical finals aren’t felt to have any greater importance over the final exam in any of the other required lab courses. Since 2015, there have been 6 students fail from the program due to not passing the clinical final exam. We feel this change should help with this issue; however, the student will still have to pass the clinical course with an overall score of 80% or higher. Since its effective date, seven students were able to pass a clinical course even though they had not received a score of 80 or higher on the clinical final exam.
    6. Revision of the positioning lab competency form. Previously, the patient input portion of the lab comp sheet required the student to score a 100% on patient input or if anything was missed the highest score a student could get for a comp grade was 80%. Effective with this fall semester, we changed the patient input portion to replicate the scoring of the actual exams and so this column is now averaged in with the average of the 8 exam columns. Since 2015, we have had 6 students fail from the program for their comp scores. We feel this should help with the issue of students who are failing from the program due to RAD 103, 104, or 105 grades by allowing them to get a higher score on the individual lab comps. Since its effective date of fall 2018, 16 students, who would have received a base score of 80 for this section, were able to score higher on the comp and with the last cohort, there have been 64 instances of improved scores from the possible base score of 80%. The average comp score for these instances was 91%.
    7. Change to RAD 103 averaged lab competency score. Previously, for all three positioning courses, RAD 103, 104, and 105, the average of all comps in that semester needed to average to 80 or higher. Effective, summer 2019, the averaged comp score for RAD 103 was lowered to 75 or higher. The program made this change because more students are lost in the first semester due to the lab comp scores than any other factor. As the students become more accustomed to lab comps, their scores always increase by RAD 104 and 105. We feel if we can make it a little easier for that first semester then more students will stay in the program. Since implementation, three students were able to pass RAD 103 who previously would not have.
    8. Proposed change to the Selective Admission Point System form. The program revised the current point system form to include higher points given to potential students who have a previous history of clinical experience. Currently, 0.5 points are given to anyone who is a CNA with certification within the last 5 years or with a current work history. Students who make it into the program with CNA experience always do better clinically and with the patient care courses. The program increased the point for CNA to 1.0 and included CMAs and Radiography Tech Assistants. We also included Paramedics in the extra 1-point group. This change was effective spring of 2019.
    9. New! Change to student clinical evaluations for 1st year students, effective fall 2021. Dating back to 2015, seven students were dropped from the program due to clinical evaluation scores below 80%. Of those seven, five students were dropped in the first clinical semester. The program discussed this issue at the 2020 Advisory meeting to explore possible resolutions. Based on the Advisory committee’s recommendations, the program formed a small committee to revise the clinical site evaluation for 1st year students. Previously, the same evaluation was used for both 1st and 2nd year students and clinical evaluation scores must be 80% or higher for the student to pass the course and remain in the program. The 2nd year evaluation did not change. The new 1st year evaluation was revised to better correlate to 1st year students and their lack of positioning skills, lack of classroom knowledge, and limited clinical time by the time the mid-semester and final evaluations are due. Of the ten total questions, five questions were revised. These five questions related to Organization of Work, Patient Care, Technical Knowledge, Image Assessment, and Adaptability/Critical Thinking. Currently, the only 4 Notes data we have to report on is from the mid-semester clinical evaluation from the fall 2021 semester. On average, the evaluation scores from mid-semester fall 2020 to mid-semester fall 2021 improved from 90.6% to 93.4%. The lowest score was an 80.8%. 

All the information regarding program retention rate with the addition to the action plan was well received by the attendees and there were no additional suggestions or comments brought forth for discussion. Janelle asked all attendees to continue to think about ways to improve the program’s retention rate. She also mentioned that the changes seem to be making a difference based on the results provided. Janelle shared with the group that issues with retention plague many programs. We hear this from the REM meetings we attend as well as at other conferences.

Janelle gathered information from the JRCERT website regarding annual retention rates. In comparing similar, associate-degree programs in Illinois, LLCC had the 9th highest retention rate for 2020. Everyone’s rates seem to fluctuate each year from the previous year. For instance, Danville Community College has the highest rate this year at 100%, but in 2019 they were at 85%. The 2nd best in 2020 is Illinois Central College at 93% but the year before they were at 74%. At the start of each new cohort, it seems that all 16 students show a lot of promise. It’s difficult to anticipate reasons that students either drop or are dismissed. It seems to depend on what the demographics of each class are, such as, the need to work more than 20 hours, the number, and ages of children at home, and/or their financial stability and support at home. There was no additional discussion on this topic.

Additionally, Janelle shared ARRT registry exam results with the group dating back to 2014. The table demonstrates how the LLCC students’ results compare with all students taking the registry exam. We feel that these results demonstrate that the program is doing a good job educating the students and providing strong candidates for the registry exam and for employers. The data listed in red indicates LLCC scoring higher than or tying with the average of the nation. Joanne Vanleer complimented the program. Otherwise, there was no additional discussion of this topic.

Year LLCC or ALL RAD Protection Equip &QC Image Acq & Eval Procedures Pt Care & Ed Average Mean
2014 LLCC 8.1 7.9 7.9 8.6 8.3 80.5
2014 ALL 8.5 8.1 8.2 8.5 8.5 83.8
2015 LLCC 8.9 7.8 7.6 8.4 8.9 83.5
2015 ALL 8.4 8 8.2 8.4 8.6 83.7
2016 LLCC 8.7 8.3 8.7 8.2 8.4 85.3
2016 ALL 8.4 8.2 8.3 8.4 8.3 83.3

 

Year LLCC or ALL Pt Interactions Physics/Bio RAD Protection Acq & Eval Eqp Op & QA Procedures (H, S, P) Procedures (T & Abd) Procedures (Ext) Total Mean
2017 LLCC 8.6 8.3 8.4 8.3 8.5 8.8 8.1 8.7 84.7
2017 ALL 8.4 8.2 8.2 8.2 8.1 8.9 8.4 8.7 83.6
2018 LLCC 9.1 8.8 9 8.2 8.2 7.9 8.1 8.9 85.7
2018 ALL 8.6 8.3 8.5 8.2 8 8.3 8.1 8.3 83.6
2019 LLCC 8.7 9 8.6 9.1 8.6 8.3 9.2 9.2 88.2
2019 ALL 8.6 8.3 8.5 8.2 8 8.1 8.4 8.6 83.4
2020 LLCC 8.5 8.3 8.3 8.5 8.2 8.1 8.2 8.7 83.7
2020 ALL 8.4 8.4 8.3 8.3 8.2 8.4 8.3 8.5 83.3

 

4. JRCERT standards revision 2021

(Janelle) The JRCERT publishes six Standards that are required for program accreditation the new revision becoming effective January 1, 2021. The program shared the revisions with everyone but highlighted the few changes that might impact the program. The six standard titles were revised and are as follows: Standard One – Accountability, Fair Practices, and Public Information, Standard Two – Institutional Commitment and Resources, Standard Three – Faculty and Staff, Standard Four – Curriculum and Academic Practices, Standard Five – Health and Safety, and Standard Six – Programmatic Effectiveness and Assessment. The change to Standard Five is under 5.4: The program assures that medical imaging procedures are performed under the appropriate supervision of a qualified radiographer. The last sentence of this standard states “Students must be directly supervised during surgical and mobile procedures regardless of the level of competency.” This last sentence is a new addition to the standards but should not pose a problem with the clinical sites.

5. Employer survey results

(Janelle) The program waits until about 6 months post-graduation to send surveys to the employers that we know hired our graduates. Based on the results, we appear to be meeting our mission of producing competent entry-level radiographers. The survey was sent to 11 employers. View the radiography employer survey of graduated students on the LLCC Radiography Surveys webpage.

OPTIONAL RESPONSES:
  • Please feel free to comment on their ability to communicate effectively:
    • Shows compassion with her patients.
    • Colleague is kind and caring of her patients.
  • Please feel free to comment on their problem solving and critical thinking skills:
    • This has been a difficult time to join us, and the pace can be very fast. Colleague shows very good skills in adapting.
  • Please feel free to comment on their overall professionalism:
    • We have had to address some attendance issues but feel this will resolve now.
  • Please feel free to comment on their attitude and self-confidence:
    • Colleague joined our department at a time with many openings. The area can be fast paced, and she had adapted well to this. We value her very much.
  • In general, please feel free to comment:
    • As noted above, a most difficult time in the diagnostic area with many openings. Colleague is extremely valuable to us.
    • This student went into a more advanced role. The colleagues recommended her for this position after her rotation in surgery. She had adapted to this role very well.
    • This graduate is an excellent radiologic technologist. She has really grown into her own and is great at thinking outside of the box. The providers enjoy working with her and patients have left cards for her. She is an asset to Springfield Clinic.
  • Please list any topic(s) you believe should be emphasized more in the program that would help us achieve our goals and make graduates even more knowledgeable about radiography, more empathetic towards patients, or better communicators and problem solvers:
    • I feel your students graduate with what they need. They show confidence and are willing to learn. This 6 Notes candidate when into mammography which we usually do after experience, but she has taken this challenge on and is acclimating well.

6. Graduate survey results

(Janelle) The program waits until about 6 months post-graduation to send surveys to the graduates who were actively seeking employment. Eleven of the 12 of the graduates responded to the survey. There are several questions on the survey specific to post-graduate employment. The information gathered from those questions indicates that all 11 of the students’ submitting surveys were employed within 6 months of graduation and all of them had jobs before they graduated. The graduates work in a multitude of locations and often in more than one specific area of the department. Six graduates are employed in General Radiography, three were trained in CT, one in MRI, and one in mammography. Ten of the graduates’ work in the hospital setting and one works in an outpatient clinic. Nine of them are employed full-time, one is part-time, and one works on a PRN basis. When asked about the length of the orientation process at their place of employment three of them indicated a 1-2-week orientation, two indicated a 3-6-week orientation, and six indicated they had a 7–12-week orientation. View the radiography graduate survey on the LLCC Radiography Surveys webpage.

OPTIONAL RESPONSES:
  • Were you employed in any capacity in Radiology Technology within six months of graduation?
    • Cat Scan at Springfield Memorial
    • Yes, at St. John’s
    • I started my new job at SMH CT in June 2021
  • Please feel free to comment on how long it took you to find employment after you graduated.
    • I had accepted a job before I graduated. In what specialty have you been employed in since your graduation?
    • Cat Scan
    • Mammography and diagnostic radiography
    • Surgical radiography
  • For your first Radiology Technology job after graduation, how long was the orientation in the imaging department that was provided by your employer?
    • 15 days at one place and 3 months at the other
  • Based on your classes and clinical experience in the program, how well did the program prepare you to think critically and solve problems on the job?
    • Traumas in the hospital setting really help you critically think.
  • How well did the Associate Degree Radiography program achieve its goal of graduating competent, entry level radiographers who demonstrate clinical excellence built on academic achievement?
    • The program does a very good job of preparing students for the radiologic technologist field. I am a strong believer that the amount of clinical hours we had to complete is what truly helps us be competent and prepared for the field ahead of us. Our teachers were extremely helpful and great mentors to all students. Lastly, LLCC radiologic program does a very good job at getting you prepared for the work field.

7. June 2020-May 2021 assessment data

  • (Janelle) The June 2020-May 2021 Assessment Plan was presented to everyone. This plan marks the third cycle of a new three-year cycle of assessment. The measurement tools used to correlate the data are various questions on Clinical Evaluations, Clinical Final exams, written papers, oral presentations, and lab competencies, E*Value time tracking, E*Value procedures tracking reports, skills labs, and embedded test questions. The attendees were provided with a listing of which courses are used to assess each program goal along with the results of that measurement. The Program Goals and Outcomes are as follows:
    • Program Goal #1, Students will demonstrate a firm foundation for the profession and the imaging processes considering patient safety and patient interactions. Goal #1 Outcomes; 1) Students will demonstrate the value of time, distance, and shielding in relation to radiation protection, 2) Students will summarize the cycle of infection and how it correlates to patient safety, and 3) Students will summarize the interactions between x-ray photons and matter.
    • Program Goal #2, Students will develop competency in the clinical environment. Goal #2 Outcomes; 1) Students will demonstrate appropriate patient care skills, 2) Students will demonstrate accuracy in radiographic procedures; specifically, for positioning, technique, and image evaluation, and 3) Students will demonstrate accuracy in radiographic procedures; specifically, for positioning, technique, and image evaluation.
    • Program Goal #3, Students will develop critical thinking skills. Goal #3 Outcomes; 1) Students will adapt standard procedures to non-routine cases, and 2) Students will analyze images for diagnostic quality.
    • Program Goal #4, Students will demonstrate communication skills. Goal #4 Outcomes; 1) Students will demonstrate written communication, and 2) Students will demonstrate oral communication.
    • Program Goal #5, Students will exemplify professionalism. Goal #5 Outcomes; 1) Students will demonstrate on-the-job responsibility, 2) Students will identify with the importance of professional organizations and continuing education, and 3) Students will identify with the importance of professional organizations.
  • The assessment data was sent to all the committee members in the email invitation, and they were asked to review the information prior to the meeting. Of the 35 benchmarks assessed, three of them were not met so the discussion was focused on those benchmarks.
    • Program Goal #2 – RAD 102 Patient Care; Benchmark: 80% of the students will receive a passing score (P) on patient transfer skill testing on the 1st attempt. Analysis: Eleven out of 16 students (68.8%) were able to pass the transfer skill testing on the first attempt, which does not meet the benchmark. Students were given videos and lecture material for patient transfers but were unable to practice transfers in person prior to the skills test. While this may be a side effect of temporarily changing to an online format, the result remains like the previous cycle. Again, this result would likely improve with additional hands-on practice time. Plan to re-assess this in next cycle of assessment to initiate improvement. There was no additional discussion of this result.
    • Program Goal #3 – RAD 250 Clinical Internship V; Benchmark: Average score of >80% on embedded test questions related to adapting to non-routine cases. Analysis: Twelve students answered six test questions, with an average score of 79.1%. This falls slightly below the benchmark and is also lower than the results seen in previous cycles. As before, most of the missed items related to proximal humerus fractures. This material will continue to be reinforced in RAD 221 when covering fractures, and the instructor will look for methods other than test questions to assess student learning in this area. There was no additional discussion of this result.
    • Program Goal #5 – RAD 295 Career Development; Benchmark: 80% of the students will receive an average score of >85% on their written resume. Analysis: Six of the thirteen students failed to score an 85 or higher on the resume and cover letter so this goal was not met. Only two students received an A, five students received a B, five students received a C, and one student received a D. Based on the plan set in Cycle 2, the student were allowed to turn in a rough draft that was reviewed by the instructor prior to submission of their final resume. The rough draft and final resume scores were averaged into the final grade. Unfortunately, this plan did not impact the final grade as well as expected. Plan to assess resume skills again in the next assessment cycle to search for methods of improving this outcome, to include an appointment with the Writing Center. There was no additional discussion of this result.
  • Janelle asked for any additional comments and suggestions and stressed the value of input from the committee on assessment. The group was comfortable with the information that was provided to them. No additional comments were expressed at this time. They were asked to continue to think about the program’s assessment measures and to provide ideas and feedback to Janelle at any time.

8. Annual review of mission statement

(Janelle) All attendees were provided a copy of the current program’s Mission Statement and asked to review it. There were no recommendations for change brought forth.

9. Miscellaneous

  • Janelle asked for an update from the clinical sites regarding the status of mandatory Covid-19 vaccinations. Dr. Lindquist let everyone know the current status with LLCC. We are urging students to be vaccinated and offer free vaccination clinics. LLCC also offers free testing. Most of our clinical sites have adopted the policy of mandatory Covid vaccination for all students unless they have received a medical or religious vaccination from the college. We currently have all but three of our students fully vaccinated. Those three have received exemptions and are maintaining weekly testing.
  • Janelle and Andy updated everyone on changes in gonadal changing. They explained the reasoning behind the change and the universal push to discontinue use of patient gonadal shielding. The program has a category for shielding on the lab competency form and we plan to remove it effective with the spring semester. Additionally, there is a category on the student clinical evaluation form for Radiation Protection, but it will remain unchanged. Good radiation protection practices aren’t specific to the patient and the students learn many practices of self-protection that are to be continued.
  • The program would like to thank and recognize LLCC for the LEAGUE grant. With this grant we were able to purchase additional venipuncture phantom arms and a cultural diversity CD series from ASRT. We would also recognize and thank Springfield Memorial Health for donating arthrogram trays.

10. Open forum

  • (All) No comments were brought forward for discussion.
  • The Advisory Committee meeting concluded at 5 p.m.