Clinical Education for Radiologic Technology Program|Widener-Crozer - Crozer-Keystone Health System - PA


Clinical Education

The following information is presented to provide the student with the plan of clinical education. Because the information spans the entire clinical process of the two year program, it may seem overwhelming upon first reading the information. The staff of the radiography program will meet with students both as individuals and as a group to reinforce and guide you through this process. Class meetings are set up at the beginning of each semester to review coming objective and requirement of clinical education

We encourage you to refer to this section of the student handbook frequently. Additionally, please do not hesitate to meet with any faculty member if questions or concerns arise.

The clinical education portion of the program provides a means for the student to acquire the skills necessary to perform the duties of an entry-level technologist. The purpose of clinical assignments is to allow the student opportunity to apply theoretical principles of radiography, patient care and department procedures to practical experience. The student will have the status of learner and will not replace department personnel. Didactic education corresponds with and is coordinated with clinical education schedules. Combined clinical and didactic education times never exceed 8 hours per day or 40 hours per week.

Clinical Education Settings

Clinical Education is scheduled at both of the main sites. The Crozer-Chester Medical Center (CCMC) in Upland, PA, and Delaware County Memorial Hospital (DCMH) in Drexel Hill, PA.  In addition, students go to Media Medical Imaging in Media, Pa, Crozer Medical Plaza at Brinton Lake in Glen Mills, Pa, Springfield Hospital in Springfield, Pa., and Crozer-Keystone Broomall Imaging in Broomall, Pa. All of these facilities are members of the Crozer-Keystone Health System.

Students are also required to complete a one-week pediatric observation  rotation at the Nemours/A.I. DuPont Hospital for Children in Wilmington, DE.
Clinical hours are as follows:

Assignment Times
CCMC Clinical Facility 8:00am until 4:00pm
DCMH Clinical Facility 8:00am until 4:00pm
Media Medical Imaging 8:00am until 4:00pm
Springfield Hospital 8:00am until 4:00pm
Brinton Lake Imaging 8:00am until 4:00pm
Broomall Imaging 8:00am until 4:00pm

Assigned times are noted on the student clinical schedules distributed at the beginning of each semester. Students are expected to check in and check out with a school faculty member, or in the absence of a school faculty member, the lead technologies or chief technologist assigned to the clinical area.

Students are assigned a 45 minute lunch when assigned to the clinical area. Students who are scheduled off for 3 or more hours will not take a lunch break, but rather a 15-minute break.



Clinical Education Plan

Semester I – Orientation Phase

This phase introduces the student to the radiology department; focusing mainly on getting the student acclimated to the functionality of the radiology department. Clinical instructors demonstrate use of equipment and performance of radiologic procedure.  Students are given objectives, evaluation and competency tests to complete during this phase of clinical education.

Semester II - Assistance Phase

This stage of clinical education requires that students increase their level of activity in the radiology department by assisting the technologist in the performance of studies. Students are applying learned skills to actual patient care situations by beginning to perform radiologic studies under the direct supervision of the staff radiographer.  Students are give objectives, evaluations and competency tests to complete during this second phase of clinical education.

Semester   III – Performance Phase

This stage of clinical education expects that the student will be performing most radiologic studies either under the direct or indirect supervision of the staff radiographer, depending on proof of clinical competency.  Students are exercising independent judgment and are completing requirements necessary to begin the last phase of clinical education. Students are given objectives, evaluations and competency test to complete during this third phase of clinical education.

Semester   IV – Final Competency Phase

This phase of the clinical education process finds the student having completed competency tests for all categories of radiologic studies, performing independently in the radiology department under the indirect supervision of a staff radiographer. Students must complete requirements for final competency, which is a re-affirmation of the students’ competency. Students are given objectives and evaluation in addition to the final competency tests. Students must satisfactorily complete a critical thinking & problem solving mock scenario. The students will be given specific circumstances in which they must adopt to complete the case.

Clinical Competencies

Equipment Competencies

Taught, learned and assessed in Semester 1.
Re-assessed during the Semester II, Semester III and Semester IV.

The student must demonstrate competency in this use of radiographic equipment before beginning to perform any radiographic procedure. This is accomplished in the following way:
  • Clinical instructors demonstrate the use of the radiographic equipment located in the assigned room, using equipment competency check lists which are distributed to all the students.
  • Students are required to practice using and moving radiographic equipment, when the room is vacant.
  • Students must perform all items on the equipment competency checklist in order to be considered competent in the use of radiographic equipment.
  • Students failing to perform all items on the competency checklist will meet with a clinical instructor. The clinical instructor will re-demonstrate the equipment with emphasis on areas of deficiency. Students will be given subsequent opportunities to demonstrate competency in the use of radiographic equipment during the first semester.

Clinical Objectives

Assessed and achieved in Semester I, II, III and IV.
  • Clinical objectives are posted in each room. Students are expected to achieve these objectives during their clinical assignment and as they progress from one semester to the next.
  • Students will demonstrate completion of each clinical assignment objective through the use of the Clinical Evaluation Form.

Clinical Evaluations

Distributed and assessed in Semesters I, II, III, and IV
  • Staff radiographers, at the end of each scheduled room assignment, evaluate students. The evaluations are used to demonstrate the student’s cognitive, affective and psychomotor performance in the clinical area. Evaluations correlate with the objectives and expectation for the first semester, specifically, the students progress through the orientation phase of the clinical education plan.
  • The student will give their evaluation to their assigned staff radiographer. The staff radiographer will assess the student’s performance during the clinical rotation.
  • Students must score a minimum average grade of 85 percent.
  • Students failing to score a minimum average grade of 85 percent will be placed on a remedial schedule(s).

Clinical Labs 

Taught, Learned and Assessed in the following semesters:    Semesters I and II

Clinical labs correlate with the Radiographic Procedures I & II classes. Upon completion of classroom instruction of a specific radiographic procedure, clinical instructors correlate the information with a clinical lab. The following outlines the procedure for clinical correlation:

  • A specific radiographic procedure is taught in the classroom. As an example: Chest Radiography Lecture
  • A clinical demonstration lab is presented to the class, by a clinical instructor, within two school days of the lecture. The demonstration lab takes place in a radiographic room in the CCMC or DCMH department of radiology. As an example Chest Radiography Demonstration Lab follows Chest Radiography Lecture.
  • Students are given printed step-by-step procedures indicating the correct way to perform the procedure. Students are expected to take notes in their clinical books during the demonstration lab.
  • Students are encouraged to work with a clinical instructor as a follow up if needed. Please see any instructor to schedule a session.

Clinical Unit Tests

Unit tests are scheduled as a follow up to clinical labs. Using the printed step-by-step procedure as the testing form, the student meets with a clinical instructor, during a scheduled unit test. At this time the student will simulate the performance of the radiographic procedures. As an example: Chest Radiography Unit Test.

  • Students must complete all Radiographic Procedure Unit Tests with a minimum score of 85.
  • Students who do not score a minimum grade of 85, for any radiographic procedure on the unit test will re-test the procedure(s), to prove competency.
  • If the student doesn't receive 85% competency on a retest they must write out the failed viewed criteria according to the lab notes and retest to achieve clinical competency.
  • Achieving less than an 85% average on the entire unit test requires the student to perform each failed view at a minimum of 85% competency. In addition, the student must complete the corresponding unit in the Merrill's workbook.
  • As with didactic unit tests, clinical unit tests assure continued proficiency in a content area.

Competency Testing

Distributed and Assessed in the following semesters:    Semesters I, II and III
Reassessed in the following semester: Semester IV

Competency testing is used to demonstrate that the student has achieved mastery of a radiographic procedure. Competency testing allows the student to move from direct clinical supervision to indirect clinical supervision. Competency testing is performed on actual patients in the department of radiography. Competency testing must be performed in the presence of a clinical instructor or staff radiographer.

  • A copy of the testing tool used to document clinical competency is distributed to all students. Students must document completion of the following before attempting a clinical competency test: lecture, demonstration lab and practice.
  • The student will perform twelve (12) competency tests in the first semester, thirteen (13) competency tests in the second semester, and twelve (13) competency tests in the third semester and two (2) competency tests in the fourth semester.
  • Final competency testing is performed in the last semester of the program. Final competency testing is a reaffirmation of the student's competence. A list of required final competency exams is distributed to all students.

Student Supervision Policy

Policy for Student Supervision


To establish guidelines for the supervision of Radiography Program students during the performance of radiographic procedures in the Radiology Department.


All Students of the Radiography Program will be supervised by registered radiographers while performing radiologic procedures in the Radiology department in accordance with JRCERT Standards.

  1. Students who have not yet demonstrated clinical competency will be supervised under the Direct Supervision of a registered radiographer.
  2. Direct Supervision dictates that:
    1. A registered radiographer reviews the exam request in relation to the students level of competence in the program.
    2. A registered radiographer evaluates the condition of the patient in relation to the student’s knowledge,
    3. A registered radiographer is present in the room during the duration of the exam.
    4. A registered radiographer reviews and approves the films produced by the student.
  3. Students who have demonstrated clinical competency will be supervised under the Indirect Supervision of a registered radiographer.
  4. Indirect Supervision dictates that:
    • A registered radiographer will be immediately available to assist the student.
    • “Immediately available” is defined as the presence of a registered radiographer adjacent to the room or location where the radiographic procedure is being performed.
  5. All repeat radiographs will be performed under the direct supervision of a registered radiographer regardless of the students level of competency.

Students who fail to follow this policy are subject to disciplinary action, relating to the severity of the incidence. Grounds relating to disciplinary action will follow the Disciplinary Policy in the handbook.

Policy for Indirect Student Supervision

Student radiographers performing radiographic exams and procedures indirectly supervised   by registered radiographers.


To acquire a means for the student radiographer to progress clinically from working under direct to indirect supervision.


Student radiographers must successfully complete the required clinical objectives published in order to work under the status of indirect supervision.


  1. Students must have completed equipment/room competency with 100 percent proficiency.
  2. Student must “live” test learned/practiced procedure on a patient, scoring a minimum of 85 percent. The “live” test must not be the first attempt at performing the exam, as documented by clinical logs.
  3. While performing exams under indirect supervision, the student will have a registered radiographer immediately available to them.

    • Note: “Immediately available” is defined as the presence of a qualified radiographer adjacent to the room or location where a radiographic procedure is being performed.  This availability applies to all areas where ionizing radiation  equipment is in use.
  4. All unsatisfactory radiographs shall be repeated only in the presence of a qualified radiographer regardless of the student’s level of competency.

Students who fail to follow this policy are subject to disciplinary action, relating to the severity of the incidence. Grounds relating to disciplinary action will follow the Disciplinary Policy in the handbook.

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