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8/12/2019 Diagnostic Form B
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8/12/2019 Diagnostic Form B
2/33
Form (B) IIR/RQRB
If yes please s$pply a notarised copy of.%a& ,o$r certificate of registration %doc$entary evidence that yo$
are la*f$lly in the state *hich is iss$ed "y the Garda NationalIigration B$rea$ %GNIB& and sho*ing the iigration stap
%"& /assport endorseent
The period of perission sho*n in the certificate and the passportsho$ld atch!
2* Copy of original diploma/degree and a trans"ript of all e:am results
sho$ing sub1e"ts studied and grades obtained*
5* ,"ademi" re"ord
* Do"umentation to indi"ate that your #ualifi"ation entitles you to
pra"ti"e as a diagnosti" radiographer in the "ountry $here your gained
your #ualifi"ations*
4* Fee of ;733 < $hi"h must be dra$n on an Irish Ban0 and payable to the
Irish Institute of Radiography*
6* If appropriate!! =arriage Certifi"ate0Change of nae certificate
>* ?hould the appli"ant hae any additional information they thin0 is
releant+ an outline $ill suffi"e* If re#uired it $ill be re#uested*
A//)ICANT
1! /ersonal Details
-ame of ,ppli"ant R#,NA)DO G! T'A))A 2R,ddress 1345 AG'ADAS ST! B'RA'#N()#,T#
6716 /8I)I//IN#S
IF yo$ are not an ##A national( are yo$ legally resident in Ireland,#S - NO - NO
If yes please s$pply a notarised copy of.
%a& ,o$r certificate of registration %doc$entary evidence that yo$are la*f$lly in the state *hich is iss$ed "y the Garda National
Iigration B$rea$ %GNIB& and sho*ing the iigration stap%"& /assport endorseent
The period of perission sho*n in the certificate and the passport
sho$ld atch!
Date of Birth A'G'ST 51( 149:
,ddress for "orresponden"e R#,NA)DO G! T'A))A 2R!If different DR! A8MAD ABANAM, 8OS/ITA)
A);8AMRA DISTRICT #
8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
RI,AD8 >INGDOM OF SA'DI ARABIA
-ationality FI)I/INO
=ale/Female MA)#
@ear Qualified 3??9
3! General #d$cation
Date of ?e"ond Aeel %du"ation From 2'N# 144@
ToMARC8 3??1
-o* of @ears :
?ub1e"ts studied during se"ond leel edu"ation
?ub1e"t Date of ?tudy -ame of Certifi"ate $ith
grade $here appropriate
Filipino I
,raling 8anlipunan
I(?o"ial ?tudies)
%8= I (8hysi"al
%du"ation Health
and =usi")
alues %du"ation I
%nglish I
?"ien"e and
Te"hnology I
=ath I
Te"h* and Home
%"onomi"s I
RHE8 I(Reitali9ed
Homeroom Euidan"e
8rogram)
Filipino II
,raling 8anlipunan
II(?o"ial ?tudies)
%8= II (8hysi"al
%du"ation Health
and =usi")
alues %du"ation II
%nglish II
?"ien"e and
Te"hnology II
=ath II
Te"h* and Home
%"onomi"s II
RHE8 II(Reitali9ed
Homeroom Euidan"e
8rogram)
Filipino III
From
7>
7>
7>
7>
7>
7>
7>
7>
7>
7'
7'
7'
7'
7'
7'
7'
7'
7'
7
To
7'
7'
7'
7'
7'
7'
7'
7'
7'
7
7
7
7
7
7
7
7
7
2333
'5*6 8assed
'7*2 8assed
3*2 8assed
'3*2 8assed
>* 8assed
>6*' 8assed
'5*6 8assed
'5*2 8assed
'3*' 8assed
'7*2 8assed
>>*6 8assed
>' 8assed
>4*2 8assed
>4*6 8assed
>4 8assed
>6 8assed
'3* 8assed
>'* 8assed
>' 8assed
5
8/12/2019 Diagnostic Form B
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8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
"! If -o+ $as your Diagnosti" Imaging "ourse "ondu"ted in %nglishG
,es( #nglish is $sed as a priary lang$age in school!
c! hat of your "urrent patient $or0load do you treat using %nglishG
1??
7! Radiographic #d$cation
Institution/?"hool/ Hospital of study/&niersity
-ame &-I%R?IT@ .F 8%R8%T&,A H%A8 RI,A
,ddress ,A,B,-E!,8.T% R.,D
A,? 8I-,? CIT@
8HIAI88I-%?
Eoerning Body/
8lease ti"0 ?tate
&niersity
Hospital
8riate
.ther+ please spe"ify
6 /RO2#CT D#TAI)S
Did you "omplete a pro1e"t as part
of your undergradate studiesG
,es
If @es
8lease state 7* Title
2* Aength of 8ro1e"t
ord Count
Aeel of ob ?atisfa"tion of
Ai"ensed Radiologi" Te"hnology
or0ing in 8riate and
Eoernment Hospital
7634 $ords
Aength of pro1e"t "an use up to
the total hours of the "ourse
sub1e"t $hi"h is 4 hours (Refer
to the atta"hed do"ument
Resear"h ,bstra"t)
/roect Str$ct$re
hi"h of the follo$ing elements $as
"oered in your resear"h pro1e"tG*
Aiterature Reie$
Resear"h =ethodology
Questionnaire
4
8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
Aiterature Reie$
Resear"h =ethodology
Questionnaire
Retrospe"tie reie$
Data ,nalysis
?tatisti"al ,nalysis
Dis"ussion of Findings
Con"lusions
Re"ommendations
Data ,nalysis
?tatisti"al ,nalysis
Dis"ussion of Findings
Con"lusions
Re"ommendations
>* Radiographic $alification o"tained
Title (in full) BS RADIO)OGIC T#C8NO)OG,
9! Co$rse Details
8lease "omplete .-A@ for /riaryDiagnosti" Imaging #ualifi"ations
-ormal Course Duration
(years) : ,#ARS
Date Course "ommen"ed 2'N# 3??:
Date Course "ompleted A/RI) 3( 3??9
4! C)INICA) INFORMATION
Did your Clini"al 8ra"ti"e
in"lude %le"tie 8la"ement
Re"urrent
%le"tie
%le"tie
Clinical /ractice incl$des#lective /laceent thro$gh the#d$cation centre has affiliatedClinical /ractices *here interns
get to choose fro!
Hospital(s)
2$nior Internship
Ospital ng Maynila Medical Center
Senior Internship
.spital ng =aynila =edi"al Center
6
8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
Aength of pla"ement
(in hours)
2$nior Internship
9?? ho$rs
Senior Internship
9?? ho$rs
Did you e:perien"e any prolonged
absen"e
i*e* oer 6 $ee0s/a monthG
NO
If @es state if time needed to be
made up
Not Applica"le
1?! Co$rse Content
-B please indi"ate any offi"ial re"ord of "lini"al pra"ti"e $ith this
appli"ation form*
&se @ear 7+ @ear 2 et"* to indi"ate $hi"h year(s) sub1e"t(s) $ere
"oered/studied
,"ademi" ?ub1e"ts Clini"al 8ra"ti"eAist range of e:perien"e you gained
during your "lini"al pra"ti"e
?ub1e"t %:perien"e
@ear 7
First Seester
2$ne 3??: = Octo"er 3??:
#NG) 1 = Co$nication SEills 1This is a study and
pra"ti"e of the prin"iples of
"orre"t $riting and the "lear
and logi"al presentation of
ideas* The "ourse fo"uses ondeeloping the studentsJ $riting
s0ills through the introdu"tion
of the different types of
e:pository $riting and other
forms of dis"ourse*
COM/ 1 = Basic Cop$terOperation 1
This "ourse deals $ith the
fundamentals of "omputer system+
data pro"essing "on"epts
deelopment using =? ord+ e!
mail and internet appli"ation upto the "omple:ity of using
>
8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
different $indo$!based
appli"ation programs from the
latest ersion of =? .ffi"e
programs su"h as ord+ %:"el and
8o$er8oint*
FI)1?? = Sining ng/aEiEipagtalastasan
The "ourse proides
"ommuni"ation situations and
e:er"ises for deeloping the
four () languages s0ills in
8ilipino+ namely reading+
understanding+ spea0ing and
$riting* The "ommuni"ation
situations are of the
e:pository+ des"riptie+
narratie and argumentatie
types*
/S,1?3 = General /sychologyThis "ourse proides
students $ith a perspe"tie of
human behaior $ith input on
so"ial and psy"hologi"al
theories+ behaioral models and
te"hni#ues $hi"h enable the
students to ma:imi9e their
"apabilities to be effe"tie in
dealing $ith realities in life*
This in"ludes physiologi"al
basis of behaior+ e:ploring
state of "ons"iousness+learning+ memory+ emotion+
personality and abnormal
personality*
/8I1?1 = )ogicThe study of their methods
and prin"iples $ill lead the
learners to distinguish good
("orre"t) from bad (in"orre"t)
reasoning* The "ourse aims to
deelop analyti"al and dedu"tie
minds of the students to produ"e"lear ideas+ distin"t
1udgmentsJ+ alid and "onsistent
reasoning using the s"ientifi"
prin"iples and la$s of logi"
$hi"h $ill lead them to 0no$ the
ob1e"tie truths*
MAT8 1 = College Alge"ra
Eeneral =athemati"s for
freshmen deals $ith the
fundamental prin"iples of
"ollege algebra* Topi"s in"lude
sets+ real number system+algebrai" e:pressions and their
'
8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
operations+ e#uations+
ine#ualities+ fun"tions and
relations and their graph+
systems of e#uations in t$o or
more ariables and their
appli"ations*
/8,S 1 = /hysics?tudy the fundamental of
0inemati"s+ thermodynami"s and
$ae motion* Topi"s in"lude
systems and units of
measurements+ the me"hani"s of
solids+ gases and li#uids+ the
0ineti" theory and temperature+
heat "apa"ity and thermal
e:pansion and $ae motion and
sound*
RT1?? = Intro to RadiologicTechnology
8rologue to Radiologi"
te"hnology edu"ation and
pra"ti"e $hi"h $ill proide an
understanding on s"ope+ outputs
and pra"ti"es of radiologi"al
s"ien"es in general and
Radiologi" Te"hnology in
parti"ular* This "ourse also
deals on the intera"tion of
s"ien"e and te"hnology and their
impa"t to so"iety andenironment*
OO1?? = General oology
This "ourse deals $ith
the study of the stru"ture and
bodily fun"tions of animals+
their habits+ $here and ho$ they
lie+ their relations to one
another and to their
enironment+ and their
"lassifi"ation in"luding
theories and la$s that relate to
animal life*
/#1?? = F$nd! Of /hysicalActivities
The study deals $ith the
philosophi"al+ so"iologi"al and
edu"ational foundations of
8hysi"al %du"ation+ ?ports and
ellness* It "oers theories and
prin"iples ne"essary to
understand the bases for the
arious physi"al a"tiities
inoled* The "ourse shallinterrelate the different
8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
sub1e"ts into "ommon
understanding of their
importan"e in the life of human
being*
FC)1?? = The /erpet$alite. A8elper of God
The "ourse study a""urate
perpualite natures in seri"e
his fello$men* It dis"usses
manJs role in the "hur"h
espe"ially in responding to the
"all of loe and seri"e for
others* In"ludes so"ial
do"trine+ solidarity+ good
goernan"e+ pea"e+ good manners
and right "ondu"t
@ear 7Second Seester
Nove"er 3??: = March 3??7
/#3?? = Social Dances
This "ourse in"ludes
steps+ moements and musi"
related to dan"e parti"ularly
so"ial dan"e+ foreign dan"es and
also the 8hilippine fol0 dan"es*
These so"ial dan"es $hen learned
by the students foster
"amaraderie and so"iabilityamong the different members of
the so"iety* These dan"es aim to
0eep indiidualJs suppleness and
deelop "oordination+
fle:ibility and to 0eep the body
gra"eful*
C8#M = General Cheistry This "ourse in"ludes
simple "hemi"al "omputations+
stru"ture of matter+ "hemi"al
e#uations+ and e#uilibrium+ the
nature of organi" "ompounds+basi" bio"hemistry and nu"lear
"hemistry*
#NG) 3 = Co$nication SEills 3The "ourse is designed to
deelop the studentsJ oral
"ommuni"ation s0ills for
effe"tie personal+ group and
publi" "ommuni"ation in the
arious dis"iplines*
/8I1?3 = /hilosophy of Man
73
8/12/2019 Diagnostic Form B
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8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
e:plains the Catholi" faith
inspiration of the Founders+
$hi"h be"ame the pillars of the
philosophy+ ision+ and mission
of the institution* The
dis"ussions in"lude the
8erpetualite alues+ the Aogo+the FCA 8aradigm+ the "omponents
of integral formation+ the
history and deotion to the
=other of 8erpetual Help* It
also introdu"es the students to
the initiation sa"raments of
Baptism+ Confirmation+ and Holy
%u"harist*
SOC1?5 = Socio;Anthro
?o"iology and ,nthropology
in"orporates t$o areas releantin studying "ulture and so"iety
in general* ?o"iology and
,nthropology "ombined $ill aim
to emphasi9e appli"ation of the
finding in terms of so"ial
liing and so"ial
interrelationship $ith man and
his so"iety as the sub1e"t
matter* ,nthropology $ill be
dealing on $hat happened in the
past and ?o"iology ta"0les on
$hat is going on at the present
time* It in"ludes the family+its role+ forms stru"ture and
Family 8lanning methods to help
students understand ho$
?o"iology shapes the so"iety of
the future*
/O)1?6 = /hilippine 8istory andC$lt$re
This "ourse deals $ith the
history and goernment of the
8hilippines that seres as the
guiding "harter of the resent8hilippine goernment as $ell as
the "on"erned indiiduals
embodied in it* It reeals not
only the 0ind of leadership+ the
politi"al e:perien"e+ the
so"iomoral alues and the
"ultural heritage that $e hae+
but also the aspirations and
details of our "ountry* The
details on the history of our
"ountry sho$ed an"ient to
present*
72
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Form (B) IIR/RQRB
@ear 2
First Seester2$ne 3??7 = Octo"er 3??7
#NG:?? = /hilippine )iterat$re
This "ourse is a study ofthe literary forms or genres as
e:emplified by sele"ted literary
te:t from arious regions of the
8hilippines $ritten at different
periods in 8hilippine literary
history*
FC)5?1 = The /erpet$alite. A Manfor Other
F"l 5 $or0s on the premise
that the perpetualite is
basi"ally a so"ial being* Helies in a so"iety of $hi"h he
is ery mu"h a part* That
so"iety is basi"ally herein this
"ountry* But this "ountry is a
part of greater $hole+ the
"ommunity of nations* Thus+ a
perpetualite should loe his
"ountry+ yet he should also be
"on"erned of the realities
outside of it*
8#1?1 = 8ealth #thicsThe sub1e"t proides
information regarding the
follo$ing (a) different
organi9ational stru"tures of
Radiologi" Te"hnology Department
(b) different management and
superision tyles (") personnel
sele"tion and staff edu"ation
(d) inter!departmental
relationships (e) ealuation and
maintenan"e of respiratory "are
#uality standards (f)
departmental resour"esmanagement (g) ethi"al
standards*
8C3?1 = 8ealth Care 1Con"epts and prin"iples
in the proision of basi" health
"are in terms of health
promotion/maintenan"e and
disease preention at the
indiidual and family leel*
MAT1?3 = Basic Statistics
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Form (B) IIR/RQRB
This is a study of
statisti"al operations+
e:pressions and treatment of
different formulas and
approa"hes and their usage in
resear"h and other fields of
dis"ipline* This in"ludes "ommonsampling pro"edure+ "olle"tion
and presentation of data+
fre#uen"y distribution+ measure
of "entral tenden"y+ measure of
dispersion+ s0e$ness and
0urtosis+ probability
distribution+ test hypothesis+
testing statisti"al hypotheses
and statisti"al operation in
resear"h*
/!#! 3 = Advance S*iingThe "ourse is designed for
parti"ipants $ho hae s$imming
e:perien"e and may be
"omfortable in the $ater of any
depth* The "ourse $ill proide
instru"tion in adan"e $ater
s0ills in"luding "omfortable
entry+ submersion+ floating+
breathing te"hni#ues+ and an
introdu"tion to adan"e s$imming
stro0es* The "ourse is intended
to help parti"ipant gain
"onfiden"e and self!relian"e inthe $ater*
ANA1?1 = Anatoy and /hysiology 8roides s"ientifi"
analysis and understanding of
the body parts and ho$ the body
fun"tions in relation to the
arious physi"al a"tiities* It
emphasi9es on the stru"tural
feature and fun"tional roles of
the follo$ing body systems
%ndo"rine+ Blood+ Aymphati"+Cardioas"ular+ Digestie+
Respiratory+ &rinary+ Aymphati"+
Reprodu"tie and other releant
information*
@ear 2
Second SeesterNove"er 3??7 = March 3??6
/#:?? = Gro$p0Tea Sports%BasEet"all&
8roides playing s0illsand performan"es in bas0etball
7
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Form (B) IIR/RQRB
sports eents* Built!in
deelopment of s0ills ne"essary
for playing the eent is
emphasi9ed for instru"tional
purposes su"h as lead!up game+
lo$ organi9ed game a"tiities
su"h as KAaro ng AahiL andmodified games leading to
sports*
FC):?? = Filipino Christian)iving
This "ourse is an
introdu"tion of the story of the
Bible+ the nature and being of
Eod and the po$er of EodJs $ord
in oneJs life $ith emphasis of
the life+ person and ministry of
the Aord esus Christ* It alsoembra"es bibli"al and Christian
alues that $ill inspire the
students to lie uprightly and
to a"hiee e:"ellent and
honorable aspirations*
/O)1?1 = /hilippine /olitics Governent
This "ourse is a study of
the e"onomi"+ so"ial+ politi"al
and "ultural deelopment of the
8hilippines* The study fo"useson the serious problems that
"onfront the "ountry*
RT113 = Medical TerinologyDeals $ith arious medi"al
nomen"latures and their usage as
applied to spe"ifi" systems+
disease pro"esses+ and in1uries*
Dis"ussions in"lude prin"ipal
medi"al root $ord+ terms
referring to some general
aspe"ts of the pra"ti"e medi"ineand its allied profession+
medi"al terms to "ertain
pathologi"al pro"esses+
infe"tie pro"esses+ diseases of
arious system of body+
obstetri" terms+ and terms
related to medi"al instruments
and e#uipment*
8C3?3 = 8ealth Care 3Con"epts and prin"iples in
the proision of basi" health"are in terms of health
74
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Form (B) IIR/RQRB
promotion/maintenan"e and
disease preention at the
indiidual and family leel*
STS1?3 = Science( Technology Society
The analysis from
histori"al and futuristi"
perspe"ties of the nature and
role of s"ien"e and te"hnology
in so"iety and of the so"io!
"ultural and politi"o!e"onomi"
fa"tors affe"ting the
deelopment of s"ien"e and
te"hnology $ith emphasis on the
8hilippine setting*
@ear 5
First Seester2$ne 3??6 = Octo"er 3??6
FC)7?? = Filipino Christian)ivingThis "ourse is an introdu"tion
of the story of the Bible+ the
nature and being of Eod and the
po$er of EodJs $ord in oneJs
life $ith emphasis of the life+
person and ministry of the Aordesus Christ* It also embra"es
bibli"al and Christian alues
that $ill inspire the students
to lie uprightly and to a"hiee
e:"ellent and honorable
aspirations**
RT157 = 'ltrasonography
?tudy of physi"al
foundation of <rasound and its
appli"ation to medi"al
diagnosis* Dis"ussions in"ludeultrasound theoreti"al
deelopment+ methodology and
releant terminologies+ physi"al
prin"iples of diagnosti"
ultrasound+ instrumentation and
operation+ operational modes+
fa"toring and image re"ording+
artifa"ts/pitfalls in
ultrasonography+ anatomi"al
presentation during s"anning+
interentional ultrasound and
#uality "ontrol*
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Form (B) IIR/RQRB
RT156 = Radiation Theraphy
Deals $ith pre"ise
appli"ation of ioni9ing
radiation in the treatment of
neoplasti" gro$th+ a "omplete
and effe"tie treatment plan as
$ell as patient "are of on"ology"ases* This in"ludes the
theoreti"al deelopment of
appli"ation of radiation in
treatment of disease and as a
medi"al spe"ialty+ atoms and
radioa"tiity+ radiotherapy
e#uipments/units and "alibration
te"hni#ue+ prin"iples of isodose
planning+ radiobiologi"al
prin"iples in radiotherapy+
radiotherapeuti" malignan"ies+
"are of patient and #uality
"ontrol*
RDT5?? = Radiologic /hysics(#J$ipent Maintenance
,n introdu"tion to the
basi"s of ele"tri"ity+
ele"tromagnetism+ motors+
generators+ transformers and
re"tifiers* Dis"ussion in"ludes
mathemati"al reie$+ units of
measure+ stru"ture of matter+
ele"trostati"s+ "urrent+
ele"tri"ity and magnetism*?tudy of physi"al
prin"iples of radiation+ its
"hara"teristi"s+ properties+
intera"tion $ith matter and
appli"ation in radiologi"al
s"ien"es*
This is aimed to
familiari9e students $ith the
"ir"uitry of an :!ray unit+ :!
ray tube+ :!ray produ"tion+
nature of :!rays+ inerse s#uare
la$+ half alue layer+ as $ell
as to dete"t defe"ts interfering$ith the proper fun"tion of the
e#uipment and the fundamentals
of preentie maintenan"e*
RDT5?1 = Radiographic TechniJ$e Fil /rocessing0Analysis
Deals $ith the
understanding of the prin"iples
inoling a"tion of :!rays on
film emulsion and intensifying
s"reens+ pro"essing "hemi"als+
the arious systems anda""essories inoled in the
7>
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Form (B) IIR/RQRB
"onersion of latent image into
isible radiographi" image
follo$ing se#uential steps in
manual and automati" pro"essing+
pro"essor operation and
maintenan"e+ and learn the
s0ills ne"essary to "riti#ueradiographi" images $ith
emphasis in re"ogni9ing
pro"essing faults $ith the aid
of radiographs and laboratory
e:posure e:periments*
Dis"ussions in"lude pro"essing
room design and a""essories and
regulatory re#uirements*
It also deals $ith
radiographi" imaging and the
produ"tion of #uality
radiographs through proper
sele"tion+ "omputation+generali9ation and appli"ation
of arious te"hni#ue fa"tors and
a""essory dei"es* Dis"ussion
in"ludes fa"tors affe"ting
radiographi" density+ "ontrast+
geometri" detail+ isibility and
distortion of detail+ and
te"hni#ue "onersion fa"tors
$ith the aid of radiographs and
laboratory e:periments*
RDT5?3 = Radiographic/ositioning Radiological/roced$res
?tudy of the general
foundation of positioning
te"hni#ue to obtain radiographi"
demonstration of anatomi"al
stru"ture of interest as $ell as
spe"iali9ed e:aminations of the
different body stru"tures and
organs $ithout "ontrast media*
This in"ludes anatomi" and
radiographi" positioning terms+
sour"e!to!image re"eptordistan"e and tube
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8/12/2019 Diagnostic Form B
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Form (B) IIR/RQRB
te"hnology+ professional ethi"s+
releant medi"al 1urispruden"e+
and other legal and ethi"al
"on"erns*
,ear 5
Second SeesterNove"er 3??6 = March 3??@
FC)6?? = The /erpet$alite andSociety
This "ourse introdu"es the
indiidual students in the
deelopment of dynami" Christian
life and ethi"s that $ill gear
to a potential and harmonious
relationship $ith his Eod + his
family+ his "ommunity and his
life*
RDT:?? = Radio"iology andRadiation /rotection
?tudy of the ethi"s of
ioni9ing radiation on biologi"al
matters+ the prin"iples of
radiation prote"tion as $ell as
agen"ies and institutions
mandated to regulate and monitor
the safe use of radiation and
radioisotope in medi"ine* First
part $ith radiation biology
se#uen"e of eents leading tobiologi"al effe"ts from
radiation e:posure+ radiation
and "ellular targets+ effe"ts on
the organs+ "lassifi"ations on
radiation effe"ts+ fa"tors
modifying radiation effe"ts+
"ell surial "ure+ dose!
response "ure+ and e:posure and
dose radiology* The se"ond part
deals $ith radiation prote"tion
agen"ies responsible for
formulating poli"ies and
standard in radiationprote"tion+ effe"ts of radiation
and fun"tion of dose+ aims of
radiation prote"tion+ system of
dose limitations+ "ardinal
prin"iples of radiation
prote"tion+ designs of
radiologi" fa"ilities+ and
radiation of prote"tion of
radiation of $or0ers+ patients+
and general publi"*
RDT:?1 = Radiologic /athology?tudy of arious
23
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Form (B) IIR/RQRB
pathologi" "onditions and its
effe"t on radiologi"al
pro"edures+ te"hni#ues and
oerall radiographi" image* This
in"ludes the general basis of
pathologi" "onditions and body
system disorders of thegastrointestinal system+ lier+
gallbladder+ and pan"reas+
respiratory+ renal+
"ardioas"ular+ neurologi"+
s0eletal and reprodu"tie
system*
RDT:?3 = Cop$teri+ed Toography%CT Scan& and Magnetic ResonanceIaging %MRI&
?tudy of prin"iples
inoled in diagnosti" imagingmodalities that produ"e "ross!
se"tional+ trans!a:ial+ "oronal
and sagittal images of the human
body* The first part of the
"ourse deals $ith CT!?"an to
in"lude its histori"al
deelopment and releant
nomen"latures+ "omparison $ith
"onentional radiography+ the
s"anner+ s"anning program+
"ontrast medium and #uality
"ontrol* The se"ond deals $ith
=RI+ its histori"al deelopmentand releant nomen"latures+
"omparison $ith "onentional
radiography+ nu"lear physi"al
prin"iples+ imaging te"hni#ue+
instrumentation+ biologi"al
effe"t+ basi" =R anatomy+
"ontrast medium and #uality
"ontrol*
RDT:?5 = Digital S$"tractionAngiograph %DSA& and
Interventional Radiology?tudy of prin"iples
inoled in Digital ?ubtra"tion
,ngiography and Interentional
RadiologyM the parameters of
imaging and e#uipment employed
in these subspe"ialties* The
first part deals $ith D?, to
in"lude the imaging "hain (:!ray
generator+ :!ray tube+ image
intensifier+ T lens system+ T
"amera+ ideo signal)+ manual
subtra"tion te"hni#ue+ digital
angiography+ subtra"tionte"hni#ues+ intra!arterial
27
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Form (B) IIR/RQRB
ersus intraenous+ "lini"al
appli"ation+ and patient "are in
angiographies* The se"ond part
deals $ith therapeuti" and
diagnosti" interentions+
patient management and "are+
integral pro"esses+ "ontrastmedia+ e#uipment and te"hni#ues+
the radiologi" te"hnologistJs
role in angiography and
interention and arious
interentional pro"edures*
RDT:?6 = N$clear Medicine?tudy of the prin"iples
and instrumentation+ in -u"lear
=edi"ine and its diagnosti" and
therapeuti" appli"ations*
Dis"ussions in"lude the physi"sof nu"lear medi"ine+
instrumentation+ radio"hemistry
and radio!pharma"ology+ "lini"al
nu"lear medi"ine+ radiation
prote"tion and #uality "ontrol*
RDT:?@ = $ality Ass$rance $ality Control in MedicalIaging
?tudy of organi9ed effort
in a radiologi"al fa"ility to
promote #uality patient "are andmanagement and to ensure
"onsistent produ"tion of high
standard of #uality radiographi"
images $ith minimum e:posure to
patient and personnel* This
in"ludes dar0room #uality
"ontrol and standard dar0room
pro"essing te"hni#ues+
departmental standards for
radiographi" image #uality+
"ondu"t image of films analysis+
and #uality "ontrol tests for
e#uipment and a""essory deises*
RDT??1 = ResearchThis "ourse is "on"erned
$ith s"ientifi" study and the
different pro"esses it entails
to enable the Radiologi"
Te"hnology student to go through
the steps of the resear"h
pro"ess to produ"e an output+
$hi"h "an initiate "hange in
0no$ledge+ attitude and s0ills
in different settings* Topi"sin"lude nature and
22
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Form (B) IIR/RQRB
"hara"teristi"s of resear"h+
resear"h problem and ob1e"ties+
reie$ of related literature+
resear"h design+ resear"h
instrument+ sampling designs+
data pro"essing and statisti"al
treatment+ data analysis andinterpretation+ resear"h
proposal and thesis $riting*
@ear
First Seester2$ne 3??@ = Octo"er 3??@
2$nior Internship
?eminar I
@ear
Second SeesterNove"er 3??@ = March 3??9
Senior Internship
?eminar II
%:perien"es "oers the follo$ing
,pplied 0no$ledge of anatomy+
physiology+ positioning and
radiographi" te"hni#ues to
a""urately demonstrate anatomi"stru"ture*
Deeloped the s0ills in
establishing e:posure fa"tors
and ealuating radiographi"
images*
%nhan"ed 0no$ledge+ s0ills and
attitudes in the appli"ation of
the prin"iples of radiation
prote"tion as $ell as la$s and
regulations goerning the
appli"ation of ioni9ing and
non!ioni9ing radiation in
medi"ine* Deeloped "ompeten"e in
e:er"ising independent
1udgement and dis"retion in the
te"hni"al performan"e of
medi"al imaging and therapeuti"
pro"edures*
%:perien"ed the follo$ing
Eeneral Nray
o CT ?"an
o <rasound
o =RI
o -u"lear =edi"ine
11! Details of Emlo!me"t as a Ra#io$%a&e%
Enter all radiographic positions held in date order beginning with most recentPlease e"s'%e t&at !o' e(lai" a"! $as i" !o'% )o%* &isto%! o" t&is fo%m
D,T%? H%AD
FR.=
T.
TITA%
.F
8.?ITI
.-
H%AD
-,=% O
,DDR%?? .F
%=8A.@%R
F&AA .R
8,RT
TI=%
AI?T %N8%RI%-C%
R%?8.-?IBIAITI%?
,-D %Q&I8=%-T
&?%D
CONTACT NAMEIN THISINSTITUTION
=ar
"h237
8res
ent
Radiol
ogi"Te"hno
DR* ,H=%D
,B,-,=@H.?8IT,A
F&AACTresponsibilities
Dr. Ahmed
Abanam
25
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Form (B) IIR/RQRB
3 logist
CT
?"an
and
=RI
Te"hno
logist
,l Imam
,bdullah Ibn
?aud Ibn
,bdul ,9i9
Road+ ,l!
Hamra
Distri"t+%:it +
-ortheast of
Riyadh+ ?audi
,rabia
include:
&tili9e
"omputeri9ed
tomography
(CT) s"anners
to produ"e
"ross!se"tion
images of
patientsJ
internal
organs and
tissues for
the diagnosis
of medi"al
issues*
=ust be able
to a""urately
interpret a
physi"ianJs
s"anning
instru"tions+
administer
"ontrast
materials+
prepare and
operate the CT
s"an e#uipment
and position
the patient to
"apture the
appropriate
images* =ust
be in good
health+
be"ause
maneuering
e#uipment and
patients $ho
are disabled
may pose
physi"al
"hallenges*
CT s"anners
emit
radiation+
$hi"h "an be
harmful for
the
te"hnologist
and patient if
proper safety
pro"edures are
not follo$ed*
MRI
2
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Form (B) IIR/RQRB
responsibilities
include:
8erforms =RI
e:aminations
of the brain+
body+ spine
and
e:tremities on
patients of
all ages
effe"tiely
ad1usting
s"anning
parameters for
different
patient body
habitus*
?ele"ts and
modifies
te"hni"al
fa"tors to
enhan"e
imagesM
Determines
appropriate
e#uipment for
s"anning up to
but not
limited to
body "oils*
=ust be able
to "losely
follo$ a
physi"ianPs
instru"tions+
prepare and
operate =RI
e#uipment+
position
patients
"orre"tly and
effe"tiely
re"ord there#uested
diagnosti"
images*
.ther Duties
,s ,ssigned
X-Ray/ C-Armresponsibilities
include:
8erforms
all imaging
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Form (B) IIR/RQRB
pro"edures
$hi"h are
offered by the
department+
follo$ing e:am
proto"ols on
neonatal+
pediatri"+
adult and
geriatri"
patients*
Completes
paper$or0 and
"omputer
related
duties*
,ssists
radiologists+
staff
physi"ians+
and nursing
and hospital
personnel $ith
radiologi"al
seri"es*
=aintains
department
fa"ilities+
e#uipment+ and
materials in a
"ondition to
promote
effi"ien"y+
health+
"omfort+ and
safety of
patients and
staff*
Che"0s
e#uipment+
supplies and
a""essories on
a regular
daily basis*
eeps supplies
"urrent and
replenished*
8ro"esses
film+
ealuates for
te"hni"al
#uality anda""urate
patient
Dr*
Dimayuga
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Form (B) IIR/RQRB
,pr
il
233
'
=ar"
h
2373
Chief
Radiol
ogi"
Te"hno
logist
/N!ray
Te"hni
"ian
H%,ATH TR%-D?
=%DIC,A
CAI-IC O
DI,E-.?TIC
C%-T%R
F&AA
identifi"ation
and side
labeling*
X-Rayresponsibilitiesinclude:
8lans+
assigns+
superises and
reie$s $or0
of staff
inoled in
Radiology
department
and in mobile
N!Ray seri"esdeliery*
Coordinates
a"tiities
$ith
departmental
staff to
assure ma:imum
effe"t+
minimi9e
dupli"ation+
and enhan"e
betterutili9ation of
resour"es*
%stablishes
priorities for
ealuation or
resear"h
deelopment
and monitors
progressM
assist in
"ompilation of
statisti"al
data for
departmental
ealuation
purposes*
,ssist in the
deelopment of
administratie
and
operational
poli"ies+
pro"edures and
regulations*
2>
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Form (B) IIR/RQRB
?uperises as
$ell as
perform
diagnosti"
imaging
studies under
the
dire"tion/supe
rision of a
Radiologist
8erforms
all imaging
pro"edures
$hi"h are
offered by the
department+
follo$ing e:am
proto"ols on
neonatal+
pediatri"+
adult and
geriatri"
patients*
8erforms all
pro"edures in
a safe manner
Completes
paper$or0 and
"omputerrelated duties
,ssists
radiologists+
staff
physi"ians+
and nursing
and Clini"
personnel $ith
radiologi"al
seri"es*
=aintainsdepartment
fa"ilities+
e#uipment+ and
materials in a
"ondition to
promote
effi"ien"y+
health+
"omfort+ and
safety of
patients and
staff*
Che"0s
2'
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Form (B) IIR/RQRB
e#uipment+
supplies and
a""essories on
a regular
daily basis*
eeps supplies
"urrent and
replenished*
8ro"esses
film+
ealuates for
te"hni"al
#uality and
a""urate
patient
identifi"ation
and side
labeling*
=onitors staff
performan"e to
ensure that
the highest
leel of "are
$ith the least
amount of
radiation
e:posure is
being
administered
to patients* =a0es
re"ommendation
s regarding
hiring+
dis"ipline and
promotions of
subordinatesM
authori9es
leae and
oertimeM
ealuates and
rates employee
performan"e*
=aintains
"onfidentialit
y of all
patient
information
a""ording to
"lini"al
guidelines and
regulations*
8erforms other
duties asassigned
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Form (B) IIR/RQRB
13! /ost Grad$ate or other post J$alification ed$cation in radiography!8lease "omplete for all "ourses and "ontinue on separate sheet if
ne"essary*
Course Title -ot ,ppli"able
8la"e studied
Type of "ourse+
8lease ti"0
<rasound =agneti" Resonan"e Imaging
Computed Tomography Radionu"lide Imaging
Therapy planning .ther+ please spe"ify
Course "ommen"ed
Course "ompleted
Full or part!time
Brief summary of
"ourse "ontent
Type of assessment %:amination ritten
.ral Continuous ,ssessment
8ro1e"t or0 .ther
=CQJs Course or0
Full title of a$ard
obtained
Course Title
8la"e studied
Type of "ourse+
8lease ti"0
<rasound =agneti" Resonan"e Imaging
Computed Tomography Radionu"lide Imaging
Therapy planning .ther+ please spe"ify
Course "ommen"ed
Course "ompleted
Full or part!time
Brief summary of
"ourse "ontent
Type of assessment %:amination ritten
.ral Continuous ,ssessment
8ro1e"t or0 .ther
=CQJs Course or0
Full title of a$ard
obtained
53
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Form (B) IIR/RQRB
STAT*M*NT 0 RADIO!RAP12
Any recognition granted on the basis of fraudulent or falsified information, material misrepresentationor misstatement designed to mislead the IIRRT, shall be invalid and may be subject to criminal
sanctions. The onus for ensuring the full and accurate disclosure of information rests with theapplicant.
Imaging or treatment of patients for which the applicant does not have the necessary competence isdefined as a breach of the Code Practice of the IIRRT, and could lead to steps being taen resultingin the practitioner being struc off and rendered ineligible to practise the regulated profession.
! I declarethat the information given in this document and in all attached forms is true andaccurate.
! I declare that I have not made a previous application for validation"recognition and that Ihave read, understood and agree to abide by the IIRRT code of conduct #www.iir.ie$.
! I declare that I have not been found guilty by any recognised professional body havingjurisdiction in the matter of any professional misconduct or am under current investigationwithin the scope of my profession as a diagnostic radiographer or radiation therapist resultingin the imposition of any suspension, fine, penalty or disciplinary measure.
! I declarethat I am fit to carry on the practice of diagnostic imaging or radiation therapy in thelanguage of the area of Ireland where I intend to practice.
! I understand that failure to disclose full information, or any deliberate misrepresentation ofinformation, is a serious matter and will invalidate my application.
! I agree to notify the IIRRT, in writing, of any change of personal details, e.g. change ofsurname or address, as and when any such changes occur.
%ame of Applicant& Reynaldo !' Tualla 3r'
'ignature of Applicant& (((((((((((((((((((((
)ate& August *, +*-
NOT*S
*. Recognition of professional ualifications is not to be regarded as an endorsement or adeclaration of the applicant/s suitability for employment in any particular post, which is aseparate matter for assessment by the employer in the normal way in accordance with theprescribed selection criteria.
+. Recognition of professional ualifications does not give automatic right to membership of theIIRRT. If your application for recognition is successful you can apply for membership of theIIRRT through the website #www.iir.ie$.
000000000
VALIDATION PROCESS EU DIRECTIVE 89/48
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Form (B) IIR/RQRB
REQUIRED INFORMATION SOUGHT IN AGREEMENT WITH DEPARTMENT OFHEALTH & CHILDREN
Chec*list+. ,orm A
- ,"ll completed dated signed and stamped/. ,orm 0
1. 2roo# o# Citi3enship i.e. cop o# birth certi#icate or passport
4. Cop o# original diploma5degree
6. Academic record
7. ,ee o# 8+99 which m"st be drawn on an Irish 0an* and paable to the Irish Instit"te o#&adiograph.
:. Doc"mentation to indicate that the ;"ali#ication entitles the applicant to practice as a DiagnosticImaging &adiographer in the co"ntr where the ;"ali#ications were obtained.
. Sho"ld o" ha!e an additional in#ormation o" thin* is rele!ant a list5o"tline onl o# thein#ormation need be incl"ded. Sho"ld the &?&0 re;"ire the additional in#ormation the will
re;"est it to be #orwarded.
Comlete# Ali+atio"s s&o'l# ,e se"t to-A""ette L!o"sP%ofessio"al E#'+atio"
Natio"al Vali#atio" P%o.e+tHealt& Se%/i+e E(e+'ti/e
HR Di%e+to%ate0e%li" Pa%*Gal)a! Tel- 123 445126 E7mail- A""ette8l!o"s9&se8ie
THE VALIDATION PROCESS-
The application will be chec*ed in the 'alwa o##ice and the sent to the II&5&?&0 i# complete
A letter o# ac*nowledgement will be sent to the applicant b the 'alwa o##ice with a re#erence n"mber.If a" ali+atio" is i"+omlete it )ill ,e %et'%"e# to t&e ali+a"t
Follo)i"$ assessme"t
The 'alwa o##ice will be noti#ied o# the o"tcome b the II&5&?&0
The Department o# Health @ Children will in#orm the applicant o# the o"tcome o# the !alidationprocess.