Guidelines For Internship Training Program B.SC - Mrit

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GUIDELINES FOR INTERNSHIP TRAINING PROGRAMME

for Final year B.Sc. MRIT


Introduction:
❖ Internship is a phase of training wherein a graduate is expected to conduct actual
practice as a radiographer or Radiology technologist and acquire skills under
supervision so that he/she may become capable of functioning independently.
❖ Internship is a phase of training where in a candidate is expected to conduct actual
Radiography practice, with fair independence in clinical decision making in low risk
cases where as to work under supervision at high risk areas; so that at the end of
Internship he/ she is capable to practice Radiography independently.
❖ The Internship programme shall mainly focus on acquisition of specific skills listed in the
major areas of training by hands on experience & also on ability to conduct a scientific
project.

Proceeding of Internship :

1) Students must get the NOC from the parent institute and submit it to the place where
they want to do their internship. At the same time students must get the approval NOC
from the place they want to do an internship and submit it to the Parent institute and
get approval to start the internship.
2) Compulsory Internship shall include rotational clinical assignments, administrative
skills & a scientific project over a period of One year. Candidates are however
encouraged to extend optional ―Hands on practice for six additional months in the
desired areas at the hospitals ; as per the Rules & Regulations applicable to Internees
regarding attendance, attitude, performance & evaluation. Such clinical experience on
successful completion & on passing in evaluation shall be documented & shall be strongly
recommended for additional credits for higher education or employment.
OBJECTIVES :

Skills based outcomes and monitorable indicators for Medical Radiology and Imaging
Technologist.

1. Should be able to undertake Mammography, CT scan and MRI procedures


independently.
2. Assist in specialised radiological procedures.
3. Able to do the image processing.
4. Should be able to handle all radiological and imaging equipment independently.
5. Should ensure radiation protection and quality assurance
6. Undertake care and maintenance of all radiological and imaging equipment
7. Able to evaluate images for technical quality
8. Able to identify and manage emergency situations.
9. Able to receive and document verbal, written and electronic orders in the patient’s
medical record.
10. Implements health and safety procedures
11. Demonstrates ability to interpret, apply and disseminate information as a member of
the medical imaging team
12. Ensures radiation protection legislation is adhered to
13. Demonstrates knowledge and skills to carry out the daily/weekly Quality Control
(QC) checks
14. Participates in research activities

INTERNSHIP – minimum 1440 hours -


(calculated based on 8 hours per day, if 180 working days in a year)

Students have to undertake the rotational postings during which students have to work
under supervision of an experienced staff in the following areas:

Postings Duration
1 Conventional radiography 2months

Radiographic special procedures including diagnostic and


2 2 months
Therapeutic Interventional Procedures

3 CR, DR and PACS 2 month


4 Nuclear Medicine 1 month
5 Ultrasonography 1 month
6 Doppler Imaging 1 month
7 Computed Tomography 2 months
8 Magnetic Resonance Imaging 2 months
SCIENTIFIC PROJECT
❖ During the Internship, candidates shall undertake a One scientific project per week.
Scientific projects may include case study, case presentation, assignment
❖ During the Internship, candidates shall undertake a One project (Form-G) and One case
presentation (Form-F) however, case presentation will be conducted online on Saturday
10:00 am.
❖ The candidate shall submit the project one month before the last day of internship & the
Program coordinator, Faculty of Medicine shall sign on the same if the project is up to
her /his satisfaction.

EVALUATION
❖ During the rotational posting, students shall Investigate all kinds of patients & also
undertake skills of maintaining administrative records & Maintenance of equipment.
❖ The candidate shall maintain a log book (Form-E) & record all the events of the
respective posting. He /She shall be closely monitored by the senior Radiographer staff
in charge throughout the posting & the same shall also sign in the Log book on
completion of the assignment.
❖ There shall be formative & summative assessment at the end of each of the postings
given in the schedule & score will be given by the student involved in supervision of the
teacher during the respective assignment.
❖ Students shall repeat the respective assignment for a period of 25% of the period allotted
to the respective posting, if he /she fails to score minimum 3 in the average of overall
Formative + Summative score obtained during the respective posting.

START OF INTERNSHIP PROGRAMME


❖ The programme will commence within 15 days after the declaration of Final B.Sc result
by the University. In special circumstances with the permission of the head of the institute,
students can start an internship within 45 days of declaration of results.

LEAVE FOR INTERNS


❖ An internee shall be entitled for maximum 12 days leave during a One Year period of
internship posting. An internee will not be permitted to avail more than 4 days leave in
any department. Period of leave in excess of 4 days in a department will have to be
extended in the same department. Under any circumstances this period will not be
condoned by any authority.
❖ However if any student wants to attend any state/national/international conference,
workshop or seminar then maximally 6 days study leave can be granted to the students
with production of the proper documents or certificate. It should not be more than 6 days
in any conditions.
Stipulation for repeat posting in concerned discipline :

i) Unsatisfactory performance.
ii) Prolonged illness, Medical Certificate must be validated by a Medical Board set up
by the Institution, where rotatory internship is being undertaken.
iii) To prevent Interns from prolonging the internship period due to extraneous
reasons other than the above (i) and (ii) and taking extra leave beyond permitted
leave, the repeat posting will be done.
iv) However, the head of the institute can allow 30 days more leave (other than 12
leave and 6 study leave) but students have to complete the extension for these 30
days leave at the end of the internship programme.
v) If a student takes leave more than these total leaves (12+6+30=48 days), he/she
has to do the repeat posting at each place as prescribed and it will be considered
as fresh internee. (Relaxation will be applicable in case of pregnancy on
production of appropriate medical certificates.)
Form A
FORMAT OF INTERNSHIP EVALUATION (For office use only)

Name: -________________________________________________ duration from ____________ to_____________


Assignment: - _____________________________________________________________________

SUMMATIVE EVALUATION FORMATIVE EVALUATION

MAXIMUM SCORE 5 each MAXIMUM SCORE 5 each

Punctuality Cognitive ( Problem solving /


clinical decision & reasoning /
planning Investigation

Attitude towards patients & Physical Assessment Skills


colleagues/ Character
Urge for learning / Initiative Skills of Investigation maneuvers

Accountability/ Responsibility Skills of equipment handling

Administrative ability Participation in Academic


( records / maintenance of activities

equipment)

Total Total

Grades range:
1: Poor

2: Below Average

3: Average

4: Good

5: Excellent

Head of the Department. Dean/ Principal of the College

Minimum Grade required for passing – Average of Overall score obtained from the
respective assignment is to be considered. Minimum score for passing shall be - 3: Average.
Form B

INTERNSHIP COMPLETION CERTIFICATE

Name of the College : __FACULTY OF MEDICINE R.K.UNIVERSITY __

Ref. No______________ Date ________________

This is to certify that Mr. /Ms./Mrs._________________________________________ has successfully


completed the Rotational Internship from__________ To ____________ Details of the posting are
as follows:

No Department Name of Hospital Period Duration Grade


. in Weeks

1 Conventional radiography ______to______

2 Radiographic special procedures


including diagnostic and
______to______
Therapeutic Interventional
Procedures

3 CR, DR and PACS ______to______

4 Nuclear Medicine ______to______

5 Ultrasonography ______to______

6 Doppler Imaging ______to______

7 Computed Tomography ______to______

8 Magnetic Resonance Imaging ______to______

• Extension due to absentee / Unsatisfactory performance ______________ to______________ at


the Department____________________________________________

• Project ____________________________________________________________________

[sign] [sign]

_____________________ _________________________________

HOD Radiologist Department Dean /Principal

Note : Grade must be given as Good/Fair/Poor


Form C

COURSE COMPLETION CERTIFICATE

Name of the College : FACULTY OF MEDICINE, R.K.UNIVERSITY_

Ref. No_______________ Date ________________

This is to certify that Mr. /Ms./Mrs._________________________________________ has

satisfactory completed four years of Bachelor of Science Medical Radiology & Imaging

Technology (B.Sc. MRIT) Course at Faculty of Medicine affiliated to RK University. .

[sign]

_____ _________________
Department Dean /Principal
Form D

NOC from HOD, RADIOLOGY department allowing student to pursue INTERNSHIP

This is to certify thatMr./Miss____________________________________________________

is allowed to pursue Internship at our renowned radiology department.

Name of the in

charge___________________________________________________________

M: _____________________________ E:___________________________________________

Name of clinic / institute /hospital_________________________________________________

Address:_____________________________________________________________________

_____________________________________________________________________________

Duration of training: ___________________to________________ Total hours: __________

_______________________

In charge / HOD

Date:
Form E
Format for Logbook

SR.N PATIENT INCHARGE INCHARG


O. NAME GENDER AGE INVESTIGATION DIAGNOSIS DATE NAME E SIGN.
Form F
CASE STUDY FORM

PATIENT PERSONAL INFORMATION

Name:___________________________________________________________Contact No:_______________
Age: _________ Gender:__________
Address:______________________________________________________________________________________________
_____________________________________________________________________________
Occupation: ________________________________________________
Referred by: _________________________________________________
Date of assessment: ___________________________________________
Chief complaints:

SUBJECTIVE EXAMINATION

HISTORY:

Present History:

Past History:

Medical/ surgical History:


OBJECTIVE EXAMINATION

SPECIAL TEST

INVESTIGATIONS:

FUNCTIONAL DIAGNOSIS :

DATE:_________________ NAME AND SIGNATURE:___________________


Form : G
GUIDELINES OF PROJECT WORK

What type of topics students can select ?

• Any small research based topic that could be an observational or experimental study.
OF
Components of the Project Work Writing :

The sequence of contents in the project should be as follows:


1. Cover Page & Title Page
2. Guide Certificate
3. Declaration
4. Acknowledgements
5. Table of Contents (please see sample, Annexure IV)
6. List of Tables (page: I …..)(in tabular form)
7. List of Figures (page: II …)( in tabular form)
8. List of Symbols, Abbreviations and Nomenclature (page: III ….)
9. Structured Abstract (page IV….)
10. Introduction (page: 1, 2, 3….)
11. Need Of Study
12. Objectives Of The Study
13. Hypothesis
14. Review of literature
15. Materials and methods (Methodology)

What must be Included In ?

1. Statistical Analysis
2. Results
3. Discussion
4. Summary and Conclusion
5. References
6. Appendices

Introduction (page: 1, 2, 3….) :


• Background of the study
• Reference to the intervention
• Reference to the outcome measures
• Flow of the introduction maintained
Need Of Study :
• Need of study must be derived. Significance of the study must be proposed.

Objectives of the study :


• All study objectives must be mentioned.

Hypothesis of the study :


• Null and Experimental hypothesis must be postulated.

Review of literature :
• ROL must have sufficed evidence for methodology.
• ROL must have sufficed evidence for Outcome measures.
• Impact factor 1.0 -published references must be cited (or listed journal)
• Descending order of the citations must be maintained or component wise
reviews can be arranged together.

Materials and methods (Methodology) :


• Study Design,
• Study Setting ,
• Sampling Technique,
• Study Population (Groups),
• Sample Size,
• Study Duration,
• Inclusion criteria
• Exclusion criteria
• Sampling technique
• Materials used
• Proper method of study conduct explained with relevant diagrams and/
flowcharts

Data Analysis :
• Demographical data analysis
• Appropriate statistical analysis done
• Interpretation of result
• Tabular presentation
• Graphical presentation
• Labeling of tables and graphs done.

Discussion :
• Mentions result and its inference
• Connecting statically significant with clinical reasoning ( Clinical
implication)
• References conflicting the study results must be quoted
• References supporting the study quoted

Limitations :
• Limitations and challenges encountered during the study
• Further Recommendations
• Further recommendations/scopes of the study

Conclusion & Summary :


• Social / community advantage
• Prospective for further research
• Summarization of entire study

Bibliography :
• referencing in Vancouver format

Annexures :
• Consent form
• Data collection tool
• Assessment tool
• Measurement tool/outcome measure
• Master chart

Style & Format:

GENERAL:

• Project should be written in past tense, error-free English. The text of the entire
project must be in black color, Arial fonts, size 12, justified.
• Fancy art work anywhere in the project which does not contribute to the
methodology or outcome of the research work should be strictly avoided
• 1.5 line spacing should be kept throughout the text. No spacing should be there before
or after the paragraph. However, single line spacing can be used for long tables and
for figures with lengthy captions. Margin should be 1.5” from Left and 1” from Right,
Top & Bottom. The text of the project must be justified unless necessary otherwise.

Header:
• Header (must have the name of the chapter on all pages, center-aligned)

Footer:
• Footer (page number in Arabic numerical, right aligned & title of study, left aligned)
should be placed in Arial font, size 10 point, normal and sentence case.

Headings :
• All headings must be subsequently numbered and must be in Arial, 12, bold and
sentence case, left-aligned (for ex., Study Design…).

Sub-headings:
• All sub-headings must be subsequently numbered and must be in Arial, 12, normal
and sentence case, left-aligned (for ex., Procedure…). The rest of the text should be
in Arial, 12, justified

Annexure:
• Enter the details of various certificates/pages according to the templates provided in
the respective annexure. Maintain the specifics of font type, font size and case in these
templates

Acknowledgements:
• Should be brief. Student’s signature should be made at the right bottom end of
acknowledgements above his/her name typed in capitals.

Review of Literature:
• Should be arranged in point wise or areas wise,
• E.g. ROL supporting need of the study, Outcome measures, Methodology, probable
conclusion…

Objectives:
• Should provide the complete rationale and objectives of study, point wise.

Methodology:
• It must mention project compounds / materials / etc.
• It must include Study design, study setting ,Sampling technique, study population
(groups), sample size, study duration, inclusion and exclusion criterias, materials
used and method.
• Write method in the form of a flowchart.

Tables and figures:


• They, along with their captions, should be centrally aligned and conform to the
margin specifications. Large size figures should be photographically or otherwise
reduced to the appropriate size before insertion.
• The list of tables & figures should use exactly the same captions as they appear in the
text of the project.
• In the text, each caption of the table must be placed above the table in Arial, 12, bold
and sentence case with each word capitalized and numbered in Arabic numerical
(e.g., Table 1. Abc Xyz). Each caption of figure must be placed below the figure in
Arial, 12, bold and sentence case with each word capitalized and numbered in Arabic
numerical (e.g., Figure 1. Abc Xyz).
• While mentioning in the text, the tables and figures must be placed in curved brackets
and mentioned as Table 1 or Fig. 1. at the end of the sentence. Equations appearing
in each chapter or appendix should be numbered serially in Arabic numerical.

Referencing within the text:


• All references in the text must be in ascending numerical order only. No reference
number should be out-of-sequence. They must be cited in superscript in square
brackets before the full-stop with no spaces. In case of multiple references, cite them
using first and last reference number. For example xx[1]. Or xx[1-4].

Referencing in the end:


• The references should be arranged number-wise in the reference page with a single
blank line between each reference. The required reference style is as follows:

Appendices:
• They should be numbered using Arabic numerals (e.g. Appendix 1, Appendix 2, etc.)
and should be referred to in appropriate places of the text of the project in curved
brackets.
• The appendices should include consent form, assessment tool, data collection sheet,
measurement tools used in study, master chart

Project report submission:


• The project should in filed in the white strip file in given format

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