AERIAL EUROPE study phase 2: Analysis of the Educational Requirements to practice InterventionAL radiology in Europe.

Phase 2: Survey of individual radiographers working in IR&IC.

Welcome to this survey investigating radiographers working in Interventional Radiology/ Interventional Cardiology (IR/IC)

The European Federation of Radiographer Societies (EFRS) is carrying out this survey to gain an overview of current roles and responsibilities of interventional radiographers in Europe. EFRS would like to gain a better understanding of the education received and identify any need for further training of radiographers working in interventional examinations.

The results of this survey will inform the work of EFRS.

Please add any additional comments in the comment box. If there are any questions that you do not want to answer or are irrelevant to you, please leave them blank.

If you would like to discuss further, please leave a contact e-mail and we will get back to you to arrange a convenient time to speak/skype. Alternatively, you can email info@efrs.eu (please use Interventional Radiology survey in the subject heading)

Your results will be collated with other responses. Individual responses will be kept confidential. The collated data will be anonymous.

This survey will take approximately 10 minutes to complete. You can contact us at info@efrs.eu if you have any questions about this survey.

Fair processing statement

The European Federation of Radiographer Societies (EFRS) will use the data supplied by you for the purposes of research. Any personal data which the EFRS collects, records or uses in any way will have appropriate safeguards applied to ensure compliance with the EU GDPR.

The questionnaire is hosted by SurveyMonkey who are based in the United States. Survey Monkey are listed as a "EU – U.S. Privacy Shield" organisation by the US Department of Commerce. The "EU – U.S. Privacy Shield" list is designed to list US organisations complying with the European Commission's Directive on Data Protection. Data is collected and stored by Survey Monkey, but only made available to the account holder (The EFRS). All information collected is kept confidential and secure and is not shared with any third parties by Survey Monkey.

By completing this questionnaire you are giving your consent for the personal data you provide to be processed by Survey Monkey and the EFRS.

Consent:

*1. By proceeding and completing the survey you understand that:

- You have read and understood the Fair Processing Notice.
- You can stop completing the survey at any time, however once the survey has been completed, we will be unable to remove your responses.
- By completing the survey you consent to have your anonymous responses included within the publications, presentations and posters for the European Federation of Radiographer Societies.

If you do not agree to this, please do not complete the survey.

Question Title

* 1. What country are you from?

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* 2. In what country did you train as a radiographer ?

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* 3. What country do you now work in ?

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* 4. What kind of hospital do you work in?(please tick all that apply)

University teaching hospital

Large public hospital (>400 beds)

Medium public hospital (150-400 beds)

Small public hospital (150 beds)

Private hospital

Other, please specify

(please specify)

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* 5. Is Interventional Radiology/Cardiology recognised as a specialism for radiographers in the country you work in?

	In country I work in	In country I trained in
Yes	Yes In country I work in	Yes In country I trained in
No	No In country I work in	No In country I trained in

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* 6. Did you feel fully equipped to work in intervention when graduating as a radiographer? (please slide scale from 0-100% to indicate confidence)

100

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 7. What motivated you to work in intervention when you graduated as a radiographer?

Working in a team

Job satisfaction

Increase my knowledge and skills

Higher salary/promotion

Closer patient contact

Better job prospects

Enjoy a new challenge

Opportunity for further training/education

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* 8. What area of intervention do you currently work in ?(tick all that apply)

Cardiac

Neuro

Vascular

Non vascular

Oncology

Other

please specify

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* 9. How many years have you been working in intervention?

< 1 year

1-3 years

4-8 years

8-12 years

12-15 years

15-20 years

>20 years

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* 10. What roles do you currently perform working in IR/IC (tick all that apply)

Patient care

Explain procedure to the patient/address concerns

Confirm the pre procedural checklist was complete

Check for allergies

Review referral requests for certain procedures

Justify examinations

Patient positioning

Select projections

Set exposure parameters

Image acquisition

Image manipulation

Image measurements/volumetric analysis

Radiation protection

Image archiving storage and retrieval

Data storage - electronic record for reporting

Quality Assurance tests/Quality Control

Audit

Dose monitoring

Collate and coordinate radiation dose monitoring badges

Research

Other

(please specify)

Question Title

* 11. If you moved countries to work, are there any roles which were new to you that you did not learn in the country you trained in ? (tick all that apply)

Not applicable

Patient care

Explain procedure to the patient/address concerns

Confirm the pre procedural checklist was complete

Check for allergies

Review referral requests for certain procedures

Justify examinations

Patient positioning

Select projections

Set exposure parameters

Image acquisition

Image manipulation

Image measurements/volumetric analysis

Radiation protection

Image archiving storage and retrieval

Data storage - electronic record for reporting

Quality Assurance tests/Quality Control

Audit

Dose monitoring

Collate and coordinate radiation dose monitoring badges

Research

Other

(please specify)

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* 12. What IR/IC skills/training do you feel were missing from your undergraduate training.

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* 13. Do you perform interventions on paediatric and adult patients?

Paediatric patients only

Adult patients only

Both adults and paediatric patients

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* 14. Do you use any of the following when operating the equipment? (tick all that apply)

Pre programmed projections

Manual selection of projections

Projections tailored to individual interventionalist

Pre set paediatric specific programming

Other

(please specify)

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* 15. What type of equipment do you use?

Single plane

Bi-plane

Image Intensifier (II)

Flat panel detector

Rotational angiography

Cone beam computed tomography (CBCT)

Mobile C arm for operating theatre

Image fusion techniques

Both single and bi-plane

Other or combination

(please specify)

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* 16. What is the age of main interventional equipment? (years)

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* 17. How may C-arm’s are used in your hospital for interventional work?

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* 18. What range of field sizes are available (cm)? Which is most commonly used?

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* 19. What method of collimation is used during investigations (e.g. 10x10cm rectangular field size normally, or 15 cm iris field)?

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* 20. Do you routinely keep the flat-panel detectors/ II as close to the patient as possible during the procedure or do you employ an air gap?

Detector/II close

Air gap

Use both depending on doctors preference

Other

(please specify)

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* 21. If an air gap is employed, what distance is used? Is this for adults, paediatrics or both ?

Adults

Paediatrics

Both

Not applicable

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* 22. Do you use continuous or pulsed fluoroscopy ?

Continuous

Pulsed

Varies depending on procedure

(please specify)

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* 23. Please indicate the pulse/frame rate commonly used and give examples of when this would be altered?

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* 24. Do you remove the grid during the procedure for patients?

	Adults	Paediatrics
Yes	Yes Adults	Yes Paediatrics
No	No Adults	No Paediatrics

Sometimes (please clarify)

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* 25. If yes, is this restricted to a certain weight or age range? (please specify)

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* 26. Do you add filters to the radiation beam?

Yes-“soft filters” that are pre-installed on the machine

Yes- additional external filters e.g. Copper or Aluminium

No do not use “soft filters” that are pre-installed on the machine

No do not add external filters e.g. Copper or Aluminium

Other

(please specify further details)

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* 27. If filters are inserted, is this done automatically ?

	Yes	No	Sometimes
Manual insertion	Manual insertion Yes	Manual insertion No	Manual insertion Sometimes
Automatic	Automatic Yes	Automatic No	Automatic Sometimes

(please specify)

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* 28. If additional filters are inserted, which type ? when are they used and what thickness is used ?

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* 29. What other radiation protection measures are taken for patients during the procedure? E.g. lead rubber apron under the patient’s pelvis (please provide details where appropriate)

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* 30. Do you have national or local Diagnostic Reference Levels (DRL) for interventional examinations in your country?

	Yes for adults	Not for adults	Yes for children	Not for children
National	National Yes for adults	National Not for adults	National Yes for children	National Not for children
Local	Local Yes for adults	Local Not for adults	Local Yes for children	Local Not for children
Both National and Local	Both National and Local Yes for adults	Both National and Local Not for adults	Both National and Local Yes for children	Both National and Local Not for children

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* 31. What are the DRLs for 3 common examinations in your department? (please list exam, adults or paediatrics and DRL)

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* 32. Thank you for taking the time to complete this survey. If you would like to add anything or discuss the training and education of radiographers working in IR/IC in more detail please add your details/email address in the box below. Please click "next" to obtain your certificate of participation.

AERIAL EUROPE study phase 2: Analysis of the Educational Requirements to practice InterventionAL radiology in Europe.

Phase 2: Survey of individual radiographers working in IR&IC.

Question Title

* 1. What country are you from?

Question Title

* 2. In what country did you train as a radiographer ?

Question Title

* 3. What country do you now work in ?

Question Title

* 4. What kind of hospital do you work in?(please tick all that apply)

Question Title

* 5. Is Interventional Radiology/Cardiology recognised as a specialism for radiographers in the country you work in?

Question Title

* 6. Did you feel fully equipped to work in intervention when graduating as a radiographer? (please slide scale from 0-100% to indicate confidence)

Question Title

* 7. What motivated you to work in intervention when you graduated as a radiographer?

Question Title

* 8. What area of intervention do you currently work in ?(tick all that apply)

Question Title

* 9. How many years have you been working in intervention?

Question Title

* 10. What roles do you currently perform working in IR/IC (tick all that apply)

Question Title

* 11. If you moved countries to work, are there any roles which were new to you that you did not learn in the country you trained in ? (tick all that apply)

Question Title

* 12. What IR/IC skills/training do you feel were missing from your undergraduate training.

Question Title

* 13. Do you perform interventions on paediatric and adult patients?

Question Title

* 14. Do you use any of the following when operating the equipment? (tick all that apply)

Question Title

* 15. What type of equipment do you use?

Question Title

* 16. What is the age of main interventional equipment? (years)

Question Title

* 17. How may C-arm’s are used in your hospital for interventional work?

Question Title

* 18. What range of field sizes are available (cm)? Which is most commonly used?

Question Title

* 19. What method of collimation is used during investigations (e.g. 10x10cm rectangular field size normally, or 15 cm iris field)?

Question Title

* 20. Do you routinely keep the flat-panel detectors/ II as close to the patient as possible during the procedure or do you employ an air gap?

Question Title

* 21. If an air gap is employed, what distance is used? Is this for adults, paediatrics or both ?

Question Title

* 22. Do you use continuous or pulsed fluoroscopy ?

Question Title

* 23. Please indicate the pulse/frame rate commonly used and give examples of when this would be altered?

Question Title

* 24. Do you remove the grid during the procedure for patients?

Question Title

* 25. If yes, is this restricted to a certain weight or age range? (please specify)

Question Title

* 26. Do you add filters to the radiation beam?

Question Title

* 27. If filters are inserted, is this done automatically ?

Question Title

* 28. If additional filters are inserted, which type ? when are they used and what thickness is used ?

Question Title

* 29. What other radiation protection measures are taken for patients during the procedure? E.g. lead rubber apron under the patient’s pelvis (please provide details where appropriate)

Question Title

* 30. Do you have national or local Diagnostic Reference Levels (DRL) for interventional examinations in your country?

Question Title

* 31. What are the DRLs for 3 common examinations in your department? (please list exam, adults or paediatrics and DRL)

Question Title

Question Title

* 33. Certificate of participation