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Over twenty years ago, the board of Trustees of The American Registry of Radiologic Technologist (ARRT) established continuing education requirements for the renewal of certification and registration for registered technologists. These requirements set out to ensure that the registered technologist (RT) is continually maintaining their competence and is updated on knowledge and skills of new developments in their field. The ARRT outlined a variety of requirements for Continuing Education (CE) including different modes to earn continuing education, credits and their categories, defined disciplinary actions for any noncompliance of requirements, and new continuing qualification requirements (CQR). Throughout this paper, those components and specific requirements of CE will be explored in greater detail.After successfully passing an accredited program for Radiologic Technology and passing the corresponding ARRT board exam, an individual can apply for ARRT credentials. Once these credentials are earned, certification and registration will need to be maintained annually, corresponding with the RT’s birth month. CE requirements also need to be completed by the RT, but only need to be completed and reported to the ARRT once, every two years. This two year period is referred to as a biennium. It is the sole responsibility of the RT to ensure these CE requirements are met before the renewal of their registration and certification at the end of their biennium. The ARRT has previously described the options for satisfying CE requirements as the following: earn 24 CE credits that meet the criteria set forth by ARRT, or earn certification and registration in a primary/post-primary discipline not previously held and for which the individual is eligible and which ARRT recognizes for this purpose. Unfortunately, as of January 1st, 2018, the ARRT will no longer be accepting a primary or post-primary certification to fulfill CE requirements. RTs are still able to complete these primary or post-primary certifications to advance their career, but they will no longer satisfy CE requirements and they will need to earn 24 CE credits each biennium.As just previously mentioned, an RT needs to earn a specific number of CE credits and they must meet the ARRT’s criteria for a CE activity. To the ARRT, a CE activity is one that is planned and organized. The activity must also be administered with the purpose of maintaining and enhancing the professional knowledge and skills underlying the professional performance which an RT uses to provide services to patients or the medical profession. The activity’s CE sponsor is the person responsible for submitting their CE activity to be reviewed and approved by a Recognized Continuing Education Evaluation Mechanism (RCEEM), RCEEM+, or state licensing agency so it can be marked as approved. An approved activity will be advertised with a specific graphic/statement and number of credits so it is extremely important that an RT checks for this graphic or statement when deciding to participate in a certain activity in hopes to apply it for CE credit.Approved credit activities can fall into two different categories, Category A or Category A+. Credits that have been evaluated by a Recognized Continuing Education Evaluation Mechanism (RCEEM), such as the American Society of Radiologic Technologist (ASRT), are assigned Category A credits. Category A+ credits are ones approved by RCEEM+ organizations, like the Radiological Society of North America or the Society of Nuclear Medicine (Technologist Section). Regardless of which category the credits are assigned to, they are awarded in a quarter, half, or full credit increments based on their contact time. If the CE activity is equal to 50-60 minutes, it will be awarded as one credit. Activities of 30-49 minutes in length receive a half credit and activities lasting 15-29 minutes will receive one-quarter credit. Some activities are also assigned a specific number of credits no matter what the actual contact time is. For example, receiving a passing grade in academic courses approved by the ARRT can qualify as 12 Category A CE credits for each academic quarter or 16 Category A CE credits for each academic semester credit. Other ways to earn credits include educational activities approved by an RCEEM, sponsored events/conferences or directed reading quizzes from approved journals. The American Society of Radiologic Technologist (ASRT) puts together journals with directed reading quizzes, live webcasts, and online courses for their members to earn CE credits. The ASRT also puts together events/conferences with sessions run by leaders in the radiologic sciences that are approved for CE credits. Earning an advanced level CPR certification in Advanced Cardiac Life Support or Pediatric Advanced Life Support through the American Heart Association or Red Cross is also another way to receive credits. No matter how appropriate credits are earned, it is the responsibility of the RT to maintain the proof of participation in all CE activities and submit all appropriate information to the ARRT before the end of their biennium in order to apply those credits to their CE record and complete their CE obligation. Trying to keep track of this information may seem overwhelming; luckily organizations like the American Society of Radiologic Technologists (ASRT) supply their members with great resources and support to help track and report credits to the ARRT. Not only does the ASRT provide their RTs with high-quality resources to help earn CE credits, they provide a credit tracking mechanism to help keep the information in one area. Credit documentation can be mailed, faxed, or submitted online to the ASRT. After being processed, the credits are then transferred to the member’s corresponding CE record in their profile with the ARRT. It is highly recommended that all RTs still maintain their credit documentation for at least one year past their biennium in the event of any issues because any errors in record-keeping mechanisms (like the one the ASRT provides) are not sufficient reasons for failure to produce the required documentation. Failure to provide that documentation can lead to disciplinary action taken by the ARRT.The ARRT possesses the right to audit any CE credits submitted. If randomly selected for an audit of credits, an RT must comply with any requests and submit their CE record with any documentation or certification of participation from the CE activities. Noncompliance to do so can result in suspension of that RT’s registration and certification. The ARRT can also suspend registration and certification if an RT fails to renew annually. Either failure to comply would require the individual to apply for reinstatement of their certification and meet other requirements specified by the ARRT Rules and Regulations. This reinstatement is at the full discretion of the ARRT Board of Trustees and can be rejected. Probation is another form of disciplinary action taken by the ARRT and will be assigned to any RT that renews their certification and registration but doesn’t meet the CE requirements for that biennium. For example, if an RT applies for their annual certification at the end of their biennium with only 20 approved CE credits on record, they will be placed on CE probation because they did not meet the 24 CE credits requirement. The probation period extends from their birth month to the end of the following sixth month. During this time the RT is given a credential card showing “CE Probation” and must complete the missing credits. A CE Probation Report form and fee are also associated with this period and must be submitted before it ends. Failure to comply with the ARRT will once again result in discontinuation of certification and registration; which any employer or prospective employer can inquire about. Therefore, it would be in the best interest of the RT to keep their certification in good standings and avoid any disciplinary actions.One of the final components to discuss with CE requirements is the continuing qualification requirements (CQR). Any RT who has earned their first certification after January 1st, 2011 is now required, by the ARRT, to satisfy continuing qualification requirements every 10 years. This process is said to be initiated by the ARRT about three years before the “10-year” mark arrives. It is designed to help an RT identify possible knowledge or skill areas where they may be falling short in and provide a specific education plan to bridge the gap. The first step of the process is the Professional Profile. This is created by a self-survey about one’s clinical job procedures and their frequencies. Once the survey is finished, the data is formed into the RT’s Professional Profile. In the next step, the RT is required to take a Structured Self-Assessment (SSA). This SSA can be taken at home with an online proctor or at an approved testing facility, like the one used to take the initial certification board exam. The assessment asks the RT to answer questions about the knowledge and skills that are required by someone entering the field today and can’t be failed; it merely serves as a measurement tool. If the SSA finds any areas where the individual may benefit from additional education, that RT will need to follow the last step of the CQR; Prescribed Continuing Education. Prescribed CE allows the ARRT to prescribe specific CE to target the areas where additional education was needed. These prescribed CE areas must be met in order to complete the process. It is also important to note that not all RTs will need this last step and that the prescribed CE can still be applied to the CE requirements needed every biennium. This new long-term activity hopes to bridge any gaps in new technologies or skills to ensure RTs provide the best possible care to patients. 

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