Skip to main content

Main menu

  • Home
  • Content
    • Current
      • JNMT Supplement
    • Ahead of print
    • Past Issues
    • SNMMI Annual Meeting Abstracts
  • Subscriptions
    • Subscribers
    • Rates
    • Journal Claims
    • Institutional and Non-member
  • Authors
    • Submit to JNMT
    • Information for Authors
    • Assignment of Copyright
    • AQARA Requirements
  • Info
    • Permissions
    • Continuing Education
    • Advertisers
    • Corporate & Special Sales
  • About
    • About Us
    • Editorial Board
    • Editorial Contact
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • SNMMI
    • JNMT
    • JNM
    • SNMMI Journals
    • SNMMI

User menu

  • Subscribe
  • My alerts
  • Log in
  • My Cart

Search

  • Advanced search
Journal of Nuclear Medicine Technology
  • SNMMI
    • JNMT
    • JNM
    • SNMMI Journals
    • SNMMI
  • Subscribe
  • My alerts
  • Log in
  • My Cart
Journal of Nuclear Medicine Technology

Advanced Search

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • SNMMI Annual Meeting Abstracts
  • Subscriptions
    • Subscribers
    • Rates
    • Journal Claims
    • Institutional and Non-member
  • Authors
    • Submit to JNMT
    • Information for Authors
    • Assignment of Copyright
    • AQARA Requirements
  • Info
    • Permissions
    • Continuing Education
    • Advertisers
    • Corporate & Special Sales
  • About
    • About Us
    • Editorial Board
    • Editorial Contact
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • Follow SNMMI on Twitter
  • Visit SNMMI on Facebook
  • Join SNMMI on LinkedIn
  • Subscribe to JNMT RSS feeds
Research ArticlePROFESSIONAL DEVELOPMENT

Euro-American Discussion Document on Entry-Level and Advanced Practice in Nuclear Medicine

Kristen Waterstram-Rich, Peter Hogg, Giorgio Testanera, Helena Medvedec, Suzanne E. Dennan, Wolfram Knapp, Nigel Thomas, Kathy Hunt, Martha Pickett, Aaron Scott and Gary Dillehay
Journal of Nuclear Medicine Technology September 2011, 39 (3) 240-248; DOI: https://doi.org/10.2967/jnmt.111.096354
Kristen Waterstram-Rich
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter Hogg
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Giorgio Testanera
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Helena Medvedec
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Suzanne E. Dennan
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Wolfram Knapp
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nigel Thomas
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kathy Hunt
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Martha Pickett
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Aaron Scott
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gary Dillehay
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • FIGURE 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1.

    The present situation: a marked variation of views on entry-level and advanced practice.

  • FIGURE 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2.

    Each country could populate its own national model for entry-level and advanced practice.

  • FIGURE 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3.

    Comparison of entry and advanced levels in 1990 and 2010.

  • FIGURE 4.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 4.

    Illustration of how, within the United Kingdom, the nursing profession has negotiated roles that were formerly within the domain of the medical profession.

Tables

  • Figures
    • View popup
    TABLE 1

    Examples of Advanced Practices

    Category of advanced practiceExamples
    Medication managementDeciding when medication needs to be stopped
    Deciding when to give medication (adjunct)
    Deciding what dose to give
    Assessing for contraindications or drug incompatibilities
    Administering medications
    Responding to adverse reactions (minor and major)
    Writing a report after a reaction
    Nonmedical cardiac stress testingStanding in when there is no physician in the stress room
    Preparing the patient
    Taking the lead in cardiac stressing
    Being responsible for monitoring the patient
    Taking appropriate action if the patient has a problem
    Deciding when to administer a radiopharmaceutical
    Deciding when to cease a stress test
    Responding to cardiac events; deciding when help is required
    X-ray imagingRequesting before ventilation–perfusion imaging
    Requesting to investigate unexplained hot areas seen on a bone scan
    Requesting CT after SPECT to establish
     Precise location (could be low-dose CT)
     Diagnosis (diagnostic-quality or high-dose CT)
    Surgical preparations (mark up for surgery)Being involved with nuclear medicine scanning
    Identifying the nodes on a scan
    Marking skin to suggest where the node is for the surgeon
    Formal reports about scansDescribing what is seen
    Noting whether there are incidental findings and whether they are clinically significant
    Answering the clinical question
     Making a (pathologic) diagnosis or indicating normality
     Suggesting a prognosis based on scan findings
     Suggesting the next step (e.g., further imaging)
    Radionuclide therapy sessionsAssessing the clinical presentation
    Evaluating information from the diagnostic work-up
    Deciding whether the case is suited to radionuclide therapy
    Taking a lead role in calculating the dose
    Preparing the patient for the dose; including assessment of contraindications
    Administering the dose
    Assessing the patient for complications
    Following up the patient
    • View popup
    TABLE 2

    Factors That Can Facilitate and Inhibit Process of Change

    FacilitatorBarrier
    Laws or regulations that enable changeLaws or regulations that restrict advancement of a role or change in responsibilities
    Guidelines for practice that enable changeFear of litigation
    Presence of key players who support the desired changePresence of trainee doctors who want roles that allow them to develop
    Shortage of nuclear medicine physiciansFear of change
    Technologic advancementFear of losing money in cases of fee for service
    Financial pressure in the health care sectorFear of losing turf
    Effective use of the potential skills and capabilities of all professionalsFear of losing power and status
    Role models who already do advanced practicesConflict about roles
    Inability to support suitable advanced practice education and training
    Fear of accepting new responsibilities
PreviousNext
Back to top

In this issue

Journal of Nuclear Medicine Technology: 39 (3)
Journal of Nuclear Medicine Technology
Vol. 39, Issue 3
September 1, 2011
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Journal of Nuclear Medicine Technology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Euro-American Discussion Document on Entry-Level and Advanced Practice in Nuclear Medicine
(Your Name) has sent you a message from Journal of Nuclear Medicine Technology
(Your Name) thought you would like to see the Journal of Nuclear Medicine Technology web site.
Citation Tools
Euro-American Discussion Document on Entry-Level and Advanced Practice in Nuclear Medicine
Kristen Waterstram-Rich, Peter Hogg, Giorgio Testanera, Helena Medvedec, Suzanne E. Dennan, Wolfram Knapp, Nigel Thomas, Kathy Hunt, Martha Pickett, Aaron Scott, Gary Dillehay
Journal of Nuclear Medicine Technology Sep 2011, 39 (3) 240-248; DOI: 10.2967/jnmt.111.096354

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Euro-American Discussion Document on Entry-Level and Advanced Practice in Nuclear Medicine
Kristen Waterstram-Rich, Peter Hogg, Giorgio Testanera, Helena Medvedec, Suzanne E. Dennan, Wolfram Knapp, Nigel Thomas, Kathy Hunt, Martha Pickett, Aaron Scott, Gary Dillehay
Journal of Nuclear Medicine Technology Sep 2011, 39 (3) 240-248; DOI: 10.2967/jnmt.111.096354
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • AN INTERNATIONAL PERSPECTIVE ON ADVANCED PRACTICE
    • RATIONALE FOR ADVANCED PRACTICE
    • EXAMPLES OF ADVANCED PRACTICES
    • EVOLUTION OF PROFESSIONAL RESPONSIBILITIES
    • LEADING AND MANAGING CHANGE
    • EDUCATION AND COMPETENCY
    • EVALUATION OF ADVANCED COMPETENCIES THROUGH AUDITING
    • CONCLUSION
    • Acknowledgments
    • Footnotes
    • SELECTED READING
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • The Impact of COVID-19 on First-Year Undergraduate Nuclear Medicine Students’ Practical Skills Training
  • Changing Methods of Education During a Pandemic: Questionnaire Survey about Examinations for Nuclear Medicine Technology at Educational Institutions in Japan
  • Bullying in the Nuclear Medicine Department and During Clinical Nuclear Medicine Education
Show more Professional Development

Similar Articles

SNMMI

© 2023 Journal of Nuclear Medicine Technology

Powered by HighWire