DXA Reporting for Clinicians

Program Overview

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DXA Reporting for Clinicians

Module details

Module code

7RD506

Module level

Level 7

Module credits

40 credits

Next course date

January

Duration

36 weeks

Location

Kedleston Road, Derby Campus

Module description

This course evidences that you have addressed the learning needs in relation to DXA reporting. It enables you to maintain currency and safe clinical practice as required by local clinical governance procedures.

Regardless of your health profession you will be able to develop and enhance your practice as part of a multi-professional strategy and to utilise a systematic approach to reporting BMD and VFA results from DXA scans.

You will work closely with a service-based mentor to report DXA scans consistently and independently and review the role of vertebral fracture assessment. You will also review both technical aspects of bone densitometry assessment and patient management in relation to national guidance.

This course covers central DXA - it does not cover peripheral DXA or quantitative ultrasound (QUS).

You'll study these topics:

• Normal and osteoporotic appearances on DXA images, including an understanding of normal variants
• The clinical risk factors that affect BMD
• Artefacts and confounding factors, such as patient positioning
• The radiographic appearance of vertebral fracture on lateral DXA images
• Treatment thresholds for different patient groups
• Treatment protocols
• The significance of changes in DXA results with time and the implications for treatment
• The effect of treatment on DXA results
• Quantitative and semi-quantitative vertebral fracture assessment, including fracture risk assessment
• Common pitfalls of interpreting DXA scan results
• Normal ranges
• Records and record keeping
• Radiation protection and IRMER
• Terminology and writing reports
• Governance framework

Who this course is for

You will be an experienced health professional working in an osteoporosis or DXA service that is either currently reporting on DXA scans or are about to commence.

Course team

• Claire Richards - Module leader and Programme Leader PGCert Bone Densitometry Reporting
• Neil Powrie - DXA, Radiography
• Dr Elena Kariki - Radiology, DXA

Structure, certificates and assessment

The course is equivalent to two modules at master's level 7. It lasts for about 36 weeks, but is dependent on the time you need to develop your portfolio of evidence.

You'll attend a minimum of two study days on campus and three study evenings online - which will support your learning, provide keynote lectures, case study discussions in small groups, and viewing of scan sessions. These interactive study days are an integral part of this course.

During the module you'll develop a reflective portfolio, where you have independently reported on BMD results and commented on normal variants, artefacts and appearances in the image.

You'll need to include a broad range of examples that reflect the diversity of your patient populations. Your portfolio will also include detailed reflective practice.

Your report should include treatment recommendations to agreed local protocols, which you'll need to include in your portfolio.

You must present an audit of your reports compared with those of a trained practitioner.

Your portfolio will need to be signed off by the trained practitioner who is your mentor in practice. You must ensure you have the support of a suitably appropriate mentor prior to admission on to the programme.

You will also sit an examination and produce an assignment on Vertebral Fracture Assessment.

This module can be used to form part of the Bone Densitometry Reporting PG Cert.

Learning outcomes

On completion of this course you should be able to:

• Consistently report on adult DXA images to a recognised clinical standard, incorporating diagnostic, technical and patient management aspects in line with national or agreed local protocols
• Independently provide a critical analysis and interpretation of management decisions on DXA images deriving from a range of scenarios that reflect clinical practice
• Review the role of vertebral fracture assessment in the assessment of vertebral fractures and fracture risk assessment

Entry requirements

A first degree or equivalent providing you with the academic and/or clinical competencies to work at the appropriate academic level; plus:

• Professional body state registration
• Be working as a health care professional (radiographer, technologist, nurse or doctor in a bone densitometry service, with the support of the clinician with clinical responsibility of the service who will sign off the reflective portfolio)
• Have completed appropriate IRMER training
• Successful completion of the ROS (previously NOS) National Training Scheme for Bone Densitometry, or the Postgraduate Certificate in Osteoporosis and Falls Management or equivalent

You will need to supply a reference on your suitability to study at Master’s level (Level 7) and written confirmation of mentor support. Please ensure that you upload evidence of each of the above criteria, with your application.

Please note that your mentor should be currently reporting DXA scans, including treatment recommendations on the reports. This is so they can fully support you with your success in this module.

Fees and funding

(August - July 20undefined)

If you are funding your own study, the module price will be confirmed shortly.

Please note fees normally increase in line with inflation and the University's strategic approach to fees, which is reviewed on an annual basis. The total fee you pay may therefore increase after one year of study.

Funding your studies

Find out more about fees, postgraduate loans and support you may be entitled to.

Alumni discount for Derby graduates

We offer a discount on postgraduate course fees for all Derby alumni.

Program Outline

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Outline:

• Module Code: 7RD506
• Module Level: Level 7
• Module Credits: 40 credits
• Duration: 36 weeks
• Location: Kedleston Road, Derby Campus
• Module Description:
• Evidences addressing learning needs related to DXA reporting.
• Enables maintaining currency and safe clinical practice as per local clinical governance procedures.
• Develops and enhances practice within a multi-professional strategy.
• Utilizes a systematic approach to reporting BMD and VFA results from DXA scans.
• Involves working closely with a service-based mentor to report DXA scans consistently and independently.
• Reviews the role of vertebral fracture assessment.
• Reviews technical aspects of bone densitometry assessment and patient management aligned with national guidance.
• Focuses on central DXA, excluding peripheral DXA or quantitative ultrasound (QUS).
• Topics Covered:
• Normal and osteoporotic appearances on DXA images, including understanding of normal variants.
• Clinical risk factors affecting BMD.
• Artefacts and confounding factors, such as patient positioning.
• Radiographic appearance of vertebral fracture on lateral DXA images.
• Treatment thresholds for different patient groups.
• Treatment protocols.
• Significance of changes in DXA results over time and implications for treatment.
• Effect of treatment on DXA results.
• Quantitative and semi-quantitative vertebral fracture assessment, including fracture risk assessment.
• Common pitfalls of interpreting DXA scan results.
• Normal ranges.
• Records and record keeping.
• Radiation protection and IRMER.
• Terminology and writing reports.
• Governance framework.
• Structure:
• Lasts for about 36 weeks, dependent on portfolio development time.
• Minimum of two study days on campus and three study evenings online.
• Interactive study days include keynote lectures, case study discussions in small groups, and viewing of scan sessions.
• Assessment:
• Reflective portfolio:
• Independent reporting on BMD results.
• Commentary on normal variants, artefacts, and appearances in the image.
• Broad range of examples reflecting patient population diversity.
• Treatment recommendations aligned with local protocols.
• Audit of reports compared with those of a trained practitioner.
• Portfolio sign-off by a trained practitioner mentor.
• Examination on Vertebral Fracture Assessment.
• Assignment on Vertebral Fracture Assessment.
• Course Team:
• Claire Richards - Module leader and Programme Leader PGCert Bone Densitometry Reporting
• Neil Powrie - DXA, Radiography
• Dr Elena Kariki - Radiology, DXA

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Assessment:

• Methods:
• Reflective portfolio
• Audit of reports
• Examination
• Assignment
• Criteria:
• Consistent reporting on adult DXA images to a recognized clinical standard.
• Critical analysis and interpretation of management decisions on DXA images.
• Review of the role of vertebral fracture assessment.

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Teaching:

• Methods:
• Interactive study days
• Keynote lectures
• Case study discussions
• Viewing of scan sessions
• Faculty:
• Claire Richards
• Neil Powrie
• Dr Elena Kariki

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Other:

• This module can be used to form part of the Bone Densitometry Reporting PG Cert.
• The course is subject to minimum numbers in order to run.