Clinical Education and assessment in Finland Anja Kettunen Principal lecturer, PhD anja'kettunenoamk

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Clinical Education and assessment in
Finland Anja Kettunen Principal lecturer,
PhD anja.kettunen_at_oamk.fi
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Universities of Applied Sciences having program
in Radiography and Radiation Therapy (210 ECTS)
Oulu
Vaasa
Kuopio
Tampere
Turku
Helsinki
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The bachelor's degree consists of the following
entities

• basic studies
• professional studies
• a Bachelors thesis
• free-choice studies
• practical training

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Competences

• Generic and specific competences for education
  has been accepted in 2006 and they are the same
  in whole Finland
• The curriculum is not same in all schools
• Learning outcomes are based on students own
  capacity and earlier experiences and teacher /
  tutor are supporting her /him to reach the goals

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Clinical Education

• 75 ECTS 50 weeks in clinical practice
• 1,5 ECTS or 1 week means 40 hours students work
  2000 hours
• Placements
• Health centres 1st year
• Private clinics
• Central hospitals
• University Hospitals

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Steering in practice

• 1. Mentor / Tutor
• Radiographers
• Some have short education concerning teaching,
  steering and assessment
• Each student has a personal tutor during clinical
  practice
• Tutors have annual meetings with teachers in each
  geographical area

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Steering in practice

• 2. Teacher from University
• Named in advance
• Teaching the theory
• Approves the aims for the clinical practice
• 3. Clinical tutor
• Some big hospitals have clinical tutor who
  initiates to the hospital and departments

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Arrangements

• The placement is made by the teacher
• JobStep is in use more and more (electronic
  system where hospital are registered and student
  make the choice teacher approves)
• Length of one period varies from 2 up to 9 weeks
  on same department

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Arrangements

• All students have clinical education in
• General (bones, chest, barium meal and enema,
  operating theather)
• Ct
• MRI
• US
• NM
• Radiation therapy
• Angio and intervention
• radiology

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Arrangements

• Students choose one area and takes more clinical
  practice and theory in that area e.g. CT, Therapy
  etc.
• Students are working in different hospitals all
  over Finland
• Possible also do it abroad
• Few ECTS are performed in labs in the University

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Assessment

• Usually there is first theory and then practice
• Student plans her /his own goals based on those
  in curriculum paying attention to her earlier
  experiences
• Students start there portfolio during the first
  year, carry on as studies go on and send it
  always before the clinical period to the staff

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Assessment.

• Feedback is given all the time by the tutors
• Tests in practice patients cases or real
  situations
• Also the teacher is working with the student and
  gives feedback, if possible
• If the placement is far away the phone is in use
• More and more also e-mail and platform e.g WebCT
  are in use

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Assessment

• Student writes or gives first evaluation
• How the goals were reached
• How theory and practice were combined
• Student, tutor radiographer and teacher are
  discussing together usually in the beginning of
  the period and in the end
• Student writes a reflective diary
• The course is passed or failed

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Extra tasks

• There may be
• Lessons given by the student to the staff,
  patients, other students etc.
• Demonstrations
• QA measurements
• Dose evaluation / ESD
• Etc.
• They are passed or failed

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Questions of today

• Academic lecturers would like to be more in
  clinical practice with students
• Students hope that teachers should be more in
  clinical practice
• Clinical staff agrees that
• The problem is money

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Autumn colours from a swamp
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Future

• Changes in attitudes are needed to find new ways
  to work in practice
• e.g. workflow in digital imaging and archiving
• New techniques and procedures
• New areas
• How the students can make the change?(we always
  have done this way this is our habit)
• Benchmarking and audits are needed
• Evidence based learning

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Thank You for Your Attention!
Soon it looks like this!