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Patient Interactions

Course Details

Course Number
RADS 5043
Section Number
RADS 5043
Spring 2017
Bridwell Hall
Classroom Number
Days & Times

Internet course

Vicki Sanders MSRS, RRA, RT(R)(CV)(CT) (view Profile)

Course Attachments


Course Objectives

Course Overview:

This course helps the Radiologist Assistant develop more advanced patient care skills for more independent patient interactions. It includes skills such as obtaining histories, evaluating for post procedure complications, comprehensive patient physical assessment, planning, and management.
Course Objectives:    Upon completion of this course, a student will be able to:

  • Obtain patient history, facilitate communication
  • Perform assessment of patient’s
    • Vital signs, lab values, diagnostic tests
    • Lymphatics
    • Mental Status and Pain Assessment
    • Head and neck,
    • Chest and lungs, breast and axilla
    • Heart and blood vessels
    • Abdomen
    • Musculoskeletal system
    • Neurologic system
    •  Critical Thinking and Recording Information

Methodology / Teaching Strategies:

Independent reading assignments, course videos, written assignments, internet searches, online quizzes, and Open Book Proctored Final Examination.

Course Expectations



Ball, J., Dains, J., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2015). Siedel’s Guide to Physical Examination (8th ed). Mosby, St Louis, MO. [IBSN 13: 9780323112406]


Communication with Instructor:

Contact information for the instructor is listed at the beginning of this syllabus. Email is the preferred mode of communication. It is critical that students report all email changes immediately to the instructor. The instructor will respond or at least acknowledge email messages from students within a maximum of five (5) business days when MSU is in session. Beyond standard university holidays and breaks, the instructor will notify students of any extended periods of time when email contact is not practical (professional meetings, etc)


Administrative Process:

Unresolved issues related to this course should be first addressed between the student and the course instructor. If there is no resolution, students must follow this sequence:

Department Chair – Dr. Jeff Killion (940-397-4679)

College Dean – Dr. James Johnston (940-397-4594)

Dean of Students – Matt Park (940-397-7500)






Grading Standards

Grading / Evaluation:

Unit Quizzes                                                      30%

H&P (Unit 6)                                                      20%

Emergency Situations (Unit 6)                      15%

Comprehensive Open Book Final Exam     35%     


A = 90 = 100

B = 80 – 89

C = 70 – 79

D = 60 – 69

F = Below 60

Refer to the Undergraduate Bulletin for details about receiving a grade of “Incomplete” in a course.  In an emergency or extenuating circumstance, a student may request a grade of “Incomplete” in a course before grades are submitted.  If the instructor grants the “Incomplete,” the student has until thirty (30) days after the beginning of the next long semester to complete the course requirements.  If the student does not complete the course requirements within the deadline, the grade of “Incomplete” will automatically convert into a grade of “F.”





Submission Format Policy



Students can proceed through the course content at their own pace within the boundaries set by the Course Schedule and the MSU Academic Calendar. See the Course Schedule at the end of the syllabus for specific information about activities and due dates.


Unit Quizzes 30%

Unit 1:  Communication, Cultural Awareness, Examination Techniques, Assessment of


Unit 2:   Lymphatic System, Blood vessels, Breast and Axilla

Unit 3:  Chest and Lungs, Heart

Unit 4   Abdomen, Musculoskeletal

Unit 5:  Mental Status, Head & Neck, Neurologic System


Each unit has a module, assignment and/or open book quiz.  Students should complete the reading assignments and in course modules before attempting the open book quizzes.  See the Course Schedule at the end of this syllabus for specific information about assignment/quiz due dates.

When a student has reviewed a unit and is ready for the quiz, he or she will log on to Desire2Learn (D2L) and receive a customized timed unit quiz consisting of randomized multiple choice questions.  Students may take quizzes ahead of schedule but MUST complete them by the scheduled deadlines on the Course Schedule at the end of this syllabus.

It is important to know the unit content before attempting the module quizzes because they are timed. The quizzes have 100 minutes to take a 45-60 question test.  Students who do not complete unit quizzes before the deadlines listed on the Course Schedule at the end of this syllabus will have will have a “0” recorded for that quiz.

If you cannot take a quiz or turn in an assignment by the appropriate due date, please inform the instructor before the quiz due date so that alternate arrangements can be made. Quiz scores will be available through Desire2Learn (D2L) after they have been graded.

If students have technical difficulties during a quiz, they should use the “Help” link at the top toolbar in Desire2Learn (D2L), contact the MSU Information Systems Support Staff, and send an email to the course instructor explaining what happened.

If a student finds a faulty quiz test item or believes that a quiz question has been scored incorrectly, he or she should send an email to the course instructor ( that includes the following:

  • Unit Quiz Number (1-7)
  • Question Stem
  • Answer Scored as Correct by the Computer
  • Answer the Student Thinks Should be Correct
  • Rationale Supporting Why the Student’s Answer is Correct
  • Page numbers must be included when referencing the textbook in a rationale

After reviewing the case, if the course instructor thinks a revision is justified, the student’s quiz score will be revised to reflect the additional points and the test bank will be updated.  It may take several weeks for the student to receive a response because the instructor works on batches of questions for a particular quiz at a time.


History & Physical (Unit 6) 20%

Unit 6:  Putting it all together, Clinical Judgment, Recording Information, Emergency Situations

For all assignments requiring assessment of a patient, DO NOT include patient information in observance of HIPAA policies. If there is patient identification required for an assignment you may use “Patient X” as identification. Assignments submitted with patient identification will result in a drop of one letter grade for that assignment.

  • Perform a complete History and Physical (from chief complaint to assessment plan) on a patient.
  • Record information like you would on a Patient H&P Report. (Do not do physical assessments of areas not studied in this course. Do note in the H&P as “deferred”. For example: Genital/Rectal: Deferred.)
  • Do not include any patient identification to observe HIPAA policy.

See Seidel page 628-630. 


  • History of present illness
  • Past medical history
  • Prior surgeries
  • Medications
  • Allergies
  • Family history
    • Do not do a pedigree.
  • Social history
  • Review of symptoms
  • Physical exam
  • Assessment
  • Plan

Please have the H&P reviewed and signed by a radiologist. Scan the H&P and submit to the H&P Dropbox.

Emergency Situations Essay (Unit 6) 15%

Unit 6:  Putting it all together, Clinical Judgment, Recording Information, Emergency Situations

Submit an essay (1-2 pages double spaced) listing 3-4 emergency situations which can be experienced in the radiology department. Since the RA is a mid-level healthcare provider and has advanced training in comparison to the technologist, describe the role and tasks an RA would specifically perform if presented with each emergency situation listed.

  • How would a RA identify the emergency situation?
  • Discuss tasks performed or delegated to other healthcare providers.
  • How would the RA identify whether a situation is improving or more advanced care is needed.

Please include a cover page and submit the assignment to the RA Emergency Situation Essay Dropbox.


Comprehensive Open Book Final Exam - 35%

The comprehensive proctored open-book final exam includes material from this course.  It is a 70-80 question test that will be administered over 2 hours.

Each student must have a proctor and test site approved by the course instructor by the date listed in the syllabus.

Typically acceptable proctor sites and candidates include:

  • Any College or University Testing Centers
  • Officials at military base education offices
  • Proctor U online testing service (

The exam site must have reliable Internet connections and should have at least two Internet browsers available (Google Chrome, Mozilla Firefox, & Microsoft Explorer).  Sites with extensive firewalls and high security mechanisms may not work for testing.  Please test to be sure you can connect to Desire2Learn (D2L) before committing to a proctor site.  High speed connections are more desirable than traditional phone line connections.  The site must support an independent phone line in addition to the computer connection so that calls can be made while the student is connected online.  The proctor must have moderate computer expertise including the ability and authorization to reboot the remote computer.  The student is responsible for any fees proctors charge for their services.

Even if someone has served as a proctor in previous courses, he or she will not be accepted as a proctor for this course if he or she does not meet these criteria.  Proctor emails will only be sent to commercial or educational email addresses.  Proctor approval is at the discretion of the course instructor.

The proctor form is available in .pdf format from Desire2Learn (D2L).  The proctor forms for this course have been redesigned so please use the appropriate proctor forms. Students should review the form and get the proctor information ahead of time.  Students should then open the Adobe PDF file and type the required information in the boxes on the forms.  Students should print the forms and have the proctor sign the forms.  The students should then fax the forms to the course instructor (Fax Number 940-397-4845). 

Each student can set his/her exam appointment anytime between 9am and 9pm.  It is better to take the exam during normal working hours to be sure that MSU Technical Support will be available.  The course instructor will provide the examination password to the proctor by email. 

The final is to be scheduled with ProctorU and will require an additional fee. All students are REQUIRED to have a webcam & microphone for the Final Exam.

SEE THE PROCTORU INSTRUCTIONS FOR COMPLETE DETAILS. The appointment with ProctorU should be scheduled by the date listed in the syllabus. Scheduling an appointment requires payment at that time.

To make an appointment, simply create an account at

Once logged in, click on the “new exam” link and selecting the exam, date, and time desired.

The student must submit payment (based on the length of the exam) at this time - usually about $25.00. The student will receive an email confirming their reservation at the email address they provided to ProctorU.

The instructor may be available by phone and email during the exam time in case there are technical difficulties with the electronic version of the exam.  If there are any problems during the exam, the proctor should call the course instructor (Toll Free 866-575-4305, Direct 940-397-4083 Cell 940-249-0100) If the instructor is not available, contact MSU Technical Support through MSU Desire2Learn (D2L), and send an email to the instructor explaining what happened.  The exam may have to be rescheduled.

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.
Late Paper Policy

Students who do not complete unit assignments/quizzes before the deadlines listed on the Course Schedule at the end of the syllabus will have will have a “0” recorded for that assignment/quiz.

Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements


This is a online course and as such there are no mandatory sessions. However, the student should be vigilant in checking emails and logging onto D2L. Regular checks will ensure that messages from the instructor are received in a timely manner. This course is on a schedule. Please make sure that assignments are turned in by the due dates in this syllabus or the class participation grade will be affected. 

Other Policies





January 14

MSU Spring Session Classes Start



February 3 (Friday)

Unit 1 Quiz due by midnight CST

February 24 (Friday)

Unit 2  Quiz due by midnight CST

March  20 (Monday)

Unit 3  Quiz due by midnight CST

April 7 (Friday)

Unit 4  Quiz due by midnight CST

April 17 (Monday)

Proctor Forms Due by 5:00 pm

April 21 (Friday)

Unit 5  Quiz due by midnight CST

April 28 (Friday)

Unit 6  H&P Assignment  due by midnight CST

May 1-May 11 3:00p.m.

Open Book Final Exam


Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at