RTSI FocalSpot > Fall 2014

FALL 2014 rsti-training.com News from the Leader in Radiological Service Training > RADIOLOGICAL service TRAINING INSTITUTE > ISSUE 2014.4

29 YEARS OF Maximum Value for Your Educational Growth and Development

SCORE! 2014-2015 COURSE INSERT INSIDE!

President’s Letter..............2-3 New! Philips Brilliance..........4 CRES Training Camp...............5 Multivendor Training............6 Course Schedule........... INSERT Technical Chops......................8 Shoes to Die For................... 14 RSTI Xray Museum............. 15 Course Index........................ 17

Dale Cover Talks Tough on Imaging Asset Management // PAGE 2-3 //

SPECIAL ISSUE

FIRST

AND GOAL TO GO BUILD A WINNING GAMEPLAN

FOR ASSET MANAGMENT State of OH Reg. No. 93-09-1377T ©2014 RSTI | Design by MossMedia

Multivendor Training is Back in the Game with Team RSTI // PAGE 6 //

TALK TOUGH: TODAY’S Imaging Asset Management Understanding the Rules of the Game INSIGHTS from RSTI PRESIDENT, DALE COVER One of the key metrics used to measure performance is up-time ratings. How uptime is calculated can have a significant effect on your percentages. For instance, is the calculation based on 24/7/365 operations or 8 to 5/5 days a week? Does PM time count as up or down time? Does it not count at all if it is done during off hours? If you have to wait for parts, does that count against you? Is OEM travel time included in down-time or does only the time the manufacturer spends actually working on the system count?

Management and the C suite put a lot of focus on the dollars associated with equipment maintenance.

A

s we kick off another football season, my home team, the Cleveland Browns, are yet again an unknown commodity. Our record over the past few years would lead one to believe that if we win more than we lose we should be happy.

For hospitals the forecast for the future is slightly less vague. They know they will get their budgets squeezed more and more as time passes. With the payer mix continuing to move toward 50/50, hospitals are seeing the same number of patients or more and having to do it with less income. The old payer mix was roughly 30/70 government to private. The problem for hospital budgeting as this ratio changes is the government pays less of a percentage of the cost of treatment than private insurance companies do.

Winning is hard to define in any technology management environment. In the medical field there are so many ways to excel or to grade the performance of the service provider.

2 | focalspot.FALL.2014

Cost of service ratios (COSR) is one tool for measuring performance from a fiscal perspective.

COSR is where the initial cost of a system is weighed against the annual cost to maintain that system.

Straight budget performance is another way to gauge effectiveness. Budget and expensing formulas can get very complex and predicting exactly what systems are going to fail and how much it will cost to repair them is a bit like throwing a Hail Mary, the unexpected failure of one expensive digital detector or a $200k dollar X-Ray tube and you have blown your budget for the whole year. Some facilities regard X-Ray tubes and detectors as consumables which can make budgeting easier. As long as benchmarks can be established for mean time between failure and average cost per repair, calculations can be made to estimate annual maintenance costs.

Customer service skills and recognizing the customers’ expectations are critical aspects of the service professionals’ job. Regardless whether the facility is up-time or budget focused, customer service and customer satisfaction will rule the perception of how well the maintenance program is working within

the department. While the C suite is concerned primarily with the budget, constant complaints from department managers will cause them to reevaluate the value of the present technology management program.

Technology asset management can be accomplished through OEM service contracts, independent service organizations (ISO), in-house service personnel or insurance. Well managed facilities will use a blend of all of these methods to optimize up-time, minimize costs and best utilize the talents of the in-house service engineers. Each of these service options has its own benefits and drawbacks.

Winning is hard to define in any technology management environment.

OEM service has access to parts and extensive technical support but unless they keep an engineer on site, response time can lag. ISO’s tend to have highly skilled engineers and are less expensive than OEM service but do not have the same support services as the OEM, which may extend repair times. In-house service engineers offer near immediate response times and a more personal relationship with the end user. Most in-house engineers with training can handle first level repairs quite handily and at a fraction of the cost of all of the other service providers. Add some specific training and their skill level can approach that of the OEM engineer. The difficulties for the in-house engineer will be parts and technical support availability.

Imaging is the highest cost department in the hospital to own, operate and maintain – so there should be no question why it gets so much focus.

Whether your facility has an active service program for imaging equipment or not, attending a course like our Capital Asset Management will help you to understand the issues associated with starting, maintaining or improving an effective asset management program. Everyone involved, from managers to service engineers, would benefit from a better understanding of imaging asset management.

Dale Cover

Dale Cover, President WWW.RSTI-TRAINING.COM | CALL 440.349.4700 | 3

New! Philips Brilliance CT Training 6/10/16/40/64 Slices week Electronics Course costing $7k if the engineer is unable to pass the test-out exam.

RSTI’s Brilliance Family CT Training Course covers the following 6/10/16/40/64 slice models: Air 6/10/16 slice Air 16 Power Big Bore Air 40

By Todd Boyland RSTI Director of Training OEM Training on the Philips Brilliance CT is typically only available to employees of health care providers. The OEM training course is advertised as two weeks long at a tuition-only price of ~$14k for the course. The time consuming aspect of this OEM training falls within the required prerequisites, which are as follows:

Air 64 (U or TDMS configurations)

Some of the major topics covered at RSTI’s two week Brilliance Family Training Course include: System introduction

CT Basics online course...................................4 days

Documentation

CT Basics skills lab.............................................. 1 day

Operations

Safety.............................. must be completed online

Component ID and parts replacement

Imaging safety systems m . ust be completed online

System calibrations & adjustments:

Regulatory ..................... must be completed online E-Learning Course on Brilliance.................. must be completed online As you can see, there are a myriad of time consuming prerequisites. This does not include the one 4 | focalspot.FALL.2014

• • • • • • • •

HCOR (Hounsfield Correction) DSF (Dynamic Focal Spot) Grid voltage adjustment Tube replacement Tube alignment Detector module replacement Air cal’s Spindleblock conditioning

CRES Training Camp Show Your Strength By joe Geary RSTI Instructor So you decide to take on the challenge to become CRES certified. So you start doing the research to prepare for the exam. Many very experienced service professionals soon find themselves overwhelmed by the sheer magnitude of reference material required to refresh their memory on subjects they may have learned and much of which was forgotten many years ago. Even when you try to break it down to the six major areas to be tested, each of those is a pretty broad area of study. What fifteen or so questions on anatomy and physiology are going to be asked? How many of those do I already know the answer to?

CT Training Cont’ d from p. 4...

Raw data analysis Software backup/restore, & reload System controllers: • G-Host • R-Host • DMC • TDP • CCC System troubleshooting Artifact troubleshooting CRIS (Computed Image Recon System) troubleshooting Replacing & JTagging CPM’s The first couple classes have already filled up. So call today to sign up for this state-of-the-art CT training course.

Even after you figure out what to study, now you need to find the time in your busy schedule to study.

Between work and home life it’s difficult to find quiet time to sit down and study without being interrupted by something. If this sounds like what you are going through trying to get certified, then you may want to consider attending our one week CRES prep course.

The three biggest concerns I hear from service professionals preparing for the exam are not having the time, not knowing what to study and they are terrible at taking tests.

This course is held at our training center and reviews test taking skills. It uses practice quizzes and exams to identify and correct weak areas.

The course is fast-paced and is only a review of the areas being tested, it is not intended as a replacement for the formal training the service professional should have already received. It has been described as the hardest week of training they have ever received. But if you work hard you will be rewarded with a certification!

WWW.RSTI-TRAINING.COM | CALL 440.349.4700 | 5

Back in the Game Bringing Back RSTI Multivendor Training

BY MATT MONDELLO RSTI Instructor

A

fter a couple of course rebuilding years, RSTI is excited to announce that we are bringing back the Multivendor Ultrasound Training courses start as early as December, 2014!

Our structure will remain similar to our previous ultrasound program only with updated course curriculum and minor registration changes.

We are offering a three day introduction to Ultrasound class, “Principles of Servicing Diagnostic Ultrasound Systems”, following up the next week by vendor specific training.

The OEMs that will be covered on our initial run, out of the gates, will be:

GE Logiq 7, Logiq 9, Vivid 7 and Voluson 730 and the

Philips iU22, iE33, HD11 and Envisor As our revamped program matures, we will be increasing the course offering to include:

Siemens Sequoia, Antares, S2000 and SC2000

We modified the registration process for OEM specific training.

Now, a Field Service Engineer with ample ultrasound experience can skip the “Principles of Servicing Diagnostic Ultrasound Systems” course and only have to take the OEM specific training where as before, the experienced Service Professional would take both portions of the training. However, without previous experience in ultrasound imaging, the introductory course will be a prerequisite.

As always, please contact our magnificent registrar, Anna, at registration@rsti-training.com if you have any questions or concerns regarding the new Ultrasound program.

Don’t forget to explore our 2014 Course Schedule Insert, conveniently redesigned and reformatted as a LARGER pullout insert in this newsletter!

6 | focalspot.FALL.2014

YOUR GAMEPLAN.

YOUR FUTURE.

YOUR RSTI.

TECHNOLOGYLIFE

TM

It’s something you’ll only find here at Aramark. The opportunity to work side-by-side with a team of outstanding biomedical technicians, imaging service engineers and professionals—fixing, not just clinical equipment, but the workflow challenges our customers face every day. So they can better care for patients, and healthcare can work better for everyone.

We’re seeking talented, experienced professionals: • Biomedical Technicians (all levels) • Imaging Service Engineers (all levels) • Senior Technology Managers • Technology Managers

Visit aramarkhealthcaretechnologies.com/join-us to apply online. (EOE)

WWW.RSTI-TRAINING.COM WWW.RSTI-TRAINING.COM || CALL CALL 440.349.4700 440.349.4700 || 7 7

RSTI 2014-2015 Course Schedule TRAINING COURSE TITLE

10/13/14

15

OCTOBER

22

29

6

13

NOVEMBER 27

3

10

17

Oct 20 - 31 Sept 22 Oct 3

Nov 3 - 14

Sept 8 - 19

Oct 20 - 31 Nov 3 - 14

2.5 Day: Intro to Diagnostic Imaging & PACS - For Managers & Sales Professionals GE Definium Family: Definium 6000/8000, Discovery XR650/XR656, Optima XR640

Sep29 Oct3

8

15

Dec 1 - 12

Dec 1 - 12 Dec 8 - 19

22

JANUAR 29

5

12

1

Jan 5 - 16

J

Jan 12-16

Oct 13-15

Sept 8 - 12

Dec 15-19 Oct 20-24

GE Precision 500D R/F

PRODUCT SPECIFIC

1

Dec 1-5

Introduction to Networking & DICOM C.A.M. (Capital Asset Management)

DECEMBER 24

NEW YEARS

Sept 8 - 19

20

CHRISTMAS

MANAGEMENT

8

THANKSGIVING

NETWORKING & DIGITAL INFORMATION

LABOR DAY

X-RAY CERTIFICATE SERIES

Principles of Servicing Diagnostic X-Ray Systems (Phase I) Advanced Radiographic System Maintenance (Phase II) Advanced Fluoroscopic System Maintenance (Phase III) Advanced Diagnostic Imaging System Analysis (Phase IV) PACS Engineer/Administrator Certification (Phase I) PACS Engineer/Administrator Certification (Phase II)

SEPTEMBER 1

Sept 22-26

GE Proteus (JEDI Generator)

Nov 10-14

Philips Bucky Diagnost Dec 8 - 12

Private Practice X-Ray Systems Sep2 Oct 3

GE AMX Portable (IV, IV+)

Nov 17-21

Dec 8 - 12

GE AMX 700 Portable

PORTABLES

Nov 3-7

Shimadzu MobileArt Portable Oct 13-17

Siemens Mobilett Portable Sep 22 Oct 3

Multi-Product C-Arm OEC 9800/9900 C-Arm OEC 9900

C-ARM

Nov 10 - 21

J

Oct 6 - 10

Dec 15-19 Dec 15-19

Siemens Siremobile C-Arm Sep29 Oct3

Philips BV Pulsera C-Arm

Oct 27 Nov 7

Siemens AXIOM Artis Family (FP)

CARDIAC

GE Innova Family (2100/3100/4100) Lorad Multicare Platinum Breast Biopsy System GE Digital Mammography Family (2000D/ DS/ ESSENTIAL) Digital Mammography (Hologic Selenia)

WOMEN'S HEALTH

Multi-Vendor Bone Densitometry

Oct 6 - 17 Oct 20-24

Jan 12-16 Dec 1 - 12

Oct 6 - 17

Jan 5 - 16

Sept 15-19

Nov 17-21

Multi-Vendor Ultrasound

Dec 3-5

GE Logiq 7, Logiq 9, Voluson

ULTRASOUND

Dec 8 - 12

Philips IU22, IE33, HD11, Envisor Siemens Sequoia, Antares, S2000/SC2000 Principles of Servicing Computed Tomography Systems (Phase I) Advanced Computed Tomography System Maintenance (Phase II)

CT

Oct 13 - 24 Oct 27 Nov 7

GE Brightspeed & LightSpeed CT

Nov 10 - 21 Dec 8 - 12

GE VCT Philips Brilliance Family

NUCLEAR MEDICINE

Principles of Servicing Nuclear Medicine Systems

PROFESSIONAL DEVELOPMENT

CRES Certification Prep

Dec 1 - 12 Sep 22 -26

EXHIBITS & PRESENTATIONS NOTE: M-IV Platinum & 500D are 5 full days. Bucky Diagnost is 4 full days. Return flights after 6 pm. ULTRASOUND classes will change.

8 | focalspot.FALL.2014

J 19

Oct 27-31 RSNA 11/30-12/5

J 21

Register Online or Call 1.800.229.7784

RY

19

FEBRUARY 26

2

9

16

MARCH 23

2

9

16

APRIL 23

30

MAY 27

4

11

JUNE

18

Apr 7 - 17 Apr 20 May 1

Mar 2 - 13 Feb 2 - 13

May 4 - 15 Mar 16 - 27 Apr 27 May 8 May 11 - 22

Jan 26-30

25

1

Feb 9 - 11

Jun 15 - 26

Jun 22-26

Feb 9 - 13

Mar30 Apr3

13

20

AUGUST 27

3

10

17

Mar 23 Apr 3

Aug 3 - 14 Jul 6 - 17

Jul 6 - 10

Jul 20-24

Jul 27-31

Aug 10-14

May 18-22 Jun 15 - 26

Apr27 May 1

Jan 9-23

24

Jul 20 - 31

Jun 1-5 May 11-15

Mar 16-20

6

Aug 24-28

Jun 8 - 12

Feb 16-20

Feb 2-6

29

Jul 13-15

Apr27 May 1

Mar 23-27

Feb 2-6

JULY 22

Jun 8 - 12

Feb 23-27

Feb 2-6

15

Jun 1 - 12

Mar 16-20

Jan 26-30

8

May 4-8

Jan 19 - 30

Jan 1-23

20

INDEPENDENCE DAY

Jan 19 - 30

13

MEMORIAL DAY

Feb 16 - 27

6

Aug 10 - 21 Jul 6 - 10

Apr 20-24

Aug 24-28 Jul 27-31

Mar 9 - 20

Jul 27 - Aug 7 Jun 22-26

Feb 16 - 27

May 11 - 22

Aug 17 - 28

Apr 7- 17 Mar 9 - 13

Feb 25-27

Jan 26-30

Apr 7 - 10

Mar 2-6

Aug 3 - 14

Apr27 May 1

Apr 13-17

Jun 1-5 May 4-8

Aug 17-21 Jun 8 - 12

Feb 16 - 27

Aug 3 -14 Mar 2 - 13

Aug 17 - 28 Apr 7 - 17 Mar30 Apr3 Apr 7 - 17

Jun 15 - 26

Feb 9 - 13

Jul 27-31 Feb 23-27

Subject to change

Jun 1-5

Subject to change

State of OH Reg. No. 93-09-1377T

WWW.RSTI-TRAINING.COM | CALL 440.349.4700 | 9

Technical Chops Kicking the Thumb Drive

By Mike Petelin RSTI Instructor

M

any of us in the medical imaging service industry are using USB storage devices, commonly known as “thumb drives” or “memory sticks.” These devices can be a lifesaver when they contain calibration backups of a system that has recently crashed. There is one thing we must keep in mind; these devices were not designed to be long-term storage devices.

Thumb drives have a limited number of erase and write cycles. Most midrange devices, like the ones that can be purchased from big box retailers, can only support a few thousand erase and write cycles, and as the device ages these cycles can become slow.

This limitation can cause irrecoverable loss of data, which is the main argument to make backups to your PC on a regular basis.

Many of these limitations plague solid-state drives (SSD) as well. Read cycles do not do nearly the harm that a write cycle does. So having a hybrid setup, a SSD and a traditional magnetic hard drive, can help alleviate issues.

In this setup, programs and the operating system would reside on the SSD as they would benefit from the speed increase, while editable files (images, videos, documents, etc.) should reside on the hard drive as they will potentially be rewritten numerous times.

Nothing can turn a system recovery into a long calibration process like losing a beloved backup or a failed drive. So, we need to be sure to backup our thumb drives and use them for their intended use, as a convenience.

10 | focalspot.FALL.2014

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Shoes to Die For “Dave’s Rave”

By Dave Domanski RSTI Instructor

I

maging technology changes constantly and imaging education should definitely look to the future. A complete education should also provide a window to the past. With that in mind, as Fall kicks off and Summer heads for the showers, I’m pleased to announce the recent facelift of the RSTI X-Ray Museum! Now featuring ten vintage and antique imaging systems spanning from 1935 to 1958, several 100+ year old X-Ray tubes a variety of vintage ephemera and odd medical devices.

Today I would like to focus on a crowd favorite. Our circa 1945 Adrian X-Ray shoe fitter. Pointing to a darker time in X-Ray history when ionizing radiation was used gleefully for fun and profit, the fluoroscopic shoe fitter (Pedoscope in the UK) was a sales aid whose invention is popularly attributed to Dr. Jacob Lowe. Dr. Lowe applied for a US patent in 1919 and received it in 1927.

Though the Adrian brothers of Milwaukee, Wisconsin had been building X-Ray shoe fitters contemporarily and also claimed to be the originator of the device, the Adrian Company of Milwaukee eventually purchased Lowe’s patent for $15,000. That may not seem like much, but that is the equivalent of around $200,000 today!

The basic shoe fitter contained a stationary anode, hot cathode X-Ray tube in its base below an opening for the customer’s feet and a fluoroscopic screen above.

The device provided viewing ports for the salesman and a pair for customers and may offer a timer and current adjustments. The bogus sales pitch was that X-Ray imaging could provide the best possible fit. This system does not, however, take soft tissue into account at all and actually succeeded only in allowing customers to see their metatarsals and wiggling phalanges. Oh yeah, and dosing the crap out of them and everyone else within six feet of the machine.

Right about now you might be thinking “Wait, we’re selling shoes here, right? How much dose could it possibly be?” Quite a lot, actually. Radiation surveys showed that American machines delivered an average

14 | focalspot.FALL.2014

of 13 Roentgens (R) or roughly 0.13 Sieverts (Sv) of equivalent dose to the customer’s feet during a typical 20 second viewing and some machines topping out @116 R (@1 Sv) for a similarly timed exposure! A typical chest X-Ray delivers approximately 2 mR or 0.02 mSv of dose by comparison.

The novelty of the device and sheer ignorance of its inherent dangers led to massive popularity for several decades. At the height of use there were as many as 10,000 shoe fitters in the US, 1000 in Canada, 3000 in the UK and 1500 in Switzerland. Though the UK machines operated at lower dose rates the effects could still be quite harmful and may have led to the development of cancers years after the fact. I personally know a gentleman who developed a deformed foot as a result of repeated exposure to US machines as a child in the 1950’s.

Eventually we wised up and shoe fitters were nearly universally banned by the early 1970’s, though the last one in use at a department store in Madison, West Virginia wasn’t unplugged until 1981.

Be sure to check out our entire museum on your next visit to RSTI where you can bathe in the warm glow of history without the harsh burn of ionizing radiation from unregulated sales gimmicks.

1945 Adrian X-Ray on Display The RSTI X-Ray Museum •

This unit has seen a full tour of duty.

That’s right kids, you put your feet in there and... zap!

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2014 Course Index & Registration

2014 Course Index & Registration X-RAY CERTIFICATE SERIES

Mobile C-Arms

Phase I…………….……………………………………………...............….….$4695 (for 2 weeks) Phase II…………………………........……………….……………………….….$4795 (for 2 weeks) Phase III…………..……………………………….…………….……..………….$4895 (for 2 weeks) Phase IV…………..……………………………………………….….……….….$4995 (for 2 weeks)

OEC 9600/9800..........................................................................$6995 (for 2 weeks) OEC 9800/9900..........................................................................$7995 (for 2 weeks) OEC 9900.......................................................................................$5995 (for 1 week) Siemens Siremobile C-Arm ........................................................$3995 (for 1 week) Philips BV Pulsera C-Arm ............................................................$3995 (for 1 week)

PACS Administrator/Engineer Certification

Ultrasound

Phase I…………….…………………………………...........................….….$2995 (for 2 weeks) Phase II……………………………………….………………….……………..….$3995 (for 2 weeks)

Principles of Servicing Ultrasound Systems..................................$2495 (2.5 Days) GE Ultrasound Family ………………………………………………………...$4495 (for 1 week) Philips Ultrasound Family …………………………………………………..$4495 (for 1 week) Siemens Ultrasound Family ……………………………………..…………$4495 (for 1 week)

RAD & R/F PRODUCT SPECIFIC GE Precision 500D………….……………………………………...……..….$7995 (for 1 weeks) GE Revolution Family: XR/d 1X & 2X (DR) …………….….…..….$7995 (for 2 weeks) GE Proteus XR/a .………………………….……………………..………...….$3995 (for 1 week) GE Definium Family (DR).............................................................$9995 (for 1 week) (Definium 6000/8000, Discovery XR650/656, Optima XR640) Philips Bucky Diagnost….……………….……………………..………...….$2995 (for 1 week) Private Practice X-Ray Systems….….……..……………..………...….$2995 (for 1 week)

Management Capital Asset Management.........................................................$1995 (for 1 week) Introduction to Networking & DICOM.........................................$1995 (for 3 days) Intro to Diagnostic Imaging for Managers & Sales Staff…….$1250 (for 2.5 days)

CT (Computed Tomography)

Cardiac CATH LABS

Phase I..........................................................................................$4995 (for 2 weeks) Phase II.........................................................................................$5995 (for 2 weeks) GE LightSpeed/BrightSpeed......................................................$7995 (for 2 weeks) GE VCT............................................................................................$5295 (for 1 week) Philips Brilliance Family...........................................................$12995 (for 2 weeks)

Siemens Axiom Artis (DR) ......................................................$14995 (for 2 weeks) GE Innova 2100/3100/4100 (DR) ........................................$14995 (for 2 weeks)

Portable X-RAY GE AMX Portables: IV and IV Plus...............................................$2995 (for 1 week) GE AMX 700 Portables: ……………...............................................$4495 (for 1 week) Shimadzu MobileArt Portables…….............................................$2995 (for 1 week) Siemens Mobilett Portables........................................................$2995 (for 1 week)

CRES (Certified Radiology Equipment Specialist) *not discountable CRES Exam Prep (includes CRES Package)..............................$1795* (for 1 week) CRES Exam Prep (without CRES Package)..............................$1495* (for 1 week)

WOMEN’S HEALTH

NM (Nuclear Medicine)

Multi-Vendor Mammography Systems (Analog)...................$2995 (for 2 weeks) Multicare Platinum.......................................................................$2995 (for 1 week) Hologic Selenia (DR) ...............................................................$12995 (for 2 weeks) GE Digital Mammography Family (DR) .................................$12995 (for 2 weeks) (2000D, DS, Essential) Multi-Vendor Bone Densitometry..............................................$3995 (for 1 week)

Principles of Servicing Nuclear Medicine Systems..................$4495 (for 1 week) Effective 10/08/2014

Cancellation Policy - Tuition is only refundable if cancellation is received in writing by RSTI at least 14 calendar days prior to the course or seminar date. Allow 30 days for receipt of the refund. Registrants who cancel within 14 days of the course or seminar date will have the tuition transferred to another course or seminar on a space available basis. In the event that a course does not attain our minimum enrollment, RSTI may postpone it. Paid tuition will remain on account to be applied to the rescheduled class.

Payment Due Policy - Payment for all courses and/or seminars is due three full weeks in advance of the course start date. Purchase orders are accepted, but also must be paid one week prior to the course start date. We also accept VISA, MasterCard, American Express, and Discover as a method of payment. All past due invoices will be assessed a late fee of 1.5% per month on any unpaid balances.

Schedule - Typically, courses run from 8:30 am-4:30 pm Monday through Friday. You will receive a detailed schedule when we confirm your registration. You should schedule your incoming flight to arrive Sunday afternoon or evening. On the last Friday, class ends at 12:00 noon. You may schedule your return flight any time in the mid- to late-afternoon.

Full Coverage Package - You are responsible for expenses you incur while attending courses. However, RSTI has negotiated a reduced package rate that includes 12 nights hotel accommodations, transportation between the hotel and training center, breakfast, and lunch. We will notify you of this rate when you enroll; if you wish, we can add the full coverage package cost to your tuition.

Course Materials - In addition to specially designed manuals and daily course handouts, you will also receive where appropriate:

 

 

Document package of the lecture

Troubleshooting charts

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Class Photograph

Flow diagrams Performance evaluation forms Certificate of Completion Due to copyright issues, some courses require that students bring their own manuals. These may include, but are not limited to, Operators Manual, Service Manual and Schematics. We will advise you of this when you enroll.

Make checks payable to: Radiological Service Training Institute (RSTI)

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Tuition and Full Coverage Package rates are subject to change.

Please confirm rates with our Registrar when you enroll.

HOW TO REGISTER: Phone 440.349.4700  Fax 440.349.2053  www.rsti-training.com/register MAILPhone COMPLETED TO: RSTI 30745 Solon Rd. Solon, Ohio. 44139 How to register: 440.349.4700FORM • Fax 440.349.2053 • www.rsti-training.com/register.htm

Mail completed Course Nameform to: RSTI 30745 Solon Rd. Solon, Ohio. 44139

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CRES Certification RSTI has made it easy for you to become CRES certified.

Our CRES self-study package is a powerful tool to help you focus on specific certification objectives. There are nine different criterion-referenced modules that give a comprehensive review of subjects covered on the exam.

The nine modules are entitled:

• Anatomy and Physiology • Radiographic Physics • Electricity and Electronics • Radiographic Equipment Applications • Fluoroscopic Imaging • Radiographic Circuit Operation • Regulations and Laws • Technical Problem Solving • CRES Exam Review

Mastering these topics will enable you to succeed on the final CRES Certification Exam. With RSTI’s self-study CRES package you can learn anytime, anywhere, at your convenience and on your schedule.

Visit http://www.aami.org/certification/ journal.html for Certificate Renewal details.

The modules contain both practice exams with answers and exams which can be returned to RSTI for grading. We are offering a 20% discount off of the list price of $398. The sale price is $318.40.

Call (800) 229-7784 for info or visit www.aami.org/certification/exam.html for detailed exam info.

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