Oregon Institute of Technology Medical Imaging Technology Department Diagnostic Medical Sonography Degree Completion Program Assessment

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1 Oregon Institute of Technology Medical Imaging Technology Department Diagnostic Medical Sonography Degree Completion Program Assessment I. Introduction The Oregon Tech Diagnostic Medical Sonography degree completion program enables registered professionals in Diagnostic Medical Sonography to further their knowledge and skills necessary for career advancement, to become effective communicators, problem solvers, critical thinkers, responsible managers and leaders, and to value lifelong learning. The Bachelor of Science Degree Completion Program in Diagnostic Medical Sonography is delivered via distance education to Sonographers who are credentialed with American egistry for Diagnostic Medical Sonography (ADMS). Students will complete required course work through the Oregon Institute of Technology Distance ducation Department. Courses are delivered via Blackboard, which serves as a virtual learning environment. The Sonography Degree Completion program is presented by the Department of Diagnostic Medical Sonography (DMS). The DMS program is in the Department of Medical Imaging Technology (MIT). DMS and MIT are contained within the College of Health, Arts, and Sciences (HAS) at Oregon Tech. The Diagnostic Medical Sonography Degree Completion program was implemented in fall 2011 as an online program. Students who are accepted into the Diagnostic Medical Sonography Degree Completion program are already registered Diagnostic Medical Sonographers working in the field who have passed their national registry exam in Diagnostic Medical Sonography. The distance delivery version began in 2011 and will expect to grow over time. The on campus Diagnostic Medical Sonography Program (DMS) began in 1997 and is one of the five Medical Imaging programs offered on the Klamath Falls campus. II. Program Purpose, Objectives and Student Learning Outcomes The program faculty adopted the mission, objectives, and student learning outcomes in fall 2010 and submitted them to the Curriculum Planning Commission for approval. The faculty met in the fall of 2011 and agreed to continue with the student learning outcomes as suggested by the programmatic accrediting body known as the Joint eview Committee of Diagnostic Medical Sonography. The current version is listed below. Diagnostic Medical Sonography Degree Completion Program Purpose The purpose of the Diagnostic Medical Sonography Degree Completion Program is to provide ADMS registered Sonographers a Bachelor of Science degree from a distance education program that furthers the student s knowledge, clinical practice, and performance of examinations while practicing competent patient care and safety in the advanced modalities of Diagnostic Medical Sonography. 1

2 Program ducational Objectives The program prepares students to: 1. mploy diagnostic sonographic imaging techniques, critical thinking skills, effective communication skills, and professional judgment. 2. ffectively apply ergonomically correct scanning techniques. 3. Successfully complete nationally recognized credential examinations. 4. Develop a dedication to independent life-long learning and professional contribution. 5. Utilize diagnostic techniques, sound judgment and good decision making to provide patient services. 6. Be leaders in the field of Diagnostic Medical Sonographers who contribute to the field on a local, regional or national level. 7. Think critically, communicate effectively and exemplify professional ethics. 8. Become lifelong learners and responsible citizens. xpected Student Learning Outcomes Graduates from this program will be able to demonstrate: 1. ffective oral, visual, and written communication skills. 2. The ability to work effectively in teams. 3. The ability to provide basic patient care and comfort while utilizing ethical, professionalism and HIPAA guidelines 4. Knowledge and understanding of human gross and sectional anatomy relative to normal and abnormal sonographic imaging. 5. Knowledge and understanding of human physiology, pathology and pathophysiology. 6. Knowledge and understanding of ultrasound physical principles and instrumentation. 7. Knowledge of sonographic biological effects, proper application of sonographic instrumentation relative to imaging and image quality. 8. Appropriate ergonomic scanning applications. 9. An understanding of diverse cultural and humanistic traditions in the global society. Other Learning Opportunities 1. Annual professional meetings and conferences for sonography students include: Society of Diagnostic Medical Sonography (SDMS) American Institute of Ultrasound in Medicine (AIUM) American College of ducators in adiologic Technology (ACT) ugene Ultrasound Society (US) Other smaller study groups located in San Francisco Bay Area Oregon Tech DMS Sonography Advisory Council annual meeting and Continuing Medical ducation opportunity (CM) The location and financial responsibility remain a challenge for DMS students to attend national conferences. These meetings are held during regularly scheduled instructional terms. Students appreciate the networking and educational benefits of attending these meetings. Competition opportunities are components of the national conferences of SDMS and ACT. Presently, international trips are unavailable to DMS students. 2

3 2. On-line professional learning opportunities for sonography students include: Monthly CM directed readings associated with student SDMS Memberships SDMS Webinars are available to students with SDMS Membership All DMS students hold student SDMS memberships and are eligible for these opportunities. The DMS faculty encourage students to participate in these offerings not only for educational benefits, but to develop and promote effective life-long learning behaviors. III. Three-Year Cycle for Assessment of Student Learning Outcomes The following are the nine main outcomes which will be assessed at a rate of three per year on a three-year cycle, as listed below in Table 1. Student Learning Outcomes Assessment Schedule 1. The student will demonstrate effective oral, visual, and written communication skills 2. The student will demonstrate the ability to work effectively in teams 3. A. The student will demonstrate an ability to provide basic patient care and comfort while utilizing ethical, professionalism and HIPAA guidelines B. Professionalism 4. The student will demonstrate knowledge and understanding of human gross and sectional anatomy relative to normal and abnormal sonographic imaging. 5. The student will demonstrate knowledge and understanding of human physiology, pathology and pathophysiology. 6. The student will demonstrate knowledge and understanding of ultrasound physical principles and instrumentation. 7. The student will demonstrate knowledge of sonographic biological effects, proper application of sonographic instrumentation relative to imaging and image quality. 8. The student will demonstrate appropriate ergonomic scanning applications. 9. The student will demonstrate an understanding of diverse cultural and humanistic traditions in the global society. Table 1. Diagnostic Medical Sonography Assessment Cycle Fall DMS 365 Winter DMS 353 Spring DMS x 3

4 IV. Summary of Assessment Activities The DMS faculty conducted formal assessment of three programmatic student learning outcomes (SLO), and two Institutional Student Learning Outcomes (ISLOs) during the academic year. Student Learning Outcome #2: The student will demonstrate the ability to work effectively in teams The DMS Faculty mapped this outcome to the DMS curriculum. A map of the identified courses is found in Appendix A, Student Learning Outcome-Course Matrices Table A1. Direct Assessment #1 The faculty assessed the SLO #2 by means of a group project administered fall term 2012 in DMS 365. Groups were rated by faculty via DMS rubric criteria described in the Table 2 seen below. There were 4 DMS D students involved in the assessment. Performance Criteria Assessment Measurement Method Scale Performance esults Achieves goal/purpose OIT Team & 1-4 Scale, % 80% 100% Group Work ubric Assumes roles & OIT Team & 1-4 Scale, % 80% 100% responsibilities Group Work ubric Communicates effectively OIT Team & 1-4 Scale, % 80% 100% Group Work ubric econciles disagreements OIT Team & 1-4 Scale, % 80% 100% Group Work ubric Shares work appropriately OIT Team & 1-4 Scale, % 80% 100% Group Work ubric Develops strategies/actions OIT Team & 1-4 Scale, % 80% 100% Group Work ubric Cultural Adaption OIT Team & Group Work ubric 1-4 Scale, % 80% 100% Table 2. Direct Assessment esults for SLO in DMS 365, Fall 2012 Students performed well in this student designed teamwork assignment, although these teams were conducted via internet communication. Despite the distance between students, members were able to work through the performance criteria and excelled in teamwork attributes 4

5 Indirect Assessment #1 The faculty conducted an indirect assessment of teamwork in DMS 365 in fall term 2012 through student self-ratings using the same rubric used for faculty rating of teamwork. esults are shown in Table 3 below. There were 4 DMS D students involved in the assessment. Performance Criteria Assessment Measurement Method Scale Performance esults Achieves goal/purpose Student Survey 80% 100% Assumes roles & Student Survey 100% responsibilities Communicates Student Survey 100% effectively econciles Student Survey 100% disagreements Shares work Student Survey 100% appropriately Develops Student Survey 100% strategies/actions Cultural Adaption Student Survey 100% Table 3. Indirect Assessment esults for SLO in DMS 365, Fall 2012 The goal for this assessment was to achieve a minimum acceptable performance of 80%. This goal was met. Faculty noted that the scores were similar to the scores administered by faculty. The sample size was extremely small so scores are probably inflated. Student Learning Outcome #3: A. The student will demonstrate an ability to provide basic patient care and comfort while utilizing ethical, professionalism and HIPAA guidelines The DMS Faculty mapped this outcome to the curriculum. A map of the identified courses is found the Appendix A, Student Learning Outcome-Course Matrices Table A2. Direct Assessment #1 The faculty assessed this outcome in DMS 335 winter term 2013 using test questions. Five content specific questions were used to evaluate patient care knowledge. Students who scored 80% correct have met our expectations for proficiency. esults are shown in Table 4. 5

6 Performance Criteria Assessment Method Measurement Scale 1. HIPPA Question % scale per # of question 2. Anticipate patient needs Question % scale per # of question 3. Universal precaution and Question % scale per # Infection Control of question 4. Scope of Practice Question % scale per # of question Table 4. esults for SLO in DMS 335, Winter Term 2013 Performance 80% with 80% or higher 80% with 80% or higher 80% with 80% or higher 80% with 80% or higher esults 100% 100% 100% 100% There were 2 DMS D students that participated in this activity. Data collection was achieved by means of test question evaluation that pertained to the performance criteria. The exam was conducted using timed questions. Patient care is a main responsibility of the sonographer, thus understanding of patient care is crucial to hospital standards. esults for the students demonstrating proficiency is concluded in the esults Column. The DMS faculty found these results to be demonstrated above average. As expected, DMS D students were able to understand patient care criteria because they are working professionals already engrossed in the field. There were no specific weaknesses that needed corrective action. Direct Assessment #2 To accompany the assessment above, the faculty assessed this outcome in DMS 353 winter term 2013, using an ethics assignment scored with a rubric. There were 2 DMS D students who completed this assessment. These results are summarized, shown in Table 5 below. Performance Criteria Assessment Measurement Method Scale Performance esults Knowledge of code OIT thics 80% 100% ubric Describes issues OIT thics 80% 100% ubric Describes parties OIT thics 80% 100% ubric Describes alternatives OIT thics 80% 100% ubric Benefits/risks of choice OIT thics ubric 80% 100% Table 5. Direct Assessment esults for SLO and ISLO in DMS 353, winter term 2013 An assignment was administered at the conclusion of the DMS D 353. It was the desire that students scored at least with an 80% or better. No follow up recommendations are suggested at this time. 6

7 Student Learning Outcome #3: B. Professionalism The DMS Faculty mapped this outcome to the curriculum. A map of the identified courses is found the Appendix A, Student Learning Outcome-Course Matrices Table A3. Direct Assessment #1 Supervisors at clinical locations scored 2 students professional behaviors by using the scoring criteria utilized in DMS 353, Spring The student proficiency is described in Table 6. Performance Criteria Properly prepares room for each study; Maintains a neat & tidy work area Shows an efficient and methodical approach while working Demonstrates an awareness of the daily schedule and the necessity for flexibility Completes expected amount of work for level of training Shows an increase in efficiency with repetition Seeks appropriately challenging sonographic assignments xhibits accuracy and consistency in all labeling and calculations xhibits accuracy and consistency in recognition of normal and abnormal anatomy Consistently shows proper positioning Accurately selects the proper instrumentation and transducer Follows the departmental protocols and imaging policies; Images are diagnostic Displays understanding of a procedure and it s components Assessment Method Measurement Scale Performance esults 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 95% 80% 95% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 7

8 Performance Criteria Able to incorporate proper protocol variations if needed Able to determine appropriateness of scan pertaining to patient pathology/ ability Able to differentiate abnormal anatomy from normal & normal anatomy from abnormal Able to provide interpreting physician with accurate clinical and sonographic information including appropriate differential diagnoses Show appropriate behavior for a clinical work setting Adhere to the OIT Medical Imaging Code of thics; Follows ALAA principles Show effective communication with the Clinical coordinator Consistently adheres to the hospital HIPAA policies/procedures nsures patient safety and other stakeholder personal safety Demonstrates increasing levels of scanning skills and differential diagnosis by means of routine study and comprehension Completes all tasks Shows interest in continuing despite setbacks Shows appropriate judgment based on sound knowledge Uses available data to predict outcome; Uses time wisely Shows ability to troubleshoot Assessment Method Measurement Scale Performance esults 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 95% 80% 100% 80% 100% 80% 100% 80% 100% 8

9 Performance Criteria Assessment Method Measurement Scale Performance esults Takes appropriate action, and makes sound decisions in stressful situations Shows ability to prioritize Completes assignment in a reasonable amount of time xhibits judgment and critical thinking xhibits professional demeanor in stressful situations Shows confidence in abilities Ability to judge personal limitation; Seeks help when appropriate xhibits clear, honest and respectful communication Adapts well and avoids disruption of established routines Honest and forthright when mistakes are made esolves conflicts according to OIT/departmental protocol Greet patients in kind, courteous manner; ecognize anxious patients, & act accordingly Judge the patient s understanding, and explains procedure accordingly Aware of patient s safety at all times; Always tries to make the patient feel comfortable espect the patient s privacy, and adhere to the HIPAA laws Converse with the patient about matters other than the procedure Uses appropriate medical terminology/language 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 95% 80% 100% 80% 95% 80% 100% 80% 100% 80% 95% 80% 95% 80% 95% 80% 100% 80% 100% 9

10 Performance Criteria Able to communicate effectively in nglish (verbally and in writing) Consistently on time Consistently prepared for the shift Attendance consistent with OIT s vacation, holiday, and sick leave policy (PTO) Proper request of personal time off Accepts and follows advice willingly Initiates appropriate dialogue to better understand advice given Demonstrates professional attitude and behaviors (verbal and non-verbal) Makes effort to create a positive environment Shows interest in participating without being told Actively seeks out learning experiences Completes homework assignments Follows department protocol regarding dress code Wears appropriate ID Wears conservative jewelry ar piercings limited to one post per ear Tattoos are appropriately covered Fingernails are kept clean and at appropriate length Maintains good personal hygiene Maintains appropriate grooming Assessment Method Measurement Scale Performance esults 80% 100% 80% 95% 80% 100% 80% 100% 80% 100% 80% 100% 80% 95% 80% 100% 80% 100% 80% 95% 80% 100% 80% 95% 80% 95% 80% 100% 80% 94% 80% 100% 80% 100% 80% 95% 80% 100% 80% 100% 10

11 Performance Criteria Assessment Method Measurement Scale Avoids strong body fragrances Wears hair pulled off shoulders; appropriate hair style and color Uses appropriate body language Offers assistance to others in the department Involved as a team member for completion of clinical tasks Communicate effectively with other departments Demonstrate essential computer skills including PACS systems Know different protocols and how/why each is used Understand and exhibit protocol steps and variations in each one Identify and understand contraindications for each procedure Demonstrate knowledge of appropriate patient history questions pertinent to each exam. Properly aligns system/table/chair to self Properly holds the transducer ecognizes incorrect ergonomic postures and corrects accordingly Proper placement of transducer cable Aligns patient to create a suitable ergonomic scanning position Table 6, ISLO 3, DMS 430 Spring term xternship, 2013 Performance esults 80% 95% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 100% 80% 95% 80% 100% 80% 100% 80% 95% 80% 95% 80% 100% 80% 100% All students met or exceed the department s clinical expectations. Sample size was low as one respondent was able to provide information. 11

12 Direct Assessment #2 The faculty assessed this outcome in DMS 354 spring term 2013 using the Oregon Tech DMS professional evaluation. esults are shown in Table 7. Performance Criteria Assessment Measurement Method Scale Performance esults Quality of Work Winter xternship 80% 95% Clinical performance valuation Comprehension of Winter xternship 80% 100% xaminations Clinical performance valuation Professional thics Winter xternship 80% 100% Clinical performance valuation Performance Under Winter xternship 80% 100% Pressure Clinical performance valuation Interpersonal Winter xternship 80% 100% elationships: Patients Clinical performance valuation Knowledge of Policies, Procedures, Protocol Winter xternship Clinical performance valuation 80% 100% Table 7. ISLO 3, DMS 354 Clinical Performance valuations, Spring 2013 The results indicated that students were able to fulfill faculty expectations in all the criteria areas. This learning outcome is a strength for the program core requirements. Student Learning Outcome #9: The student will demonstrate an understanding of diverse cultural and humanistic traditions in the global society. The DMS Faculty mapped this outcome to the curriculum. A map of the identified courses is found the Appendix A, Student Learning Outcome-Course Matrices Table A4. This portion was incomplete because of a non-enrollment in DMS 430A Special xternship Course Spring

13 V. Summary of Student Learning In a spring faculty meeting, the DMS faculty reviewed the assessment results and reached the following overall conclusions. Student Learning Outcome #2: Limited information due to low enrollment, no action needed at this time. Student Learning Outcome #3A Limited information due to low enrollment, no action needed at this time. Student Learning Outcome #3 B: Limited information due to low enrollment, no action needed at this time. Student Learning Outcome #9 Limited information due to low enrollment, no action needed at this time 13

14 Appendix A Student Learning Outcome-Course Matrices Student Learning Outcome #2: The student will demonstrate the ability to work effectively in teams I=Introduce =einforce =mphasize DMS Course Summer Fall Winter Spring Sophomore DMS 223 Abdominal I I DMS 252 Sophomore Lab I DMS 224 Abdominal II DMS 253 Sophomore Lab II DMS 225 Abdominal III DMS 254 Sophomore Lab III DMS 234 Pelvic Sonography Junior DMS 315 Sonographic Superficial Structures DMS 335 Patient Care DMS 352 Junior Lab I DMS 316 Survey of VT DMS 371 OB Sonography I DMS 353 Junior Lab II DMS343 Fetal cho & Neonatal Sono DMS 372 OB Sonography II DMS 354 Junior Lab III DMS 365 Sonographic Pathology DMS 388 xtern Prep DMS 373 OB Pathology Senior DMS 430 I, II, III, IV xternship Table A1. Student Learning Outcome #2 -Course Matrix Identified courses indicate that the SLO above is taught in the course, students demonstrate skills or knowledge in the SLO, and students receive feedback on their performance on the SLO. I = Introduced = einforced = mphasized 14

15 Appendix A Student Learning Outcome-Course Matrices Student Learning Outcome #3A: The student will demonstrate an ability to provide basic patient care and comfort while utilizing ethical, professionalism and HIPAA guidelines I=Introduce =einforce =mphasize DMS Course Summer Fall Winter Spring Sophomore DMS 223 Abdominal I I DMS 252 Sophomore Lab I DMS 224 Abdominal II DMS 253 Sophomore Lab II DMS 225 Abdominal III DMS 254 Sophomore Lab III DMS 234 Pelvic Sonography Junior DMS 315 Sonographic Superficial Structures DMS 335 Patient Care DMS 352 Junior Lab I DMS 316 Survey of VT DMS 371 OB Sonography I DMS 353 Junior Lab II DMS343 Fetal cho & Neonatal Sono DMS 372 OB Sonography II DMS 354 Junior Lab III DMS 365 Sonographic Pathology DMS 388 xtern Prep DMS 373 OB Pathology Senior DMS 430 I, II, III, IV xternship Table A2. Student Learning Outcome #3A -Course Matrix Identified courses indicate that the SLO above is taught in the course, students demonstrate skills or knowledge in the SLO, and students receive feedback on their performance on the SLO. I = Introduced = einforced = mphasized 15

16 Appendix A Student Learning Outcome-Course Matrices Student Learning Outcome #3B: Professionalism I=Introduce =einforce =mphasize DMS Course Summer Fall Winter Spring Sophomore DMS 223 Abdominal I I DMS 252 Sophomore Lab I I DMS 224 Abdominal II DMS 253 Sophomore Lab II DMS 225 Abdominal III DMS 254 Sophomore Lab III DMS 234 Pelvic Sonography Junior DMS 315 Sonographic Superficial Structures DMS 335 Patient Care DMS 352 Junior Lab I DMS 316 Survey of VT DMS 371 OB Sonography I DMS 353 Junior Lab II DMS343 Fetal cho & Neonatal Sono DMS 372 OB Sonography II DMS 354 Junior Lab III DMS 365 Sonographic Pathology DMS 388 xtern Prep DMS 373 OB Pathology Senior DMS 430 I, II, III, IV xternship Table A3. Student Learning Outcome #3B -Course Matrix Identified courses indicate that the SLO above is taught in the course, students demonstrate skills or knowledge in the SLO, and students receive feedback on their performance on the SLO. I = Introduced = einforced = mphasized 16

17 Appendix A Student Learning Outcome #9: The student will demonstrate an understanding of diverse cultural and humanistic traditions in the global society. DMS Course Summer Fall Winter Spring Sophomore DMS 223 Abdominal I DMS 252 Sophomore Lab I DMS 224 Abdominal II DMS 253 Sophomore Lab II DMS 225 Abdominal III DMS 254 Sophomore Lab III DMS 234 Pelvic Sonography Junior DMS 315 Sonographic Superficial Structures DMS 335 Patient Care I/ DMS 352 Junior Lab I DMS 316 Survey of VT DMS 371 OB Sonography I DMS 353 Junior Lab II DMS343 Fetal cho & Neonatal Sono DMS 372 OB Sonography II DMS 354 Junior Lab III DMS 365 Sonographic Pathology DMS 388 xtern Prep DMS 373 OB Pathology Senior DMS 430 I, II, III, IV xternship / Table A4. Student Learning Outcome # 9 -Course Matrix Identified courses indicate that the SLO above is taught in the course, students demonstrate skills or knowledge in the SLO, and students receive feedback on their performance on the SLO. I = Introduced = einforced = mphasized 17

18 Appendix B Assessment time map combining Institutional Student Learning Outcomes and Programmatic Student Learning Outcomes is found in Table B1. ISLO with PSLO Coordinating Assessment Cycle Institutional Student Programmatic Student Learning Learning Outcomes Outcomes 1. Communication 1. The student will demonstrate (oral, written, visual) effective oral, visual, and written 2. Team and group work communication skills 2. The student will demonstrate the ability to work effectively in teams Professionalism and ethical practice 3a. The student will demonstrate an ability to provide basic patient care and comfort while utilizing ethical, professionalism and HIPAA guidelines. 3b. Professionalism 4. The student will demonstrate knowledge and understanding of human gross and sectional anatomy relative to normal and abnormal sonographic imaging. 4. Critical Thinking and 5. The student will demonstrate Problem Solving knowledge and understanding of human physiology, pathology and pathophysiology (xtern Case Study) 5. Lifelong and 8. The student will demonstrate independent learning appropriate ergonomic scanning applications 6. Mathematical 6. The student will demonstrate Knowledge, skills and knowledge and understanding of application ultrasound physical principles and instrumentation. 7. Scientific knowledge 7. The student will demonstrate and skills in scientific knowledge of sonographic biological reasoning effects, proper application of sonographic instrumentation relative to imaging and film quality. 8. Global perspectives 9. The student will demonstrate an and Cultural diversity understanding of diverse cultural and humanistic traditions in the global society. Table B1, three year assessment cycle for DMS SLOs and PSLOs 18