Advanced Diagnostic Radiologic Technologist (Ultrasound)

Basic Requirements : Citizenship. Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3g.

Certification. All applicants must be certified in general radiologic technology by the American Registry of Radiologic Technology, Radiography (ARRT) (R).

Advanced ARRT certification is required for assignments that include computed tomography (CT), magnetic resonance imaging (MRI), or Mammography (M) duties performed independently, as applicable .

Advanced certification indicates that the incumbent can operate independently and has demonstrated specific clinical competency in the appropriate specialty and taken and passed the designated examination.

In modalities that require advanced certification, to support their continued development, technologists who do not possess an advanced certification may be provided on the job training with oversight from a certified radiologic technologist.

Education. Completion of a full-time training course of at least 24 months in duration (or the equivalent) in a post-high school diagnostic radiologic technology program, evidenced by a certificate or an associate degree, accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or from other accrediting agencies as recognized by the Department of Education (DOE).

NOTE : Assignment to the clinical program director requires meeting JRCERT minimum educational standards as noted in the assignment description.

English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Details on the Grandfathering Provision are in the questionnaire section. Grade Determinations : Ultrasound ( Diagnostic / Vascular Sonography) (S), (VS).

Diagnostic ultrasound uses high frequency sound waves and other diagnostic techniques for medical purposes. The practitioner must be competent in the production, use, recognition, and analysis of ultrasound images and patterns used for patient diagnosis and treatment.

The sonographer is regarded as the expert source of all ultrasound imaging, and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation.

Within this specialization, there is a diverse range of ultrasound imaging sub-specialties. These include : 1) diagnostic medical sonography - abdominal, neurologic, obstetrical / gynecologic, musculoskeletal (MSK), a breast;

and 2) vascular sonography-arterial and venous doppler, spectral analysis, and calculating ankle brachial index (ABI) . Diagnostic Radiologic Technologist, GS-10 Experience.

At least one year of experience equivalent to the next lower grade level directly related to the position being filled that demonstrates the clinical competencies described at that level.

Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time.

DRT's at this grade level may be appointed to one of the following assignments : Advanced Diagnostic Radiologic Technologist.

Employees are trained to work in one or more difficult and complex modalities performing procedures related to these modalities as well as performing general diagnostic procedures.

At this grade level, any assignment in a single modality must demonstrate significant complexity. Such assignments are unique, perhaps with expert specialization in complex areas of radiologic technology, Mammography Quality Standards Act (MQSA) regulations, and intermediate QM type duties within the program.

The candidate must demonstrate all of the following technical KSAs : Knowledge of radiation protection standards, devices and techniques, including concepts of accumulated dosage, dose monitoring, and genetic changes.

Ability to utilize advanced imaging software that supports complex imaging programs and recognize changes in equipment and procedures that might result in increased exposures, and ability to recommend methods to prevent such exposures.

Knowledge of basic physics including concepts of energy, electric power, magnetic fields, and properties of x-ray, to understand the operation of the equipment.

Knowledge and skill in positioning of patients for a wide variety of highly complex imaging (CT, MRI, IR, ultrasound, mammography) studies.

References : VA Handbook 5005 / 119 Part II Appendix G25. Preferred Experience : Scanning female pelvis' and vascular scans (Duplex Ultrasounds).

The full performance level of this vacancy is GS 10. The actual grade at which an applicant may be selected for this vacancy is GS 10.

• Physical Requirements : The physical demands of the work include : Heavy lifting, 45 pounds and over; moderate carrying, 15-44 pounds;
• pushing up to 4 hours; reaching above shoulder; use of fingers, good dexterity (both hands required); prolonged walking, prolonged standing;
• repeated bending; ability for rapid mental and muscular coordination simultaneously; far vision correctable in one eye to 20 / 20;

ability to distinguish basic colors; hearing (aid permitted); speed in working; and emotional stability. Must have the ability to stand and work while wearing a lead apron for possibly long periods of time.