Springfield Technical Community College
RADIOGRAPHY PROGRAM PRE-ADMITTANCE SITE VISIT
Download this page or copy and paste on a word document and submit to the admissions office.
HOSPITAL SITE VISIT
Dear Student:
As part of the interview/application process to the Radiography Program, prospective students must visit a radiology department in one of our hospital facilities.
After your Program Informative session with the Program Director prior to Hospital visit.
Below is a list of those facilities. To make arrangements for the site visit, call the chief clinical instructor listed at the facility of your choice to set up a time for your visit. Our sites are more than happy to have you visit as you may be a prospective student and, later, a prospective employee.
During your visit at the hospital, you will be able to observe what radiographers do, talk to practicing radiographers about the field, and observe technologist/patient interactions. You may also ask to observe some imaging areas such as CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) as these are advanced scanning techniques for radiographers who have additional training and certification.
This mandatory visit must be scheduled for a minimum of four hours. When your visit is over, have one of the facility’s clinical instructors sign the form. It should then be brought or mailed to the admissions office which will become part of your application.
Thank you for your interest in radiography and enjoy your visit to the radiology department.
I have read about and or researched the patient bill of rights, patient confidentiality concerns and the responsibilities of healthcare workers as well as students to maintain patient personal information, condition, prognosis and all observed about patient as private and privileged information.
This will remain strictly confidential from my perspective on my behalf. The Health Insurance Portability and Accountability Act of 1996 (HIPPA) enforcement will also be upheld by me the prospective student.
______________________________ ___________________________________ _______________
Signature Printed Name Date
NOTE: Please wear clothing appropriate to the hospital- i.e., slacks or scrubs. NO shorts, tank tops or flip-flops, etc.
Springfield Technical Community College
RADIOGRAPHY PROGRAM PRE-ADMITTANCE SITE VISIT
______________________________________________has spent 4 hours in observation at (Name)
____________________________________________________________
(Facility)
____________________________________________________________
(Facility Representative)
___________________________
(Date)
I have read about and or researched the patient bill of rights, patient confidentiality concerns and the responsibilities of healthcare workers as well as students to maintain patient personal information, condition, prognosis and all observed about patient as private and privileged information. This will remain strictly confidential from my perspective on my behalf. The Health Insurance Portability and Accountability Act of 1996 (HIPPA) enforcement will also be upheld by me the prospective student.
______________________________ ___________________________________ _______________
Signature Printed Name Date
STCC RADIOGRAPHY PROGRAM AFFILIATES and Contacts
An observation experience at a radiology/medical imaging center must be approved by the Program Director
Click on the Hospital Name for More information
759 CHESTNUT ST
SPRINGFIELD, MA 01107
Dave Killion, A.S., R.T.(R)
Chief Clinical Instructor
725 North Street
Pittsfield, MA 01201
Christine Quillen, A.S., R.T.(R)
Chief Clinical Instructor
STCC Program Coordinator
Wright Street
Palmer, MA 01069
Barbara Dumbar, A.S., R.T.(R)
Chief Clinical Instructor
Shriners Hospital for Children
516 Carew St.
Springfield, MA 01104
Doreen Alvaro, A.S., R.T.(R)
Chief Clinical Instructor
