1. (a) An approved LPREP shall require that each student completes the following educational program within 12 months of beginning the program:

   1. (1) Didactic instruction to consist of 60 hours in the following:

      Subject

      Hours of Instruction

2. (A) Radiation protection and safety to include methods of reducing radiation dose to the patient, personnel, and the general population, and the effects of kilovoltage, milliamperage, filtration, and distance on radiographic contrast and detail

   10

3. (B) Principles of Radiographic Exposure

   10

4. (C) Equipment operation, Quality Assurance and Control

   5

5. (D) Image processing to include appropriate menu selection, body part placement, pre- and post-processing, and image receptor care including erasing and cleaning of image receptors.

   6

6. (E) Medical terminology

   4

7. (F) Medical ethics

   2

8. (G) Patient Care including pediatrics and geriatrics

   4

9. (H) Image Evaluation

   5

10. (I) Anatomy and physiology of the foot, ankle, tibia and fibula

    4

11. (J) Specific instruction in the following positions:

    1. 1. Foot and toes: dorsal plantar, medial oblique, lateral oblique, lateral weightbearing, and sesamoidal axial weightbearing.
    2. 2. Ankle with and without weight: anteroposterior (AP), mortise, AP medial and lateral oblique, and lateral.
    3. 3. Calcaneus: axial calcaneal weightbearing and Harris and Beath (ski-jump) weightbearing.
    4. 4. High fibular view.

    5. (2) Clinical experience shall consist of the student performing, under indirect oversight, the following number of radiographic procedures:

       Category

       Number of Procedures

       .

    10

12. (A) Foot

    25

13. (B) Ankle

    20

14. (C) High fibular procedures, which may be on a model

    5

15. (b) A student who is certified as a medical assistant by one of the following is deemed to meet subparagraphs (E), (F), and (G) of subsection (a)(1) provided the program maintains documentation of certification:

    1. (1) California Certifying Board of Medical Assistants; or
    2. (2) Any Medical Assistant program approved by the Medical Board of California.
16. (c) Training shall be provided by the lead training instructor. There shall not be, at any one time, more than one student per licensed DPM who holds a current and valid radiography supervisor and operator permit.
17. (d) LPREP students, when operating X-ray equipment, shall be under direct oversight until the student has achieved competency for the procedure. The determination that the student has achieved competency shall be made by the lead training instructor. Once the student has achieved competency, the student may then perform procedures under indirect oversight. However, students shall continue to be under direct oversight during repeat performance of any unsatisfactory radiograph or image. The competency determination shall be written, dated, and printed and signed by the person making the determination.
18. (e) The lead training instructor providing training shall be available for consultation by the student and responsible for supervision of students and for the acts and omissions of the student.
19. (f) The LPREP shall maintain and make available to the Department for inspection records of competency determinations and documentation of personnel qualifications.

Note: Authority cited: Sections 114870(a), 114871 and 131200, Health and Safety Code. Reference: Sections 106975, 107045, 114850, 114870(c), 114870(d), 114871, 114880, 131050, 131051 and 131052, Health and Safety Code.

History

1. Renumbering of former section 30427.2 to section 30427, including amendment of section heading, first paragraph and subsection (a), filed 6-7-2018; operative 10-1-2018 (Register 2018, No. 23). For prior history of section 30427, see Register 2013, No. 41.

2. Repealer and new section filed 7-1-2023; operative 7-1-2023. Exempt from the APA pursuant to Health and Safety Code section 114871 and submitted to OAL for filing and printing only pursuant to Government Code section 11343.8 (Register 2023, No. 26).