Qualifications Framework level

EQF level

European Qualifications Framework (EQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).


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5

LQF level

Latvian Qualifications Framework (LQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).

LQF covers stages of education starting from the basic education (level 1 – special basic education) to the highest education (level 8 – doctoral studies).


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5

Level of professional qualification
Latvia has a system of five professional qualifications levels (PQL, 1 – the lowest, 5 – the highest).

PQL system covers only professional qualifications (basic education, secondary and higher education stages).

PQL reflects readiness of a person to perform work of certain stage of complexity and responsibility.
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4

Learning outcomes

Learning outcomes are knowledge, skills and competences acquired during a certain period of learning.

In Latvia, learning outcomes are stipulated by state education standards and occupational standards (for the professional qualifications).

Learning outcomes of higher education are defined by higher education institutions.


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Learning outcomes are formulated in accordance with the relevant occupational standard and the strategic objectives of educational programmes outlined in the state standard of first level professional higher education. For more information, see the Cabinet of Ministers Regulations No. 141 “Regulations on the state standard of first level professional higher education” (adopted on 20.03.2001):  Read standard. Occupational standards:  Occupational standards register

Radiology assistant

  • Knowledge

    Professional knowledge
    At the comprehension level:
    1. Protection and processing of personal data.
    2. Operating principles of radiographic equipment.
    3. Conventional and digital imaging and registration of images.
    4. Factors of radiation physics and environmental protection.
    5. Dosimetry in medical radiation.
    6. Processing, format, storage, and data security of RIS and PACS information, etc.
    7. Processing of information with DICOM, format, storage, security, confidentiality, etc.
    8. Fundamentals of internal, surgical, and oncological diseases.
    9. Mammography equipment: technical parameters and operating principles.
    10. Factors affecting the quality of mammography images and quality criteria.
    11. Radiation doses.
    12. Processing, format, storage, and data security of RIS and PACS information, etc.
    13. Medical terminology, indications and contraindications for examinations, etc.
    14. Processing, format, storage, and data security of RIS and PACS information, etc.
    15. Processing of information with DICOM, format, storage, security, confidentiality, etc.
    16. Laws and regulations on radiation safety and protection.
    17. Quality management system software, calculation and optimisation of radiation dose.
    18. Medical terminology. Evaluation of referral indications for magnetic resonance imaging or ultrasound examinations.
    19. Processing of information with DICOM, format, storage, security, confidentiality, etc.
    20. Contrast agent administration devices. Types of contrast agents.
    21. Criteria for applying image reconstruction algorithms, filters, and additional processing software.
    22. Application of computed tomography protocols in diagnostic pathology.
    23. Guidelines for computed tomography examinations and descriptions of therapeutic processes.
    24. Factors affecting the quality of computed tomography images. Computed tomography equipment: structure, operating principles, technical capabilities of workstations, technical parameters, image post-processing software.
    25. Technical structure and capabilities of equipment.
    26. Processing, format, storage, and data security of RIS and PACS information, etc.
    27. Processing of information with DICOM, format, storage, security, confidentiality, etc.
    28. Basic principles of magnetic resonance physics.
    29. Basic principles of ultrasound imaging, factors affecting the quality of ultrasound images, image post-processing programs and auxiliary equipment.
    30. Sequencing in diagnostic pathology, adjustment of technical parameters to clinical situations and the patient’s health condition. Role of magnetic resonance in different clinical situations: descriptions of guidelines for examinations and therapeutic processes and correlations between them.
    31. Technical structure and capabilities of magnetic resonance imaging and ultrasound equipment. Image post-processing and auxiliary equipment.
    32. Effect of the magnetic field on human body.
    33. Basic principles of nuclear medicine.
    34. Indications and types of examinations identified in referrals.
    35. Clinical information: pathologies and future needs of a patient, psychological, social, and cultural factors affecting patient behaviour. Stages of child development and special needs.
    36. Physics of radionuclide diagnostics.
    37. Operating principles of radionuclide diagnostics equipment.
    38. Chemical reactions between the radionuclide and the cold kit during the labelling process.
    39. Production of radiopharmaceutical preparations with cyclotron.
    40. Processing, format, storage, and data security of RIS and PACS information, etc.
    41. Radiation safety quality assurance programme.
    42. Radiation therapy methodology.
    43. Radiation therapy processes.
    44. Initial and repeated preparation of patients and methods of verification.
    45. Radiological anatomy and physiology, oncological diseases.
    46. Radiation therapy processes.
    47. Positioning and immobilisation of patients in radiation therapy.
    48. Principles of computed tomography.
    49. Principles of magnetic resonance imaging.
    50. Radiation simulation.
    51. Physics and operating principles of radiation therapy.
    52. Radiation therapy equipment registered in Latvia.
    53. Radiation therapy: processes, therapy methods.
    54. Positioning and immobilisation of patients in radiation therapy. Radiation safety and protection of patients and employees.
    At the application level:
    1. Collection of clinical history: structure of mandatory information, recording of information.
    2. Contrast agent administration devices.
    3. Types of administration.
    4. Normal human anatomy and physiology.
    5. Radiation safety and protection, sizes of radiation fields.
    6. Assurance and assessment of image quality criteria, impact of secondary radiation on examination quality criteria.
    7. Impact of the technical criteria of conventional and digital imaging on quality assessment.
    8. Radiographic positioning projections.
    9. Conditions for radiographic positioning to ensure high-quality images.
    10. Skeletal anatomy, radiographic anatomy, and surface anatomy.
    11. Technical and anatomical criteria for radiographic positioning of the skeleton.
    12. Diagnostic reference levels for the entrance surface dose for a patient, radiation dose limits, and laws and regulations.
    13. Radiographic image: projections, quality criteria, etc.
    14. Factors affecting the quality of radiographic images.
    15. Skeletal radiography criteria.
    16. Patient care in radiology.
    17. Application of radiation safety and protection rules and protocols for describing manipulations in medical radiology: mandatory requirements and consequences of non-compliance. Assurance of quality management system: control of radiation dose, optimisation, image quality criteria.
    18. Normal human anatomy, radiological anatomy.
    19. Precise image quality criteria.
    20. Principles of radiographic imaging.
    21. Reading of the ionizing radiation dose received by the patient. Medication names, doses, and inventory and write-off of medical supplies, etc.
    22. Names of radiographic and radioscopic examinations,
    23. Manipulation codes, user data, etc.
    24. Mammography: screening mammography, diagnostic mammography.
    25. Radiology Information System: entering of patient data, screening letter data, examination manipulations, and users in the system.
    26. Conventional and digital mammography imaging and registration of images.
    27. Radiation physics: impact of secondary radiation on mammography examination quality criteria.
    28. Instruction for equipment use.
    29. Accessories for mammography equipment: compression paddles, replacement of examination support surface, vacuum biopsy and stereotactic equipment, etc.
    30. Mammographic positioning projections.
    31. Conditions for mammographic positioning to ensure high-quality images.
    32. Principles of patient care. Technical criteria for projections, radiation field, focus detector distance in mammography.
    33. Patient safety.
    34. Adjustment of technical data.
    35. Use of screening programs for implants.
    36. Human anatomy, radiological anatomy of the breast.
    37. Precise image quality criteria.
    38. Principles of mammography imaging.
    39. Reading of the ionizing radiation dose received by the patient.
    40. Medication names, doses, and inventory and write-off of medical supplies, etc.
    41. Name of the mammography examination, manipulation code, user data, etc.
    42. Name of the computed tomography examination, manipulation code, user data, etc.
    43. Positioning of the patient for a computed tomography examination.
    44. Medications and contrast agents: description, types, indications.
    45. Guidelines of internationally recognised urogenital radiology institutions for the use of contrast agents.
    46. Technical documentation and operating instructions of devices.
    47. Methodology for determining the ionizing radiation dose received by the patient.
    48. Occupational safety measures during a computer tomography examination.
    49. Fundamentals of internal and oncological diseases and surgical manipulations.
    50. Medication names, doses, and inventory and write-off of medical supplies, etc.
    51. Name of the magnetic resonance imaging and ultrasound examination, manipulation code, user data, etc.
    52. Standards for the preparation of patients. Magnetic resonance imaging and ultrasound examinations: standards for the preparation of patients, descriptions of positioning, etc.
    53. Medications and gadolinium-containing contrast agents: descriptions, ways of administering contrast agents, application, guidelines of internationally recognised urogenital radiology institutions for the use of contrast agents.
    54. Technical documentation of magnetic resonance imaging and ultrasound equipment.
    55. Guidelines for radionuclide diagnostics and descriptions of procedures. Preparation of the patient for each type of radionuclide diagnostics examination.
    56. Theoretical basis of each type of radionuclide diagnostics examination: specificity and stages of a radionuclide diagnostics examination.
    57. Types of radiopharmaceutical preparations and radionuclide diagnostics.
    58. Radiopharmaceutical process: 99Mo/99mTc generator, etc. Quality control tests and purity of the eluate.
    59. Chemical and physical differences between different radioisotopes, including their production and storage requirements.
    60. Pharmacological differences between the available radiopharmaceuticals, their intended uses, and quality requirements.
    61. Types of aseptic techniques for the preparation of radiopharmaceutical preparations.
    62. Radiopharmaceutical preparations: administration procedures, risks (contraindications, patient risk factors, side effects), and response to emergency situations.
    63. Scintigraphy and SPECT diagnostic imaging: types of gamma cameras, methods (dynamic, static, tomographic, whole-body, etc.).
    64. Imaging parameters, their impact on the quality of images and consequences. Human anatomy, radiological anatomy.
    65. Types of artefacts: their prevention and/or rectification.
    66. Reading of the dose received by the patient.
    67. Names and doses of preparations and medications, inventory and write-off of medical supplies, etc. Name of the radionuclide diagnostics examination, manipulation code, user data, etc.
    68. Requirements for the radionuclide diagnostics unit regarding the clinical practice and radiation safety: laws and regulations. Radionuclide diagnostics: beta decay processes; radionuclides (gamma, beta, positrons); absorbed and effective doses; safe dose and dose optimisation; functions of radiation measuring devices and detectors, etc.
    69. Reduction of the radiation risk to radiation-sensitive organs: gonads, thyroid, etc.
    70. Manipulations with open radioactive sources and administration of radionuclides: potential risk and hazards.
    71. Patient identification procedure established at the medical treatment institution.
    72. Oncology information systems.
    73. Multi-stage patient identification algorithms.
    74. Infection control and hygiene plan.
    75. Contrast agents and their application in radiation therapy.
    76. Application of specific equipment.
    77. Infection control and hygiene plan.
    General knowledge
    At the concept level:
    1. Planning of professional growth.
    2. Industry-specific educational requirements.
    At the comprehension level:
    1. Disaster medical system. Scope of co-operation: delegation of functions and responsibilities.
    2. Emergency and pre-emergency situations.
    3. Types of violence.
    4. Children’s rights protection issues.
    5. Civil defence management and structure.
    6. Laws and regulations on fire safety.
    7. Laws and regulations on electrical safety.
    8. Laws and regulations on the environmental protection.
    9. Civil defence regulations.
    10. Types of fire extinguishing equipment.
    11. Evacuation plans.
    12. Basics of entrepreneurship.
    13. Types of violence.
    14. Gender equality issues.
    15. Basic principles of social and medical ethics.
    16. Image storage and transmission systems.
    17. Digital environment, risks and threats in the digital environment.
    18. Digital identity.
    19. Data protection.
    20. Protection of property.
    21. Data analysis tools.
    22. Basic principles of statistics. Possibilities and potential risks of information technologies in obtaining, processing, and transmitting reliable material.
    23. Verbal and non-verbal communication.
    24. Basics of communication psychology.
    25. Concept of cultural diversity.
    26. Specificity of verbal and non-verbal communication in a multicultural environment.
    27. Professional career development and its importance.
    28. Methods for critically evaluating professional information.
    29. Principles of work organisation, co-operation, and teamwork.
    30. Principles of healthcare organisation and financing.
    31. Laws and regulations governing the use of methods and technologies available to medical practitioners: requirements for the education, certification, and re-certification of a radiology assistant.
    32. Planning of resources.
    33. Financial management.
    34. Basic principles of accounting.
    35. Procedures for the record-keeping and archiving of medical documentation.
    36. Quality management assurance programs.
    At the application level:
    1. Signs of life-threatening conditions in various patient groups.
    2. Basic algorithm for cardiopulmonary resuscitation.
    3. Acute emergencies: their recognition, management, and provision of first aid within the scope of own competence until specialised assistance is provided.
    4. Algorithm for providing first aid, basic skills of resuscitation methods.
    5. Indirect heart massage.
    6. Legal relationship of the employer and employee. Laws and regulations on epidemiological safety and infection control at medical treatment institutions.
    7. Cleaning and sterilisation of medical devices.
    8. Contaminated materials: separation and preparation for disposal.
    9. Action upon occurrence of work environment risks.
    10. Principles of ‘green thinking’. Strategic principles of sustainable development.
    11. Sustainable development strategy of Latvia.
    12. Radiology Information System.
    13. Data processing and archiving system.
    14. Protection of patient rights regarding the processing of personal data, free circulation of such data, and procedures for requesting them. Standards for patient preparation for radiological examinations.
    15. Protection of individuals regarding the processing of personal data, free circulation of such data, and procedures for requesting them.
    16. Requirements of external and internal regulatory enactments in the field of employment relationship.
    17. Occupational safety and risks.
    18. Time planning.
    19. Work organisation.
    20. Rights and obligations of patients, their relatives, and medical practitioners.
    21. Norms of general and professional ethics: code of ethics for a radiology assistant.
    22. Conflicts, their causes, and solutions.
    23. Effective communication and co-operation.
    24. Patient education.
    25. Information carriers, websites, and files.
    26. Radiology Information System, entering of patient data, ionizing radiation dose received by the patient, name of the examination, manipulation codes, and uses in the system.
    27. Work with office equipment and information systems. Protection of sensitive personal data.
    28. Security of information and communication systems. Computer skills.
    29. Preparation and drawing up of documents.
    30. Information search tools and databases.
    31. Andragogy.
    32. Scientific articles and field-specific professional guidelines.
    33. Development of research work and publications.
    34. Public speaking and audio-visual presentations.
    35. Professional terminology in Latvian.
    36. Extensive vocabulary. Functional grammar. Language styles.
    37. Literary language norms.
    38. Business writing.
    39. Language culture.
    40. Industry/ sector-specific vocabulary and professional terminology.
    41. Art of effective presentation management.
    42. Critical thinking and creation of a constructive dialogue. Extensive professional vocabulary.
    43. Functional grammar. Principles of intercultural communication in a multicultural environment. Standards, values, and code of conduct of own national culture and other cultures.
    44. Strategies for identifying and resolving intercultural conflicts. Motivation and learning strategies.
    45. Self-assessment mechanisms. Planning of education, career, and progress of work.
    46. Principles of teamwork.
    47. Clinical audit in radiography: guidelines for medical radiation in radiodiagnostics and radiation therapy, purposes, methodology, documentation, etc. Medical equipment and image recording equipment in radiology.
    48. Equipment used in radiation therapy, including external beam therapy, brachytherapy equipment, simulators, etc., equipment for block formation, etc.
    49. Set of aseptic and antiseptic measures.

  • Skills

    Professional skills and attitudes
    1. To identify a patient based on identification documents and information of the referral for radiographic examination. To obtain information on the time of the previous examination.
    2. To obtain information on the patient’s potential pregnancy before performing radiographic examinations. To evaluate the patient’s general health condition before performing radiographic examinations according to the clinical history.
    3. To assess the compatibility of the physician’s referral purpose with the diagnostic possibilities, indications, and clinical situation of the intended radiographic examination.
    4. To provide the patient with understandable information on the radiographic examination.
    5. To obtain an informed patient consent for the performance of a radiographic examination.
    6. To select appropriate contrast agent and concentration according to the examination.
    7. To follow the indications and contraindications according to the examination to be performed.
    8. To control the suitability of the technical condition of the radiographic equipment for the patient to ensure a safe examination. To prepare the radiographic equipment for the relevant examination.
    9. To select appropriate working surface, grid application, focus detector distance, exposition mode, and parameters for the examination.
    10. To determine an accurate and appropriate radiation field corresponding to the radiographic projection.
    11. To consider the possibilities of conventional or digital image recording.
    12. To ensure secondary radiation collimation and the identification of sides.
    13. To properly prepare the patient for a radiographic examination. To position the patient in conformity with the basic principles of radiography,
    14. anatomical plane, and structure.
    15. To ensure the privacy and maximum possible comfort of the patient during the radiography examination.
    16. To ensure secondary radiation collimation and the identification of sides.
    17. To instruct the patient on his safety and actions to perform a high-quality radiographic examination.
    18. To give appropriate commands to the patient during the examination.
    19. To ensure the optimisation of the radiation dose during the radiographic examination according to the physiological characteristics and clinical situation of the patient. To monitor the radiation safety measures for the patient before the intended examination.
    20. To ensure patient care and his preparation for the examination. To ensure the quality of the radiographic examination and image. To assess the conformity of the obtained radiographic image with the examination purpose.
    21. To use the quality criteria for radiographic projections to determine the quality of the image. To assess the conformity of the radiographic image with the quality criteria.
    22. To monitor the ionizing radiation dose that conforms to the requirements of laws and regulations.
    23. To apply protective equipment to ensure the safety and radiation protections of patients. To explain to the patient the need to use protective equipment for protection against ionizing radiation.
    24. To control the technical parameters and the selection and accuracy of doses. To perform a radiographic examination in conformity with the equipment safety standards and manipulation description protocol.
    25. To use the radiographic projection protocols accurately, in conformity with the examination algorithms and guidelines. To analyse the technical parameters of the obtained image,
    26. To enter information on the used medications and medical supplies in the Radiology Information System (RIS). To enter correct examination and patient personal data, manipulation codes, medications intended for the National Health Service, etc. in the RIS.
    27. To archive radiographic and radioscopic examination images in the PACS.
    28. To use DICOM
    29. to store digital radiographic images.
    30. To identify a patient based on identification documents and information of the referral for mammography examination. To make sure about the expiry date of the screening mammogram and the usefulness of its use before the planned mammography or screening mammography examination. To explain the procedure of the mammography or screening mammography examination to the patient.
    31. To obtain information on the last mammography examination of the patient and its result. To obtain information on the claims and breast conditions of the patient. To collect the personal and family history regarding breast conditions.
    32. To verify the conformity of the doctor’s referral with the planned mammography examination according to the indications and clinical situation.
    33. To provide the patient with understandable information on the mammography examination.
    34. To obtain an informed patient consent for the performance of a mammography examination.
    35. To assess the suitability of the technical condition of the mammography equipment for the patient to ensure a safe examination.
    36. To perform the weekly and daily quality control of the mammography equipment in conformity with the manufacturer’s instructions and procedures established at the institution. To use the additional equipment of the device correctly.
    37. To observe the conditions for the application of vacuum biopsy and stereotactic equipment.
    38. To prepare the patient for the examination.
    39. To position the patient for the standard projections in accordance with the mammography guidelines. To position the patient for additional projections as indicated by the radiologist. To ensure the privacy and maximum possible comfort of the patient during the mammography examination.
    40. To instruct the patient on her actions to perform a high-quality mammography examination.
    41. To ensure the identification of projections.
    42. To give appropriate commands to the patient during the mammography examination.
    43. To follow the criteria for radiation fields and accurate projection. To set the focus detector distance correctly.
    44. To ensure the quality of the obtained mammography image.
    45. To assess the conformity of the mammography image with the quality criteria.
    46. To select the appropriate examination protocol for the mammography examination. To perform the mammography examination
    47. in conformity with the equipment safety standards and manipulation description protocol.
    48. To select the ionizing radiation field depending on the size of breasts to be examined.
    49. To monitor the indicators of the ionizing radiation dose during the examination.
    50. To perform a mammography examination for a patient with implanted medical devices in the area of mammary glands and breast implants. To perform the mammography examination in conformity with the implant and medical device safety instructions or as indicated by the doctor. To control the safety of the patient and medical device during the examination.
    51. To use protective equipment during the examination. To ensure the protection of the patient and the personnel against radiation during the mammography examination.
    52. To apply the technical parameters of mammography examination according to the physiological characteristics and clinical situation of the patient, To monitor the safety of the patient before and during the planned mammography examination. To ensure the optimal ionizing radiation dose for the mammography examination.
    53. To use the mammographic projection protocols accurately, in conformity with the examination algorithms and guidelines. To analyse the technical parameters of the obtained image,
    54. To enter information on the used medication and medical supplies in the Radiology Information System (RIS). To enter correct examination and patient personal data, manipulation codes, medications intended for the National Health Service, etc. in the RIS. To archive radiographic and radioscopic examination images in the PACS.
    55. To use DICOM to store digital mammography images.
    56. To identify a patient based on identification documents and the referral for the computed tomography examination. To review the medical documentation of the patient. To provide the patient with understandable information on the computed tomography examination. To obtain an informed patient consent for the intravenous administration of the contrast agent before the computed tomography examination. To obtain information on the patient’s potential pregnancy before performing computed tomography examinations.
    57. To enter information on the used medication and medical supplies in the Radiology Information System (RIS). To enter correct examination and patient personal data, manipulation codes, medications intended for the National Health Service, etc. in the RIS.
    58. To archive computed tomography examination images in the PACS.
    59. To use DICOM
    60. to store digital computed tomography images.
    61. To prepare computed tomography equipment and auxiliary equipment to ensure a high-quality computed tomography examination. To follow the indications and contraindications for the application of iodine-containing contrast agents.
    62. To evaluate the determined individual factors restricting the administration of an iodine-containing contrast agent. To prepare the patient for the administration of the contrast agent. To organise the administration of the iodine-containing contrast agent before the computed tomography examination. To administer a water-soluble contrast agent independently or assisted by a medical practitioner.
    63. To use contrast agent administration devices in conformity with the rules of operation of the device.
    64. To instruct the patient on his actions during the computed tomography examination.
    65. To position the patient according to the performed computed tomography examination.
    66. To assist in performing the computed tomography examination in conformity with the protocol selected for the clinical situation.
    67. To participate in the evaluation and analysis of the doses administered to the patients. To observe the standard levels of the radiation dose for computed tomography examinations. To obtain information on the patient’s potential pregnancy before performing the computed tomography examination.
    68. To obtain an informed patient consent for the performance of a computed tomography examination. To explain to the patient the radiation safety measures during the computed tomography examination.
    69. To identify a patient based on identification documents and the referral for examinations.
    70. To review the medical documentation regarding the magnetic resonance imaging or ultrasound examinations of the patient. To provide the patient with understandable information on the magnetic resonance imaging. To provide the patient with understandable information on the ultrasound examination.
    71. To obtain an informed patient consent for the performance of the magnetic resonance imaging or ultrasound examination.
    72. To enter information on the used medication and medical supplies in the Radiology Information System (RIS). To enter correct examination and patient personal data, manipulation codes, medications intended for the National Health Service, etc. in the RIS. To archive magnetic resonance images in the PACS.
    73. To use DICOM to store digital magnetic resonance images.
    74. To explain the procedure of the magnetic resonance imaging or ultrasound examination to the patient.
    75. To follow the indications for the application of gadolinium-containing contrast agents.
    76. To follow the contraindications for the application of gadolinium-containing contrast agents.
    77. To evaluate the determined individual factors restricting the administration of a gadolinium-containing contrast agent.
    78. To prepare the patient for the administration of the gadolinium-containing contrast agent before the magnetic resonance imaging.
    79. To administer a gadolinium-containing contrast agent independently or assisted by a medical practitioner. To use devices for the administration of a gadolinium-containing contrast agent in conformity with the rules of operation of the device.
    80. To position the patient for the magnetic resonance imaging. To instruct the patient on his actions during the magnetic resonance imaging or ultrasound examination.
    81. To participate in the identification of equipment malfunctions.
    82. To participate in the assurance of the suitability of the technical condition of magnetic resonance imaging or auxiliary equipment for a safe examination of the patient. To participate in the assurance of the suitability of the technical condition of ultrasound or auxiliary equipment for a safe examination of the patient. To participate in the preparation of magnetic resonance imaging and ultrasound equipment for the relevant examination.
    83. To observe the occupational safety measures in the magnetic resonance imaging room.
    84. To provide the patient with understandable information on the procedure and special preparations of the planned radionuclide imaging. To prepare the radionuclide diagnostics unit and each patient ward for the admission of patients under special conditions.
    85. To provide the patient with the items necessary for his physical or sociocultural needs.
    86. To identify the individual needs of each patient. To address the needs of a child and his parents during the radionuclide diagnostics. To explain the entire procedure of radionuclide imaging.
    87. To establish a contact and co-operation with the patient.
    88. To provide psychological support to the patient before radionuclide diagnostics procedures. To evaluate the patient’s response to radiopharmaceutical preparations, contrast agents, medications, and their associated side-effects.
    89. To recognise immediate emergency situations that are critical to the patient’s health and life.
    90. To provide first aid in emergency situations that are critical to the patient’s health and life until specialised assistance is provided.
    91. To make sure the patient is ready for the radionuclide diagnostics.
    92. To consider additional necessary measures before commencing the examinations.
    93. To provide the patient with the necessary environmental and material resources for the examination. To ensure the supervision, comfort, privacy, and safety of the patient. To obtain an informed patient consent for the performance of radionuclide diagnostics.
    94. To prepare the necessary equipment for performing high-quality procedures.
    95. To carry out quality assurance procedures for scintigraphy and single-photon emission computed tomography (SPECT) assisted by a medical physicist.
    96. To perform quality control tests in a timely manner, according to the developed schedule.
    97. To take corrective measures in case of negative quality assurance test results. To monitor the availability and calibration of quality control materials and software.
    98. To prepare the necessary radiopharmaceutical preparations for radionuclide diagnostics.
    99. To eluate the 99Mo/99mTc generator.
    100. To conduct quality control tests for the eluate.
    101. To perform the radiolabelling of a pharmacological preparation.
    102. To observe the chemical reactions between the radionuclide and the cold kit during the labelling process.
    103. To ensure a quality control test for locally labelled kits. To administer the appropriate activity of the radiopharmaceutical preparation for the patient’s examination.
    104. To maintain aseptic conditions in all procedures involving injectable radiopharmaceutical preparations.
    105. To manage the patient flow in the radionuclide diagnostics unit.
    106. To prepare the necessary materials for each radionuclide diagnostics procedure and examination.
    107. To perform scintigraphy and SPECT examinations.
    108. To adapt the diagnostic imaging modality depending on the necessary information for the specific examination.
    109. To enhance the diagnostic value of the prescribed examination based on the clinical context of imaging. To apply the correct reconstruction method to obtain a diagnostically valuable image.
    110. To detect potential artefacts and errors.
    111. To correct any identified artefacts and errors.
    112. To perform cardiac stress tests according to the physician’s referral and instructions.
    113. To assume responsibility for the quality of the images obtained during the diagnostic procedure and their conformity with the standard.
    114. To use the protocols accurately, in conformity with the examination algorithms and guidelines.
    115. To analyse the technical parameters of the obtained image,
    116. To enter information on the used preparations, medications, and medical supplies in the Radiology Information System (RIS).
    117. To enter correct examination and patient personal data, manipulation codes, preparations,
    118. medications intended for the National Health Service, etc. in the RIS.
    119. To archive examination images in the PACS.
    120. To ensure the minimum post-examination contact with other patients and their representatives.
    121. To classify the radiation zones in the radionuclide diagnostics unit.
    122. To use radiation measuring devices and detectors during radionuclide diagnostics procedures.
    123. To perform the personal dosimetry monitoring.
    124. To develop strategies to improve radiation protection measures at all stages of radionuclide diagnostics.
    125. To observe the specified reference levels for each exposure. To adhere to the radiation safety principles during a radionuclide diagnostics procedure.
    126. To provide consultation to patients regarding radiation protection during the radionuclide diagnostics and the post-examination period. To identify radiation objects at the workplace.
    127. To follow the procedure established by the medical treatment institution in the event of radiation emergency, radioactive contamination, or leakages. To perform the mandatory medical examinations.
    128. To identify a patient based on identification documents in accordance with the procedures established by the medical treatment institution. To verify the patient’s identification based on the parameters available in the oncology information system. To provide the patient with understandable information on the radiation therapy procedure.
    129. To obtain an informed patient consent for the performance of a radiation therapy procedure. To assess the patient’s suitability for a specific procedure in conformity with the approved plan and purpose of radiation therapy.
    130. To prepare the patient for the specific radiation therapy in conformity with the purpose of radiation therapy. To inform the patient about repeated preparations for the procedure in conformity with the approved radiation therapy plan.
    131. To assist in patient positioning and immobilisation in conformity with the radiation therapy plan.
    132. To assist in the initial preparation of immobilisation devices for radiation therapy in conformity with the purpose of radiation therapy. To assist in the necessary marking for ensuring precision in radiation therapy. To implement the infection control and hygiene plan.
    133. To provide the patient with understandable information on the pre-treatment examination. To obtain an informed patient consent for the administration of the contrast agent before the examination.
    134. To prepare pre-treatment devices and auxiliary equipment for ensuring a high-quality examination.
    135. To instruct the patient on his actions during the pre-treatment examination. To position the patient in conformity with the radiation therapy plan.
    136. To assist in setting the technical parameters of devices. To assist in preparing auxiliary equipment. To implement the infection control and hygiene plan.
    137. To position and immobilise the patient before the radiation therapy procedure as instructed by radiographer.
    138. To prepare the appropriate immobilisation devices in conformity with the purpose of radiation therapy and radiographer’s instructions.
    139. To assist in the marking process for ensuring precision in radiation therapy. To assist the radiographer during radiation therapy procedures.
    140. To implement the radiation safety and protection rules in radiation therapy.
    General skills and attitudes
    1. To adequately evaluate the patient’s health condition.
    2. To provide first aid to patients affected by radiation exposure.
    3. To provide first aid in a life-threatening and emergency situation within the scope of own competence until specialised assistance is provided.
    4. To act responsibly in emergency situations and other instances of danger in conformity with the requirements of laws and regulations.
    5. To provide the relevant authorities with information about the affected individuals and their health condition.
    6. To respect the limits of responsibility and delegation of functions.
    7. To comply with the labour protection, environmental protection, and health protection requirements when performing a work task.
    8. To assess the impact of environmental factors on one’s own health and the health of the patient. To comply with the occupational hygiene and epidemiological safety requirements specified for medical treatment institutions.
    9. To care for one’s own and others’ safety.
    10. To use individual protective equipment, appropriate for performing the duties. To assume responsibility to one’s own physical and mental health. To act in conformity with the fire safety, electrical safety, and civil defence requirements.
    11. To comply with the internal work procedure rules of the company.
    12. To adhere to the plan for the disinfection of premises and equipment.
    13. To ensure the separation and preparation of the contaminated material for disposal.
    14. To document the patient preparation process.
    15. To document the process of applying diagnostic imaging technologies.
    16. To document the diagnostic radiology and radiation therapy processes.
    17. To document the work organisation and personnel training processes.
    18. To document the acquired data, provided assistance, and the dynamics of the patient’s condition during patient preparation, examination process, and emergency situations.
    19. To respect the patient’s rights and ensure the protection and confidentiality of personal data.
    20. To identify the patient’s complaints.
    21. To ask the patient targeted questions about his complaints.
    22. To comply with the employer’s requirements and norms of employment relationship.
    23. To observe the rights and obligations of a radiology assistant in achieving the common goals of the medical treatment institution.
    24. To perform the direct work duties in good faith. To comply with the internal rules.
    25. To comply with the document management requirements and record-keeping procedures. To express empathy in conversations with the patient and his relatives.
    26. To involve the patient and his relatives in the decision-making process.
    27. To handle conflicts and non-standard situations in the work of a radiology assistant in a correct manner. To be loyal to the colleagues and patients.
    28. To promote a positive communication culture in communication with the colleagues, patients, and their relatives. To adhere to the norms of general and professional ethics.
    29. To use browsing, searching, and selection tools to acquire digital environment data, information, and content. To use information technologies and databases in performing the work duties.
    30. To independently find the necessary information in internet resources and data carriers for the performance of work duties.
    31. To critically evaluate the reliability of information. To act in accordance with the legal provisions applicable to the use of digital technologies, property rights, and data.
    32. To employ various techniques for the protection of digital equipment, content, personal data, and privacy in the digital environment. To keep up with the innovations in the industry.
    33. To use research methods in the professional activity. To conduct scientific research activities in conformity with the methodology of scientific research and ethical principles.
    34. To present the results of research and own activities to the public and other specialists. To responsibly provide an expert assessment within the scope of own professional competence.
    35. To use methods proven in the field of professional activity and recognised in the healthcare sector. To implement educational and informative measures in the context of own professional activity.
    36. To communicate orally and in writing in various professional situations and environments.
    37. To communicate according to the target audience and requirements of the situation. To observe the norms of Latvian literary language in business communication.
    38. To create well-structured, detailed texts.
    39. To outline professional topics in the official language clearly and in a well-argued manner.
    40. To adhere to the norms of literary language and written language culture of a foreign language.
    41. To use foreign languages in oral and written communication in various professional situations and environments. To use the professional terminology in the professional communication. To adhere to the principles of intercultural communication in a multicultural environment.
    42. To analyse cultural similarities and differences. To use a flexible approach to address intercultural conflicts in the work environment.
    43. To improve the foreign language skills and professional vocabulary independently.
    44. To assess own professional experience and competence objectively. To plan the possibilities for growth of own professional activity.
    45. To systematically improve professional knowledge and skills. To select approved or accredited educational programmes and other professionally educational events in the field.
    46. To assume responsibility for the quality of examinations and services provided to the patient.
    47. To organise one’s own work and the work of colleagues. To manage the radiological examinations according to the priorities of patient needs. To facilitate the provision of personnel, material resources, premises, and other provision for radiological procedures.
    48. To organise systematic maintenance and repair of equipment. To handle the storage, inventory, and correct use of contrast agents and radiopharmaceutical preparations.
    49. To prepare the required document package for the clinical audit.
    50. To regularly conduct the clinical audit in radiography.
    51. To plan one’s own and team’s work. To evaluate one’s own and team’s work. To follow the principles of multidisciplinary teamwork. To co-operate with other specialists.
    52. To promote a positive communication culture in communication with the colleagues, patients, and their relatives.
    53. To be familiar with the main organisational principles of the healthcare system. To be familiar with matters related to the financing of the healthcare system. To comply with the requirements of laws and regulations in the healthcare sector regarding the professional activity. To follow the principles of the financing of the healthcare system. To follow the business principles in radiology. To prepare descriptions of the items to be stored for archiving.
    54. To comply with the specified hygiene requirements for premises, hand hygiene of employees, and cleaning and sterilisation of medical devices.
    55. To keep track of the implementation of the set of measures for the disinfection of premises and equipment.
    56. To ensure the separation of the contaminated material.

  • Competences/ autonomy

    Professional competences
    1. Ability to prepare the patient for a radiographic examination and professionally determine the physician’s indications prescribed for the examination to be performed.
    2. Ability to professionally evaluate a contrast agent and prepare it for radioscopic examinations.
    3. Ability to professionally administer a contrast agent to perform radioscopic examinations.
    4. Ability to professionally understand the technical structure of equipment, promptly respond to any malfunctions and rectify them, and observe the equipment maintenance and calibration schedules in conformity with the physical criteria and technical parameters to obtain a high-quality radiographic image.
    5. Ability to select the appropriate aids and protective equipment for the radiographic projection to be performed and professionally use radiographic positioning projections according to the clinical situation and the physician’s referral by determining the technical parameters for precise positioning, location and direction of the central ray on the surface of the patient’s body and professionally evaluating anatomical structures.
    6. Ability to professionally determine clinical situations and evaluate the applicable ionizing radiation dose for obtaining high-quality image projection while ensuring patient radiation safety.
    7. Ability to select the appropriate ionizing radiation dose and apply the appropriate protective equipment that ensure protection against ionising radiation, explaining the importance of protective equipment to the patient and ensuring patient radiation safety.
    8. Ability to professionally evaluate the anatomical structures and technical parameters of a radiographic image.
    9. Ability to register, store, and archive the medical documentation of radiological examinations
    10. in conformity with the requirements of laws and regulations.
    11. Ability to archive the digital images of radiographic and radioscopic examinations in conformity with the requirements of laws and regulations.
    12. Ability to prepare the patient
    13. for a mammography examination according to
    14. the referral for diagnostic mammography and screening mammography examinations, and also the data of patient and family history by professionally determining the indications for the mammography examination to be performed.
    15. Ability to professionally use equipment and observe its maintenance, calibration, and quality control schedules. Ability to use the appropriate auxiliary equipment and select the appropriate mammography examination protocol related to the type of examination and physician’s indications, evaluating the conformity of the obtained mammography image with the physical criteria.
    16. Ability to position the patient, adhere to generally accepted ethical norms, explain the mammography examination procedure by promoting positive feedback in communication with the patient, and professionally apply standard and additional mammography projections according to the clinical situation. Ability to critically analyse the obtained examination images by assessing the conformity of the performed examination with the image quality criteria.
    17. Ability to professionally evaluate the anatomical structures of the patient and ensure the appropriate ionizing radiation dose for the examination.
    18. Ability to localise an implant and perform the positioning without causing harm to the implant or medical device and without endangering the patient’s life and health.
    19. Ability to professionally evaluate the anatomical structures and technical parameters of a mammography image.
    20. Ability to register, store, and archive the medical documentation of radiological examinations in conformity with the requirements of laws and regulations.
    21. Ability to archive the digital images of mammography examinations in conformity with the requirements of laws and regulations.
    22. Ability to professionally evaluate the referring physician’s indications
    23. in conformity with the task to be performed and communicate with the patient emphatically
    24. by gathering information on the complaints of the patient for the medical history while ensuring the confidentiality of their data.
    25. Ability to register, store, and archive the medical documentation of radiological examinations
    26. in conformity with the requirements of laws and regulations.
    27. Ability to archive the digital images of computed tomography examinations in conformity with the requirements of laws and regulations.
    28. Ability to prepare computed tomography equipment and auxiliary equipment for the clinical situation and computed tomography examination to ensure a high-quality computed tomography examination as instructed by the radiographer. Ability to use all ways of administering a contrast agent after evaluating the factors restricting the administration of the contrast agent.
    29. Ability to ensure compliance with radiation safety and labour protection requirements by professionally explaining to the patient the impact of ionizing radiation on human body.
    30. Ability to obtain accurate medical history, assess the conformity of the indications for a magnetic resonance imaging or ultrasound examination with the clinical situation, professionally explain to the patient the need to complete the required forms, and instruct him on his actions during the magnetic resonance imaging or ultrasound examination.
    31. Ability to register, store, and archive the medical documentation of radiological examinations
    32. in conformity with the requirements of laws and regulations.
    33. Ability to archive the digital images of magnetic resonance imaging examinations in conformity with the requirements of laws and regulations.
    34. Ability to prepare the patient for an ultrasound and magnetic resonance imaging examination, and also to use all ways of administering a contrast agent, evaluate the factors restricting the administration of the contrast agent, and justify the application of the contrast agent for magnetic resonance imaging examinations.
    35. Ability to understand the operating principles of equipment and image post-processing and reconstruction software. Ability to understand the imaging principles depending on the applicable sequences, the selection of coils and planes, and the impact of technical parameters on the image quality.
    36. Ability to be well-versed in the operation of auxiliary equipment.
    37. Ability to assume responsibility for diagnostic examinations while being aware of the psychological stress of patients, including children and their parents, before nuclear medicine examination procedures, and respecting their individuality, including their beliefs, religion, and other factors, and providing the patient with the necessary materials and environmental resources throughout the radionuclide diagnostics examination.
    38. Ability to assume responsibility for the interpretation of quality control tests for determining the condition of diagnostic equipment by critically assessing the compliance of the performed quality assurance tests to verify whether the condition of radionuclide diagnostic equipment conforms to the manufacturer’s specifications.
    39. Ability to assume responsibility for the preparation and storage of a radiopharmaceutical preparation and the administration of the correct dose to the patient.
    40. Ability to independently perform scintigraphy and SPECT examinations in accordance with the established procedures for obtaining and processing a high-quality image while ensuring optimal diagnostic value of the image and determining cases where an examination cannot be performed due to technical issues. Ability to professionally evaluate the quality and technical parameters of an image.
    41. Ability to register, store, and archive the medical documentation of radiological examinations in conformity with the requirements of laws and regulations.
    42. Ability to develop a plan for specific actions in the radiation zone and assume responsibility for the registration of accurate radiation measurements while being aware of the risks associated with the professional activity of a medical practitioner.
    43. Ability to critically assess and verify the adequacy of the intended expositions.
    44. Ability to work with patient identification systems and identification algorithms in radiation therapy.
    45. Ability to professionally evaluate the patient’s general health condition and suitability for radiation therapy procedures and to explain to the patient the need for repeated preparations for precise procedure of the intended radiation therapy.
    46. Ability to co-operate with the radiographer in positioning and immobilising the patient.
    47. Ability to professionally implement the infection control plan.
    48. Ability to co-operate with the radiographer in setting the technical parameters of pre-treatment equipment and preparing and positioning the patient.
    49. Ability to co-operate with the radiographer in setting the technical parameters of equipment and preparing auxiliary equipment. Ability to professionally implement the infection control plan.
    50. Ability to professionally participate in the positioning of the patient and ensuring radiation protection during radiation therapy procedures.
    General competences
    1. Ability to recognise a situation that is critical to the patient’s health or life, provide first aid, and co-operate with the competent institutions, including law enforcement institutions and non-governmental organisations providing assistance to victims of violence and their relatives, within the scope of own responsibility and delegated functions.
    2. Ability to responsibly assess an emergency situation and act accordingly to implement appropriate actions in the event of a disaster or threat of disaster.
    3. Ability to perform work duties in conformity with the labour protection, environmental protection, and civil defence requirements specified by law while caring for one’s own and others’ safety.
    4. Ability to act responsibly during an emergency situation and a state of emergency in conformity with the national regulations while being aware of own responsibility in maintaining national security.
    5. Ability to act in conformity with the principles of ‘green thinking’ and sustainable development by providing support in understanding these issues.
    6. Ability to accurately record patients’ personal data, performed manipulations, radiation doses received by patients and other information while ensuring the protection of personal data in conformity with the requirements of external and internal regulatory enactments.
    7. Ability to retrieve, use, and protect the available data in the Radiology Information System within the scope of own competence.
    8. Ability to comply with the requirements of internal and external regulatory enactments when carrying out the professional activity, take initiative, strategically plan, analyse, and take decisions, be disciplined, and cope with stressful situations.
    9. Ability to manage possible unpredictable changes in work processes.
    10. Ability to adhere to the norms of general and professional ethics and principles of deontology in communication with patients and colleagues by promoting co-operation.
    11. Ability to listen and explain, be compassionate, understanding, empathetic, and provide independent and understandable feedback.
    12. Ability to effectively use modern information and communication technologies to prepare the documentation and process, exchange, and use information necessary for the performance of work tasks when working with patient data entry programs, Radiology Information System, etc.
    13. Ability to critically select, evaluate, and analyse the necessary information from scientific articles and research papers by contributing to the popularisation of radiology through targeted research activities.
    14. Ability to communicate freely in the official language orally and in writing by observing the literary language norms and using the professional terminology in carrying out work duties.
    15. Ability to engage in constructive discussions and to present the position with well-founded arguments by ensuring the provision of correct and understandable information in conformity with the literary language norms.
    16. Ability to use foreign languages in oral and written communication, and professional terminology in two foreign languages and in Latin when carrying out work duties. Ability to communicate efficiently in a multicultural environment while adhering to the principles of intercultural communication.
    17. Ability to use a flexible approach to address intercultural conflicts in the work environment.
    18. Ability to adequately assess and purposefully enhance professional qualifications throughout one’s lifetime by using the professional competence for development.
    19. Ability to work in a multidisciplinary team by organising one’s own work and that of other team members: to delegate tasks and provide support for work performance.
    20. Ability to ensure the management of radiological examinations according to the priorities of patient needs and clinical audit recommendations.
    21. Ability to understand the healthcare organisation and financing procedures while ensuring the documentation of the performed work duties in conformity with the laws and regulations on competition of medical documentation and radiation safety.
    22. Ability to apply personal hygiene requirements.
    23. Ability to observe aseptic and antiseptic principles in procedure rooms.
    24. Ability to prepare medical equipment for procedures.
    25. Ability to prepare sterile equipment for invasive procedures.

Qualification acquisition requirements

Previous education
Certificate of general secondary education or Diploma of vocational secondary education
Ways to acquire 
Qualifications can be acquired in the framework of education programs or in the evaluation and recognition of non-formal knowledge, skills and competences acquired (in vocational education LKI Levels 2-4).
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Formal (through education programmes)
ECTS credit points 
The unit of the volume of Latvian higher education studies - 1 credit point corresponds to one week of study work in full-time studies (40 credit points per study year).

1 The credit point of Latvia corresponds to 1,5 ECTS (European Credit Transfer and Accumulation System) credit point.
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180
Duration of study 
Duration of qualification in full-time studies
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2-3 years

Qualification document

Awarding body

College:

- P.Stradiņš Medical College of the University of Latvia

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Qualifications Framework level

EQF level

European Qualifications Framework (EQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).


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LQF level

Latvian Qualifications Framework (LQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).

LQF covers stages of education starting from the basic education (level 1 – special basic education) to the highest education (level 8 – doctoral studies).


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Level of professional qualification

Latvia has a system of five professional qualifications levels (PQL, 1 – the lowest, 5 – the highest).

PQL system covers only professional qualifications (basic education, secondary and higher education stages).

PQL reflects readiness of a person to perform work of certain stage of complexity and responsibility.


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Qualification field, stage and type

Thematic field (ISCED 2013)
International Standard Classification of Education (ISCED) developed by UNESCO.
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Health (091)

Detailed field: (ISCED 2013)

Medical diagnostic and treatment technology (0914)

Education
Stages of Latvian education system included in the LQF:
- basic education
- secondary education
- higher education
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Higher education

Qualification type
ITypes of Latvian education:
-General education
-Professional education
-Academic education
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Vocational

Full or partial

Full qualification

Other information

National Education Information System

National Database of Education Opportunities

Active qualification

Period for issuing qualification: 2013-2028

Last changes: 06.02.2023

Posted: 07.05.2016