Clarity in Career Choices: Examining Radiographers' Experiences with Pre-specialisation Modality Observation

Abstract

Aim

Pre-specialisation modality observation, conducted before radiographers choose their specialisation after attaining full registration with the Allied Health Professions Council (AHPC), can play a crucial role in career decision-making processes. However, different modalities conduct the observation differently, potentially compromising the efficacy of these learning opportunities. This study aimed to retrospectively investigate radiographers' perceptions of pre-specialisation modality observation, the effectiveness of these observations in informing their choices, and provide recommendations for improvement.

Methods

A mixed-method study surveyed radiographers from diverse specialities who undertook pre-specialisation modality observations between 2022-2024, after achieving full AHPC registration but before selecting their specialisation. The survey used a 5-point Likert scale (1=strongly disagree, 5=strongly agree) to evaluate consistency, usefulness, and adequacy of observations. Open-ended questions captured qualitative insights on experiences and suggestions for improvement.

Results

Nineteen radiographers participated in the survey. 63.2% had less than 2 years of experience in their chosen speciality, while 36.8% were awaiting specialisation. Among the participants (n=12) who observed more than one modality, 66.66% found the experience to be uniform across specialisations, with 33.33% perceiving a moderate level of variation in their observation experiences. All radiographers felt the observation was useful. However, only 36.8% felt the observations had provided adequate information for their decision-making. Key inconsistencies identified were duration of observation, activities involved, staff interaction, and information provided. The most valuable elements observed included observing procedures, discussions with staff, understanding workflow, and understanding career progression. 47.4% of participants favoured standardisation for future observations, while 31.6% disagree and 21% remains neutral. 52.6% reported feeling confident in their decision to specialise in their chosen modality after completing the observation.

Conclusion

Pre-specialisation modality observations are perceived as useful there is significant potential to enhance their effectiveness in supporting radiographers' career decisions. While there is a desire for more consistency, a one-size-fits-all approach may not be ideal. A balanced approach offering flexibility while ensuring core elements included across all specialities might be most beneficial. Addressing the identified inconsistencies and incorporating the most valued elements could lead to better-informed specialisation choices, potentially improve long-term career satisfaction among radiographers