Modern Radiography Education: Clinical Competence, Simulation, and AI
Mark Alipio
Discipline: Education
Abstract:
Radiography education faces a clear pressure point.
Clinical departments expect graduates who deliver safe
examinations, justify imaging requests, optimise
protocols, communicate with patients, and work with fast
expanding digital systems. Placement capacity,
supervision time, and assessment consistency still vary
across sites. This review synthesises themes in clinical
formation, competence assessment, technology enhanced
learning, and curriculum renewal for artificial intelligence
and digital professionalism. Evidence shows that clinical
learning quality depends on supervision culture, structured
feedback, and fair access to learning opportunities, not
only on placement hours. Many assessment systems
reward task completion more than judgement, patient
safety, and adaptability. Simulation and virtual reality
widen practice opportunities and protect patients, yet
programme impact depends on design quality and
alignment with clinical expectations. Digital
transformation since the pandemic shapes curriculum
delivery, assessment design, and student support.
Artificial intelligence education has become a core
requirement, yet outcome evidence remains limited. Many
studies report confidence or perceived readiness, while
fewer link educational change to clinical performance,
patient safety, or early career transition.
References:
- Alipio, M. M. (2024). Coexist or resist? Impact of artificial intelligence on radiologic technology education. Journal of Medical Imaging and Radiation Sciences, 55(4). https://doi.org/10.1016/j.jmir.2024.101450
- Crotty, E., Singh, A., Neligan, N., Chamunyonga, C., & Edwards, C. (2024). Artificial intelligence in medical imaging education: Recommendations for undergraduate curriculum development. Radiography, 30(Suppl. 2), 67–73. https://doi.org/10.1016/j.radi.2024.10.008
- Elshami, W., & Abdalla, M. E. (2017). Diagnostic radiography students’ perceptions of formative peer assessment within a radiographic technique module. Radiography, 23(1), 9–13. https://www.sciencedirect.com/science/article/pii/S1078817416300219
- Gårdling, A., Viseu, A., Hettinger, A., Jildenstål, P., & Augustinsson, H. (2025). Effects of virtual reality simulation on clinical skills training in undergraduate radiography education: A systematic review. Radiography. https://www.sciencedirect.com/science/article/pii/S1078817425000525
- Health and Care Professions Council. (2023). Standards of proficiency: Radiographers.
- International Society of Radiographers and Radiological Technologists. (2014). ISRRT radiography education framework. https://www.isrrt.org/education/radiography-education-framework/education-framework-2014/
- Khine, R., Harrison, G., & Flinton, D. (2024). What makes a good clinical practice experience in radiography and sonography? An exploration of qualified clinical staff and student perceptions. Radiography, 30(1), 66–72. https://doi.org/10.1016/j.radi.2023.09.013
- Lewis, S., Bhyat, F., Casmod, Y., Gani, A., Gumede, L., Hajat, A., Hazell, L., Kammies, C., Mahlaola, T. B., Mokoena, L., & Vermeulen, L. (2024). Medical imaging and radiation science students’ use of artificial intelligence for learning and assessment. Radiography. https://doi.org/10.1016/j.radi.2024.10.006
- Miller, G. E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine, 65(9), S63–S67. https://www.ufsj.edu.br/portal2-repositorio/File/napecco/Processos/Miller%201990%20-%20Assesment%20skills%20competence%20performance.pdf
- Norcini, J. J. (2003). Work based assessment. BMJ, 326(7392), 753–755. https://pmc.ncbi.nlm.nih.gov/articles/PMC1125657/pdf/753.pdf
- O’Connor, M., & McNulty, J. P. (2024). Radiography students’ viewpoints of the clinical learning environment: A cross-sectional study. Radiography, 30(1), 367–374. https://doi.org/10.1016/j.radi.2023.12.005
- O’Connor, M., Stowe, J., Potocnik, J., Giannotti, N., Murphy, S., Rainford, L., & McNulty, J. P. (2020). 3D virtual reality simulation in radiography education: The students’ experience. Radiography. https://doi.org/10.1016/j.radi.2020.07.017
- Ofori-Manteaw, B., Yeboah, H. S., & Wuni, A.-R. (2024). Enhancing radiography education: The roles and challenges of preceptors in the clinical supervision and training of student radiographers. Radiography, 30(Suppl. 2), 149–155. https://doi.org/10.1016/j.radi.2024.11.020
- Santos, J., et al. (2022). Education and training in radiation protection in Europe: Results from the EURAMED rocc-n-roll project. Insights into Imaging, 13, 1–14. https://doi.org/10.1186/s13244-022-01271-y
- Sapkaroski, D., Baird, M., McInerney, J., & Dimmock, M. R. (2020). The effectiveness of virtual reality simulation in radiography education: A comparison of two instructional methods for image acquisition and patient positioning. Radiography. https://doi.org/10.1016/j.radi.2020.04.010
- Shanahan, M., et al. (2016). Use of a simulated clinical environment in radiography education: Student perspectives. Radiography. https://doi.org/10.1016/j.radi.2016.08.002
- Tay, Y. X., & McNulty, J. P. (2023). Radiography education in 2022 and beyond: Writing the history of the present: A narrative review. Radiography, 29(2), 391–397. https://doi.org/10.1016/j.radi.2023.01.014
- Tejani, A. S., Elhalawani, H., Moy, L., & Kohli, M. (2022). Artificial intelligence and radiology education. Radiology: Artificial Intelligence, 5(1), e220084. https://doi.org/10.1148/ryai.220084
ISSN 3116-3017 (Online)
ISSN 3116-3009 (Print)