Student Policy Manual - Columbia State

Transcription

Program of Radiologic TechnologyColumbia State Community CollegeColumbia, TennesseeStudent Policy ManualReviewed and Revised December 2021Columbia State is an AA/EOE and a Tennessee Board of Regents Institution.1

Radiologic TechnologyMission Statement“We endeavor to provideeducational experiencesleading to success, professionalism,and opportunityin the radiologic sciences.”2

A copy of this manual shall be distributed to every student enrolled in the program ofRadiologic Technology, members of the faculty, program medical advisor, clinical educationsettings, members of the advisory committee and appropriate sponsoring institutionadministrators.A copy is available online at encesdivision/radiologic-technology/handbook.htmlA copy of the Columbia State Community College Student Handbook is available online id 14Each course syllabus is considered an extension and elaboration of this policy manual andmay supersede policies in this manual, where applicable.Each student shall be provided information on how to access the above documents orprovided a paper copy and indicate knowledge of and intent to comply with all programpolicies through their signature on an agreement form. These agreement forms are filed inthe program faculty offices.The policies contained in this document have been reviewed and are supported by theRadiologic Technology Advisory Committee.3

Table of ContentsI Program Mission and Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . .II Program Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V Admission Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VI Admission Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .578101013VII Continuation Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . .13VIII Readmission Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . .IX Readmission Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1415X Technical Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XI Program Policies and Procedures. . . . . . . . . . . . . . . . . . . . . . . .151616161818III Program of Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IV Notice of Felony or Misdemeanor Convictions . . . . . . . . . . . .XIIXIIIXIVXVXVIXVIIXVIIIXIXXXXXIXXIIXXIIIClinical Education Requirements. . . . . . . . . . . . . . . . . . . . . . . .Interview Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tuition, Fees, and Related Costs . . . . . . . . . . . . . . . . . . . . . . . .Policies Governing Clinical Instruction . . . . . . . . . . . . . . . . . .Personal/Sick, Bereavement, Interview Days, Holidays, InclementWeather, Meeting Days, Clinical Absence/ Tardiness, PolicyRegarding Employment.Official Program Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pregnancy Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Infection Control Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Policy Regarding the Removal of Valuables/Narcotics/ Weapons . . .Policy Relating to Reporting Accidents . . . . . . . . . . . . . . . . . .Policy Relating to Student Exposure to Radiation and MR Safety . .Policies Relating to Student Responsibility in the Clinical Area . . .XXIV Policies Governing Personal Appearance/Practices/BehaviorXXV Clinical Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . icy Governing Disciplinary Action . . . . . . . . . . . . . . . . . . . .Policy Regarding Class OfficersDue Process/Student Grievance Procedures . . . . . . . . . . . . . .Grounds for Immediate Dismissal . . . . . . . . . . . . . . . . . . . . . .Policy Governing Eligibility Requirements for Certification.Policy Governing Availability and Security of Student Records(Privacy Act/FERPA) . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXII Policy Governing Student Placement . . . . . . . . . . . . . . . . . . . .XXXIII Policy Governing Program Advisory Committee . . . . . . . . . . .41XXXIV Student Conduct & Allied Health Sciences Programs . . . . . . .XXXV Disclaimer Clause . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49504345464848484

Section IProgram Mission and GoalsMISSION STATEMENT“We endeavor to provide educational experiences leading to success,professionalism and opportunity in the radiologic sciences.”GoalsFulfillment of the program’s mission is assessed by the degree to which the program achieves the following goals and studentlearning outcomesGoal 1:Students will demonstrate clinical competence in the performance of diagnosticradiographic proceduresStudent Learning Outcomes1.11.21.3Goal 2:Students will accurately position patients for radiographic examinations.Students will select appropriate exposure factors for radiographic exams.Students will apply the principles of radiation protection to the patient, self andothers.Students will develop and demonstrate communication skillsStudent Learning Outcomes2.12.2Goal 3:Students will utilize acceptable verbal skills in the clinical setting.Students will demonstrate oral and written communication skills.Students will develop critical thinking and problem solving skills applicable toradiographyStudent Learning Outcomes3.13.2Goal 4:Students will modify routine imaging parameters based on patient condition andenvironmental conditions.Students will evaluate images for diagnostic quality.Students will exhibit professionalismStudent Learning Outcomes4.14.2Goal 5:Students will exhibit desirable work ethic behaviors.Students will develop the habit of lifelong learning.Graduates will contribute to the needs of the medical imaging communityProgram Effectiveness Outcomes5.15.25.35.45.5Students will complete the program within the scheduled time frame.Graduates will successfully complete the national certification examination.Graduates will accept positions in radiography and related modalities.Graduates will express satisfaction with their radiography education.Employers will express satisfaction with graduates as entry-level radiographers5

The program mission and goals are consistent with the mission and goals of the college.Achievement of the goals are measured by the program’s Outcomes Assessment completedannually.(Reviewed 11/20211)6

Section IIProgram FacultyRose Hobby, MAEd, R.T.(R)(CT)Assistant Professor, Radiologic TechnologyProgram DirectorOffice:HS duMarissa T. Dunkin, B.S., R.T.(R)Assistant Professor, Radiologic TechnologyClinical CoordinatorOffice:HS .eduElizabeth Davidson, ATC., R.T.(R)Instructor, Radiologic TechnologyOffice:HS 105-CPhone:931-540-2740Email: edavidson2@columbiastate.eduKae Brock Fleming, Ed.D., R.T.(R)Dean, Health SciencesProfessor, Radiologic TechnologyOffice:Walter edu7

Section IIIProgram of StudyThe Radiologic Technology Program is twenty (20) months in length. During this period, the student will beinvolved in didactic experiences at the college, on-campus energized laboratory practice, and clinicalinstruction provided by clinical education settings that have entered into an affiliation agreement withColumbia State. Class schedules and clinical assignments are planned and implemented in a manner toassure that required didactic and clinical assignments do not exceed 40 hours per week.Clinical Education SettingsMaury Regional Medical Center1224 Trotwood AveColumbia, TN931-540-4300 Ext. 1556Horizon Medical Center111 US 70Dickson, TN615-446-0446Radiology: 615-326-2391Marshall Medical Center1080 North Ellington PwkyLewisburg, TN931-270-3670Middle Tennessee Bone & Joint Clinic1050 North James Campbell PkwyColumbia, TN931-560-1388Vanderbilt Orthopedics Franklin206 Bedford WayFranklin, TN615-577-4081 or 577-4090Lincoln Medical Center106 Medical Center BlvdFayetteville, TN931-438-7569Williamson Medical Center4321 Carothers ParkwayFranklin, TN 37067615-435-5280Bone and Joint Institute3000 Edward Curd Ln.Franklin, TN 37067615-791-2630Stone Crest Medical Center200 StoneCrest BlvdSmryna, TN615-768-2361Southern Tennessee Regional Health System –Lawrenceburg1607 South Locust AveLawrenceburg, TN931-762-6571Radiology: 931-766-3251Southern Tennessee Regional Health System –Pulaski1265 East College StPulaski, TNRadiology: 931-363-9372Vanderbilt Bedford2835 Highway 231 NorthShelbyville, TN931-685-8630Wayne Medical Center103 J V Mangubat DrWaynesboro, TN931-722-5411Vanderbilt 100 Oaks Imaging Center719 Thompson LaneNashville, TN615-936-8678Williamson Imaging, LLCd/b/a Cool Springs Imaging2009 Mallory Ln, Suite 150Brentwood, TN615-322-5000Williamson Medical Center Outpatient Imaging4601 Carothers ParkwaySuite 100Franklin, TN 37067614-595-4525St. Thomas-Hickman135 East Swan St.Centerville, TN 37033931-729-6762(Rev 12/21)8

The program of study consists of a curriculum implemented in accordance with the Standards foran Accredited Educational Program in Radiologic Sciences published by the Joint ReviewCommittee on Education in Radiologic Technology (JRCERT). A copy of the publication is availableto students for review any time in faculty offices and /documents/2021 Standards/2021 Standards Radiography.pdf.Joint Review Committee on Education in Radiologic Technology20 N. Wacker Drive, Suite 2850Chicago, IL 60606-3182312-704-5300Email: mail@jrcert.orgWeb Site: www.jrcert.orgThe program's sponsor institution, Columbia State Community College, is regionally accredited bythe Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award theassociate degree. Questions about the accreditation of Columbia State Community College may bedirected in writing to:Southern Association of Colleges and SchoolsCommission on Colleges1866 Southern LaneDecatur, GA 30033-4907404-679-4500Web Site: www.sacscoc.orgColumbia State’s Radiography program is accredited by the JRCERT. Programmatic accreditation bythe JRCERT is considered the gold standard. Programmatic accreditation ensures academicexcellence as well as clinical excellence in all areas of the educational program. JRCERTaccreditation also ensures safety for students, staff, and the public.Course requirements and descriptions will follow the college catalog and the Master Plan ofEducation (copies available in the offices of program faculty and dean of health sciences) and will beclearly outlined in each specific course syllabus.The Radiologic Technology Program will respond to any complaint or allegation of non-compliancewith the Standards for an Accredited Educational Program in Radiologic Sciences or JRCERTpolicies in a timely and appropriate manner. The program will investigate the allegation(s) andrespond to the JRCERT as directed. This response will include a written report as well as anynecessary documentation. The program will take any necessary measures to assure that thecomplaint or allegation has been resolved.(Rev. 3/21)9

Section IVNotice of Felony or Misdemeanor ConvictionsThe American Registry of Radiologic Technologists (ARRT) has stringent rules regardingmisconduct and eligibility to take the national registry exam. The ARRT offers an EthicsReview Pre-Application as an early ethics review of violations that would otherwise need to bereported on the Application for Certification and Registration upon completion of an ARRTrecognized education program. The process is designed for those who are not yet enrolled inan ARRT-recognized education program or are enrolled in an ARRT-recognized educationalprogram and are at least six months away from graduation. The Ethics Review Pre-Applicationmay be used to report criminal proceedings including misdemeanor charges and convictions,felony charges and convictions, military court-martials, and/or disciplinary actions taken by astate or federal regulatory authority or certification board, and/or honor code violations.Program candidates may complete the pre-application review process with the ARRT prior toprogram enrollment to avoid delays and uncertainty regarding certification eligibility. TheEthics Review Pre-Application is downloadable from the Ethics section of ARRT’s website atwww.arrt.org or by phoning ARRT at (651) 687-0048, ext. 8580.In the event that a student or graduate of the Radiologic Technology Program is concernedabout ARRT eligibility, it is the sole responsibility of the student or graduate to certify eligibilitywith the ARRT.Upon satisfactory completion of the program, students are awarded the Associate of AppliedScience degree and are eligible to apply for the certification exam offered by the American Registryof Radiologic Technologists (ARRT).Accreditation guidelines concerning program requirements, standards, general information, etc.,are contained in the Standards for an Accredited Educational Program in Radiologic Sciencespublished by the Joint Review Committee on Education in Radiologic Technology (JRCERT) andavailable in faculty offices and accessible via the JRCERT website at www.jrcert.org. The Standardsand additional program information are available in the Radiologic Technology Applicant Handbooklocated online at nces/radiologic-technology.Section VAdmission RequirementsApplicants to the Radiologic Technology Program shall fulfill special admission requirements as follows:1. Meet all college general requirements for admission as a degree-seeking student as stated inthe catalog and be admitted to the college.2. Review “programs with Special Admissions Requirements” in the current college catalog.3. Exemption from or satisfaction of Learning Support competencies in reading, writing, andmath as determined by college placement standards by the end of the summer semester priorto the year in which admission is sought.10

4. Complete all entrance examinations such as ACT/SAT or placement exam as required by thecollege prior to fall semester. Applicants must demonstrate proficiency in reading, writing,and math based on examination scores, completion of Learning Support courses, or priorcollege credit.5. Have earned a grade point average (GPA) of 2.5 or above on a 4.0 scale for required academicsubjects. The high school GPA is used for students who have earned less than 12 collegecredit hours. An applicant with no high school GPA must have an average standard score ofat least 450 on the GED or 45 on the HiSET .6. Enroll in and successfully complete RADT 1100, Introduction to Medical Imaging with a gradeof "C" or better. This course will provide an overview of the Radiologic Technology programat Columbia State along with the profession. All application materials will be provided in thecourse and explained in detail. Applicants will also have an opportunity to observe in aRadiology department as well as explore the many opportunities available to registeredRadiographers. *The same course at another TBR institution would be accepted as transfer.Applicants transferring this course should contact a faculty member for an appointment toreview the application process and obtain an application packet.7. All program application materials must be submitted to program officials/health sciencedivision office personnel no later than October 15 to be considered for a formal interviewwith the Radiologic Technology advisory committee.8. Applicants must be able to physically manipulate and operate equipment, manipulatepatients, and visually assess patients, test results, and the working environment. They mustbe able to clearly communicate, both verbally and in writing, make appropriate judgmentdecisions in emergency or other situations, and demonstrate emotional stability andpsychological health in day-to-day interaction with patients, their family members, andpersonnel.9. Completion of or current enrollment in ENGL 1010 or ENGL 1020, MATH 1530, BIOL 2010,and COLS 101 at the time of application.10. College credit for Human Anatomy & Physiology I & II and approved math courses, must becurrent within the past five (5) years to count toward the Radiologic Technology degree or thecourse(s) must be repeated. Please check Radiologic Technology curriculum for approvedmath courses.11. Program application requirements listed above must be received in program offices (orpostmarked) by October 15th. This includes the two Letter of Recommendation formsprovided as part of the application packet and review of the Radiologic Technology ApplicantHandbook available online at ces/radiologic-technology. The handbook contains the Radiologic Technology StudentPolicy Manual, a copy of the Standards adopted by the JRCERT, the Radiography PracticeStandards, the ARRT’s Standards of Ethics, and an estimated cost sheet. Documentation ofcompletion of the observation should be forwarded to the Health Science Division office bythe facility where the observation was completed.12. In compliance with the Americans with Disabilities Act, students are encouraged to registerwith the counseling/disability services office for possible assistance with accommodations. Itis the student’s responsibility to voluntarily and confidentially provide appropriatedocumentation regarding the nature and extent of a disability. Students requesting special11

accommodation are (strongly) encouraged to contact the counseling/disability services officeat the beginning of the semester.Completion of the items listed above denotes consideration for an interview but in no way implies orguarantees an interview or admission to the program.13. Once admitted, students are required to submit documentation of the following clinicalaccess requirements prior to the first day of clinical assignment. If the documentation is notcompleted on time, students will not be permitted to go to clinic and may be forced towithdraw from the program.a. Health Requirements: All radiologic technology students must submit evidence of goodhealth by returning a completed Physical Examination form. Forms are given to thestudent upon acceptance to the program. All students must have a:i. Documented negative two-part TB skin test and/or chest x-ray yearly. TB skintests must be within three months of the start of clinic.ii. Evidence of immunity for:1. Rubella (positive titer)2. Varicella Zoster (chicken pox) (positive titer)3. Rubeola titer (positive titer)4. Tetanus/diphtheria booster within the past ten years5. Hepatitis B vaccine6. Influenza vaccineb. Basic Life Support (BLS) Requirements: All students must submit evidence of currentBasic Life Support (BLS) certification compliant with the American Heart Association(AHA) guidelines. BLS certification classes are offered by Columbia State CommunityCollege, healthcare organizations, or the American Heart Association. The didacticportion may be completed in person or online but the skills assessment must becompleted on ground.c. Malpractice insurance is required for all radiology clinical practicum courses. A grouppolicy is available. The fee is assessed annually as a part of the registration fees.d. Health insurance is required. Students must provide evidence of health insurancecoverage before clinical assignments may begin.e. Criminal background checks and annual routine 10-panel drug screens, to includeurine alcohol screening, are required by affiliate training sites as a condition ofparticipation in clinical education. An annual driving screen is required also. Based onthe results of these tests, any affiliated clinical site may determine to not allow yourpresence at their facility. Denial of clinical access could result in your inability tosuccessfully complete the clinical requirements of a specific course and the program.More information is available from the program director.f. Complete in-service and/or facility orientation required by individual clinical affiliatesas a condition of participating in clinical rotations. This may include a combination ofsessions, DVDs/videos, and or electronic/online tutorials.g. Students in health science programs may be required to obtain additional vaccinations(H1N1 flu, etc.) as clinical agencies adopt and implement new requirements, respond toperiodic recommendations from the Centers for Disease Control or area healthdepartments, etc. All such vaccinations will be at the expense of the individualstudent. Any student who declines to be immunized will have the option of followingthe alternative processes allowed for students at specific sites, if available (i.e. wearingprotective masks 100% of the time while at a clinical facility). Faculty makes everyeffort to provide students with current information to make informed decisionsregarding safety for self and patients. Clinical access approval is at the discretion ofeach affiliate. Limited clinical access may inhibit ability to complete clinical and/orprogram requirements.(Rev 12/21)12

Section VIAdmission Procedure1. Submit the following to the Admissions/Records offices:a. Completed Application for Admission to the college.b. Official college transcripts from all colleges previously attended.c. High school transcripts or high school equivalency results.d. ACT or SAT exam results.2. Register for and successfully complete RADT 1100 Introduction to Medical Imaging duringthe fall semester of application to the program.3. Submit completed program application forms provided in RADT 1100 or obtained from afaculty member by the published deadline.4. If an applicant does not meet the admission criteria, he/she will be notified in writing. If theapplicant wishes to apply in the future the application process must be repeated and newapplication documents submitted. The applicant will not be required to repeat RADT 1100.(Rev. 12/19)Section VIIContinuation RequirementsIn order to continue in the Radiologic Technology Program, students must meet the followingacademic requirements:1. Earn a “C” or higher in each radiologic technology course and each required math and sciencecourse.a. The grading scale for all core didactic radiography courses is as follows: A 93-100 B 84-92 C 75-83 D 65-74 F Below 65 I Incompleteb. The grading scale for all radiography practicum courses is as follows: A 47-50 B 42-46 C 38-41 D 33-37 F Below 33 I Incomplete2. Maintain a minimum GPA of 2.0 after admission and prior to enrollment as well as duringeach term of enrollment in the program.13

3. Maintain professional conduct as outlined in the Radiologic Technology Student PolicyManual.4. Enroll in and successfully complete all required general education courses during (or before)the semester listed in the curriculum outline.5. Complete an annual 10 panel drug screen that includes urine alcohol test and driving screen.6. Submit an initial two-step TB skin test results to Health Sciences Records Clerk, Walter 115 byestablished deadline.7. Additional TB skin test is required annually to be allowed in clinical facilities.8. Maintain evidence of uninterrupted medical insurance coverage in designatedprogram/institutional offices.Students who do not meet the continuation requirements will be dismissed from the RadiologicTechnology Program. Students who have been dismissed from the program may be qualified tocontinue courses at the college, but will not be permitted to register in radiology courses withoutreadmission to the program.(Rev. 3/21)Section VIIIReadmission RequirementsOnly one readmission into the Radiologic Technology program is permitted. Readmission into theRadiologic Technology Program after dismissal is not guaranteed, regardless of the reason fordismissal. A student who wishes to apply for readmission must do so, in writing, within 90 days ofdismissal from the program. Regardless of the reason for dismissal, it is the sole responsibility ofthe student to request readmission in writing to the program director. The advisory committee forthe Radiologic Technology Program will make a readmission recommendation after reviewing allstudent records and interviewing the student.Due to the rapid change of technology in the field of radiology:1. If three or more years have elapsed since enrollment in the program, all radiology coursesmust be repeated.2. If five or more years have elapsed since previous college enrollment or completion of thefollowing courses, the following requirements apply:a. Anatomy and Physiology courses must be repeatedb. Approved mathematics courses (general education math) must be repeated.c. All current application/enrollment requirements will apply and must be met.3. A Conference Record form completed upon the student’s dismissal from the program mustbe on file to be eligible for readmission.(Rev. 5/16)14

Section IXReadmission Procedure1. Submit a written readmission request to the program director within 90 days of dismissalfrom the program.2. Provide written documentation to the Radiologic Technology Program Director stating thereason(s) for withdrawal or failure and indicate actions the student has followed to ensuresuccess in the program if readmitted. This documentation must be submitted before astudent’s application for readmission will be considered.3. The Radiologic Technology Program director will notify the student by mail when and wherethe re-admission interview will be held.4. The Radiologic Technology Program director will notify the student by mail of his/herreadmission status once the readmission process has been completed.Program enrollment is limited by clinical education settings capacity and readmission will beconsidered only if there are positions available within the class.Section XTechnical Standards1. A reasonable amount of strength and mobility to reach, manipulate and operate equipmentnecessary for the medical imaging profession.2. Manual dexterity, good motor skills, and eye-hand coordination to move, manipulate andobserve a patient or client as necessary for the medical imaging profession.3. Visually assess patients/clients, medical test results, the working environment andradiograph evaluation to correctly decide the appropriate action to take for the benefit of thepatient/client.4. Clearly communicate, both verbally and in writing, with the patient/client, family, personneland others to disseminate information relevant to patient/client care and work duties, and tobe able to hear to accurately gather information relevant to patient/client and work duties.5. Make appropriate judgment decisions in an emergency or where a situation is not clearlygoverned by specific guidelines.6. Demonstrate emotional stability and psychological health in day-to-day interaction withpatient/clients, staff, family and others, in routine and non-routine decision makingprocesses, and on the daily execution of didactic and clinical assignments.Those applicants who are offered admission to the program are sent a copy of the programtechnical standards at the time admission is offered. These standards are developed in accordancewith the institutional standards for allied health programs. Each student must determine his/herown ability to achieve the technical standards of the program. At this time, any potential student15

requiring special accommodations to fulfill program requirements should schedule anappointment with the program director to determine if the requested accommodations arereasonable. A form indicating the student’s desire to accept admission and his/her individualcapability to achieve the technical standards of the program must be signed and returned to theprogram director.(Rev. 5/16)Section XIProgram Policies and ProceduresThe faculty member shall review with the applicant all pertinent information relating to theRadiologic Technology Program contained in the college catalog, program brochure, and website.This begins during RADT 1100 and is further explained during program orientation prior to thestart of classes each spring. This includes but is not limited to, admission policies, transfer credit,tuition and fees, refund policies, academic calendars, academic policies, graduation requirements,and student services.Section XIIClinical Education RequirementsThe faculty shall review with the applicant requirements regarding clinical instruction, rotationschedule, and travel requirements. Mandatory criminal background checks and routine drugscreening became effective for all students in allied health programs in all Tennessee Board ofRegents institutions in Fall 2005. Faculty provides more detailed information to applicants uponacceptance to the program. The results of the criminal background could lead to a student beingdenied access to clinical rotations which would make completion of practicum/program objectivesimpossible. Criminal background results may also present concerns with regards to eligibility forthe ARRT certification exam and subsequent employability.Section XIIIInterview ProcedureApplicants with the highest combined academic potential scores and screening scores, who havecompleted all admission requirements will be considered for interview with the advisorycommittee. To be considered for an interview the applicant must have completed any requiredlearning support competencies and possess a minimum cumulative college GPA of 2.5 or above. Ifthe student has not completed 12 hours or more college credit hours the high school GPA will beused and the student must have a minimum composite score of a 19 or higher on the ACT. If anapplicant has no high school GPA, he/she must have an average standard score of at least 45 onthe

Office: HS 105-B . Phone: 931-540-2744 . Email: mdunkin@columbiastate.edu . . Pulaski 1265 East College St . Pulaski, TN . Radiology: 931-363-9372 Marshall Medical Center . 2. Review "programs with Special Admissions Requirements" in the current college catalog. 3. Exemption from or satisfaction of Learning Support competencies in .