In order to assess my critical writing skills I was requested to provide a 700 word essay on the following statement: “Advanced Practice and Role Extension: are they the same thing?” This work should be my own and I should use references to support argument.

Once the essay is submitted I must then attend an interview which will focus on the following outcomes:

1. Commitment to study at post-graduate level; effective time & task management.
2. Ability to critically evaluate literature, synthesise information and cite references via the Harvard system.
3. Computing, searching databases and the internet for valid sources of reference.
4. Undertaking structured reflection to evaluate and improve own practice.

I am a Radiographer so the Advanced practice v/s role extension theme must be relevant to the field of radiography; and if it is more inclined to MRI and CT scanning that would be a plus.

Below in blue is the writing I have done thus far based on information taken from 2 attached articles: Maryann Hardy Advance Extend and an internet article called Advance-Extend that I could not download but copied. The purple text that follows is information I have read and thought may be of some value and may be considered for input into the essay. As is evident the work is far from complete and I don’t have the presence of mind to finish it after performing 12 hours of high impact work as I did today and am scheduled to undertake the next 2 days. I don’t even have and outline but whatever you can produce so long as it’s original and well referenced I will edit so that it speaks like I do…

Once the essay is submitted I will need coaching and a short script so I can discuss the intelligibly discuss the Harvard System above. If you manage the essay task that will take pressure off so I can also research the Harvard and prepare myself in addition to whatever prepping you can render

The terms ‘extended’ and ‘advanced’ practice are used to describe clinical practitioner roles. These terms are integral to the 4 tier structure, implementing Agenda for Change intended to denote clinical radiography structure and establish criteria to award promotion and pay advances. Yet the lines demarking ‘extended’ and ‘advanced’ practice are blurred so that there is no clear distinction between these terms. One approach to add clarity and delineate these terminologies in relationship to radiography is to first examine their literal definitions to which evidence from debates of other health professions can be applied to deduce appropriate applications that coincide with and support the intended and accepted use in structure of these terms in the radiologic profession.

ª 2005 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

Evolution in health care is driven by new and advancing technologies and more critically by health care professionals’ willingness to embrace and adapt to its forward progression. For the radiographer and radiographic professional this evolution was historically driven by the introduction of new modalities, techniques, applications and relative hardware. And the radiographer who was adept in the use of these new introductions gained status. But with computer technologies advancing exponentially and creating a chain effect wherein all technologies to include medical imaging are advancing or has potential to advance rapidly beyond prior expectations or set guidelines for advancement the professional who is proactive and skilful in the use of these new technologies and also takes initiative to apply them in ways that improves service delivery locally and in a manner that can be emulated on a national scale should also be awarded status. Attitudes towards specialist radiographer status have, over the last decade resultantly evolved to reflect this mind-set, with professional recognition and promotion being increasingly awarded for an individual’s contribution to healthcare delivery rather than for the imaging system they operate.