NUCLEAR MEDICINE TECHNOLOGY PROGRAM

PROSPECTIVE STUDENT HOSPITAL OBSERVATION

NAME: ____________________________________

Use this form to document your nuclear medicine observations prior to interviews for the program.  The requirements for applicants are:

1)      You must observe in at least two nuclear medicine departments.  Three hours observation time is about the maximum for any one appointment.

2)      One of those observations must be in a hospital affiliated with the BCC program.  These hospitals and the name and phone number of the person to call are given below:

In the Puget Sound region:

Group Health Bellevue Med. Ctr.          Chuck Rue                    (425) 502-3935

Overlake Hospital Medical Center        Gail McFarland              (425) 688-5151

Harborview Medical Center                  Terza Koches               tkoches@u.washington.edu

Virginia Mason Medical Center             Yuri Prater                    radyap@vmmc.org

Swedish Medical Center                       Ryan Russell                   (206) 386-3967

In Southeast Washington:

St. Mary's Medical Center, Walla Walla   Monica Baker            (509) 522-5850

Kadlec Medical Center, Richland             Wendy Gehrig          (509) 946-4611, ext. 4262

3)  If you are from out of the Seattle/Tacoma area, you should plan to complete the required two observations in your area  prior to the first interview.  If you are invited to the second interview, you will be required to come to Bellevue Community College.  You should then schedule an appointment with one of the program's clinical sites in conjunction with that trip.

4)      The expectations for observations include calling ahead to make appointments, appropriate dress (no jeans, no open-toed shoes), and signing a confidentiality form to be in compliance with HIPAA regulations.  Your demeanor during the observation will be taken into account in the acceptance process.

5) One of the goals of the observation is for the prospective student to gain a good understanding of the job description of a nuclear medicine technologist.  Please pay attention to all aspects of the job.

I attest that I have met the above requirements for observation and that the information given above is accurate.

                                                                        Signature __________________________

Bring this form with you to the first interview.