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SUR VEY REPORT

RADIOLOGIC CAREER LADDER

AFSC 903X0

AFPT 90-903-950

SEPTEMBER 1992

_(01

OCCUPATIONAL ANALYSIS PROGRAM NUSAF OCCUPATIONAL MEASUREMENT SQUADRONI

AIR TRAINING COMMANDNRANDOLPH AFB, TEXAS 78150-5000

APPROVED FOR PUBLIC RELEASE; DISTRIBUTION UNLIMITED

DISTRIBUTION FORAFSC 903X0 OSR AND SUPPORTING DOCUMENTS

ANL TNG JOBOSR EXT EXT INV

AFIA/IMP 2AFMPC/DPMRPQ1 2AFMPC/DPMRAD5 1AL/HRD/HRMM 2 Im im 1AL/HRT/DOS 1 1m Im/lh 1ARMY OCCUPATIONAL SURVEY BRANCH 1CCAF/AYX 1DEFENSE TECHNICAL INFORMATION CENTER 2DET 4, USAFOMS (SHEPPARD AFB TX) 1 1 1 1HQ ACC/DPATD 3 3HQ AFMC/DPUE 3 3HQ AMC/DPATJ 3 3HQ ATC/DPAEO 3 3HQ ATC/SGAT 2 1HQ PACAF/DPAE 3 3HQ USAF/DPPT 1HQ USAFE/DPAD 3 3NODAC 1Standards Division (MAGTEC) 1USAFOMS/OMDQ 1USAFOMS/OMYXL 10 2m 5 10WILFORD HALL USAF MED CEN/SGHR 1 13790 MTG/MSO (SHEPPARD AFB TX - MEDICAL) 4 4 4 43700 TCHTW/TTS (SHEPPARD AFB TX) 1 1

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TABLE OF CONTENTS

PAGENUMBER

PREFACE ......... ... .................................... v

SUMMARY OF RESULTS .......... ......................... ..... vi

INTRODUCTION ........ ....... ..... ............................ 1

Background ........ ... ........................... .i.... 1

SURVEY METHODOLOGY .......... .............................. 2

Inventory Development ......... ..... ...................... 2Survey Administration ......... ..... ...................... 3Survey Sample ......... ....... .......................... 3Task Factor Administration ........ ..... ................... 3

SPECIALTY JOBS (Career Ladder Structure) .......... .............. 6

Overview ........ ....... ..... ............................ 7Comparison to Previous Survey ...... .................. .... 16

ANALYSIS OF DUTY AIR FORCE SPECIALTY CODE (DAFSC) GROUPS ...... ... 16

Skill-Level Descriptions ........ .................... .... 20Summary ........... ............................. ..... 20

ANALYSIS OF AFR 39-1 SPECI A' t Y DESCRIPTIONS .... ............. .... 26

TRAINING ANALYSIS ........... .......................... .... 26

First-Enlistment AFSC 903X0 Personnel ..... .............. .... 26TE and TD Data .......... ......................... ..... 26STS ......... ..... ............................... .... 30POI ........... ..... ... ............................... 33

JOB SATISFACTION .......... ....... .......................... 33

DISCUSSION .......... ... ............................. .... 38

APPENDIX A .......... ... ............................. .... 43

ii

TABLE OF CONTENTS(Tables, Figures, Appendices)

PAGENUMBER

TABLE 1 - COMMAND REPRESENTATION OF SURVEY SAMPLE AFSC 903X0. ........ 4TABLE 2 - PAYGRADE DISTRIBUTION OF SURVEY SAMPLE. ........... 5TABLE 3 - RELATIVE PERCENT TIME SPENT PERFORMING DUTIES ACROSS

JOBS ............................ 9-10TABLE 4 - SELECTED BACKGROUND DATA FOR MEMBERS OF AFSC 903X0 JOBS 11-12TABLE 5 - COMPARISON OF MAJOR JOBS BETWEEN SURVEYS ............. ... 17TABLE 6 - DISTRIBUTION OF AFSC 903X0 DAFSC GROUPS MEMBERS ACROSS

CAREER LADDER JOBS (PERCENT RESPONDING) .... .......... ... 18TABLE 7 - TIME SPENT ON DUTIES BY MEMBERS OF SKILL-LEVEL GROUPS

(RELATIVE PERCENT OF JOB TIME) ................... .... 19TABLE 8 - REPRESENTATIVE TASKS PERFORMED BY DAFSC 90350 PERSONNEL

(N=48) ................................... 21TABLE 9 - REPRESENTATIVE TASKS PERFORMED BY DAFSC 90370 PERSONNEL

(N=167) ....... .......................... 22TABLE 10 - REPRESENTATIVE TASK DIFFERENCES BETWEEN DAFSC 90350 AND

DAFSC 90370 PERSONNEL (PERCENT MEMBERS PERFORMING) . ... 23TABLE 11 - REPRESENTATIVE TASKS PERFORMED BY DAFSC 90399/00

PERSONNEL (N=8) ...... ...................... 24TABLE 12 - REPRESENTATIVE TASK DIFFERENCES BETWEEN DAFSC 90399/00

AND DAFSC 90370 PERSONNEL (PERCENT MEMBERS PERFORMING) 25TABLE 13 - REPRESENTATIVE TASKS PERFORMED BY FIRST-ENLISTMENT

AFSC 903X0 PERSONNEL (N=191) .. ............... 28TABLE 14 - EQUIPMENT USED BY 30 PERCENT OR MORE OF FIRST-ENLISTMENT

PERSONNEL (PERCENT RESPONDING) ..... .............. .... 29TABLE 15 - SAMPLE OF TASKS WITH HIGHEST TE RATINGS .... .......... ... 31TABLE 16 - SAMPLE OF TASKS WITH HIGHEST TD RATINGS .... .......... ... 32TABLE 17 - EXAMPLES OF AFSC 903X0 STS ELEMENTS NOT SUPPORTED BY OSR

DATA (LESS THAN 20 (PERCENT MEMBERS PERFORMING) .......... 34TABLE 18 - EXAMPLES OF TASKS PERFORMED BY 20 PERCENT OR MORE AFSC

903X0 GROUP MEMBERS AND NOT REFERENCED TO THE STS. ..... 35TABLE 19 - EXAMPLES OF UNSUPPORTED ABR90330 POI LEARNING OBJECTIVES. 36TABLE 20 - EXAMPLES OF TECHNICAL TASKS PERFORMED BY 30 PERCENT OR

MORE AFSC 903X0 RESPONDENTS AND NOT MATCHED TO POIOBJECTIVES ...... ........................ 37

TABLE 21 - COMPARISON OF JOB SATISFACTION INDICATORS FOR AFSC 903X0TAFMS GROUPS IN CURRENT STUDY TO A COMPARATIVE SAMPLE(PERCENT MEMBERS RESPONDING) ..... ............... .... 39

TABLE 22 - COMPARISON OF JOB SATISFACTION INDICATORS FOR AFSC 903X0TAFMS GROUPS IN CURRENT AND PREVIOUS STUDY (PERCENTMEMBERS RESPONDING) ......... .................... 40

TABLE 23 - COMPARISON OF JOB SATISFACTION INDICATORS FOR AFSC 903X0RESPONDENTS ACROSS JOBS (PERCENT MEMBERS RESPONDING) 41-42

iii

TABLE OF CONTENTS (CONTINUED)(Tables, Figures, Appendices)

PAGENUMBER

FIGURE 1 - DISTRIBUTION OF AFSC 903X0 PERSONNEL ACROSS CAREERLADDER JOBS ........................... 8

FIGURE 2 - DISTRIBUTION OF FIRST-ENLISTMENT AFSC 903X0 PERSONNELACROSS CAREER LADDER JOBS ..... ................. .... 27

APPENDIX A - SELECTED REPRESENTATIVE TASKS PERFORMED BY MEMBERS OFCAREER LADDER JOBS ....... .................... ... 43

iv

PREFACE

This report presents the results of an occupational survey of theRadiologic career ladder, Air Force Specialty Code (AFSC) 903X0. Authorityfor conducting occupational surveys is found in Air Force Regulation (AFR)35-2. Computer products used in this report are available for use by opera-tions and training officials.

Chief Master Sergeant Wendell Beaty, Inventory Development Specialist,developed the survey instrument. First Lieutenant Mark L. Holbrook analyzedthe survey data and wrote the final report. Ms Olga Velez provided computerprogramming support; Ms Raquel A. Soliz provided administrative support. Thisreport has been reviewed and approved for release by Major Randall C. AgeeChief, Airman Analysis Section, Occupational Analysis Flight, United StatesAair Force Occupational Measurement Squadron (OMS).

Copies of this report are distributed to Air Staff sections, majorcommands, and other interested training and management personnel. Additionalcopies may be requested from the USAFOMS, Attention: Chief, OccupationalAnalysis Flight (OMY), Randolph AFB, Texas 78150-5000.

GARY R. BLUM, Lt Colonel, USAF JOSEPH S. TARTELLCommander Chief, Occupational Analysis FlightUSAF Occupational Measurement USAF Occupational Measurement

Squadron Squadron

V

SUMMARY OF RESULTS

1. Survey Coverage: The sample included 655 personnel, or 56 percent of thetotal assigned population. Three-skill level personnel were not included inthe study, as they are students in Phase II training. Major command (MAJCOM)and paygrade groups were adequately represented in the sample.

2. Specialty Jobs: Survey data show there is one cluster of jobs and sevenindependent jobs in the career ladder, distinguished by tasks members performrelated to specific procedures or equipment.

3. Career Ladder Progression: AFSC 903X0 personnel follow an orderly skill-level progression. Five-skill level personnel perform basic radiologic tasks,7-skill level personnel perform a mixture of more technical and supervisorytasks, while 9-skill level and CEM-code members are the managers of the careerladder.

4. AFR 39-1 Specialty Descriptions: The AFR 39-1 Specialty Descriptions forthe Radiologic career ladder provide accurate descriptions ef the jobs andtasks performed at each skill level.

5. Training: Most elements of the Specialty Training Standard (STS) and mostmatched learning objectives of the Plan of Instruction (POI) are supported bysurvey data. Some tasks were not matched to elements of the STS and POI, yetwere performed by sufficient numbers of 903XOs to require review for possibleinclusion in these documtnts.

6. Job Satisfaction: The job satisfaction of AFSC 903X0 personnel is higherthan that of members of related medical AFSCs surveyed in 1991 and higher thanthe previous study. Members performing the various jobs find their jobsinteresting and feel their talents and training are used. Reenlistmentintentions, however, are lower for AFSC 903X0 personnel than those reported bymembers of related AFSCs and lower than those reported in the priorOccupational Survey Report (OSR).

7. Discussion: New procedures and types of equipment have been placed in usewith resulting specialization. Additional Special Experience Identifiers(SEIs) or shredouts may be needed to address the specialized procedures andequipment used. AFSC 903X0 progress typically through the career ladder. TheSTS and POI are well supported, and the AFR 39-1 descriptions are accurate.Job satisfaction has remained high for members of this specialty, whilereenlistment intentions have declined.

vi

OCCUPATIONAL SURVEY REPORTRADIOLOGIC CAREER LADDER

(AFSC 903X0)

INTRODUCTION

This is a report of an occupational survey of the Radiologic careerladder, AFSC 903X0. The last occupational survey for this career ladder waspublished in July 1985. This survey was requested by the 3790 MTSW/MSC tocollect data that will be used to review career ladder documents in light ofthe new diagnostic procedures now in use, and to help determine if these newprocedures need to be included in formal Air Force training programs.

Background

According to AFR 39-1 Specialty Descriptions for AFSCs 90310/30/50, dated15 Mar 91, 3- and 5-skill level members are responsible for operating equip-ment to produce diagnostic images using radiography, ultrasonography, andcomputerized tomography modalities; instructing and positioning patients toproduce correct exposures; assisting with special imaging procedures; posi-tioning and monitoring patients and equipment for radiotherapy; performingadministrative functions in processing patients and their records; assistingwith Phase II training; and engaging in general radiology activities such asmixing processing solutions, loading and unloading the film holder, and equip-ment preventive maintenance. The 3-skill level is awarded after Phase Icourse completion and the 5-skill level after Phase II course completion.

Seven-skill level members perform special mammography, linear andmultidirectional tomography, scanography, and xeroradiography techniques;assist the radiologist or physician with angiography and lymphangiography; setup and operate accessory equipment; perform radiotherapy administrative func-tions; and enforce health-protective measures.

Nine-skill level members have additional responsibilities for planningand organizing radiology activities; assisting and advising officer-in-chargeon design and development of organizational structure; analyzing workload andestablishing production controls and performance standards for administrativeand technical radiology activities; monitoring all special equipment preven-tive maintenance and procurement; directing subprofessional radiology activi-ties; observing duty performance and actively providing technical andadministrative advice to subordinates; establishing, supervising, and conduct-ing inservice training programs; managing and directing Phase II medicaltraining; and inspecting and evaluating subprofessional radiology activities.

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Members enter the career ladder by completing the 14-week Phase I -J3ABR90330-O00 Radiologic Specialist course conducted at Sheppard AFB TX.This course provides instruction on theory of basic electricity; radiographic-techniques; radiographic film and chemical processing; radiographicallyoriented anatomy and physiology; theory and practice of operating fixed andmobile radiologic equipment; routine and special radiographic positioning;theory and practice of special radiographic techniques; and introduction tospecial radiographic procedures and associated equipment. Upon completion,personnel receive the 3-skill level and are sent to a USAF medical facilityfor Phase II training.

Phase II training lasts 38 weeks and provides practical clinical trainingand experience in nursing, orthopedic, and surgical procedures; departmentadministration; film processing and exposure techniques; bedside and surgicalradiographic procedures; night emergency call; and proficiency training inradiologic technology and radiation protection. Upon completion, personnelreceive the 5-skill level. At the present time, the new modalities are taughteither by on-the-job-training (OJT) or through attendance at expensive coursesconducted at civilian institutions.

SURVEY METHODOLOGY

Inventory Development

Data for this survey were collected using USAF Job Inventory (JI)90-903-950 dated November 1990. The inventory developer reviewed pertinentcareer ladder documents, OSRs, and job inventories from the previous OSR, andthen prepared a tentative task list. This preliminary task list was thenrefined and validated through personal interviews with 50 subject-matterexperts at the following USAF hospitals:

ORGANIZATION REASON VISITED

Malcolm Grow USAF Representative of small center with advancedMedical Center advanced modalitiesTravis AFB CA

Wilford Hall USAF Representative of large medical centerMedical CenterLackland AFB TX

832 Med Gp Representative of large hospitalLuke AFB AZ

Ehrling Bergquist Representative of moderate-sizedStrategic Hospital regional hospitalOffutt AFB NE

USAF Clinic Only one 903X0 person assignedRandolph AFB TX

3790 MSTW Technical training centerSheppard AFB TX

David Grant Medical Center Representative of large new facilityTravis AFB CA

USAF Medical Center Representative of a large center withWright-Patterson AFB OH digital radiology

The final inventory contained 609 tasks grouped under 14 duty headingsand background questions requesting such information as grade, MAJCOMassigned, duty title, job satisfaction, and equipment used.

Survey Administration

From May 1991 to January 1992, Military Personnel Flights at operationalbases worldwide administered the surveys to AFSC 903X0 personnel selected froma computer-generated mailing list provided by the Armstrong Laboratory, HumanResources Directorate (AL/HRD). Respondents were asked to complete an identi-fication and biographical information section first, go through the bookletand check each task performed in their current job, and go back and use a9-point scale to indicate the relative amount of time they spend performingthe tasks they marked. Time spent ratings ranged from 1 (indicating a verysmall amount of time spent) to 9 (indicating a very large amount of timespent).

The computer calculated the relative percent time spent on all tasks foreach respondent by first totaling ratings on all tasks, dividing the ratingfor each task by this total, and multiplying by 100. The percent time spentratings from all inventories were then combined and used with percent memberperforming values to describe various groups in the career ladder.

Survey Sample

The final sample includes responses from 655 AFSC 903X0 members.Personnel holding the 3-skill level were omitted from the sample because theyare in Phase II training. As shown in Tables 1 and 2, the MAJCOM and paygraderepresentation of the sample is very close to that of the total AFSC 903X0population.

Task Factor Administration

Job descriptions alone do not provide sufficient data for makingdecisions about career ladder documents or training programs. Task factorinformation is needed for a complete analysis of the career ladder. The

3

TABLE 1

COMMAND REPRESENTATION OF SURVEY SAMPLEAFSC 903X0

PERCENT OF PERCENT OFCOMMAND ASSIGNED SAMPLE

AFLC 6 9

AFSC 3 4

ATC 33 24

AU 1 2

MAC 12 9

PACAF 4 6

SAC 12 16

TAC 16 19

USAFE 8 8

Total Assigned 1,160Total Eligible for Survey = 1,122Total in Sample* = 655Percent of Assigned in Sample: 56%

* Excludes 3-skill level students in Phase II

training

4

TABLE 2

PAYGRADE DISTRIBUTION OF SURVEY SAMPLE

PERCENT OF PERCENT OF

PAYGRADE ASSIGNED SAMPLE

E-1 - E-3 24 16

E-4 38 40

E-5 22 25

E-6 9 9

E-7 5 6

E-8 2 2

E-9 * *

* Denotes less than 1 percent

5

survey process provides the needed task factor data by asking selected E-6 andE-7 non-commissioned officers (NCOs) to complete either a training emphasis(TE) or task difficultv (TD) booklet. These booklets were processed sepa-rately from the JIs, and the TE and TD data, where applicable, are consideredwhen analyzing other issues in this study.

Training Emphasis (TE). TE is defined as the amount of structured trainingfirst-enlistment personnel need to perform tasks successfully. Structuredtraining is defined as training provided by resident technical schools, fieldtraining detachments (FTD), mobile training teams (MTT), formal OJT, or anyother organized training method. Forty-six experienced AFSC 903X0 NCOs ratedthe tasks in the inventory on a 10-point scale ranging from 0 (no trainingrequired) to 9 (extremely high amount of training required). The interrateragreement for these 46 rates was acceptable. The average TE rating is 2.70,with a standard deviation of 1.97. Any task with a TE rating cf 4.67 orgreater is considered to have a '.gh TE.

Task Difficulty (TD). TD is defined as an estimate of the length of time theaverage airman takes to learn how to perform a task. Fifty-eight experiencedNCOs rated the difficulty of the inventory tasks on a 9-point scale rangingfrom 1 (easy to learn) to 9 (very difficult to learn). Interrater agreementwas again acceptable. TO ratings are normally adjusted so tasks of averagedifficulty have a value of 5.0, with a standard deviation of 1.0. Thus, anytask with a TD rating of 6.00 or above is considered difficult to learn.

SPECIALTY JOBS(Career Ladder Structure)

The first step in the analysis process is to identify the structure ofthe career ladder in terms of the jobs performed by the respondents. Compre-hensive Occupational Data Analysis Program (CODAP) assists by creating anindividual job description for each respondent based on the tasks performedand relative amount of time spent on the tasks. The CODAP automated job clus-tering program then compares all the individual job descriptions, locates thetwo descriptions with the most similar tasks and time spent ratings, andcombines them to form a composite job description. In successive stages, newmembers are added to this initial group, or new groups are formed based on thesimilarity of tasks and time spent ratings.

The basic group used in the hierarchical clustering process is the Job.When two or more jobs have a substantial degree of similarity in tasks per-formed and time spent on tasks, they are grouped together and identified as acluster. The structure of the career ladder is then defined in terms of jobsand clusters of jobs.

6

Overview

The mission of the Radiologic career ladder is to provide reliableradiological support in the diagnosis, treatment, and prevention of injuries/diseases affecting the health and welfare of USAF personnel (both active dutyand retired) and their dependents. The Radiology career ladder operates underthe supervision of the USAF Surgeon General and performs a highly visible,integral part of hospital and medical facility services Air Force wide. Theamount and type of service provided by any radiology unit depends on themedical treatment facility it supports. The USAF Surgeon General designatescategories of medical treatment facilities based upon the scope of medicalservices or specialities provided. In turn, the scope of medical servicesprovided is determined by the ability of the professional staff and adequacyof medical facilities. The occupied patient bed rate further delineatesmedical treatment facilities, such that average ranges (as of January 1988)are as follows:

Medical Center 150 - 1,000 bedsRegional Medical Center 155 - 195 bedsRegional Hospital 40 - 145 bedsHospital 2 - 70 bedsClinic - No beds

Survey data show the career ladder consists of one general radiology job,five small specialized jobs of advanced modalities, a training job, and asuperintendent job (see Figure 1). These jobs are listed below. The Stage(STG) number sh wn h, the joL title is a reference number assigned by CODAP,while the lett,-• "N' denotes the number of respondents performing the job.The time members spend on duties is shown in Table 3 and selected backgroundinformation on members performing the jobs is shown in Table 4. Representa-tive tasks performed by members with the jobs are listed in Appendix A.

I. GENERAL RADIOLOGY CLUSTER (STG55, N=509)

II. ANGIOGRAPHY JOB (STG86, N=8)

III. COMPUTERIZED TOMOGRAPHY (CT) JOB (STG69, N=15)

IV. MAGNETIC RESONANCE IMAGING (MRI) JOB (STG72, N=5)

V. ULTRASOUND JOB (STG48, N=14)

VI. RADIOLOGIC THERAPY JOB (STG101, N=5)

VII. INSTRUCTORS JOB (STG41, N=12)

VIII. SUPERINTENDENT JOB (STG45, N=37)

DISTRIBUTION OF AFSC 903X0 PERSONNELACROSS CAREER LADDER JOBS

SUPERINTENDENT 61INSTRUCTOR 21

RADIOLOGICTHERAPY 1 I

ULTRASOUND 21MRI 11CT 21

ANGIOGRAPHY 1 X

GENERALRADIOLOGY 851.

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The following are descriptions of the jobs identified in the Radiologiccareer ladder. Respondents performing these jobs accounted for 93 percent ofthe survey sample. The remaining 7 percent were performing tasks or series oftasks which did not allow the computer to group them with members of the otherjobs.

I. GENERAL RADIOLOGY CLUSTER (STG55, N=509). This is the core job ofthe career ladder. AFSC 903X0 personnel performing it prepare and positionpatients for radiographic examinations and perform the radiographic examina-tions. Members with this job report performing an average of 156 tasks, moretasks than members of the other jobs perform, and spend most of their timeperforming standard radiographic examinations. The following are typicaltasks performed by members of this cluster:

Perform foot radiographic examinationsPerform hand radiographic examinationsPerform knee radiographic examinationsPerform shoulder radiographic examinationsPerform cervical spine radiographic examinationsPerform forearm radiographic examinationsPerform elbow radiographic examinationsPerform chest radiographic examinationsPrepare and position patients for standard

radiographic examinationsPerform hip radiographic examinations

Most personnel with this job hold the 5-skill level, average almost 7years of total active federal military service (TAFMS), are in paygrade E-4,and are assigned primarily to USAF hospitals and medical facilities.

Within this cluster, five job variations were noted. Two of thevariations involve performing some advanced modality tasks, such as Computer-ized Tomography (CT) and Ultrasound. One involves more OJT functions, anotherincludes both routine X-ray and superintendent tasks, while the last is per-formed by personnel at smaller facilities and involves both routine X-ray andadministrative duties.

IL. ANGIOGRAPHY JOB (STG86, N=8. The Angiography job is quitespecialized and performed by only a few AFSC 903X0 personnel. Members spendtheir duty time performing standard and special radiographic techniques andadvanced diagnostic modalities. As shown by the typical tasks performedlisted below, the job involves performing mainly angiographic procedures.

Complete radiographs during abdominal angiographyPerform digital subtraction angiographyOperate angiographic pressure injectors

13

Set up equipment and supplies for advanced radiographicprocedures

Complete radiographs during cerebral angiographyComplete radiographs during renal angiographyComplete radiographs during pulmonary angiography

Most members performing this job are in paygrade E-4, hold the 5-skilllevel, and all are assigned to a medical center.

III. COMPUTERIZED TOMOGRAPHY (CT) JOB (STG69, N=15). AFSC 903X0personnel with this job participate in the advanced diagnostic CT modality.Half their duty time is spent performing tasks related to this diagnosticmodality. The following tasks distinguish this job from the others:

Monitor patient's condition during angiography, CTscans, or MR scans

Administer IV contrast media during CT scansPerform brain CT enhanced scansPerform brain CT unenhanced scansKey patient's biographical information into CT

scanner computersAdjust computerized tomographic (CT) scanner gantries

Nine of the 15 members who perform this job hold the 5-skill level, 6held the 7-skill level, and they all average 8 years TAFMS.

IV. MAGNETIC RESONANCE IMAGING (MRI) JOB (STG72, N=5). MRI is thenewest modality and the newest job in the career ladder. Those performing thejob spend most of their time performing tasks related to MRI, as shown below:

Screen patients for metallic implants prior toMR scans

Perform MR scanner archive proceduresPerform MR unenhanced scans of designated anatomyPrepare and position patients for MR scan proceduresScreen personnel entering MR scan room for metallic

objectsMonitor patient's condition during angiography, CT

scans, or MR scans

Because the job is so new, members performing it average a little over ayear in the job, are in paygrade E-4, and about half are in their firstenlistment. All hold the 5-skill level and are stationed at USAF medicalcenters.

14

V. ULTRASOUND JOB (STG48, N=14). This is another very specialized jobin the career ladder which involves spending most duty time performing ultra-sound procedures. Most AFSC 903X0 personnel performing this job hold the 5-skill level and are assigned to a medical center or major hospital. Memberswith this job perform an average of 76 tasks and spend the most time on thefollowing ultrasound tasks:

Explain ultrasonography examination preparationprocedures to patients

Perform biliary system ultrasonographyPerform obstetric ultrasonography for ectopic

pregnanciesPerform renal ultrasonographyPerform pancreatic ultrasonographyPerform obstetric ultrasonography for miscarriagesPerform aortic ultrasonography

VI. RADIOLOGIC THERAPY JOB (STG101, N=5). AFSC 903X0 personnel with theRadiologic Therapy are distinguished by the time they spend performing radia-tion therapy tasks. Members with the job perform an average of only 44 tasks,fewer than members with other jobs in the career ladder. Radiologic Therapypersonnel are somewhat more senior, as they average 9 years TAFMS. This jobis distinguished from the others by the time members spend performing thefollowing tasks:

Align or adjust radiation therapy equipment forpatient set-ups

Position patients for radiotherapy treatmentsConduct linear accelerator therapyAnnotate patient daily treatment logsPaint treatment areas with castellani, invisible paint,

or Indian inkSchedule patients for radiation therapy treatmentsEstablish and maintain rapport with radiotherapy

VII. INSTRUCTORS JOB (STG41, N12). The Instructor job includes bothPhase I instruction at Sheppard AFB and Phase II training at medical centersand regional hospitals. AFSC 903X0 personnel with the job average over 6years TAFMS, most are in paygrade E-5, and hold either the 5- or 7-skilllevel. The following are the tasks members with the Instructor job spend themost time performing:

Conduct formal course classroom trainingScore testsAdminister testsConduct specialized individual assistance (SIA)

training

15

Administer student critiquesCounsel trainees on training progressInstruct trainees on procedures for locating

technical information

VIII. SUPERINTENDENT JOB (STG45, N--37. Senior AFSC 903X0 personnel withthe Superintendent job comprise 6 percent of the total sample. The titleSuperintendent is usually associated with 9-skill level and CEM-code person-nel, but members with this job report having this job title. Members withthis job spend 63 percent of their duty time performing supervisory, adminis-trative, and quality control tasks. Most respondents with this job hold the7-skill level, average over 17 years TAFMS, have been in the joc over 15years, and report supervising an average of 10 people. This job is distin-guished from the others by the time members spend performing the followingsupervisory and administrative tasks:

Write Enlisted Performance ReportsConduct staff meetingsCounsel personnel on personal or military-related

problemsReview patients' complaintsAssign personnel to duty positionsCoordinate work orders or requests with plant

management personnel

Comparison to Previous Survey

Table 5 compares the jobs identified in the present study to thoseidentified in the 1985 OSR. Four clusters and 10 independent jobs wereidentified in 1984, while 1 cluster and 7 jobs were identified in the presentsurvey. The differences are due to changes in the job inventory and taskclustering procedures now used to help identify jobs performed. Overall, jobsperformed by AFSC 903X0 personnel have not changed since 1984, except for theaddition of the new MRI job.

ANALYSIS OF DUTY AIR FORCE SPECIALTY CODE (DAFSC) GROUPS

DAFSC group analysis allows identification of similarities anddifferences in duty and task performance at the various skill levels. Thisinformation may be used to evaluate how well career ladder documents, such asAFR 39-1 Specialty Descriptions and the STS, reflect what is actually beingdone by career ladder personnel in the field.

Table 6 displays the distribution of DAFSC group members across careerladder jobs, while Table 7 reflects relative time spent by the DAFSC groups oneach duty. These data show most 5-skill level members perform the General

16

TABLE 5

COMPARISON OF MAJOR JOBS BETWEEN SURVEYS

CURRENT SURVEY 1985 SURVEY

GENERAL RADIOLOGY CLUSTER GENERAL RADIOLOGIC TECHNICIANS CLUSTERSENIOR NCOIC CLUSTERSTANDARD AND SPECIAL DIAGNOSTIC

RADIOLOGISTSHOSPITAL PHASE II COURSE SUPERVISORS

AND INSTRUCTORSSPECIAL DIAGNOSTIC RADIOGRAPHERSADMINISTRATIVE PERSONNEL

ANGIOGRAPHY JOB ANGIOGRAPHY TECHNICIANS

COMPUTERIZED TOMOGRAPHY JOB ROTATING COMPUTERIZED TOMOGRAPHY TECHSCOMPUTERIZED TOMOGRAPHY TECHS

MAGNETIC RESONANCE IMAGING NOT IDENTIFIED

ULTRASOUND JOB ULTRASOUND TECHNICIANS

RADIOLOGIC THERAPY JOB RADIATION THERAPISTS

INSTRUCTORS JOB PHASE I INSTRUCTORS CLUSTER

SUPERINTENDENT JOB SMALL FACILITY SUPERVISORS CLUSTERSTANDARD RADIOGRAPHERS FIRST-LINE

SUPERVISORS

17

TABLE 6

DISTRIBUTION OF AFSC 903X0 DAFSC GROUP MEMBERSACROSS CAREER LADDER JOBS

(PERCENT RESPONDING)

DAFSC DAFSC DAFSC90350 90370 90399/00

JOB (N=480) (N=167) (N=8)

I. GENERAL RADIOLOGY CLUSTER 82 67 0

II. ANGIOGRAPHY JOB 2 0 0

III. COMPUTERIZED TOMOGRAPHY JOB 2 4 0

IV. MAGNETIC RESONANCE IMAGING JOB 1 0 0

V. ULTRASOUND JOB 3 1 0

VI. RADIOLOGIC THERAPY JOB 1 0 0

VII. INSTRUCTOR JOB 1 4 0

VIII. SUPERINTENDENT JOB 0 17 100

18

TABLE 7

TIME SPENT ON DUTIES BY MEMBERS OF SKILL-LEVEL GROUPS(RELATIVE PERCENT OF JOB TIME)

DAFSC DAFSC DAFSC90350 90370 90399/00

DUTIES (N=480) (N=167) (N=8)

A ORGANIZING AND PLANNING 2 10 26

B DIRECTING AND IMPLEMENTING 2 10 24

C INSPECTING AND EVALUATING 1 8 23

D TRAINING 2 6 9

E PERFORMING ADMINISTRATIVE FUNCTIONS 15 16 9

F PERFORMING QUALITY CONTROL OR QUALITYASSURANCE FUNCTIONS 5 7 6

G PROCESSING RADIOGRAPHIC FILM 9 6 1

H PERFORMING GENERAL SERVICES 6 4 1

I PERFORMING STANDARD RADIOGRAPHIC EXAMINATIONS 33 19 *

J PERFORMING OR PARTICIPATING IN BEDSIDE ANDSURGICAL RADIOGRAPHY 7 3

K PERFORMING OR PARTICIPATING IN SPECIALRADIOGRAPHIC PROCEDURES 9 4 *

L PERFORMING OR PARTICIPATING IN ADVANCEDDIAGNOSTIC 4 3 *

M PERFORMING ULTRASONOGRAPHY PROCEDURESMODALITIES 3 3 *

N PERFORMING RADIATION THERAPY I * *

* Denotes less than 1 percent

19

Radiology job, 7-skill level members are first-line supervisors performing amixture of technical and supervisory tasks, and the most senior personnel arethe managers of the career ladder.

There is also a progression as far as types of procedures performed.Five-skill level personnel perform standard radiographic procedures, while7-skill level personnel perform the more difficult radiographic procedures.Nine-skill level and CEM-code personnel perform very few technical tasks,focusing primarily on supervisory, administrative, and managerial tasks.Individual descriptions of the skill levels is presented below.

Skill-Level Descriptions

DAFSC 90350. Personnel with a 5-skill level constitute 73 percent of thesurvey sample. Eighty-three percent perform the General Radiology job, withsmaller percentages performing all but the SuperinteýIent job. Five-skilllevel members perform an average of 128 tasks, most are in paygrades E-4 andE-5, anj they average 67 months TAFMS. Represent, ýi'.? tasks performed by 5-skill level members are displayed in Table 8 and rý-flect their involvement ingeneral radiologic functions.

DAFSC 90370. Seven-skill level mem. rs corstitute 25 percent of the surveysample. They perform an average o, 15E ta.ks and are found in 5 of the 8career ladder jobs (see Table 6). The largest per-- oge work in the GeneralRadiology cluster, wi~h the n,.xt largest percntLage performing the Superin-tendent job. While 50 percen tc1eir total job time is spent on supervisoryand administrative tasks (DL k through E), they are still involved intechnical aspects f 6he caree i ider and have the responsibility of perform-ing the more difficuit procedur -. Represcrtative asks 7-skill level person-nel perform are displayed in Table 9, while tasks which best differentiatebetween the 5- and 7-skill level personnel are displayed in Table 10. Therole oF 7-skill level members as supervisors is clearly shown by the higherpercentages of 7-skill level members performing tasks from Duties A, B, and C.

DAFSC 90399/00. These senior personnel are the managers of the Radiologiccareer ladder. They perform an average of 108 tasks and perform only theSuperintendent job (see Table 6). They report supervising an average of 10people and indicate that 84 percent of their duty time is spent on super-visory, managerial, and administrative duties. Representative tasks 9-skilllevel and CEM-code personnel perform are displayed in Table 11, and taskswhich best differentiate this group from 7-skill levels are displayed in Table12. Figures on the top half of the table show a higher percentage of thesesenior personnel perform supervisory and administrative tasks, and figures onthe bottom show they perform virtually no general radiographic tasks.

Summary

AFSC 903X0 personnel follow an orderly skill-level progression. The5-skill level personnel perform the basic radiologic tasks, 7-skill levelpersonnel have a broader job, with increased supervisory and administrative

26

TABLE 8

REPRESENTATIVE TASKS PERFORMED BYDAFSC 90350 PERSONNEL

(N=480)

PERCENTMEMBERS

TASKS PERFORMING

1304 PERFORM CHEST RADIOGRAPHIC EXAMINATIONS 851297 PERFORM ABDOMINAL RADIOGRAPHIC EXAMINATIONS 851318 PERFORM KNEE RADIOGRAPHIC EXAMINATIONS 841340 PERFORM SHOULDER RADIOGRAPHIC EXAMINATIONS 84G263 PROCESS RADIOGRAPHIC FILM AUTOMATICALLY 841312 PERFORM FOOT RADIOGRAPHIC EXAMINATIONS 841314 PERFORM HAND RADIOGRAPHIC EXAMINATIONS 841303 PERFORM CERVICAL SPINE RADIOGRAPHIC EXAMINATIONS 841313 PERFORM FOREARM RADIOGRAPHIC EXAMINATIONS 841315 PERFORM HIP RADIOGRAPHIC EXAMINATIONS 841299 PERFORM ANKLE RADIOGRAPHIC EXAMINATIONS 831321 PERFORM LUMBAR SPINE RADIOGRAPHIC EXAMINATIONS 831307 PERFORM ELBOW RADIOGRAPHIC EXAMINATIONS 831350 PREPARE AND POSITION PATIENTS FOR STANDARD RADIOGRAPHIC

EXAMINATIONS 831311 PERFORM FINGER RADIOGRAPHIC EXAMINATIONS 831348 PERFORM WRIST RADIOGRAPHIC EXAMINATIONS 831320 PERFORM LOWER LEG RADIOGRAPHIC EXAMINATIONS 831346 PERFORM THORACIC SPINE RADIOGRAPHIC EXAMINATIONS 831334 PERFORM RIB RADIOGRAPHIC EXAMINATIONS 831347 PERFORM TOE RADIOGRAPHIC EXAMINATIONS 831331 PERFORM PELVIC RADIOGRAPHIC EXAMINATIONS 831351 SET UP EQUIPMENT AND SUPPLIES FOR STANDARD RADIOGRAPHIC

EXAMINATIONS 821309 PERFORM FEMUR RADIOGRAPHIC EXAMINATIONS 821342 PERFORM SKULL RADIOGRAPHIC EXAMINATIONS WITHOUT HEAD

UNITS 811305 PERFORM CLAVICAL RADIOGRAPHIC EXAMINATIONS 811301 PERFORM CALCANEOUS (OS CALCIS) RADIOGRAPHIC EXAMINATIONS 811333 PERFORM RADIOGRAPHIC SOFT TISSUE STUDIES 811316 PERFORM HUMERUS RADIOGRAPHIC EXAMINATIONS 811306 PERFORM COCCYX RADIOGRAPHIC EXAMINATIONS 811329 PERFORM PARANASAL SINUS RADIOGRAPHIC EXAMINATIONS 81

21

TABLE 9

REPRESENTATIVE TASKS PERFORMED BYDAFSC 90370 PERSONNEL

(N=167)

PERCENTMEMBERS

TASKS PERFORMING

G263 PROCESS RADIOGRAPHIC FILM AUTOMATICALLY 77C90 WRITE EPRs 76B38 COUNSEL PERSONNEL ON PERSONAL OR MILITARY-RELATED PROBLEMS 751297 PERFORM ABDOMINAL RADIOGRAPHIC EXAMINATIONS 74E168 LOG PATIENTS' VISIT DATA IN COMPUTERS 741311 PERFORM FINGER RADIOGRAPHIC EXAMINATIONS 741314 PERFORM HAND RADIOGRAPHIC EXAMINATIONS 741295 DETERMINE EXPOSURE FACTORS USING STANDARDIZED RADIOGRAPHIC

TECHNIQUE CHARTS OR AUTOMATIC EXPOSURE SYSTEMS 741318 PERFORM KNEE RADIOGRAPHIC EXAMINATIONS 741340 PERFORM SHOULDER RADIOGRAPHIC EXAMINATIONS 741304 PERFORM CHEST RADIOGRAPHIC EXAMINATIONS 731350 PREPARE AND POSITION PATIENTS FOR STANDARD RADIOGRAPHIC

EXAMINATIONS 73E149 COMPLETE MONTHLY PERSONAL TIMESHEETS 731312 PERFORM FOOT RADIOGRAPHIC EXAMINATIONS 731299 PERFORM ANKLE RADIOGRAPHIC EXAMINATIONS 731307 PERFORM ELBOW RADIOGRAPHIC EXAMINATIONS 731351 SET UP EQUIPMENT AND SUPPLIES FOR STANDARD RADIOGRAPHIC

EXAMINATIONS 721347 PERFORM TOE RADIOGRAPHIC EXAMINATIONS 721303 PERFORM CERVICAL SPINE RADIOGRAPHIC EXAMINATIONS 721313 PERFORM FOREARM RADIOGRAPHIC EXAMINATIONS 721305 PERFORM CLAVICAL RADIOGRAPHIC EXAMINATIONS 721315 PERFORM HIP RADIOGRAPHIC EXAMINATIONS 721334 PERFORM RIB RADIOGRAPHIC EXAMINATIONS 721301 PERFORM CALCANEOUS (OS CALCIS) RADIOGRAPHIC EXAMINATIONS 721308 PERFORM FACIAL BONE RADIOGRAPHIC EXAMINATIONS 721325 PERFORM NASAL BONE RADIOGRAPHIC EXAMINATIONS 721306 PERFORM COCCYX RADIOGRAPHIC EXAMINATIONS 721329 PERFORM PARANASAL SINUS RADIOGRAPHIC EXAMINATIONS 71C66 CONDUCT PERFORMANCE FEEDBACK WORKSHEET (PFW) SESSIONS 711348 PERFORM WRIST RADIOGRAPHIC EXAMINATIONS 71

22

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TABLE 11

REPRESENTATIVE TASKS PERFORMED BYDAFSC 90399/00 PERSONNEL

(N=8)

PERCENTMEMBERS

TASKS PERFORMING

E195 WRITE CORRESPONDENCE 100A15 ESTABLISH WORK PRIORITIES 100A14 ESTABLISH ORGANIZATIONAL POLICIES, LOCAL OPERATING

INSTRUCTIONS (OIS), OR STANDING OPERATING PROCEDURES(SOPs) 100

B57 REVISE ORGANIZATIONAL POLICIES, Ols, OR SOPs 100B43 EDIT OR REVIEW CORRESPONDENCE 100B60 SUPERVISE RADIOLOGIC TECHNICIANS (AFSC 90370) 100C86 REVIEW EPRs 100C65 ANALYZE WORKLOAD REQUIREMENTS 100B38 COUNSEL PERSONNEL ON PERSONAL OR MILITARY-RELATED PROBLEMS 100B36 CONDUCT STAFF MEETINGS 100A8 DETERMINE REQUIREMENTS FOR SPACE, PERSONNEL, EQUIPMENT,

OR SUPPLIES 100C90 WRITE EPRs 100B53 INTERPRET POLICIES, DIRECTIVES, OR PROCEDURES FOR

SUBORDINATES 100C78 EVALUATE SUBORDINATES' COMPLIANCE WITH WORK STANDARDS 100C72 EVALUATE MAINTENANCE OR USE OF WORKSPACE, EQUIPMENT, OR

SUPPLIES 100B44 IMPLEMENT COST-REDUCTION PROGRAMS 100B52 INITIATE PERSONNEL ACTION REQUESTS, SUCH AS SKILL UPGRADE

ACTIONS OR DUTY TITLE CHANGES 100A10 DEVELOP PERFORMANCE STANDARDS FOR SUBORDINATES 100B41 DIRECT MAINTENANCE OR UTILIZATION OF EQUIPMENT OR SUPPLIES 100C74 EVALUATE PERSONNEL FOR PROMOTION, DEMOTION, OR

RECLASSIFICATION 100A18 MAINTAIN PERSONNEL STAFFING REPORTS 100A13 DRAFT BUDGET AND FINANCIAL REQUIREMENTS 100Al ASSIGN PERSONNEL TO DUTY POSITIONS 100All DEVELOP RADIOLOGY DEPARTMENT OR SECTION GOALS AND

OBJECTIVES 100A27 PREPARE BRIEFINGS 100B34 BRIEF PERSONNEL ON MEDICAL FACILITY OPERATIONS 100A7 COORDINATE WORK ORDERS OR REQUESTS WITH PLANT MANAGEMENT

PERSONNEL 100B55 ORIENT NEWLY ASSIGNED PERSONNEL 100B40 DIRECT MAINTENANCE OF ADMINISTRATIVE FILES 100A9 DEVELOP ORGANIZATIONAL CHARTS 100

24

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responsibilities. The 9-skill level and CEM-personnel are almost exclusivelyinvolved in management responsibilities and perform very few technical tasks.

ANALYSIS OF AFR 39-1 SPECIALTY DESCRIPTION

Survey data were compared to the AFR 39-1 Specialty Descriptions forRadiologic Specialists, Technicians, and Superintendents (all dated 30 April1991). The descriptions for all skill levels are accurate in describing theoverall jobs and tasks performed by members at each skill level in this careerladder. The 5- and 7-skill level descriptions overlap greatly, with the7-skill level description adding the performance of special techniques,administrative functions, and enforcing health protective measures.

TRAINING ANALYSIS

Occupational survey data are a source of information which can be used toassist in the development of relevant training programs for entry-level per-sonnel. Factors used to evaluate entry-level Radiographic training includejobs being performed by first-enlistment personnel, overall distribution offirst-enlistment personnel across career ladder jobs, percent first-job (1-24month TAFMS) and first-enlistment (1-48 months TAFMS) members performingspecific tasks or using specific equipment items, and TE and TD ratings(previously explained in the SURVEY METHODOLOGY section).

First-Enlistment AFSC 903X0 Personnel

There were 191 first-enlistment Radiologic personnel in the sample(3-skill levels members omitted). The distribution across career ladder jobsis illustrated in Table 4 and in Figure 2. Most perform the General Radio-graphy job, with small percentages working in the specialized Angiography, CT,and MRI jobs. Representative tasks first-enlistment AFSC 903X0 personnelperform are listed in Table 13 and deal almost exclusively with generalradiographic procedures. Equipment items used by more than 30 percent offirst-enlistment personnel are listed in Table 14.

TE and TO Data

TE and TO data are secondary factors that can assist technical schoolpersonnel in deciding what tasks should be emphasized in entry-level training.These ratings, based on judgments of senior Radiologic career ladder NCOsworking in the field, were collected to provide training personnel with arank-ordering of tasks considered important for individuals being trained(TE), along with a measure of the difficulty of those tasks (TD). Whencombined with data on the percentages of first-enlistment personnel performing

26

DISTRIBUTION OF FIRST-ENLISTMENT AFSC 903XO

PERSONNEL ACROSS CAREER LADDER JOBS

SUPERINTENDENT 1IMRI 11CT 11

ANGIOGRAPHY I I

GENERALRADIOLOGY 961

FIGURE 2

27

TABLE 13

REPRESENTATIVE TASKS PERFORMED BYFIRST-ENLISTMENT AFSC 903X0 PERSONNEL

(N=191)

PERCENTMEMBERS

TASKS PERFORMING

1304 PERFORM CHEST RADIOGRAPHIC EXAMINATIONS 931312 PERFORM FOOT RADIOGRAPHIC EXAMINATIONS 931314 PERFORM HAND RADIOGRAPHIC EXAMINATIONS 931350 PREPARE AND POSITION PATIENTS FOR STANDARD RADIOGRAPHIC

EXAMINATIONS 921297 PERFORM ABDOMINAL RADIOGRAPHIC EXAMINATIONS 921315 PERFORM HIP RADIOGRAPHIC EXAMINATIONS 921299 PERFORM ANKLE RADIOGRAPHIC EXAMINATIONS 921348 PERFORM WRIST RADIOGRAPHIC EXAMINATIONS 921311 PERFORM FINGER RADIOGRAPHIC EXAMINATIONS 921303 PERFORM CERVICAL SPINE RADIOGRAPHIC EXAMINATIONS 921321 PERFORM LUMBAR SPINE RADIOGRAPHIC EXAMINATIONS 921340 PERFORM SHOULDER RADIOGRAPHIC EXAMINATIONS 921313 PERFORM FOREARM RADIOGRAPHIC EXAMINATIONS 921347 PERFORM TOE RADIOGRAPHIC EXAMINATIONS 921318 PERFORM KNEE RADIOGRAPHIC EXAMINATIONS 911351 SET UP EQUIPMENT AND SUPPLIES FOR STANDARD RADIOGRAPHIC

EXAMINATIONS 911307 PERFORM ELBOW RADIOGRAPHIC EXAMINATIONS 911346 PERFORM THORACIC SPINE RADIOGRAPHIC EXAMINATIONS 911320 PERFORM LOWER LEG RADIOGRAPHIC EXAMINATIONS 901333 PERFORM RADIOGRAPHIC SOFT TISSUE STUDIES 901331 PERFORM PELVIC RADIOGRAPHIC EXAMINATIONS 901334 PERFORM RIB RADIOGRAPHIC EXAMINATIONS 901305 PERFORM CLAVICAL RADIOGRAPHIC EXAMINATIONS 901342 PERFORM SKULL RADIOGRAPHIC EXAMINATIONS WITHOUT HEAD UNITS 891301 PERFORM CALCANEOUS (OS CALCIS) RADIOGRAPHIC EXAMINATIONS 881329 PERFORM PARANASAL SINUS RADIOGRAPHIC EXAMINATIONS 881309 PERFORM FEMUR RADIOGRAPHIC EXAMINATIONS 881308 PERFORM FACIAL BONE RADIOGRAPHIC EXAMINATIONS 88G263 PROCESS RADIOGRAPHIC FILM AUTOMATICALLY 871330 PERFORM PATELLA RADIOGRAPHIC EXAMINATIONS 87

28

TABLE 14

EQUIPMENT USED BY 30 PERCENT OR MORE OFFIRST-ENLISTMENT PERSONNEL

(PERCENT RESPONDING)

1ST ENL

EQUIPMENT (N=191)

FILM PROCESSING UNITS, AUTOMATIC 85

GRID CASSETTES 81

UPRIGHT BUCKYS 81

RADIOGRAPHIC FILM COPIERS 68

STATIONARY GRIDS 64

SCANOGRAM RULERS 60

CAMERAS, RADIOGRAPHIC IDENTIFICATION 60

DENSITOMETER 59

PEDIATRIC IMMOBILIZER 59

FIXED FLUROSCOPIC UNITS, IMAGE INTENSIFIER-TV MONITOR 58

SENSITOMETERS 54

HOSPITAL PATIENT BEDS 50

X-RAY UNITS, PORTABLE FIELD 45

DOSIMETRY EQUIPMENT, THERMOLUMNINESCENT 38

CAMERAS, 105mm 35

AUTOMATIC CHEST UNITS 32

MAMMOGRAPHIC UNITS 32

29

tasks, comparisons can be made to determine if training adjustments arenecessary. For example, tasks receiving high ratings on both task factors,accompanied by moderate to high percentages of members performing, may warrantformalized resident training. Those tasks receiving high task factor ratings,but low percentages performing, may be more appropriately planned for OJTprograms. Low task factor ratings may highlight tasks best omitted fromtraining for first-enlistment personnel, but this decision must be weighedagainst percentages of personnel performing the tasks, command concerns, andcriticality.

To help in this determination an additional factor, the AutomatedTraining Indicator (ATI) was computed for each task in the inventory. Thisfactor assists school personnel in making training decisions. A computerprogram uses the percent of first-enlistment members performing each task, TEand TD ratings, and the Course Training Decision Table found in Air TrainingCommand Regulation (ATCR) 52-22, Atch 1, to assign an ATI value to each taskin the inventory. ATIs range from I to 18 and suggest what tasks are mostappropriate for training and to what level. The decision table and explana-tion of the ATIs precede the listing of tasks in descending ATI order in theTraining Extract. School personnel will find this table and listing valuablefor making decisions about training documents.

A sample of ta'- dith the highest TE ratings, with accompanying percentfirst-job (1-24 mnnt',ý, TAFMS) and first-enlistment (1-48 months TAFMS) membersperforming, are 1*,ced in Table 15. As expected, tasks with the highest TEratings deal v'ith performing standard radiographic examinations. These tasksare performed by high percentages of criterion group members, but do not havehigh TD.

Most tasks with the highest TO ratings, on the other hand, deal withultrasound, radiation therapy, and advanced modality procedures. These tasks,aloig with percent first-enlistment and 5- and 7-skill level members perform-ing data, are listed in Table 16. All are performed by very low percentagesof criteria group members and most have low TE.

Various listings of tasks, accompanied by TE and TO ratings, arecontained in the TRAINING EXTRACT package and should be reviewed in detail bytechnical school personnel. For a more detailed explanation of TE and TDratings, refer to Task Factor Administration in the SURVEY ADMINISTRATIONsection of this report.

STS

To assist specifically in the evaluation of the AFSC 903X0 STS, technicalschool personnel from Sheppard Training Center matched job inventory tasks toappropriate sections and subsections of the STS. A complete computer listingdisplaying the STS elements, the matched tasks, the percent members performingtasks, TE and TD ratings, and ATI for each task, has been sent to the techni-cal school for their use in further reviews of training documents. STSparagraphs containing general knowledge information, subject-matter-knowledge-only requirements, or basic supervisory responsibilities were not examined.Task knowledge and performance elements of the STS were compared against the

30

U LI r m CON LA m ý Oi00c 0-(1 4 t.O r- LO d*Un qcl) LOV) LLI m~ 00 Y)r- C ). 0mc)q*L 4r 0e' C)L .-e C>co ~ qd-

~im c -Q, -d ~LoC LO cLlLýL

X LLjO Y lim "0 ~jC)c)0 --d o C)~ 1r) M -4 Ln LO

C)-0 11lZLL (1r)

LU0 4

LUI m

LU I r- r-ac 000 wwwr- ww w U 0 0 LA kDo co r- LO

LU -i C

CDD

LU 0- C)1-j C3 LU F

-< 4-4 C1-O- CD 13-a-

LU <- <- C) C-)-C9 L< 0r Q-- 1 C

CJ Z- = (DV0mof c 0 0-4C LAJ V)

=) ) CD LUC a - - c C D0) Lu C)- V)14 C CD xA 02

LU =L <- 0 =A = M- <A C3'-4)LU1-ý >LAL =: Z)--4 M0z"M: M LU < Ln m :r

F- -< < 0- C) : 0;zI- V) 0< UAI- n-- 0n CD> ) )V V )

LL Cl LUJ -cc- :z m C :MLU -2M F- < LU'4>2 m m 0 M- C C ix~ C) 0 ) L LAJ Q

1-43 *-- 1-'4-i< C) 1- M1- 0C <MUL I-LAO ><L A) AAA U ofC) C<m 0lA

V)Cl-LUJ < LZ P-4 ML<~ 1-3 -4C)XP

LU LA0LU C «LJ1- LUa-. ><0< CL C)0i-LM :LL CDU I-- =C.0X -)0) m Of < L < of<

LnJ- 84 ýL V) il < -cc ~ 0 C-C C> M: x < C

=> - ~ M LU F : y-<Oc LU P-4 ALULU LL - -c 0C:) L)<0C m- " i-LLU C3 = .L -U cCD M: 0-i #0C

LAEM- U <-LUJ CD C3 C-)Ucc<0C-) MLLcJ LU M . M M "

01CD -U (D21 P-4 w : = CDP,0-J L) C I<C-L)I-- LU C0.. 0- m )c -) CL0- =) ( Cl cLU1u 0C I-- " 2'- 0< < = -4m ZOOLDU-U-c < CD V -LC) " iXCf) -CL-) <LA0.-M.1-4 "o : )

00 C- C)0C LU0 - = )OLA C: 0LU<W-C a r< a-o a-oaLUI P-4-4 " m(n0- 1-4 - 0-4 - _-j CD c- cr U

F-A C 101 0 < "0OjJr <AO< C- 0< y LJC) )C0 -cc0- «C- -< L M - 4 &-r UC) -) 00 II ICL A C. ^ -044 xL <C CmLAV0- m 1C--4 " < = LiU)0<1 C)-i 0 M V < C-_ _ <L 2 D:.-M x . P0-J..J

WO LU ý M ge=1q-< LU M- >-- CO LU 1-04 < 0 -c

0-400<00-J01-01-0E-4 LJ0 0i- cr C CD

L UC-0-<L LA-MLL L0-LLL LU mLL z LL< LL0-a-LL LL.LL.LL. c

LUI-i LU LdLUJLU = LLJU LUW0 LUW0LU0MLUUMC JLULJ0LUJC LLU LULU ix0l a- a-a-0a- Q-Q- L.)Q- 0- o-4 0- P-4 a- (I.uC- 0000- CLil

le LA C'J r- " > kro n mCD mr-- coaQC~ o % :XLA cn ff On C -d' O LA C>03Lo0C) " -4l -4 On mrl C'-Qým %

I- 1-4 1-4 11- 0-4 *.-4 !e U. 4 - - -- 4-1- 1-4

31

0 ~ 1. wzt ON %.a m LO 1-4 %.0 '.o 4D 00 qd r- m' r-ICL0 C.J LA) qd w. U r) m %0 c'jC '~ q*l C\.J r-. Ol -4 C, C0

F Lu 1- - --4 C'.j C~ .- 4 .- ,4 4 N

C-0

F- N...D - 4 r, .9 (NJ -~ - - . 4 N. LO C>

re CDim ar-ILL 'LuJ

(n LAo -'d- ~ -40 C:> m - .-4 C 4 ' m~ m no

Lu CII

Lu o

Z Luj 7, '-4 1" '-4 CNJ '-4 -4 ce) '- ~-4 ' -4 C .4Lu -

LA

Cl

LAI C- =' (i Ca. V)NN . '0 . . A L<-........................... C3 .

m- V) V. . . '0 '0 '0 . . . 10 '0 '0 . .

zi D LA LL. LL.-c

V) C0 cc wOF- C -C) )CC) -4 UJ Li .

C) 1-4 LA LLL-' LL 0. -CC PA -4 J2 6-4V

F->-Q <L.) <3 C) 00

LA L a- < -cm U ML L-4 Z4o: CD Lu -CC 0: u 0: LL-

ix 0 LuV 0-w F- LuI 0- F- C L

0z F- m4 Cu Lu F- < 3 )P4LJ=c MC- LL C- <) 0 L.) L U-F-

LLJ cn LAJ V< < '-4 i= LA C

LL < =o C< CD Li C < C) c -~ I-4MF- C) Cn -J 1o F- m Lu C.)- __

0.J CD Lu CDý 0 Lu of - LA 0< Li < r

F- -4L 0- LAJ L In mi L 0 CD Of = <F- <Lu LA -Lu L X < 0- -1 Lu 0 J F- UL .CD -a

QVL<Z CD = LLJ -D 00 V) V)9<)( i -0 o.- : CI F- LiJ -i C) U= 0: F- 0

0 n F- QL - Ci: LL '-4C 1-4 4 LA - 0: 0- 0- DL 4 Li-4 C) LL F:- cr cr M- M< D Lu c F- L .) « 0.V

V0 n XLA CD m 0< < I ). - 4

S F- :z - F- LU < = 4 i= F- L F- V)iL u Li -< FCD 1= CDZ Lu M- LU Ix C- LA a- :z -J " 0. -j ý

I = ILu F- F- 0L -i C) CD U ( Lu-jL0- Lu 0L 0z C)0.. Lu i

o- M: M: 0) 0. Lu CD CDr0"J0L0: LA 0 0 0 < Q! <fi L r c-L r Y L~-) Lu m C <

C) 0 CD w 00C - 10 Lu F-LA C) Lu F-L <D- )L lFL - < =- L- J . F- Lu m < L LL < LF- F Au F- LALA) -w w /

W~ ~ Li F )WWC- F- 0 WL W ~ F-4 W< 0.) W CCN.Q Wa- c3ý Cl. a_ L. u Lu 06 CLJ Q i m Li) (a 00 0-

V)~ ~ ~ L-4 1- Lr c-4 cLu m m m.L <4 OD II O r C) C

< La) LA LA LA LA) -4 q* q, Lo -g LA) LA LA LA 1-4 0l LuI-- rI)~ X: X: x 0 ) j JZX -J M: M: 0 M F-F

32

standards set forth in AFR 8-13/ATC Supplement I (Attachment. 1, paragraphA1-3c(4), and ATCR 52-22. Any element with matched tasks performed by 20percent of first-job (1-24 months TAFMS), first-enlistment (i-48 monthsTAFMS), 5-skill level, or 7-skill level members is considered to be supportedand should be part of the STS.

Survey data support a majority of the paragraphs and subparagraphs in theSTS. Specifically, 58 of the 63 paragraphs or subparagraphs matched to surveydata had tasks performed by 20 percent or more of criterion group members.The five areas that were not supported should be reviewed to determine if theyshould be included in the STS. The five unsupported STS elements with surveydata are shown in Table 17.

There were 126 technical tasks performed by 20 percent or more of thecriterion groups and rated high in TE not matched to any paragraph or sub-paragraph of the STS. Examples of these not matched STS items are shown inTable 18. These tasks deal with general radiographic procedures and should bereviewed to determine if they suggest topics that need to be included in theSTS.

POI

Technical school subject-matter experts also matched tasks to theJ3ABR90330-000, Radiologic, POI (dated 16 November 1988). Standards set forthin ATCR 52-22, Attachment 1, dated 17 February 1989, were used to evaluatelearning objectives with tasks matched. Any objective with matched tasksperformed by 30 percent or more of first-job or first-enlistment members isconsidered to be supported by survey data. Learning objectives which do notmeet these criteria should be considered for elimination from the formalcourse, if not justified on some other acceptable basis.

Even though the POI is basically a theory-centered course, 14 of the 103learning objectives are not supported by OSR data. A sar.ple of the unsup-ported learning objectives with survey data are presented in Table 19.

Twenty-six tasks not matched to any block or unit of instruction had atleast 30 percent members of the criterion groups performing. A sample ofthese tasks is presented in Table 20. Several deal with forms and administra-tive procedures, while others deal with standard radiographic procedures.SMEs should carefully review these tasks to determine if they suggest topicsthat should be included in structured training.

JOB SATISFACTION

An examination of the job satisfaction indicators for various groupsgives career ladder managers a better understanding of some of the factorswhich may impact on job performance of personnel in the career ladder.

33

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rý CA L ) CD C) al m- N-i C) ko C0J P

U- LAn :; ko -. Ln to U) co C* co Ln Ln .

jLUW

ý -- I -j -d Ln Ln N-, 0 0 c) J -4 - f.J N C*QL.UC (c I v- N-r, r LA N- %.c m~ m~C Lo U) LA N-I

LU

M: FCOI '.0 W. M. C-4 CO CO N,- 0D N- coLu L10 N- Nl r-d i N- LA WO 00 00 LA LO LA w.

CD

m ý co C N- C O cl- 1-4 m~ wl 1.0

I- LA Lm r".'. LO

LiJ

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Of LUF- 0

CDL) L Ln

ui a- 2CO -L c -a- a 0L

u0 LU 0- Li CD < ( -' a

oo0 >a CU F-a-

LU Of =) C.9 CD C3 C-j 0-ý )(D 0) 0) 0 r~-4 L) C!)CO m C4 -< 0y -ýn C

Z-11-4Cl.C) 0 JC) PC- M2 -C0C < 0: M~LU 0 F--C L.)c ý O L.) 0C <

m~~0 m_ -4=Cac LU m~ C0 0 l 0 0 j

C)< LU ix cr LALL V 0D a- F-V < < LUJ >-

= w 0) L> LUI 0D 0 30 CD '-

LULU F- W -LU C) =: L.)2V) F-7- ) C < 0c MO P-- LU

a-n2m V) V) Z 0CD F F- LU e a-P-4ý LU 0) V) F- L.) MA C :) V

ýeLIJ CD cn a-CA C9 0DLA, 72n =: -J cr = -4

F- 6-4 0 Cl WO 0) C a- LULA 0) CF= a-cc LUI 2: ) LL. LL of x LL-

LU =D L-) 0 (n LUJ C) -1LL. 0) 0: -m a- CL V) V) V J L .-~ " V0CD '-4 P-4 a-- -4LF- 2 CJLn D 0) 0D CD LUJ -j LUJ =: F- .JLUJC F'-'q _j 0 F ) -'- 0 a- F- - C0 a-

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m- C: C: 0 ( D N- C)0r 0) CI 2: 0 ) 0n MA m 0

LU a- 4L .) C CI l m0 ~ 2 : =: I-- 2of <<-F 0- _Il <

C ~ - MA 00 < - F-< - Fo F- 1-4 =2 w~ cl m: <DF--4 = F-< -C (DO LU F-02 LUJ C)0l WLV) L.) F-F-C al-L VEL <*-4 s- Ln X C)

< ;Z2 LULJ n A V)o-ý a_2 = = =: a-0 - LL-M;M lC C::0 0-0 < LUJC) V-'L V) V

<P-4 C:) 0 0 < =:- " 0-4 a- P F-4 ~LUF- a- F- -4- 2: 2 <F- 0' F- 0 <F- =L.) -C < LU<-C LU a-L LUI =) 00 CLUJ c ME x M: m LU2: 2 F- '-' 0 N- C)LL CD " of cX = - a-- = LU C)- a- LUm: F-EM 000)C)0 <E X DMEC) _ - M DC- C% LA0o-4q P- < LL LL- LL LL. a-< -< LL- a- F--< 0)

M 2>c of = == Lu) F-< >e W Mc Ce >c C0- OWi LUJ LU LUJ U = WWLU L LU C -< LU Wa- C

03 x Qca- a-L a- a- a- LA) a-Ca V) C ccm to

V)a)aýe 00C j U-) LA '.0 N Cl 0) -4 LA) "' -:: mV) N- 00 WO "N "N cn LA LA W 00 CO-4 -

< (NJ ('4 "N ml ml ml ml Y Cl) ml qr q LU MF-4 P-' -4 P-4 )- Ne F-F-

35

inLA1) IC13 I LAod 1 I~o I *

.< a I . II I I I I - I I I Uý I I

X: I II I P-w c CC-)i IUS LO Iir I I") I LQ- I- M /): WC~ -4 1- 1 1 1 I 1C

S -Lu1 1 I 1 It I I I

CDL a-r I Im a un a ~ a a

C..) I I I a Of aiiI a- CD I

I an or I a a I

I i= I aD aw -w I I I

C D I a a a - ai I(13 1 1 iD a aI Ia I i I =

-~~ C-L m~ I I ma ~a- D i I Il It a 1 1 AJ

m ) I I I a I a) a L

C- I = ~ a 0-4 a a aL ~L0- i 4 a a ... *

-~CL a0~a i - -L C)~u

LL aVlC I I uj I IL~ Vb. ILu-- 1 a1~aa- a a

Cýu a ILI aj I I (0 I Ic/i *aCD i IL al a D I i< WI IF-0 0- a 2E1W i I Cu.. a I0Ll ~

V.. I- aL IL ) I I101C I =)~ x0I cn a LIP a ael- a)C > B La- Ia -

Of l aU 1o 0 mLJ a) I ~ I L I CLUI CLL l C2 1 a- iCJ wi a a-z aE awC >- '

cc I CL IE - I= I LLL-) L I I L MI Pa-u4=I >0- ai ai , a - a D ai a a) a /ILUI

cn CC F- m~ $-A~ aI~-a a

LU al I auC. IX I- =~ M LiI M 1<3 L I rLu L) a X I Ix ) I (1) C a ) a..J > aC

a- - a LL. I- IM I LI =C L I I JL I U L) I .=I0= : =I0 n I ý- I>-l CaL.. a-M a C-) IC ia-a I P- I< Ia-LuaJC)Itj :ONC

LJ< a U ix) a- : L.) M a IL.)a- an 0a< LC()1 ME L /) =0 ~ <~I IL 0-lmmCD(

= IQ- I~ M W I 0I 0.01 I- I LLi I m I w01 0L) I~ < aI . I C) I (= : a.L I Ia=>"- aD L L L/)aM CD w aLua. V)a-a-IE C

Lu-Lu CD1 a- L caI-c I LLu :IaMI- LL a/ I ) I : ICD aW3ICDa.LuL J Xa Lu a- I II( I ix JeII IDC)I 1- P-I-

1 3 Ic I uIL I- J - a a- I ~ a) 1 M:a ImV)VCa-IL a< a aA I I -c 0 -I > -I c I MuI -c

I- I Mu = I (=I I C)i a I C=LuC -CIL aL ..W.- I~-<~ aLC i- I0

ýa-I aL a-a m ~ L Ia- IFuIO F- 10 CLu4 1 1W IC CD WI II 3 L) -4C)I L I uLa Iaaia

LuEI3K I W; 1:3 I1= IL I Ca l I/)Cl IW 1 CDL LCI CJ au. Da I: 1 o i / LOa- r" aCu rI P--4 t

a- -Caa aCzar a: 1I .J I iCjr

"o I~ a IC a' * 1-4 ao a

ILN I CD\ I IC\ a-ID 1 I-4 M: X

36

0-4~ Ui.) Q+ rn d0 4 (%n\ .;r -iM ld Y

r" %-I D rý- 00r-Om r- L) LO Ln Ln ýo rc- qqV) V-I

F- UiLU AJ-

0LUJ LJ 1= 0 im mX:LU c-er- cr 0 ~ ,ox --d r CV)C) LOk r" c'j - c

CD o c co 0000 0 00 a r%, ko LO 1.Di LO

P-C 0 1 * 0 ',ou rjcv.4.- 0l C4 -0:r 104U- X

-< -LU -ctLO Ok %iDCL %D 0 %.D O CJC~Jcv* M) M,LU

ODLU

C -. )/

LU LU I

< o

01- a- C1 n : C

LU CD0C LU 0 w- I U D0< a- - *-

.. < m) 0 Ln - <C/ C/)0D -cc V '-)0 X

LUI 00L DCD C ) C7: ciC LU-iL. U-= I CD M

C) DO m/C/ >- L.) LU c/i

w C)4 C CD0 - 3 C)iCi U00- = CDi u) -0< c/i C/i (n L

0) '- 0 a- cn 0.-4 W Ew V mCD.I c -0 PD.40< -- U,

C)-(D FL/< LL = 0- E= <M- F/ - m (D C)L 0-C .-4 1- O

= 0-4 f.-4 0<U C) 0Z 1-J~

I- 0 ) I-40C/.iOf-CD C - L/i0n 0 F--oL3 0-4 LU t- C < s--4CC/iM: 1-<L/mi 1

m- 1- c/i V)_ 0C) C 1- V)00C.cr- E)r-CL'J C /i Of = C3 : « <- W.)L 1- -cc ) -cc m C

0 11Cl) =D F <WJ). L-) Cn LL >xc - 0

LL- O.- (DO ::- La-JLC.)/i0 CD0. 0/ - a: 4LU LUn z, LmLJCl. 0 0<C $-4L -LJ1-- 0- 0D

2m<- L) c :cLU/ C) ~ CiDZ1-1- CV) ~ZLCD 0 : L 0 L/i0)CD a- C3 (nE c/iC/i

LU L1- < M (D C C 1-c(/ F- = cr C) Mo-qLJV ) 0 941 D=F LU-L C/)

LUC F-4 CU- M - LM ML 00= < C) 0'0 -J 6 .- CD L) CX: a- -c 0 C)< 0ý 3 _ 0 I X: " 1/i -4)~ IIo

.. J-i L,) 0.0w0.0- =. VJZ C-< L 0. Q. V)U

C/Mi- C 0. a -Cv)~2 .CD _ M ( CO -j~ w .X LU( L

W- LUL 4L-. LL LL M< U LULUL - CD-<

37:-L-V~~ <C

Attitude questions covering job interest, perceived use of talents and train-ing, sense of accomplishment from work, and reenlistment intentions wereincluded in the survey booklet. The information from these questions isdiscussed in Tables 21, 22, and 23.

Table 21 compares responses from members of various TAFMS groups in thecurrent study with those from members of related medical AFSCs surveyed in1991. Generally, all indicators are higher for AFSC 903X0 personnel thantheir counterparts in other medical AFSCs. The exception is in reenlistmentintentions. Fewer AFSC 903X0 personnel plan to reenlist than those in theother medical specialties.

Table 22 compares satisfaction indicators for TAFMS groups in the currentsurvey to those of the previous OSR. Respondents to the current studyexpressed higher job interest and perceived use of talents and training.Reenlistment intentions, however, are also lower for the current study.

Satisfaction indicators for members performing the individual specialtyjobs are displayed in Table 23. Members performing all jobs find their jobsinteresting, feel their talents and training are used, but have varyingreenlistment intentions. This may be influenced by specialized experiencegained in the Air Force and employment opportunities in the civilian com-munity.

DISCUSSION

Since the last STS was developed, new procedures and types of equipmenthave been placed in use with resulting specialization. Additional SEIs orshredouts may be needed for the career ladder to address the specializedprocedures and equipment used. AFSC 903X0 progress typically through thecareer ladder with an increase in complexity of procedures performed, and theaddition of supervisory responsibility with experience. Training documentsare well supported and the AFR 39-1 Specialty Descriptions are accurate. Jobsatisfaction has remained high for members of this specialty, while reenlist-ment intentions have declined, no doubt due to employment opportunitiesoutside the Air Force.

38

LLUI-JI

LL Ch~< Cd) j ) m r-. CV) r-l C) C) 000

Cl-

0

+ CD~J O)40 M CD) LA)Ln 1 )tC

C)m

LUJ

-Cd ) 2:

LL 1L C d) A.O 0 )- I 0

C) ON, C) c d L)m- r-, en C)

tx a- 1 011,1-

LLL) 0cLJa

w L. 01 CAIL C)' C3V)r-1 0c) rI 00 LO-d

cn C) ='I

LUJ

-4 d- 1cod 0..p =r. m

C) Ix I 0C/) Cd0 Eli'44 <M) E

C) F 4-

'U

<zLu C I C ) 0) < ~ C)LLAJ 0jC)< 0

0LL 0. '.

Cd) 0)L -

LL F- LLL

LU) 0) ) L

C- LL 3 -. J C) > J Cd, X:'UMt

Lu = .J 0i < 0 9-i I-

LU LI- < P-4 -L < P-- -J -4 "0)Iy- 0) 0) LU LL- i LL.J c ý

0r CC 0 L )LLLU .J LU LLJ C0QJ a-4 Cd U d, L rI ~ . ~

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ON mC:)

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COO) I -

C/) 0- 4 0 00

(,~ 0c F- C)

Ln - m -1LL. aC) C

I0 i (t C 00M-4U

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m=LCJE X0M(d) E l

COJ C) :: ODl00 LO qdO<j LL U L c-4 J ~

CO LU

LL-c M: COV)

E-c ) ( NciC)r OL)C< LL t> 0Osmm%0<V)L)

C-,),-LAJ O

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CD <

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><LU LUJ LULU a a

40

TABLE 23

COMPARISON OF JOB SATISFACTION INDICATORSFOR AFSC 903X0 RESPONDENTS ACROSS JOBS

(PERCENT MEMBERS RESPONDING)

GENERAL MAGNETICRADIOLOGY ANGIOGRAPHY COMPUTERIZED RESONANCECLUSTER JOB TOMOGRAPHY JOB IMAGING JOB

EXPRESSED JOB INTEREST:

INTERESTING 84 100 93 100SO-SO 10 0 7 0DULL 6 0 0 0

PERCEIVED USE OF TALENTS:

FAIRLY WELL TO GOOD 87 100 100 100LITTLE OR NOT AT ALL 13 0 0 0

PERCEIVED USE OF TRAINING:

FAIRLY WELL TO GOOD 90 100 100 100LITTLE TO NOT AT ALL 10 0 0 0

REENLISTMENT INTENTIONS:

WILL REENLIST 49 38 66 40WILL NOT REENLIST 47 62 27 60WILL RETIRE 4 0 7 0

41

TABLE 23 (CONTINUED)

COMPARISON OF JOB SATISFACTION INDICATORSFOR AFSC 903X0 RESPONDENTS ACROSS JOBS

(PERCENT MEMBERS RESPONDING)

ULTRASOUND RADIOLOGIC INSTRUCTIONS SUPERINTENDENTJOB THERAPY JOB JOB JOB

EXPRESSED JOB INTEREST:

INTERESTING 100 100 84 90SO-SO 0 0 8 5DULL 0 0 8 5

PERCEIVED USE OF TALENTS:

FAIRLY WELL TO GOOD 100 100 92 89LITTLE OR NOT AT ALL 0 0 8 11

PERCEIVED USE OF TRAINING:

FAIRLY WELL TO GOOD 93 100 83 95LITTLE TO NOT AT ALL 7 0 17 5

REENLISTMENT INTENTIONS:

WILL REENLIST 64 20 66 46WILL NOT REENLIST 36 80 17 8WILL RETIRE 0 0 17 46

42

APPENDIX A

SELECTED REPRESENTATIVE TASKS PERFORMED BYMEMBERS OF CAREER LADDER JOBS

43

TABLE Al

GENERAL RADIOLOGY CLUSTERSTG55

NUMBER IN STAGE: 509 AVERAGE TIME IN JOB: 38 MONTHS

PERCENT OF SAMPLE: 78% AVERAGE TAFMS: 80 MONTHS

THE FOLLOWING TASKS ARE IN DESCENDING ORDER OF PERCENT MEMBERS PERFORMING:

PERCENTMEMBERS

TASKS PERFORMING

1312 PERFORM FOOT RADIOGRAPHIC EXAMINATIONS 1001314 PERFORM HAND RADIOGRAPHIC EXAMINATIONS 991318 PERFORM KNEE RADIOGRAPHIC EXAMINATIONS 991340 PERFORM SHOULDER RADInGRAPHIC EXAMINATIONS 991303 PERFORM CERVICAL SPINE RADIOGRAPHIC EXAMINATIONS 991313 PERFORM FOREARM RADIOGRAPHIC EXAMINATIONS 991307 PERFORM ELBOW RADIOGRAPHIC EXAMINATIONS 991304 PERFORM CHEST RADIOGRAPHIC EXAMINATIONS 991350 PREPARE AND POSITION PATIENTS FOR STANDARD RADIOGRAPHIC

EXAMINATIONS 991315 PERFORM HIP RADIOGRAPHIC EXAMINATIONS 991299 PERFORM ANKLE RADIOGRAPHIC EXAMINATIONS 991311 PERFORM FINGER RADIOGRAPHIC EXAMINATIONS 991348 PERFORM WRIST RADIOGRAPHIC EXAMINATIONS 991347 PERFORM TOE RADIOGRAPHIC EXAMINATIONS 991334 PERFORM RIB RADIOGRAPHIC EXAMINATIONS 991346 PERFORM THORACIC SPINE RADIOGRAPHIC EXAMINATIONS 981351 SET UP EQUIPMENT AND SUPPLIES FOR STANDARD

RADIOGRAPHIC EXAMINATIONS 981321 PERFORM LUMBAR SPINE RADIOGRAPHIC EXAMINATIONS 981297 PERFORM ABDOMINAL RADIOGRAPHIC EXAMINATIONS 981320 PERFORM LOWER LEG RADIOGRAPHIC EXAMINATIONS 981305 PERFORM CLAVICAL RADIOGRAPHIC EXAMINATIONS 971309 PERFORM FEMUR RADIOGRAPHIC EXAMINATIONS 971301 PERFORM CALCANEOUS (OS CALCIS) RADIOGRAPHIC EXAMINATIONS 971306 PERFORM COCCYX RADIOGRAPHIC EXAMINATIONS 971316 PERFORM HUMERUS RADIOGRAPHIC EXAMINATIONS 971308 PERFORM FACIAL BONE RADIOGRAPHIC EXAMINATIONS 971331 PERFORM PELVIC RADIOGRAPHIC EXAMINATIONS 961333 PERFORM RADIOGRAPHIC SOFT TISSUE STUDIES 961342 PERFORM SKULL RADIOGRAPHIC EXAMINATIONS WITHOUT HEAD

UNITS 961329 PERFORM PARANASAL SINUS RADIOGRAPHIC EXAMINATIONS 96

Al

TABLE A2

ANGIOGRAPHY JOBSTG86




PERCENTMEMBERS

TASKS PERFORMING

L432 COMPLETE RADIOGRAPHS DURING ABDOMINAL ANGIOGRAPHY 100L469 PERFORM DIGITAL SUBTRACTION ANGIOGRAPHY 100L502 SET UP RADIOLOGY STEP TABLES FOR RUNOFF PROCEDURES 100L454 OPERATE SERIAL FILM CHANGERS 100L453 OPERATE ANGIOGRAPHIC PRESSURE INJECTORS 100L501 SET UP EQUIPMENT AND SUPPLIES FOR ADVANCED RADIOGRAPHIC 100

PROCEDURESL436 COMPLETE RADIOGRAPHS DURING CEREBRAL ANGIOGRAPHY 100L442 COMPLETE RADIOGRAPHS DURING RENAL ANGIOGRAPHY 100L441 COMPLETE RADIOGRAPHS DURING PULMONARY ANGIOGRAPHY 100L438 COMPLETE RADIOGRAPHS DURING LOCALIZATION OF BIOLOGICAL 100

ABNORMALITIES, SUCH AS ABSCESSES, LESIONS, OR MASSESL443 COMPLETE RADIOGRAPHS DURING THORACIC ANGIOGRAPHY 100L434 COMPLETE RADIOGRAPHS DURING BILIARY ANGIOGRAPHY 100L430 COMPLETE MAGNIFICATION RADIOGRAPHS FOR ANGIOGRAPHY 100K381 COMPLETE RADIOGRAPHS DURING FISTULAGRAMS 1001297 PERFORM ABDOMINAL RADIOGRAPHIC EXAMINATIONS 88L433 COMPLETE RADIOGRAPHS DURING ARCH AND CAROTID ANGIOGRAPHY 88L437 COMPLETE RADIOGRAPHS DURING EXTREMITAL (PERIPHERAL) 88

ANGIOGRAPHYH282 MONITOR PATIENTS' CONDITION DURING STANDARD DIAGNOSTIC 88

EXAMINATIONSH288 PREPARE INSTRUMENTS AND SUPPLIES FOR STERILIZATION, OTHER 88

THAN BRACHYTHERAPY INSTRUMENTSL494 PROCESS IMAGES USING FILM SUBTRACTION TECHNIQUES 88H283 MONITOR PATIENTS' OXYGEN SUPPLY EQUIPMENT 88K412 MAINTAIN SPECIAL PROCEDURE EQUIPMENT TRAYS 88G263 PROCESS RADIOGRAPHIC FILM AUTOMATICALLY 88E168 LOG PATIENTS' VISIT DATA IN COMPUTERS 88L440 COMPLETE RADIOGRAPHS DURING ORTHOPEDIC ANGIOGRAPHY 88K419 SET UP EQUIPMENT AND SUPPLIES FOR SPECIAL RADIOGRAPHIC 75

PROCEDURESK418 PREPARE AND POSITION PATIENTS FOR SPECIAL RADIOGRAPHIC 75

PROCEDURES1295 DETERMINE EXPOSURE FACTORS USING STANDARDIZED RADIOGRAPHIC

TECHNIQUE CHARTS OR AUTOMATIC EXPOSURE SYSTEMS 75

A2

TABLE A3

COMPUTERIZED TOMOGRAPHY (CT) JOBSTG69



THE FOLLOWING TASKS ARE IN DESCENDING ORDER OF PERCENT MEMBERS PERFORMING

PERCENTMEMBERS

TASKS PERFORMING

L452 MONITOR PATIENTS' CONDITION DURING ANGIOGRAPHY, CT SCANS,OR MR SCANS 100

L423 ADMINISTER IV CONTRAST MEDIA DURING CT SCANS 100L457 PERFORM BRAIN CT ENHANCED SCANS 100L458 PERFORM BRAIN CT UNENHANCED SCANS 100L446 KEY PATIENTS' BIOGRAPHICAL INFORMATION INTO CT SCANNER

COMPUTERS 100L420 ADJUST COMPUTERIZED TOMOGRAPHIC (CT) SCANNER GANTRIES 100L455 PERFORM ABDOMINAL CT ENHANCED SCANS 100L459 PERFORM CHEST CT ENHANCED SCANS 100L495 RECORD CT IMAGES ON FILM 100L460 PERFORM CHEST CT UNENHANCED SCANS 100L491 PERFORM VERTEBRAL COLUMN CT SCANS 100L467 PERFORM CT SCANNER ARCHIVE PROCEDURES 100L456 PERFORM ABDOMINAL CT UNENHANCED SCANS 100L465 PERFORM CT ROUTINE STARTUP AND SHUTDOWN PROCEDURES 100L483 PERFORM PARANASAL SINUS CT SCANS 100L468 PERFORM CT SCANS OF EXTREMITIES 100L421 ADJUST IV CONTRAST MEDIA FLOW RATE DURING ENHANCED SCANS 93L484 PERFORM PELVIC CT SCANS 93L486 PERFORM RECONSTRUCTIONS OF CT SCAN IMAGES, OTHER THAN

THREE-DIMENSIONAL 93L482 PERFORM OPTIC FORAMINA CT SCANS 93L487 PERFORM SELLA TURCICA CT SCANS 93L425 ADMINISTER IV INJECTIONS 87H281 MONITOR INTRAVENOUS (IV) INJECTIONS 87L426 CALCULATE CONTRAST MEDIA DOSAGES FOR CT SCANS 87L466 PERFORM CT SCAN REVIEW PROGRAMS BY RESTORING DATA 87H285 PERFORM INFECTION CONTROL PROCEDURES 87E168 LOG PATIENTS' VISIT DATA IN COMPUTERS 87L474 PERFORM MASTOID AND PETROUS PYRAMID CT SCANS 87H275 ASSIST PATIENTS IN DRESSING 87L473 PERFORM INTERNAL MEATUS (CANALS) CT SCANS 87

A3

TABLE A4

MAGNETIC RESONANCE IMAGING (MRI) JOBSTG72




PERCENTMEMBERS

TASKS PERFORMING

L498 SCREEN PATIENTS FOR METALLIC IMPLANTS PRIOR TO MR SCANS 100L478 PERFORM MR SCANNER ARCHIVE PROCEDURES 100L480 PERFORM MR UNENHANCED SCANS OF DESIGNATED ANATOMY 100L493 PREPARE AND POSITION PATIENTS FOR MR SCAN PROCEDURES 100L499 SCREEN PERSONNEL ENTERING MR SCAN ROOM FOR METALLIC OBJECTS 100L452 MONITOR PATIENTS' CONDITION DURING ANGIOGRAPHY, CT SCANS,

OR MR SCANS 100L477 PERFORM MR ROUTINE STARTUP AND SHUTDOWN PROCEDURES 100L476 PERFORM MR ENHANCED SCANS OF DESIGNATED ANATOMY 100L424 ADMINISTER IV CONTRAST MEDIA DURING MR SCANS 100L427 CALCULATE CONTRAST MEDIA DOSAGES FOR MR SCANS 100L429 COMPLETE DAILY MR PROFILE SCANNER ANALYSES 100G245 CLEAN AUTOMATIC FILM PROCESSOR CROSSOVERS 100E193 SCHEDULE PATIENTS FOR DIAGNOSTIC IMAGING PROCEDURES 100L496 RECORD MR IMAGES ON FILM 80L447 KEY PATIENTS' BIOGRAPHICAL INFORMATION INTO MR SCANNER

COMPUTERS 80L450 MONITOR MR EQUIPMENT CRYOGEN LEVELS 80G246 CLEAN AUTOMATIC FILM PROCESSOR DEEP RACKS 80L462 PERFORM CINE MR SCANS 80L451 MONITOR MR SCANNER ROOM PATIENTS' OXYGEN SUPPLY LEVELS 80L422 ADJUST MAGNETIC RESONANCE (MR) DOCKING TABLES 60E165 LABEL OR UPDATE FILM FILE ENVELOPES OR FOLDERS 60H282 MONITOR PATIENTS' CONDITION DURING STANDARD DIAGNOSTIC

EXAMINATIONS 60G250 CONDUCT AUTOMATIC FILM PROCESSOR TURN-ON OR TURN-OFF

PROCEDURES 60E154 FILE RADIOGRAPHIC FILMS OR REPORTS 60E168 LOG PATIENTS' VISIT DATA IN COMPUTERS 60E139 ADMINISTER PREGNANCY QUESTIONNAIRES 60E194 UPDATE PATIENTS' NOMINAL INDEX CARD FILES OR COMPUTER

FILES 60H291 SCHEDULE RADIOLOGY SERVICES WITH OTHER DEPARTMENTS OR

AWARDS 60L475 PERFORM MR DYNAMIC SCANS 60H293 TRANSPORT PATIENTS ON LITTERS OR WHEEL CHAIRS 60

A4

TABLE A5

ULTRASOUND JOBSTG48

NUMBER IN STAGE: 14 AVEPAGE TIME IN JOB: 31 MONTHS


IHE FOLLOWING TASKS ARE IN DESCENDING ORDER OF PERCENT MEMBERS PERFORMING

PERCENTMEMBERS

TASKS PERFORMING

M504 EXPLAIN ULTRASONOGRAPHY EXAMINATION PREPARATION PROCEDURESTO PATIENTS 100

M508 PERFORM BILIARY SYSTEM ULTRASONOGRAPHY 100M530 PERFORM OBSTETRIC ULTRASONOGRAPHY FOR ECTOPIC PREGNANCIES 100M542 PERFORM RENAL ULTRASONOGRAPHY 100M534 PERFORM PANCREATIC ULTRASONOGRAPHY 100M531 PERFORM OBSTETRIC ULTRASONOGRAPHY FOR MISCARRIAGES 100M507 PERFORM AORTIC ULTRASONOGRAPHY 100M556 RECORD ULTRASONOGRAPHY STUDIES ON FILM 93M505 MAINTAIN ULTRASOUND PAT TENTS' RECORDS 93M544 PERFORM SPLENIC ULTRASONOGRAPHY 93M546 PERFORM THYROID ULTRASONOGRAPHY 93M532 PERFORM OBSTETRIC ULTRASONOGRAPHY, OTHER THAN FOR ECTOPIC

PREGNANCIES OR MISCARRIAGES 86M536 PERFORM PELVIC ULTRASONOGRAPHY 86M523 PERFORM HEPATIC ULTRASONOGRAPHY 86M545 PERFORM TESTICULAR SCANS 86M509 PERFORM BREAST ULTRASONOGRAPHY 86M519 PERFORM ENDOVAGINAL ULTRASONOGRAPHY 86M553 PERFORM ULTRASOUND-GUIDED NEEDLE BIOPSY OR DRAINAGE,

OTHER THAN AMNIOCENTISIS 86M514 PERFORM DAILY ULTRASONOGRAPHY EQUIPMENT OPERATIONAL CHECKS 79M512 PERFORM COLOR DOPPLER ULTRASONOGRAPHY 79M549 PERFORM TUMOR LOCALIZATION ULTRASONOGRAPHY 79M503 ADJUST ULTRASONOGRAPHY CAMERAS 79M543 PERFORM RETROPERITONEAL ULTRASONOGRAPHY 79G256 LOAD OR UNLOAD FILM CASSETTES OR MAGAZINES 71G263 PROCESS RADIOGRAPHIC FILM AUTOMATICALLY 71E154 FILE RADIOGRAPHIC FILMS OR REPORTS 71M516 PERFORM DOPPLER ULTRASONOGRAPHYM538 PERFORM POPLITEAL ULTRASONOGRAPHY 71M506 PERFORM ADRENAL ULTRASONOGRAPHY 71M539 PERFORM PORTABLE ULTRASONOGRAPHY EXAMINATIONS 71

A5

TABLE A6

RADIOLOGIC THERAPY JOBSTG101




PERCENTMEMBERS

TASKS PERFORMING

N562 ALIGN OR ADJUST RADIATION THERAPY EQUIPMENT FOR PATIENTSET-UPS 100

N598 POSITION PATIENTS FOR RADIOTHERAPY TREATMENTS 100N572 CONDUCT LINEAR ACCELERATOR THERAPY 100N563 ANNOTATE PATIENT DAILY TREATMENT LOGS 100N594 PAINT TREATMENT AREAS WITH CASTELLANI, INVISIBLE PAINT,

OR INDIAN INK 100N604 SCHEDULE PATIENTS FOR RADIATION THERAPY TREATMENTS 100N579 ESTABLISH AND MAINTAIN RAPPORT WITH RADIOTHERAPY PATIENTS,

OTHER THAN COUNSELING 100N580 FABRICATE CUSTOM BLOCKS AND CUTOUTS FOR PATIENT TREATMENT 100N575 CONDUCT RADIATION THERAPY SIMULATIONS 100N569 CONDUCT FUNCTIONAL CHECKS ON RADIATION THERAPY EQUIPMENT 100N578 COUNSEL PATIENTS WITH RADIATION-THERAPY-RELATED PROBLEMS 100N565 ATTACH CONES AND FILTERS TO X-RAY EQUIPMENT FOR THERAPY 100N587 KEY PATIENT BIOGRAPHICAL INFORMATION AND TREATMENT

PARAMETERS INTO RADIATION THERAPY COMPUTERS 100N564 APPLY BOLUSES TO TREATMENT AREAS 100N581 FABRICATE SHIELDING MASKS 100N566 CHANGE PATIENT DRESSINGS 100N597 PERFORM RADIATION PROTECTION PROCEDURES FOR PATIENTS' AND

TECHNOLOGISTS' DURING RADIATION THERAPY 80N583 IDENTIFY AND REPORT TO P' 4YSICIAN, PATIENTS' CONDITION

DURING RADIATION THERAPY 801296 MEASURE PATIENTS USING CALIPERS 80G256 LOAD OR UNLOAD FILM CASSETTES OR MAGAZINES 80H293 TRANSPORT PATIENTS ON LITTERS OR WHEEL CHAIRS 80N601 PRODUCE TREATMENT PLANNING CTS 80N574 CONDUCT ORTHOVOLTAGE THERAPY 80N585 INSTRUCT PATIENTS ON TREATMENT PROCEDURES PRIOR TO

ADMINISTRATION OF RADIATION THERAPY 60N573 CONDUCT MEGAVOLTAGE (COBALT 60) THERAPY 60N608 WRITE GENERAL RADIATION THERAPY INSTRUCTXýNS OR

INFORMATION FOR PATIENTS 60N576 CONDUCT SAFETY CHECKS ON COBALT THERAPY EQUIPMENT 60

A6

TABLE A7

INSTRUCTOR JOBSTG41




PERCENTMEMBERS

TASKS PERFORMING

D98 CONDUCT FORMAL COURSE CLASSROOM TRAINING 100D134 SCORE TESTS 100D93 ADMINISTER TESTS 100DIOI CONDUCT SPECIALIZED INDIVIDUAL ASSISTANCE (SIA) TRAINING 100D92 ADMINISTER STUDENT CRITIQUES 100D105 COUNSEL TRAINEES ON TRAINING PROGRESS 92D118 INSTRUCT TRAINEES ON PROCEDURES FOR LOCATING TECHNICAL

INFORMATION 92D114 EVALUATE STUDENTS' PROGRESS 83B38 COUNSEL PERSONNEL ON PERSONAL OR MILITARY-RELATED PROBLEMS 83D137 WRITE OR REVISE TEST QUESTIONS 83DI08 DEVELOP COURSE CURRICULA, PLANS OF INSTRUCTION (POIs),

LESSON PLANS, OR SPECIALTY TRAINING STANDARDS (STSs) 83B56 PRESENT BRIEFINGS 67D115 EVALUATE TRAINING METHODS, TECHNIQUES, OR PROGRAMS 67D109 DEVELOP OR MAINTAIN STUDY REFERENCE FILES 67B43 EDIT OR REVIEW CORRESPONDENCE 67D112 DISPOSE OF OBSOLETE FILES FOR GRADUATED OR DISENROLLED

STUDENTS 67D129 PROCURE TRAINING AIDS, SPACE, OR EQUIPMENT 58D126 PLAN OR SCHEDULE FORMAL COURSE CLASSROOM TRAINING 58A27 PREPARE BRIEFINGS 58G263 PROCESS RADIOGRAPHIC FILM AUTOMATICALLY 58D131 REVIEW STUDENT CRITIQUES 58D102 CONDUCT TRAINING CONFERENCES OR BRIEFINGS 58F217 IDENTIFY FILM QUALITY PROBLEMS, SUCH AS IMPROPER

POSITIONING OR RADIOGRAPHIC TECHNIQUES 50D11O DIRECT FORMAL COURSE TRAINING PROGRAMS 50D127 PLAN OR SCHEDULE FORMAL COURSE PERFORMANCE TRAINING 50B63 WRITE RECOMMENDED CHANGES TO MANUALS, REGULATIONS, OR

TECHNICAL PUBLICATIONS 50Al ASSIGN PERSONNEL TO DUTY POSITIONS 50D116 INITIATE HONOR GRADUATE RECOGNITION FOR STUDENTS 50F219 INSPECT FILM LABELINGS 42F213 EVALUATE FILM IMAGE QUALITY 42

A7

TABLE A8

SUPERINTENDENT JOBSTG45




PERCENTMEMBERS

TASKS PERFORMING

C90 WRITE EPRs 100B36 CONDUCT STAFF MEETINGS 100B38 COUNSEL PERSONNEL ON PERSONAL OR MILITARY-RELATED PROBLEMS 97C88 REVIEW PATIENTS' COMPLAINTS 97Al ASSIGN PERSONNEL TO DUTY POSITIONS 95A7 COORDINATE WORK ORDERS OR REQUESTS WITH PLANT MANAGEMENT

PERSONNEL 95A2 ASSIGN SPONSORS FOR NEWLY ASSIGNED PERSONNEL 95B60 SUPERVISE RADIOLOGIC TECHNICIANS (AFSC 90370) 92A15 ESTABLISH WORK PRIORITIES 92A14 ESTABLISH ORGANIZATIONAL POLICIES, LOCAL OPERATING

INSTRUCTIONS (Ols), OR STANDING OPERATING PROCEDURES (SOPs) 92B35 COMPILE DATA FOR SPECIAL REPORTS, SUCH AS MONTHLY REPORTS

OR REPORTS OF SURVEY 92B53 INTERPRET POLICIES, DIRECTIVES, OR PROCEDURES FOR

SUBORDINATES 92A4 COORDINATE RADIOGRAPHIC EQUIPMENT REPLACEMENTS 92A1O DEVELOP PERFORMANCE STANDARDS FOR SUBORDINATES 92A5 COORDINATE RADIOLOGY ACTIVITIES WITH OTHER MEDICAL FACILITY

SECTIONS 89A8 DETERMINE REQUIREMENTS FOR SPACE, PERSONNEL, EQUIPMENT,

OR SUPPLIES 89All DEVELOP RADIOLOGY DEPARTMENT OR SECTION GOALS AND

OBJECTIVES 89C66 CONDUCT PERFORMANCE FEEDBACK WORKSHEET (PFW) SESSIONS 89A33 WRITE JUSTIFICATIONS FOR EQUIPMENT 86B57 REVISE ORGANIZATIONAL POLICIES, OIS, OR SOPS 86A3 COORDINATE FACILITY RENOVATIONS 86A27 PREPARE BRIEFINGS 86B52 INITIATE PERSONNEL ACTION REQUESTS, SUCH AS SKILL UPGRADE

ACTIONS OR DUTY TITLE CHANGES 86C84 MONITOR QUALITY ASSURANCE PROGRAMS 84B62 SUPERVISE CIVILIAN PERSONNEL 84E195 WRITE CORRESPONDENCE 84B41 DIRECT MAINTENANCE OR UTILIZATION OF EQUIPMENT OR SUPPLIES 84A17 MAINTAIN OPERATING FILES OF REGULATIONS, OIS, OR SOPS 84

A8

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