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Although assigning consistently lower computer literacy and comfort levels strictly according to age or generation could be considered stereotyping, vendors and radiologic technologists have observed some gaps between the skills and comfort levels of recent graduates and technologists who have been in practice for many years. By 2015, the age of radiologic technologists in the workplace will represent workers from the baby boom, generation X and generation Y demographics more evenly. Regardless of the current or future demo-graphics, there is a lack of appropriate skills assessment and training in information technology skills in the health care setting, including assurance that all radiologic technologists have basic computer literacy that help them learn and feel comfortable with new and emerging clinical technologies. Technology gaps also can exist in basic knowledge of new or emerging medical imaging modalities. For example, some technologists still lack comfort with understanding the basic principles of imaging with digital radiography, and others might rely too heavily on new digital equipment to correct technique factors that once were the purview of the radiologic technologist. Many technologists must cross-train in CT or cardiovascular interventional for department coverage, but conduct examinations infrequently, which provides less opportunity to become familiar with equipment operation and technique. Equipment manufacturers use different terminology and branding to name similar features. This issue is being addressed in digital radiography through efforts to make exposure indicator terminology consistent among vendors and to develop a uniform response relationship between receptor expo-sure and exposure indicator.
Ensuring that radiologic technologists have the foundation for any current, upgraded or emerging technology is the responsibility of multiple parties. Although accountability rests primarily with the technologist, managers are responsible for hiring, assigning and promoting staff appropriately to ensure patient safety and high-quality imaging examinations in their respective departments. Radiologists ultimately are responsible for the images they review, and should work with managers and technologists to recognize potential shortcomings and help educate as appropriate. Vendors are responsible for providing thorough training on new and upgraded equipment with coop-eration from managers and staff at the facilities where equipment is installed. The medical imaging community and policymakers are responsible for maintaining a focus on patient safety and high-quality imaging through support of measures that ensure only qualified personnel conduct medical imaging examinations.