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Why Radiology Technology Is More Than Just Broken Bones: A Deep Dive with ASRT Brandon Smith

Join us for an engaging conversation with Chaundria Singleton and Brandon A. Smith, a dedicated radiology application specialist and adjunct professor, as we dive into the fascinating world of medical imaging and radiation therapy. Brandon emphasizes that radiology is not just about taking X-rays; it encompasses a wide range of critical procedures that significantly impact patient care, including interventional techniques that can save lives. With over 20 years of experience, he shares insights on how professionals in this field can advocate for themselves and redefine their roles beyond the label of a “button pusher.” The discussion also highlights the importance of organizations like the ASRT in promoting professionalism and supporting the growth of radiologic technologists. Tune in to discover how to elevate the perception of radiology as a vital and competitive career choice, not just a backup plan.

Brandon Smith, a proud Houston native, embraces his identity as simply “Brandon.” While some may question the absence of credentials and resumes, Brandon believes that being true to oneself holds immense significance. Born and raised in the bayou of Houston, Texas, Brandon feels a deep connection to his roots and plans to always return home. With a technologist background that spans generations, as his father has been involved in medical imaging since the 80s, Brandon brings a unique perspective to his work. His exposure to imaging sets him apart and fuels his passion for the field.

On this episode of A Couple of Rad Techs Podcast, our guest, Brandon Smith, takes us on a journey through his experience in radiology school and his passion for interventional radiology. Brandon discusses his rotations, particularly in interventional radiology, where he fell in love with the modality and learned about the crucial role of radiology nurses in assisting with sedation and working closely with technologists and doctors. In interventional radiology, everyone, including nurses, technologists, and doctors, scrubs in together and works as a team, with technologists playing a vital role in understanding procedures and drawing up certain things.

But it’s not all about the technical aspects of the profession. Brandon also delves into the importance of personal accountability and questioning whether professional organizations like the ASRT are fulfilling their needs and whether they, as individuals, are fulfilling their own needs. He emphasizes the significance of personal accountability and the role it plays, even when feeling dissatisfied. Brandon highlights the importance of championing the purpose of others and measuring personal performance by service rather than ego.

As the episode progresses, Brandon shares his transition from clinical practice to teaching and his involvement in applications in the radiology department, specializing in improving clinical workflows and understanding the importance of efficient workflows in patient care management and healthcare delivery. He stresses that medical imaging is a service line that supports other service lines and should not be undervalued.

The conversation also touches on the ASRT and its role in providing professional development and continuing education credits. Brandon encourages young people to consider careers in radiology, highlighting the flexibility and opportunities available. He believes that the ASRT can play a stronger role in helping technologists become more professional and improving the image of the modality. Brandon also emphasizes the importance of professionalism in the field and how one’s behavior and presentation determine how others treat them.

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The conversation between Chaundria Singleton and Brandon A. Smith not only informs but also inspires a fresh perspective on the field of radiologic sciences. Chandria introduces Brandon by detailing his impressive credentials and current roles in healthcare and education, setting the stage for a conversation that dives deep into the realities of working in medical imaging. As they discuss the various modalities and specialties within radiology, they address the common misconception that radiologists are solely focused on diagnostic imaging, highlighting the larger and more impactful roles that technologists play in patient care.

Brandon elaborates on the importance of understanding the diverse skill sets required in different imaging modalities, and how each professional contributes to the overall healthcare ecosystem. Their discussion encompasses the challenges and rewards of working in this field, emphasizing the significance of continuing education and professional development through organizations like the ASRT. Ultimately, the episode serves as a powerful reminder to current and future radiologic professionals that their work is critical, competitive, and worthy of recognition, challenging listeners to embrace their roles and advocate for the value they bring to patient care.

Takeaways:

  • Medical imaging and radiation therapy are competitive and lucrative professions, not fallback options.
  • Radiologic technologists play a crucial role in patient care and healthcare delivery dynamics.
  • The ASRT advocates for the profession, focusing on education, safety, and professionalism.
  • Understanding one’s scope of practice is vital for radiology professionals in their careers.
  • Interventional radiology requires teamwork, collaboration, and communication among healthcare professionals.
  • Educational outreach is essential to raise awareness about careers in medical imaging.
Transcript
Chandria Singleton:

Tell who you are.

Chandria Singleton:

Okay.

Chandria Singleton:

There we go.

Chandria Singleton:

Perfect.

Chandria Singleton:

Okay.

Chandria Singleton:

Welcome everyone to let's Chit Chat and Wellness and Travel.

Chandria Singleton:

I am Chandria Singleton.

Chandria Singleton:

I'm so excited today because we are doing our amazing series on the field of radiologic sciences.

Chandria Singleton:

As you know, I've been in radiology for over 20 years as an MRI CT tech and applications tech.

Chandria Singleton:

And I feel it's so important that you all understand what radiology really is and what it's about.

Chandria Singleton:

So my guest today is Brandon A.

Chandria Singleton:

Smith.

Chandria Singleton:

He's a native of Southeast Texas and southwest Louisiana, currently employed by GE Healthcare as a radiology application specialist under Digital Services, as well as an adjunct professor at the University of Texas at MD Anderson School of Health Professions.

Chandria Singleton:

Brandon is an ARRT registered technologist certified in radiography and vascular Interventional.

Chandria Singleton:

He's certified imaging Informatics professional as well through abii.

Chandria Singleton:and will be installed June of:Chandria Singleton:

So welcome Mr.

Chandria Singleton:

Smith.

Chandria Singleton:

Brandon, thank you.

Brandon Smith:

So good morning.

Brandon Smith:

Thank you for having me.

Brandon Smith:

It is such an honor.

Brandon Smith:

I see you moving and, and promoting on LinkedIn is always so amazing to see medical imaging on a timeline.

Chandria Singleton:

It is.

Chandria Singleton:

And congratulations to you.

Chandria Singleton:

I mean, when we connected, I saw that you were going for the going forward and we were voting for everyone.

Chandria Singleton:

Such great candidates.

Chandria Singleton:

I mean, everybody was amazing and I just love the way you immediately connected back with me when I reached out to you, you know, watched your post and how you really promoted the radiology field.

Chandria Singleton:

So tell us a little bit about yourself.

Chandria Singleton:

I know I did that amazing bio, but I want people to hear from you who you are and what it is that you do.

Brandon Smith:

I laugh.

Brandon Smith:

I guess the corniest thing I can tell you is when you meet me, the most important detail I can tell you about me is I'm Brandon.

Brandon Smith:

Like people like, what does that mean?

Brandon Smith:

Like no credentials, no resumes.

Brandon Smith:

Like Brandon is just Brandon.

Brandon Smith:

And that means everything to some.

Brandon Smith:

It means nothing to some others, but it's okay.

Brandon Smith:

Find herself in the middle.

Brandon Smith:

So, you know, down here in Houston, Texas, I am bayou born and raised.

Brandon Smith:

And so I'm probably gonna live and die in the bayou.

Brandon Smith:

I travel, but I'm gonna always come back home to the bayou.

Brandon Smith:

I am actually a second generation technologist, so I've been probably.

Brandon Smith:

My story's a little different than some others who may have not been exposed to imaging.

Brandon Smith:

And so my dad's been doing medical imaging since the 80s.

Chandria Singleton:

Wow.

Brandon Smith:

And he's a MRI technologist.

Brandon Smith:

And that's probably why I don't do MRI today, because he is.

Brandon Smith:

I crack that joke on every interview I have.

Brandon Smith:

Like, he is, oh, man.

Brandon Smith:

I'm like, dad, I'm glad that you are that enthusiastic about when you love.

Chandria Singleton:

It, you love it.

Brandon Smith:

And I'm good, and I'm good.

Brandon Smith:

But see, and those are the things that, you know, help me.

Brandon Smith:

You know, when I tell people I'm an expert in medical imaging, it's like, oh, okay.

Brandon Smith:

Like, you know, Mr.

Brandon Smith:

So what makes me the expert is.

Brandon Smith:

I don't know, Mr.

Brandon Smith:

But I can connect you with the expert who, you know, who does.

Brandon Smith:

And so that's when you're making that network work, you know, and you're plugging in and celebrating the talents of medical imaging professionals and radiation therapy.

Brandon Smith:

And so I try to make sure I'm always conscious of that where my yard ends and your yard begins.

Brandon Smith:

I'm always willing to send people your way and to let you not to let you, to promote you, to demonstrate the talents that you have without me trying to pretend I know something that I don't.

Chandria Singleton:

Yeah, I'm the same way.

Chandria Singleton:

Someone just posted on my TikTok, I was saying something about MRI and they said, how long is a PET scan?

Chandria Singleton:

I was like, I do not know.

Chandria Singleton:

But I'm sure someone in these comments will answer.

Chandria Singleton:

Sure enough, a pet technologist answered them.

Chandria Singleton:

I don't know.

Chandria Singleton:

I might do a lot of modalities, but that is not one of them.

Chandria Singleton:

And I.

Brandon Smith:

That's the beauty of it.

Chandria Singleton:

Yeah, it's so funny.

Chandria Singleton:

So now people hear radiology and they immediately think of X rays.

Chandria Singleton:

And I find that is all people know about radiology is an X ray broken bone.

Chandria Singleton:

But we can image any part of the body.

Chandria Singleton:

We are very important to the healthcare field.

Chandria Singleton:

Right.

Chandria Singleton:

So let me ask you, what is it you do and what is that?

Chandria Singleton:

Because I read off that you do vascular, interventional, you know, all of these other amazing things.

Chandria Singleton:

But can you tell the people that are listening who don't have a radiology background, what is it that you actually do?

Brandon Smith:

Okay, so when it comes to what I am, I like to break it down like this.

Brandon Smith:

And so not to complicate it.

Brandon Smith:

I am a registered technologist.

Brandon Smith:

So being a registered technologist, and in this scenario, that means that I successfully passed the registry of the American Registry of Radiologic Technologies, the arrt.

Brandon Smith:

And I say that people are well.

Brandon Smith:

Brendan, why you explain like that?

Brandon Smith:

Sometimes run into people that don't know difference in between the Art and the asrt.

Brandon Smith:

And so my primary modality is radiography, which I love to death.

Brandon Smith:

It's my foundation.

Brandon Smith:

I would not be able to do any of the things I do today if I didn't have a solid background there.

Brandon Smith:

And so radiography in my era was truly diagnostic with some dynamic studies like fluoro, interventional or special procedures had been kind of separated in the regions I was at that point.

Brandon Smith:

And it was.

Brandon Smith:

Specials was a thing to itself.

Brandon Smith:

So it was taking static X rays, you know, chest X rays, abdomens, extremities, all that stuff, and doing fluoro studies with barium, modified swallows, IVPs, some tomography, but not a lot, because CT and then with the vi.

Brandon Smith:

VI is what a lot of people will consider special procedures or ir.

Brandon Smith:

And so where we are the unicorn, we are not.

Brandon Smith:

We're doing a lot more than what's going on in a diagnostic rad department, but not as invasive as surgery.

Brandon Smith:

So you find us somewhere in the middle.

Brandon Smith:

And so we are, you know, implanting different devices.

Brandon Smith:

We are either promoting blood flow or we are embolizing and stopping blood flow.

Brandon Smith:

We are willing and Dylan, in a much more like I said, interventional, therapeutic and even in diagnostic ways, depending on what the scenario is, it really elevated my thinking and gave me so much more respect for the radiographer.

Brandon Smith:

When I started to work in the specials and I started to accept, acknowledge and function as a clinician.

Chandria Singleton:

Yes.

Brandon Smith:

Versus as, you know, somebody who's just on an assembly line, as people like to falsely categorize us.

Brandon Smith:

And it's not that being in specials didn't change that, but it made me appreciate the things that I was actually doing in radiography because it debunked a lot of myths.

Brandon Smith:

The radiologists or interventionists stopped being the wizard behind the curtain and became somebody on the team.

Brandon Smith:

I fully acknowledge that there's a hierarchy there and different degrees of liability, but it's teamwork all the same.

Brandon Smith:

Nurses stop being a phone call away and this is somebody either I'm circulating with them, scrubbed in, or, you know, we are effectively communicating as a team.

Brandon Smith:

And you learn that this is collaboration, not a.

Brandon Smith:

Not buzzword culture.

Chandria Singleton:

Right.

Brandon Smith:

Not what sounds nice.

Brandon Smith:

And we can put on a billboard to say we're one healthcare team.

Chandria Singleton:

Because I think, I think.

Chandria Singleton:

I think people need to understand when it comes to ir, because my first, my two years in radiology school, the first year I got all of my exams done, I went and did literally everything.

Chandria Singleton:

The two years I did it in one year because I knew my body could not do Portables and or for the next however many years I was going to have to work.

Chandria Singleton:

So I needed to figure out what other modality I wanted to do.

Chandria Singleton:

And so I used my second year to rotate through.

Chandria Singleton:

IR was the one that I thought I was going in.

Chandria Singleton:

I loved interventional.

Chandria Singleton:

And like you said, I think people need to understand like what is it that you do you have.

Chandria Singleton:

That's where I found out about radiology nurses.

Chandria Singleton:

Like you have nurses that are in there with you as you sedate the people they're responsible for sedating.

Chandria Singleton:

Because as a technologist working in interventional, like you say, you work closely with the radiologist.

Chandria Singleton:

It gives you a whole new perspective.

Chandria Singleton:

They're coming out of that reading room where it's dark and closed doors that we always go knock on the door to try to get them.

Chandria Singleton:

They're out there with us in the, in the room there, the sterile field.

Chandria Singleton:

You've all got to scrub in together.

Chandria Singleton:

Nurses, technologists, doctors, everybody scrubbed in together.

Chandria Singleton:

They rely on the technologist to draw up certain things, to put out certain needles to understand.

Chandria Singleton:

You know, like you said, liability is different levels.

Chandria Singleton:

The doctor is still the doctor, but they do heavily rely on the technologist.

Chandria Singleton:

As far as different, I guess French's or what that's what they call.

Brandon Smith:

So yeah, it depends on what type of instruments you're talking about.

Brandon Smith:

So when we talk about instrumentation, you know, technologist knows the where's and the where's and what, where things are.

Brandon Smith:

And then as you start to elevate, they start, you know, tapped in, engaged technology starts to anticipate the doctor's move.

Brandon Smith:

And so what IR does it challenges what your preconceived notions of your scope or practice are, what your expectations and what your talents are.

Brandon Smith:

Because a lot of people confuse and stop their understanding of their scope of practice by the limitations set by the institution.

Brandon Smith:

Yes, you have to follow those because you work for the institution.

Brandon Smith:

But the institution does not define your scope of practice.

Brandon Smith:

The institution defines your scope of practice in the role they employ you to operate in.

Brandon Smith:

But not the same.

Brandon Smith:

That's not.

Brandon Smith:

It's not the same scope of practice that is established by your state licensure.

Brandon Smith:

If you have a state license, by your national registry, which is the art, and your practice standards that are set by the asrt.

Brandon Smith:

A lot of people don't even realize all of these things exist.

Brandon Smith:

And when people are telling you that's not in your scope, nine times out of ten they're telling you something they don't know.

Brandon Smith:

And you have plenty of references you can go to, and you'll tell them, I've done it before, and say, well, no, we don't do that here based on institutional policy, but here's my scope of practice, right?

Brandon Smith:

You know, you thought it was here, but.

Brandon Smith:

But then, you know.

Brandon Smith:

And so those are things we have to be aware of as we talk about professionalism and truly being effective advocates.

Brandon Smith:

You know, not beating somebody upside the head and trying to make them say, we're important, we're important, we're important.

Brandon Smith:

But it's really defining and owning the narrative because we get discounted more often than not.

Brandon Smith:

And the worst part about the discount we receive, I think the most impacting part of that discount is, from where I stand, sometimes it's more internal than it is externally driven.

Chandria Singleton:

We could tell we got a panel coming up on that, too.

Chandria Singleton:

I mean, it's so much.

Chandria Singleton:

We can talk.

Chandria Singleton:

So let's go out of the clinical role, because now you help the audience to see what you do in the interventional world, vascular world.

Chandria Singleton:

People wonder, how do I get those stents?

Chandria Singleton:

How do people get stents in me?

Chandria Singleton:

Well, interventional is one of those ways.

Chandria Singleton:

Open up blood flow, all kind of things.

Chandria Singleton:

It's such an important role.

Chandria Singleton:

But you also do applications.

Chandria Singleton:

When I was in school, I knew nothing about that.

Chandria Singleton:

No one ever talked to me about applications.

Chandria Singleton:

Technologist.

Chandria Singleton:

It never occurred to me that somebody had to put those protocols in a machine.

Chandria Singleton:

Someone had to teach you how to use this ge, this Phillips, or this Siemens, you know, so how did you get into applications?

Chandria Singleton:

And what is applications, man?

Brandon Smith:

So that's awesome.

Brandon Smith:

So, first and foremost, y'all gonna notice I always have a thesis statement before I answer the question.

Brandon Smith:

One, because I talk too much, two, because I'm verbose, and three, because I really want to make sure I'm taking the opportunity to articulate, understand what you were taught to do.

Brandon Smith:

As we were developing as radiographers, technologists, sonographers, therapists, we start to build and accumulate transferable skills.

Brandon Smith:

And I say transferable skills like we're not defined to one procedure area, a service line, an exam, that we learn things along the way that allow us to deliver exceptional patient care beyond the realms of direct patient care, Even though that's important.

Brandon Smith:

You have to know direct patient care to understand how to influence it, but to really get involved in the operations and the process of things that promote patient care and that become a little more distal than direct patient care and exams.

Brandon Smith:

And so when I got into applications, I had been teaching for about two years at A university level.

Brandon Smith:

Well, teaching full time.

Brandon Smith:

Let me say I've been teaching full time because when I started teaching adjunct, I was still in the clinical direct patient care, right.

Brandon Smith:

So when I got into apps, I was probably two years, about two years removed for, from IR clinically practicing.

Brandon Smith:

And I got a call from somebody who had referred me still, they still.

Brandon Smith:

I'm still trying to figure that out still to this day.

Brandon Smith:

And the rest was history.

Brandon Smith:

So I got in the application.

Brandon Smith:

So I don't do software with the modalities, I do packs.

Brandon Smith:

And so I'm dealing with the entire radiology department, any departments that are adjacent to imaging.

Brandon Smith:

And so even though I do training on the application, I think the just of my job is understanding, communicating, collaborating clinical workflows, be it a nurse, be it a physician, be it a technologist, you know, among the modalities, whoever's accessing PACs and whatever platform they're using to make sure that we have efficient workflows in place and that all of those are working synergistically for that patient outcome when it comes to the role that medical imaging plays in overall patient care management and healthcare delivery.

Brandon Smith:

And I think a lot of people missed the mark on that.

Brandon Smith:

It's like there's not a service line we don't touch.

Brandon Smith:

So be careful about letting people discount your value because imaging does not service is the service line that services service lines.

Brandon Smith:

Let me say that.

Chandria Singleton:

And don't discount yourself either because I think sometimes we think, well, I know when I was in school and people were saying, well why are you rotating through all these modalities?

Chandria Singleton:

Just stick with X ray.

Chandria Singleton:

And it's like, well, I got X ray.

Chandria Singleton:

Why wouldn't I get more?

Chandria Singleton:

Why wouldn't I challenge myself to learn more?

Chandria Singleton:

Why wouldn't I challenge this?

Chandria Singleton:

This radiology field has so much to offer me.

Chandria Singleton:

Why would I just stop here?

Chandria Singleton:

You know, and it just didn't make sense to me.

Chandria Singleton:

And I saw several people that stay there now they're like, oh, I wish I would have done that.

Chandria Singleton:

Know, don't discount yourself as well.

Chandria Singleton:

It's out there for everyone to be able to get and you can be good at it.

Chandria Singleton:

It's, it's.

Chandria Singleton:

I think sometimes I would run into where people would say it's too hard.

Chandria Singleton:

It's like it goes back to everything else.

Chandria Singleton:

It's all in what you, you know, what you make up.

Chandria Singleton:

So there's nothing too hard out there.

Brandon Smith:

I completely agree.

Brandon Smith:

And I think with that, my, my advisement with that is always the same.

Brandon Smith:

Whatever your end Goal is, if it's to be the best technologies and you just want to work days, I don't think anything is wrong.

Brandon Smith:

And I, and I had to have a conversation with somebody about that, like, well, they should want more.

Brandon Smith:

It's like, everybody doesn't want to be the director.

Brandon Smith:

Everybody doesn't want to be outside.

Brandon Smith:

I said, and that's totally fine.

Brandon Smith:

I said, but make sure you own that narrative.

Brandon Smith:

And you're not choosing to be somewhere because you are stuck.

Chandria Singleton:

Right.

Brandon Smith:

Because that's a, That's a totally different thing.

Brandon Smith:

And so I tell people all the time, and you.

Brandon Smith:

You'll learn.

Brandon Smith:

I joke.

Brandon Smith:

I can.

Brandon Smith:

I can I coin a phrase?

Brandon Smith:

In a minute.

Brandon Smith:

It's just the way I talk, in the way my mind works.

Brandon Smith:

You know, take pride in your modality, but take purpose in your profession.

Brandon Smith:

You.

Brandon Smith:

You said what that looks like for you.

Brandon Smith:

But don't.

Brandon Smith:

Don't get in so many silos and say, well, you know, I do X ray.

Brandon Smith:

I don't do nuclear medicine.

Brandon Smith:

That has nothing to do with me.

Brandon Smith:

That has everything.

Chandria Singleton:

Yeah.

Brandon Smith:

To do with you.

Brandon Smith:

You know, because you're not the person specializing there.

Brandon Smith:

You're that support system.

Brandon Smith:

You have an opportunity to cheerlead their champion, to let.

Brandon Smith:

To inform people when they ask, you know, stop allowing people to say, oh, you do X ray.

Brandon Smith:

I don't do X ray.

Brandon Smith:

You know, I do X, Y and Z.

Brandon Smith:

Like, no, no, I'm not telling you teach the people KVP or anything like that.

Brandon Smith:

But we have to really take.

Brandon Smith:

Take a moment and describe the people, what it is that we do.

Brandon Smith:

Because think about it.

Brandon Smith:

When you stay next door to a doctor or a nurse, you know, you stayed next door to a doctor or nurse, and people have to identify that, no, we're not a.

Brandon Smith:

We're not Bigfoot.

Brandon Smith:

We're not a creature you hear about and doesn't exist.

Brandon Smith:

Now, mind you, I also think that the most ideal time to talk about who we are is not in a procedure room because that person is.

Brandon Smith:

Is anxious about results.

Brandon Smith:

They're not.

Brandon Smith:

They're not really hearing that.

Brandon Smith:

But when you are running these marathons that you run, when you go into soccer with your children, when you.

Brandon Smith:

At church, at the grocery store, you having functions, and people are asking, no, what is it that you do?

Brandon Smith:

I'm a medical imaging professional.

Brandon Smith:

What does that mean?

Brandon Smith:

Well, then let me tell you.

Brandon Smith:

And then intentionally, you know, start relaying that message.

Brandon Smith:

Like, think about it.

Brandon Smith:

If the people that you're the closest to, let's say the people who live in your house.

Chandria Singleton:

Mm.

Brandon Smith:

Ask yourself three questions.

Brandon Smith:

Have I ever had a meaningful conversation with them about what I do?

Brandon Smith:

If somebody asked them what I do, what would they answer?

Brandon Smith:

And if they had to explain to somebody what I do.

Brandon Smith:

Because if we're missing our mark with the people that we, that we, we reside with.

Brandon Smith:

Oh, we've, we're for sure missing our mark with everybody else, you know, with everybody else.

Brandon Smith:

And I think sometimes people might take offense that.

Brandon Smith:

And it's not beating someone over the head, but it's really taking the opportunity to say, this is who we are, this is what we do.

Brandon Smith:

And when other professionals, people, healthcare systems, you know, choose to, you know, choose to discount or deny our value, we have to choose to be ignored.

Brandon Smith:

I mean that, like, I mean that, like, to a degree, like, what does resilience look like for us?

Brandon Smith:

Like, how are we really showing up?

Chandria Singleton:

So expound on that a little bit.

Chandria Singleton:

Expound on that a little bit more.

Brandon Smith:

I think a lot of the times the mark has been missed because we're not articulating, mind you.

Brandon Smith:

We've been around and we go based on Rankin's discovery, you know, more than, you know, more than a century.

Chandria Singleton:

Yeah.

Brandon Smith:

You know, we talk about mark.

Chandria Singleton:

How would you say we're missing our mark?

Brandon Smith:

Because, like, are we really having that conversation?

Brandon Smith:

Like, are we singing to the choir more often than we are going out and truly doing outreach and doing intentional exposure?

Brandon Smith:

And are we doing that?

Brandon Smith:

Like, are we, when we're showing up places?

Brandon Smith:

You know, like, since I've been on the advocacy kick, I built relationships.

Brandon Smith:

I go to high schools, I go to two year and four year institutions depending on my relationships, and I want to talk to the people entering, you know, more importantly, you want to talk to people in secondary school.

Brandon Smith:

Right.

Brandon Smith:

Because sometimes college, you already kind of have an idea and then some people don't.

Brandon Smith:

But when you start planting seeds, like, early, early, you know, like, my sons probably won't go into medical imaging because I probably act like my dad.

Brandon Smith:

And it's like, but my dad and I had to have that conversation too.

Brandon Smith:

And I don't say this to.

Brandon Smith:

He's like, I'll bring.

Brandon Smith:

Put me on spot.

Brandon Smith:

We didn't talk about what he did growing up.

Brandon Smith:

And I grew up around Connecticut machines, MRI machines in a dark room and looking at these cross sectional images, like, oh, daddy, I don't see how you.

Brandon Smith:

Like, what is that?

Brandon Smith:

And he's like, that's a brain.

Brandon Smith:

I was like, I don't see a brain.

Chandria Singleton:

Right.

Brandon Smith:

You know, and then, and then I go my own route.

Brandon Smith:

And then I decide, you know, mid halfway, almost finished with my college career is like, I don't want to do what it is I'm doing.

Brandon Smith:

I think I'm a switch to imagine.

Brandon Smith:

And because some, some people ask, why didn't you go into initially, I was like, I mean, it's the, it's the typical father son story.

Brandon Smith:

Like, I don't want to do what you do.

Brandon Smith:

I'm going to do my own thing, you know, But I've always been aware of imaging.

Brandon Smith:

But then you think about it, the conversation is the same.

Brandon Smith:

You even said it in your story.

Brandon Smith:

A lot of times this has not been an option because there was not an awareness.

Brandon Smith:

So we know there's not an awareness.

Brandon Smith:

How do we change that narrative?

Brandon Smith:

And we cannot limit that promotion to hospital walls and procedure rooms.

Brandon Smith:

And that's where that synergy comes into play.

Brandon Smith:

There is no separation, in my opinion, in between the person and the professional.

Brandon Smith:

I said that in many times, in many interviews and many presentations, if the pandemic taught me nothing else.

Brandon Smith:

Regardless of how you believe in it, you know, from a healthcare standpoint, from political standpoint, I don't get into all of that.

Brandon Smith:

It showed that there is no separation in between the person and the professional.

Brandon Smith:

As a professional, you are a person.

Brandon Smith:

As a person, I would hope you are a professional.

Chandria Singleton:

You know, you're not working towards that.

Chandria Singleton:

And that's what I like about the asrt.

Chandria Singleton:

Like I was telling you, you know, I just, my husband has always been a member from the day one when he got out of school.

Chandria Singleton:

And he, you know, so we are both members now and I'm taking full advantage of it and learning more of how it can benefit me as a professional.

Chandria Singleton:

And, you know, so our outlook on it is different, but mine is.

Chandria Singleton:

I love what you said, how you reach back, because that's what I have several friends whose children didn't want to go to a four year college, but their parents are like, you're going to school for something.

Chandria Singleton:

Go talk to Chandria about radiology because she works a very flexible schedule and she and her husband travel all the time.

Chandria Singleton:

So whatever she's doing, I need you to go talk to her.

Chandria Singleton:

And I have friends who, you know, now their kids are growing, they have families and they do radiology, all because of the conversations that I had with them.

Chandria Singleton:

You know, I laid everything out for them that this is, you have to work.

Chandria Singleton:

Why not do something that you would enjoy, Give you flexibility to even do the things that are hobbies.

Chandria Singleton:

And that's one direction I go with young people is, you know, four year college, a year college is not meant for everyone.

Chandria Singleton:

But think of what you could do in two years and maybe an extra year depending on when, you know, when I was in it, they didn't have a lot of schools, if any.

Chandria Singleton:

We didn't have any MRI schools.

Chandria Singleton:

So now you have to go to school for it.

Chandria Singleton:

We just learned on a job and read a book and took the test and learned that way.

Chandria Singleton:

But, you know, there's so many opportunities in radiology for young ones, radiation therapy.

Chandria Singleton:

I mean, I have seen so many people that I know go into that.

Chandria Singleton:

And I remember there was one school and they took like eight people every two years or something.

Chandria Singleton:

You know, it's really hard to get into it.

Chandria Singleton:

So to see a lot of my colleagues in radiation therapy making six figures, having a balanced lifestyle because they make enough money, their children are in good schools, you know, they have a good life, you know, because of the career choice they made that a lot of people don't know about.

Chandria Singleton:

So when it comes to the asrt, could you briefly tell us, you know, what is the role of the asrt?

Chandria Singleton:

We talked about the arrt, but the asrt, because I think more people in the radiology field should understand it from a different perspective of just getting your CE credits, a place where you can take a one CE credits, you know, And I think just being honest, that's where the average technologist, that's what they envision or know of the ASRT is.

Chandria Singleton:

That's where I go to get my credits.

Chandria Singleton:

Because that's what I was told when I got out of school.

Chandria Singleton:

I was in school.

Chandria Singleton:

This is where you get your credits.

Chandria Singleton:

But I believe the SRT has a stronger role and can help become.

Chandria Singleton:

Help more technologies become more professional and give our modality a different, you know, a different look.

Brandon Smith:

So I'll say.

Brandon Smith:

So I'll say this.

Brandon Smith:

It may.

Brandon Smith:

So that is usually the message and the thing, you know, well, yeah, I can get my seeds cheaper.

Brandon Smith:

And so let me, let me be completely clear.

Brandon Smith:

There are more than 350,000 registered technologists and therapists in the U.S.

Brandon Smith:

we represent the third largest healthcare profession in the U.S.

Brandon Smith:

only second to physicians and nurses.

Brandon Smith:

Well, third to physicians and nurses.

Brandon Smith:

Sorry.

Brandon Smith:

The ASRT has about 157,000 members, so a little less than half of registered technologies.

Brandon Smith:

I went in my service, the people that I work alongside.

Brandon Smith:

The ASRT, regardless of membership, represents 350,000 technologies.

Brandon Smith:

You know why?

Brandon Smith:

Because the work that's done by the ASRT is not biased to a membership.

Brandon Smith:

You will never hear me have a conversation about pushing membership to the asrt, but there will be a conversation about accountability.

Brandon Smith:

Because you want me to communicate with you.

Brandon Smith:

Yeah, I don't have your contact information, you know, and so what the ASRT does is, you know, if I'm going off the mission, it, you know, it says, wants to be premier provider for medical imaging and radiation therapy through education, through professionalism, through innovation, through leadership and to make sure, you know that, you know, in our vision that we are promoting, you know, professionalism, uplifting the profession and promoting patient safety and quality healthcare delivery.

Brandon Smith:

So great.

Brandon Smith:

So what does that mean, Brandon?

Brandon Smith:

It's just everybody says that.

Brandon Smith:

Okay, so what's going on at the ASRT is when you are encouraging, we are working for you, when you are discouraging, we are working for you.

Brandon Smith:

When you believe in what we do, we are working for you when you do not believe, we are working for you, when you know our value is seen or we're discounted, we are working for the same people who do both.

Brandon Smith:

That is non biased.

Brandon Smith:

And people say, oh man, that's so commendable.

Brandon Smith:

No, it's not.

Brandon Smith:

Because sometimes it's difficult.

Brandon Smith:

I'm going to be honest with you.

Brandon Smith:

Sometimes it's difficult to invest your time and talents in somebody theoretically, you know, will spit on what you do.

Chandria Singleton:

Right.

Brandon Smith:

But what they don't see is the mother that's running from meeting to meeting, volunteering her time away from her job, who is trying to balance being a professional, being an advocate and being a mother being a person.

Brandon Smith:

Let's talk about self care too.

Brandon Smith:

And being a person who, you know, we may go to a board meeting and you know, you have a board member who's trying to fly back just to see her, his or her son before they're deployed.

Chandria Singleton:

Right.

Brandon Smith:

Or a board member who spouse is not used to them not being home as frequently and learning a new normal to function, or the grandparent who's away from the grandchildren or you know, all these things that it's not a loss of time, it's an investment in time to make sure things happen.

Brandon Smith:

And you have to look at the people who you love, who might not understand what you do professionally and make them understand that the time that you feel like I'm taking away from you, I'm investing one in a profession that if something happens to you and you need diagnostic, interventional or therapeutic care, the medical imaging professional or therapist who's treating you has benefited from, from people showing up and advocating for who we are and what we do.

Brandon Smith:

Two, if you decide to enter this field, that this field is continuously growing and getting to a point that it has something to offer you for the long term.

Brandon Smith:

And I think when we start talking about growth, you know, as an organization and they have to be a reminder of as we continue to grow, we continue to appreciate what was, take advantage of what is and plan for what's coming.

Brandon Smith:

There's a lot of advocacy that goes on with the air too when we start talking about actual things going on.

Brandon Smith:

Legislation.

Brandon Smith:

See, we get caught up in legislative efforts that are red flags and go, oh, that's a major thing.

Brandon Smith:

But don't realize there oftentimes 17 things going on at the same time that you're totally unaware of that affect different modalities.

Brandon Smith:

You have legislation out about mammography and screenings, legislation out about the use of radionuclides and innovative nuclear medicine procedures.

Brandon Smith:

You have the Healthcare Workers act that protects healthcare workers against violence in places like the ER and the rise in violence.

Brandon Smith:

Covid and the things going on.

Brandon Smith:

You have act about osteoporosis and bone density.

Brandon Smith:You have the Radiation Act:Brandon Smith:

When we talk about having radiation protection and safety laws that standards set that is not fully implemented today because we're still fighting to have licensure in all states.

Brandon Smith:

I could go down.

Brandon Smith:

I could.

Chandria Singleton:

Oh yeah, Georgia.

Chandria Singleton:

Yeah.

Brandon Smith:

And I'll be.

Chandria Singleton:

I ran a poll not long ago asking how your last X ray was it done by X ray technologist?

Chandria Singleton:

That was Some people like what?

Chandria Singleton:

I never thought about that.

Chandria Singleton:

You know, people don't know that.

Chandria Singleton:

I remember managing a urology office and that was really.

Chandria Singleton:

I was like two years out of school.

Chandria Singleton:

And that's when I realized I did their radiation safety where I realized that medical assistants were taking X rays and I had to educate them on how to.

Chandria Singleton:

It was like having X ray school.

Chandria Singleton:

And it was scary.

Chandria Singleton:

I'm just going to leave it there.

Chandria Singleton:

It was scary at some of the X rays that were being taken on people could, you know, and some of the radiation they were getting.

Chandria Singleton:

So to the asrt.

Chandria Singleton:

I mean, hats off.

Chandria Singleton:

I don't.

Chandria Singleton:

In my opinion, I would love to see more technologists fully understand the role of the asrt because I think once we're educated and we want to be professionals, we want to support.

Chandria Singleton:

We want to benefit from it.

Chandria Singleton:

We can all work together and, you know, support one another, you know, support the hard work that you guys are doing.

Chandria Singleton:

Because you just opened up my eyes to a lot of things that I never knew and didn't never thought about.

Chandria Singleton:

And frankly, I just didn't know.

Chandria Singleton:

So thank you for that.

Chandria Singleton:

And I think more of our audience, when they see this and hear this, will understand this is what the ASRT does.

Brandon Smith:

And the Foundation.

Brandon Smith:

The ASRT foundation gives out hundreds of thousands of dollars every year aimed at the development of students, the development of professionals, disaster relief, all kind of things that are going on.

Brandon Smith:

And so when we talk about paying a membership or premium membership, anywhere from $125 annually to 100, see, I might pay 160 because some are $140, because chapters I'm not going to get in logistics.

Brandon Smith:

If you think somebody is charging you $125 for continuing education units and that's the only benefit you're getting, my first question to you is, have you had that conversation with somebody?

Brandon Smith:

My second question is if you've had that conversation, because the conversation is an exchange of ideas.

Brandon Smith:

So that means that I'm talking and I'm listening and you're talking and you're listening.

Brandon Smith:

Because if you coming in and your ears are already closed or your external acoustic meaties.

Brandon Smith:

That's me being that.

Brandon Smith:

That's me being that I'm corny.

Brandon Smith:

Y'all.

Chandria Singleton:

Right.

Chandria Singleton:

No, it's so funny.

Chandria Singleton:

When you said it, I said, that.

Brandon Smith:

Sounds like something us medical folks, you know, it's blocked.

Brandon Smith:

Then where are we getting to?

Brandon Smith:

It is so easy.

Brandon Smith:

It is so easy to criticize and despise a mirror's reflection.

Chandria Singleton:

Yeah.

Brandon Smith:

Without taking that time.

Brandon Smith:

And ask yourself, honestly, God, ask yourself if the ASRT are professional organization is not doing what they should do for me.

Brandon Smith:

Am I doing what I need?

Brandon Smith:

What I should be doing for me?

Brandon Smith:

And I'm not.

Brandon Smith:

And I'm not taking away because there's accountability there.

Brandon Smith:

I'm accountability for your dissatisfaction even when you're not showing up for yourself.

Brandon Smith:

That's how.

Brandon Smith:

That's how we work.

Brandon Smith:

It's not.

Brandon Smith:

People confuse and they love to use that radiographic marker of fair.

Brandon Smith:

That marker don't work here.

Brandon Smith:

Yeah, it doesn't work because it's not about fair.

Brandon Smith:

It's about when you start to volunteer, when you start to show up.

Brandon Smith:

We sign up for different levels of accountability and fair goals out the window.

Chandria Singleton:

Yeah.

Brandon Smith:

I lose my privilege to have an opinion because I have to champion your purpose.

Brandon Smith:

You can tell me whatever you want to tell me.

Brandon Smith:

I can't respond to you in that way.

Brandon Smith:

And then when we.

Brandon Smith:

When we start to really grow, our ego starts to shrink because what we're measuring our performance by is service.

Brandon Smith:

And so I have to take all the feedback you give, good, bad, indifferent.

Brandon Smith:

I'm not doing anything in my time.

Brandon Smith:

I'm sitting on my laurels.

Brandon Smith:

We eat caviar, we drink wine, all this, you know, I'm laughing like, where did, well, show me the footage.

Chandria Singleton:

Where was, yeah, you know, we do, we do appreciate, I'll tell you, my appreciation for what you have said, I think is going to speak volumes to many more people because it did for me.

Chandria Singleton:

And even if someone takes one thing away, you know, that one, whatever, that one thing you guys take away from this, you know, our mission is that our field of radiology, that we become professionals, number one.

Chandria Singleton:

And the way you present yourself and you, you act and you show up is usually how people treat you, whether they like you or not.

Chandria Singleton:

You know, so how we show up, you know, if you have a job and you're late all the time, but you're a great worker, people probably aren't going to keep you.

Chandria Singleton:

It doesn't matter how good of a worker you are, you're late all the time, you're costing the money.

Chandria Singleton:

So that's the same thing in life.

Chandria Singleton:

You know, if you present yourself well, whether people like you or not, you know, they will understand you're presenting and that's professionalism.

Chandria Singleton:

They'll take notice and say, now it's 20 years she's been saying she does, she's not a nurse, she's an X ray tech, you know, she does.

Chandria Singleton:

Mr.

Chandria Singleton:

And then I think that's the same with the ASRT, you know, as people are educated and it may take time for some others, but I could, I love the way the ASRT is presenting things and social media has become our friend now.

Chandria Singleton:

So I think over the years we're going to see more.

Chandria Singleton:

So I want to end this out because this is, we got so much more we could talk about in a limited time.

Brandon Smith:

But can I ask one thing to your, to the listeners, by no means do I want anybody to think that I see things in rose colored glasses and there's not an opportunity for improvement.

Brandon Smith:

But before you find yourself disappointed, right, at least give your sitting representatives, be your chapter delegate, be your officers, the opportunity to disappoint you before you declare yourself disappointed, connect with somebody, have an experience, not your friend's experience.

Brandon Smith:

And if you had an experience 25 years ago, maybe we up for a renewal and give me an opportunity to give you a different experience.

Brandon Smith:

But before you write it off, and I'm not talking about membership, I don't care, somebody going Keeping say, Brandon, you shouldn't say that.

Brandon Smith:

I would like for you to be.

Chandria Singleton:

No, I know what you mean though, right.

Brandon Smith:

I would like for you to be a member, but not if it is reluctant in your dissatisfaction.

Brandon Smith:

Find a reason there.

Brandon Smith:

But we're gonna work for you regardless.

Brandon Smith:

That's not contingent on the work that we do.

Brandon Smith:

But I'll go back to say connect to it, Connect with somebody, connect with me, hold me accountable.

Brandon Smith:

But make sure that the same expectations you hold for another are reasonable in comparison to the expectations you hold for yourself.

Chandria Singleton:

Well, you said a mouthful there.

Chandria Singleton:

And you said too, how I just know the free resources I got from the SRT before I became a member.

Chandria Singleton:

So that says a lot to me.

Chandria Singleton:

And then what you said earlier was, you know, connect.

Chandria Singleton:

Connect with people and get a new experience.

Chandria Singleton:

We all evolve and we grow in life and we change.

Chandria Singleton:

You know, I mean, for me, I'm a different person than I was 20 years ago.

Chandria Singleton:

So I'm going to see it differently.

Chandria Singleton:

I'm going to take advantage of different things.

Chandria Singleton:

That's just how life goes.

Chandria Singleton:

But I love how early you talked about going back, reaching back to high schoolers.

Chandria Singleton:

So I want to end up and say, what advice would you give to young men and women who want to look into the medical field but they don't want to go to be a doctor or a nurse?

Brandon Smith:

Medical imaging and radiation therapy is not a contingency plan.

Brandon Smith:

It is not a profession that you get into because you didn't make it somewhere else.

Brandon Smith:

There is such a misconception that medical imaging and radiation therapy are not competitive.

Brandon Smith:

And they are just as competitive, if not more competitive, and they're also very lucrative.

Brandon Smith:

And so as the fields continue to climb and strive, understand that I am not an ally to healthcare.

Brandon Smith:

I don't work in allied health, as they like to determine.

Brandon Smith:

I do direct patient care.

Brandon Smith:

And so this is one of those things that if you want to do direct patient care, if you want to utilize your talents by using what you know about patient care through technology, physics, anatomy, pharmacology, biology, radiation, then come here.

Brandon Smith:

This is what we have for you.

Brandon Smith:

We are specialists that specialize.

Brandon Smith:

We are not.

Brandon Smith:

I am.

Brandon Smith:

I'm a button pusher.

Brandon Smith:

And so people say, well, that's rude to say, I am a button pusher, but if I change all these parameters and you press the same button I push, I guarantee you won't produce the same image I produce.

Brandon Smith:

So, yes, I am a budding pusher.

Brandon Smith:

But understand that I set the tone for what happens when the button is Pressed.

Chandria Singleton:

I have.

Chandria Singleton:

Okay.

Chandria Singleton:

I got my sound bite for this podcast when I do, because I have never thought of it that way, but you explained it and you gave it in a way that really helps people to understand.

Chandria Singleton:

I mean, you brought down pharmacology, physics, and I mean, that was perfect in a perfect way that I'm going to end this.

Chandria Singleton:

I have nothing else to say after that.

Chandria Singleton:

That drove the nail into the wood for me because I do know that some technologies get really, you know, I push buttons.

Chandria Singleton:

I love how you said that.

Chandria Singleton:

But also determine how the image is going to come out.

Brandon Smith:

But nobody wants to talk about the precursor.

Brandon Smith:

You action.

Brandon Smith:

I do press button, but I also set the parameters that dictate how the button, what.

Brandon Smith:

What happens after the button is pressed.

Chandria Singleton:

So don't wait.

Chandria Singleton:

Yeah, I cannot wait to have you back on the panel.

Chandria Singleton:

We're doing a panel of different.

Chandria Singleton:

One modality of each person, and we are going to have a nice little panel discussion with topics, and I would love to have you back for that.

Chandria Singleton:

This has been such, such a great conversation.

Chandria Singleton:

I love your candidness.

Chandria Singleton:

I love you down to earthness and your knowledge of the field.

Chandria Singleton:

And I think people can relate to that.

Chandria Singleton:

And we're on the same wavelength that we want radiology to be, you know, noticed correctly.

Chandria Singleton:

And as a profession.

Chandria Singleton:

This is a profession, not a backup career.

Chandria Singleton:

Not something where you failed at PA school or something else.

Chandria Singleton:

And you came into radiology.

Chandria Singleton:

We are very smart and intelligent, hardworking people.

Chandria Singleton:

We make good money.

Brandon Smith:

This is a truth.

Brandon Smith:

I mean that.

Brandon Smith:

Because that's what ultimately people want to know.

Brandon Smith:

It's like, you know, I never forget when I was still teaching at the college, somebody said, we're interviewing a student.

Brandon Smith:

Sweet Jesus.

Brandon Smith:

The students say, okay, so what brings you to radiology?

Brandon Smith:

Radiography.

Brandon Smith:

He says, well, you know, I thought, I want to do something in healthcare, but I don't want to do direct patient care.

Brandon Smith:

I said, hey, y'all, I'm good.

Brandon Smith:

I said, let's talk about that.

Brandon Smith:

And so then you start to have conversations, but you have to.

Brandon Smith:

You have to set the tone.

Brandon Smith:

And if you notice, you're going to see my introduction going to be the same every time.

Brandon Smith:

The most important thing I'm going to tell you about me throughout this whole thing is my name is Brandon.

Brandon Smith:

All these letters and alphabets don't mean anything if I don't put meaning to them now, mind you.

Brandon Smith:

Yes, they mean I did something right.

Brandon Smith:

I empower them.

Brandon Smith:

They don't empower me.

Chandria Singleton:

Right.

Brandon Smith:

And so then we start talking about what we do.

Brandon Smith:

You know, a lot of times, you know, people think we get in these positions.

Brandon Smith:

Oh, you know, oh, you just doing it for you.

Brandon Smith:

I don't need anything for my resume.

Brandon Smith:

I'm telling you, I am here to a point that sometimes I laugh and tell some of my friends, I said, my children at times probably will have daddy issues.

Brandon Smith:

Like, daddy, you were gone a lot of times.

Brandon Smith:

But I wasn't not doing anything right.

Brandon Smith:

And I tell my wife the same thing.

Brandon Smith:

My wife is a nurse.

Chandria Singleton:

Oh, okay.

Brandon Smith:

She's actually a nurse.

Brandon Smith:

She's in imaging leadership.

Brandon Smith:

And so because at first when she first got in the.

Brandon Smith:

The imaging realm, she was like, oh, this.

Brandon Smith:

Didn't that go.

Brandon Smith:

I said, let me hold.

Brandon Smith:

Let me stop, honey, let me stop you.

Brandon Smith:

I said, you feel that way because you're used to walking into any and every service line and being the center of attention.

Brandon Smith:

You are in an imaging department.

Brandon Smith:

Yeah, here, ma'am, you're ancillary.

Brandon Smith:

But we appreciate you for being an ally and being here.

Chandria Singleton:

I see only you could say that to her, but I want to.

Chandria Singleton:

I want to thank you so much, Brandon, for coming and agreeing to do this.

Chandria Singleton:

And congratulations.

Brandon Smith:

Thank you so much.

Brandon Smith:

I appreciate it.

Chandria Singleton:

We gotta.

Chandria Singleton:

We can't wait to hear how everything goes and the big celebration you're gonna have in June, I'm sure.

Brandon Smith:

Oh, my.

Chandria Singleton:

And thank you, everyone, for listening to Less Chit Chat, Wellness and Travel, our radiology series.

Chandria Singleton:

We are so excited again to have Brandon A.

Chandria Singleton:

Smith.

Chandria Singleton:

You guys, if you are able to follow Brandon on LinkedIn, I will put his link inside of the description and also at the bottom of this podcast if you're watching it again.

Chandria Singleton:

Thank you.

Chandria Singleton:

Be sure to subscribe and drop us a review.

Chandria Singleton:

And thank you again.

Chandria Singleton:

Have a great day, everyone.

Brandon Smith:

Thank you.

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