Introductory X-Ray Training, Jan 2021 (Live Streaming)



COURSE TOPICS: anatomyexposure chartingimage qualitypatient managementpositioningsafetytechnique

48-hr introductory x-ray training via Zoom


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Next class begins: January 8, 2021

(Via Zoom)

This seminar, designed for beginning x-ray technicians, provides the necessary training for chiropractic x-ray technician certification in Washington state. (See the General FAQs tab).

X-ray operators from any health care specialty who wish to know more about x-ray and to obtain a brush-up on quality control are welcome.

Doctors are also welcome to attend any number of hours out of the 48, for brush-up on technical x-ray quality, or for continuing education credits.

Jan 8–10 AND Jan 23&24 AND Feb 6&7, 2021
(three weekends)

Session I, 20 hours:

Friday 9am – 6pm
Saturday 9am – 5pm
Sunday 8:30am – 1:30pm

Session II, 16 hours:

Saturday 9am – 6pm
Sunday 8am – 5pm

Session III, 12 hours:

Saturday 9am – 6pm
Sunday 8:30 – 12:30
Followed by exam

The price above includes the exam and a non-refundable $70 registration fee.

Zoom Class Requirements

  • You must log into Zoom with your own email address, on a computer that only you are using. Specifically, colleagues from the same office may not share a computer.
  • Your computer must have a functional camera and microphone.
  • You must be present for all Zoom sessions and have a physical space and audio environment that will be uninterrupted.
  • There will be 10-minute breaks every hour, and a 1-hour lunch on the full days of class. (On half days there will be breaks but no lunch.)
  • The Chiropractic Quality Assurance Commission requires your presence at the full 48 hours in order to grant you a license. Your attendance will be monitored by seeing your face via Zoom. Attendance will be taken after each break (every hour).
  • The only “homework” assignments consist of familiarizing yourself with your own x-ray equipment, reading one short article, and practicing patient positioning. It is imperative that you allow time for practicing the demonstrated patient positioning in your own office. This is why you need access to x-ray equipment in order to take this class.

Other Requirements

Washington state law requires x-ray technicians to complete training on the topic of HIV / AIDS as a part of their registration process. All health-related professions under the disciplinary authority of the Washington state Uniform Disciplinary Act (RCW 18.130) are affected, with different numbers of hours being required for different specialties that have different risk factors:

  • chiropractic x-ray technicians:  4 hours
  • medical and other x-ray technicians:  7 hours

This training is separate from the 48 hours of classroom training required to learn how to take x-rays.

We recommend that you begin searching for a source of this HIV / AIDS training at the beginning of your IRT course, so that you will have completed the HIV training by the time you have completed the 48-hour x-ray training. You’ll need to submit the HIV / AIDS training voucher as part of your x-ray technician application.

There is no significant risk factor for limited x-ray technicians taking x-rays in private health care facilities — particularly in chiropractic offices — and so the requirements for HIV / AIDS training are quite easy to meet, and various options are considered quite broadly.

Past training may qualify

If you have completed a general health or first aid class during your schooling that contained at
least 4 ( or 7) hours of material on HIV / AIDS, a course instructor or advisor can certify to the attendance.

This applies to any HIV / AIDS training since 1988.

Check for possible local courses:

  • Public Health Organizations
  • American Red Cross, Seattle-King County: (206) 323-2345
  • Fire Departments
  • Hospitals
  • Community Colleges



Anderson Continuing Education  1-800-532-2332

  • Home study courses
  • They send you a book, quiz, and Scantron
  • You send the Scantron back to be graded, and they send you a certificate of completion
  • Both 4 and 7-hour courses are available
  • Two or more people can share the book, and the cost is therefore less


If you know of another source of training, you’re free to use that. Any course that meets the 4- or 7-hour requirement is acceptable.


General FAQs

What is the scope of this seminar?
State law requires that individuals using ionizing radiation have a certain core of knowledge about x-ray technology and radiation safety. Material presented in this class allows an excellent understanding of the factors necessary to create a good quality x-ray image in a safe manner. Also included is instruction in quality critique, patient management and all required legal issues related to the use of x-ray. Please see complete IRT Syllabus (PDF). Classroom academic material is supplemented by required homework assignments designed to familiarize the student with the equipment in their own office and to provide practice in patient positioning. Patient positioning is demonstrated for spine, extremities, and chest, and students are required to practice in their own offices what is demonstrated in the classroom. Therefore, students must have access to x-ray equipment, and they must do their homework assignments!
Who is this course designed for?
Anyone who wants to take x-rays in a chiropractic office or a private medical practice. This course is useful for a technician working in a private healthcare office who needs to know how to take skeletal and chest x-rays that are of good quality and that are produced in a safe manner. It also provides excellent review of x-ray technology for anyone who needs to improve their x-ray quality. Personnel from any health care specialty may attend.
My office uses a digital x-ray system. Is this class relevant for me?
Absolutely! Digital — both DR (no cassette) and CR (digital cassettes) — as well as film technology are covered in this class. In addition, whether you collect images on film or via digital detectors, there is a core of common information that needs to be learned. Understanding x-ray energy, exposure calculation, quality critique, radiation safety, and patient positioning apply to both film and digital technology.
Do I need any previous experience to take this course?
No. The course is designed to start from the beginning so that a newcomer can learn the necessary material.
Is this course appropriate for experienced x-ray techs?
Yes. Experienced techs are universally surprised at what they learn by attending. Many limited x-ray techs function by rote and do not really understand how to control film quality. No one is bored in this class!
How long is the course?
48 hours, held over three weekends. You must attend all 48 hours.
Why is the course this length?
In 1991 the Washington state Chiropractic Quality Assurance Commission (CQAC, the chiropractic licensing board) enacted a 48-hour training requirement for chiropractic x-ray technicians. The development of seminars to provide training for chiropractic x-ray technicians was necessary to meet the terms of Washington state CQAC law. The 48-hour classes that were developed to provide this required training are the only available source of a condensed course in x-ray technology, short of a full 2-3 year college program.
Is this a 'chiropractic' course?
No, not specifically. X-ray is generic to all of health care, and the course is taught to cover the x-ray needs of all specialties. All necessary material for chiropractic x-ray technicians is covered, however, including upright patient positioning.
Is it realistic to think that enough can be learned in 48 hours?
The course covers plain film x-ray technology for the skeleton and chest. Other states would term this a “limited permit.” The course has been taught by Dr. Vlasuk for many years and is tightly-packed, highly refined, and covers just the material needed in practical usage. It is amazing what can be learned in just 48 hours if those 48 hours are done well, as they are in Dr. Vlasuk’s seminars. Classroom academic material is supplemented by required homework assignments designed to familiarize the student with their equipment and to provide practice in patient positioning. Students must have access to x-ray equipment, and they must do their homework assignments!
What are the state requirements for x-ray techs?
In 1991 the Washington Chiropractic Quality Assurance Commission (CQAC, the chiropractic licensing board) enacted a 48-hour training requirement for chiropractic x-ray technicians. Chiropractic x-ray technicians must complete the entire 48 hours of classroom training and pass a test given at the end of the class. Washington state law does not currently specify any educational requirements for limited x-ray technicians who work in medical, osteopathic, naturopathic, and podiatric practices. Hospitals, radiology labs, and some larger group practices require that their x-ray personnel be fully-trained radiologic technologists (minimum 2-3 year college training program) and ARRT (American Registry of Radiologic Technologists) certified. This is done as a job requirement (and often for accreditation purposes), but not because state law requires it.
Can I use this training to work in a chiropractic office?
Can I use this training to work in a private medical or osteopathic office in WA state?
Can I use this training to work in a hospital?
Probably not in most cases. (See above answer on state requirements for x-ray techs.)
What else do I need to do to start taking x-rays?
This course provides the necessary 48 hours of classroom training in x-ray technology and safety. A certificate of attendance is provided for the actual number of hours attended. X-ray technicians from all health care specialties need to complete training on the topic of HIV / AIDS before they can begin to take x-rays. This is a separate WA state requirement offered by independent agencies and is not a part of this course. Chiropractic personnel need to be certain to attend all 48 hours and must pass an examination given at the end of the class. Chiropractic personnel need to submit an application to the WA Chiropractic Quality Assurance Commission, after they have their certificate of 48 hours of instruction, their successful test score, and their separate HIV training. Personnel from fields other than chiropractic need to register with the WA Department of Health. Students must complete all course homework assignments! These focus on equipment orientation and practice in patient positioning, and are designed to supplement the classroom portion of the course.
What am I called when I finish the course and complete my registration process?
X-ray technician. The term “radiology technologist” (“radtech”) is reserved for individuals who complete a 2-3 year college training program in Radiologic Technology and are ARRT certified.
Do these hours count for chiropractic x-ray technician CE credit?
Yes. Chiropractic x-ray technicians can use any 6 out of the 48 hours for their required continuing education credit; however, Dr. Vlasuk also offers separate 6-hour x-ray CE courses twice each year that are designed for more advanced training. Experienced x-ray techs from all specialties, as well as doctors, are welcome to attend these 6-hour x-ray CE courses, but they are not designed for the beginning student.
Do these hours count for DC re-licensure CE credit?
Yes. So do the 6-hour x-ray CE courses; however, Dr. Vlasuk also offers separate 12-hour courses specifically designed for doctors. All of these seminars are automatically approved for Washington and Oregon. All of these seminars are applied for and approved each year for Alaska.
Do these hours count for AAMA CE re-certification?
Yes. So do the 6-hour x-ray CE courses.
I can't attend the next seminar. When will it be held again?
This introductory course is offered every January, May, and September. Dates are announced a year in advance and are listed on the seminar calendar. Make sure you’ve joined our email list, to stay updated about the seminar schedule. We also post seminar information on our Facebook page.
Is there anything I should do to prepare for the course?
While these courses are designed for beginners, it helps reduce the burden of learning a large amount of new material in the short period of 48 hours if a prospective student first reviews skeletal anatomy, familiarizes himself/herself with the x-ray equipment in the office, and observes x-rays being taken in the office. This is not an absolute prerequisite, but it just makes it easier on the student.