X-Ray Equipment Operator In Podiatric Radiography

“X-ray equipment operator” means an individual performing radiography of the human body using dedicated equipment as ordered by an individual authorized by Iowa law to order radiography. These individuals do not qualify for a permit in any other classification…”

“Podiatric x-ray equipment operator” performs radiography of only the foot and ankle using dedicated podiatric equipment. Studies using CT, fluoroscopy, or non-dedicated equipment are prohibited.

“ARRT” means the American Registry of Radiologic Technologist.

“Radiography” means a technique for generating and recording an x-ray pattern for the purpose of providing the user with an image(s) during or after termination of the exposure.


  • The classroom work is completed in an 8 hour session set up by the IDPH. This training is offered at least twice a year. If you are interested in this training, please email: charlene.craig@idph.iowa.gov to express your interest. The training is typically given in Cedar Rapids or Des Moines.
  • Course work covers radiation biology and protection, image production, equipment operation, anatomy. The certification exam will not be given as part of the classroom training.
  • The cost is determined by the instructor but in the past has been from $100 to $125 for 8 hours.
  • The clinical training is conducted by the clinical instructor at the podiatric facility.
  • An Iowa licensed podiatrist, general radiologic technologist, limited radiologic technologist in extremities, or x-ray operator in podiatric radiography. The clinical instructor must have a current Iowa permit and two years of radiology experience (except the podiatrist).
  • Clinical instruction will include positioning and a minimum of 20 projections excluding the competency projections.
  • A list of all of the projections you take to include the date, projection, and any problems.
  • Competency projections are a clinical exam and shall include 10 projections with only 2 of any single projection allowed to count toward the competency projections. All competency testing shall be directly supervised by the clinical instructor.
  • Clinical instructors must directly supervise you before you have completed the competency for a specific projection. After you have completed the competency, the clinical instructor may indirectly supervise you for that projection. You may not perform radiography independently until you have received your permit.
  • What do I do once I have completed all of the training? Submit an application for the exam. Take the exam. If you pass, submit an application for your permit and the clinical competency letter from your instructor. Once you receive your permit, you may perform radiography independently.

Testing Requirements

At least 70% on a department-approved examination.


Continuing Education Requirements for X-Ray Equipment Operators in Podiatric Radiography

  • You must earn 4.0 hours of continuing education (CE) within the biennium indicated on your permit.
  • You must report the hours with your renewal application on the year your CEs are due.
  • CE is due at the time of renewal. Failure to complete the hours will result in an expired permit and you will not be allowed to perform radiography.
  • You may submit proof of activities recognized by the American Society of Radiologic Technologists (ASRT), the American Podiatric Medical Association (APMA) or the Iowa Podiatric Medical Society (IPMS).
  • Activities may be lectures or self-studies. The same lecture may be repeated only once in a biennium. The self-study activity may not be repeated.
  • Acceptable proof of completion must be documentation signed and dated by the CE provider that includes the participant’s name, title of the activity, approval number for the activity (except those from the APMA or IPMS), dates of attendance, number of contact hours for the activity, the name of the approving organization, and signature of the sponsor or instructor or authorized representative of the sponsor or instructor.
  • It is your responsibility to make sure that your proof of completion meets the requirements in #6.
  • You must maintain proof of continuing education for at least 3 years.
  • Continuing education obtained to satisfy disciplinary or enforcement action or as part of a corrective action plan may not be reported to meet continuing education requirements.
  • All permit holders are subject to a department audit at any time.

For more information about Permits to Operate, please Contact Us or call 855-824-4357