Licensing and registration systems for radiological technologists and pathways for overseas-qualified practitioners:...

International mobility of radiological technologists (RTs) offers several advantages, including individual development and enhancing healthcare systems. Understanding differences and similarities in licensing and registration systems across countries is important to promote such mobility. This study examined those systems and pathways for overseas-qualified RTs across the Asia-Pacific region.

Participants in this study included Presidents of professional societies of radiological technology and/or board members of national licensing and registration authorities across the Asia-Pacific region. Data were collected through a questionnaire followed by semi-structured online interviews. Braun and Clarke's six-step thematic analysis framework was employed to analyse the interview data.

Nine countries and regions participated in this study. Japan, South Korea, Taiwan, Thailand, and Vietnam issue a single licence covering multiple medical radiation specialisations, while Australia, New Zealand, Hong Kong, and Singapore require two to five separate registrations. Several pathways for overseas-qualified RTs were identified, including overseas qualification recognition agreements, individual assessments, and qualification examinations. Some countries require formal language proficiency testing, while in others, passing a national examination in the local language serves as the de facto language standard. Cultural differences between source and destination countries were also reported as important considerations.

Differences in licensing and registration systems and language proficiency are identified as common barriers to international mobility. Pathways for overseas-qualified RTs vary considerably across countries and regions. Engagement with cultural differences can promote personal development among RTs, while skills exchange and knowledge transfer through international mobility can contribute to the enhancement of healthcare systems.

With sufficient international collaboration and information sharing, international mobility of RTs may contribute towards alleviating workforce shortages and ultimately enhancing healthcare delivery across the region.