How ARRT Develops Exams and Assessments

ARRT exams and CQR assessments are designed to evaluate the knowledge and skills needed for entry-level practice in each discipline. Volunteers play a key role in ensuring these assessments are fair, valid, and up-to-date.


What Volunteers Do

ARRT relies on subject matter experts across several committees:

- Practice Analysis Committee
  • Creates nationwide surveys to identify current professional tasks.
  • Uses survey results to update clinical requirements and exam content.
  • Term: ~3 years per project.

- Exam Committees / Item Review
  • Discipline-specific committees review questions for:
  - Accuracy
  - Relevance
  - Fairness
  - Consistency
• Items are discussed and approved for future exams.  

• Term: 1 year, renewable up to 4 years.
  • Meetings: 1–2 per year.

- Case Study Committees (RRA Exam)
  • Write procedure-based questions linked to case studies.
  • Same term and meeting structure as Exam Committees.

- Standard Setting Committees
  • Define passing scores based on performance expectations.
  • One-time meeting (1–2 days).


Who Serves on Committees?

• Volunteers include technologists, educators, managers, physicists, and physicians.
• No prior experience needed—ARRT provides training.
• Most meetings are virtual; some may be held in St. Paul, MN.


Item Writing & Review

• Volunteers write multiple-choice questions.
• Items are stored in a secure database and reviewed for accuracy and relevance.
• New questions are tested as pilot items (10–20% of each exam).
• Feedback from examinees is reviewed to improve questions.


Case Study & Item Review Process

• Committees review questions for:
  - Accuracy
  - Relevance
  - Fairness
  - Consistency
• Items are discussed and approved for future exams.


 Exam Administration

• Exams are delivered via computer at 200+ global test centers.
• Pearson VUE manages exam delivery.
• Each exam form undergoes formatting and testing before launch.