Feasibility of Upskilling Non-Radiology Personnel in X-ray

The goal of this feasibility study is to learn if individuals without formal radiology training can safely acquire adequate x-ray images following a structured training and real-time remote guidance from a licensed radiologic technologist (RT). The main question it aims to answer is: 1. Can trained non-radiology staff, with real-time remote supervision, obtain x-ray images that meet preset technical quality standards for each required view? 2. Can these staff perform x-ray exams safely, as shown by low operator exposure, few image re-takes, and good adherence to radiation safety protocols? 3. What is the mental and physical workload for the non-radiology staff and the remote RT during the imaging process, as measured by the NASA Raw Task Load Survey (RTLX) after each session?

Inclusion Criteria: * Adults aged 18 or older * Able to read, speak, and understand English sufficient to follow study instructions and complete evaluation * Able to provide verbal consent * Currently employed as a medical assistant in a clinical or outpatient setting or actively enrolled in an accredited medical assistant training program * Willing to wear a personal dosimeter and comply with all radiation safety procedures * Willing to participate in all trainings Exclusion Criteria: * Prior or current professional training, certification, or education in radiography (formal or informal) * Prior experience performing x-rays a) including any prior hands-on testing experience with the ENDURO DR ES90 portable x-ray (prior observation or exposure to ENDURO DR is permitted) * Pregnancy or possible pregnancy (self-report) * Any condition or circumstance that would make participation unsafe