The call center company later changed its name to e – Telecare Global Soltions in 2004. Before taking any exams necessary for their state, they have to pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English like a Foreign Language (TOEFL) and Test of Spoken English (TSE) exams. An person that finds work within this profession can be described as a radiology technician if his competency qualifies him to complete work using x-ray, ultra-sound, CAT or ECG equipment that provides the doctors with scanned images that the latter make use of as bases because of their diagnoses.