This project study addressed the problem of the low percentage of a Mid-Atlantic university's radiography graduates passing their credentialing registry examination. The cohort had a 2014 pass rate of 83% while the majority of surrounding schools had pass rates of 100%. In order to become registered radiographers, graduates must be able to take what they have learned in their educational program and directly apply it to their professional skill set. The conceptual framework for the study was social constructivism, adapting and transforming what was new information to previous experiences and group activities. A qualitative case study research design was chosen, and interviews were conducted with 9 graduates from the 2014 radiography cohort. The interviews were recorded, transcribed, manually coded, and analyzed for emerging themes. Key results indicated the graduates needed to self-monitor, self-motivate, and self-propel to successfully pass their credentialing exam. A 3-day professional development plan for graduates was created based on the findings from the study. Passing the credentialing exam affects social change in that knowledge and education produces positive outcomes, and for allied health professionals, it produces optimum patient care. Social change is possible through education, which will enhance an individual's self-efficacy, thereby enriching the society and culture to which they contribute. This knowledge will support the local problem in that optimum performance for radiography graduates will be monitored for standards of excellence.