Radiology Clerkships
UC Davis Medical Center
RDI-461, RDI 473-477, RNU 463
CONTACT INFORMATION:
Instructor of Record
Cyrus Bateni, MD
Pager: 916-816-4543
Email: cpbateni@ucdavis.edu
Shadi Aminololama-Shakeri, MD
Pager: 916-816-6894
Email: sshakeri@ucdavis.edu
Course Website:
Password: ucd
http://www.ucdmc.ucdavis.edu/radiology/education/medstudent.html
At the course website, you can find this syllabus, attendance sheets, and student evaluation forms. As a guide, a sample
presentation is available that demonstrates what is expected for the interesting case presentations.
COURSE OBJECTIVES
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Best ways to contact: via e-mail
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Acting Course Coordinator
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Hue To
Phone: (916) 734-5732
Email: htto@ucdavis.edu
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Mailing Address:
4860 Y Street, Suite 3100
Sacramento, CA 95817
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Learn how each radiology subspecialty contributes to medical decision making, diagnostic workup,
and patient therapy.
Be able to discuss basic concepts of radiology physics, radiation safety and protection, as they apply to
the imaging process, and as they apply to the safety of patients, employees, and the general public.
Know the indications, contraindications, risks, benefits, and alternatives for commonly performed
radiology procedures.
Know how to appropriately prepare patients to undergo common radiology procedures, and how to
obtain written informed consent.
Be able to interpret basic chest, abdominal, spine, and extremity radiographs with competency
appropriate for a PG1 level physician in the acute setting.
Be able to use imaging results to guide therapeutic strategy.
CLINICAL ROTATIONS
Schedule
For medical students placed on diagnostic radiology clerkship (RDI 461), we have constructed an assigned
schedule that attempts to provide exposure to the subspecialty sections of radiology that will be most
pertinent to the student's career. Students will be given an attendance sheet and will be expected to be at
their assigned section for each respective week. Below is a typical construct of the schedule.
Primary
Care/Medicine
Pediatrics
Radiology
Surgery Specialties
Week 1
Week 2
Week 3
Week 4
Nuclear Medicine
Chest CT/Chest
MSK
Body CT
Nuclear Medicine
Chest CT/Chest
MSK
Ultrasound
Pediatrics
Pediatrics
GI/GU
Neuroradiology
GI/GU
Pediatrics
Pediatrics
MSK
Neuroradiology
GI/GU/Body CT
Ultrasound
MSK
MSK
GI/GU/Body CT
IR
Pediatrics
Ultrasound
IR
Body CT
Chest CT/Chest
MSK
Ultrasound
Body CT
IR
Students are expected to adhere to their assigned schedule.
The schedule has been constructed to enable students to gain further knowledge in several subspecialties
within radiology. Additionally, this has been designed to enable students to better know the faculty,
residents, and fellows and to enable these individuals to provide a fair evaluation of each student. If the
student has a particular interest that deviates from this constructed schedule, we will attempt to
accommodate this interest – this will be dependent on the placement of other students.
Service
Location
Phone extension
Body CT
DT-1910J
3-2197
Chest/chest CT
DT-1901J
3-2191
GI/GU
DT-1910P
3-2257
Interventional Radiology
DT-1617E
3-2269
Musculoskeletal
ACC-1st floor radiology(1812)
4-0680
Neuroradiology
DT-1617C
4-8663
Nuclear Medicine
DT-1902
3-2135
Pediatric Radiology
DT-1901B
3-2175
Ultrasound (main hospital)
DT-1865
3-2152
Ultrasound (ACC)
ACC-basement radiology (0540 ACC)
4-0673
DT = Davis Tower
ACC = Ambulatory Care Center
CLINICAL WORK DAY
Students are expected to arrive for their clinical rotations by 8:30 am. Students who rotate through interventional radiology and
ultrasound are expected to arrive by 8:00 am for morning rounds. Please also note that when students are placed within certain
sub-sections of radiology, there are conferences that occur earlier than 8:30 am. Students placed within these sub-sections are expected
to attend these conferences. Please see section IV for further details.
Students are expected to wear professional attire. Note, though, that students rotating through interventional radiology and ultrasound
are expected to wear scrubs due to numerous procedures. Scrubs are available within the interventional radiology department, if needed.
Students are required to attend the daily noon conference for 4th year medical students. At times, students will be asked to attend the
radiology resident lectures, which typically start at 11:30 am and end at 1 pm. Students will then return to their assigned clinical rotation
and will be expected to be present until 4:00 pm, unless excused by the faculty, fellows, or residents. Students are also excused from the
clinical rotation for “Doctoring” but most notify the instructors of record at the start of the rotation.
SUBSPECIALTY ROTATIONS
INTERVENTIONAL RADIOLOGY: Students on the interventional radiology rotation should arrive prior to 8 am daily, as the daily morning
rounds occur at 8 am within the conference room located within the interventional radiology department.
MUSCULOSKELETAL RADIOLOGY: Students on the musculoskeletal radiology rotation should arrive at 8:30 am. However, on the 1st and 3rd
Tuesdays of the month, students are expected to attend the Rheumatology conference held in the upstairs musculoskeletal reading room
(room 1812 ACC building). Additionally, students are also expected to attend the weekly interesting case conference held every Friday
morning at 7:30 am in the upstairs musculoskeletal reading room (room 1812 ACC building). It is highly suggested that students on the
rotation prepare a presentation to be given during one of these interesting case conferences. This presentation should be 2 minutes or
less. This presentation should be 5 or fewer slides, discussing the pertinent diagnosis. The pertinent images will be displayed via the PACS
and need not be included in the presentation.
NEURORADIOLOGY: Students on the Neuroradiology rotation should arrive by 8:30 am daily. Please check with the faculty as to whether
they would advise you attend the neuroradiology specific conferences, which are tailored toward the education of the neuroradiology
fellows, and occur at 8 am.
NUCLEAR MEDICINE: Students should arrive by 9 am to the main nuclear medicine reading room. Students may spend time within the
general nuclear medicine section or PET imaging. Please discuss this with the radiology residents and nuclear medicine residents.
PEDIATRIC RADIOLOGY: Students should arrive by 8:30 am to the pediatric radiology reading room. Students will be exposed to
fluoroscopic procedures and the CT, MR, ultrasound, and radiographic interpretations of patients under the age of 18. It would be
advised that you spend at least 1/2 a day on the rotation working closely with the radiology technologists to better understand how
images are generated and how image quality can be affected. Please discuss this with the pediatric radiologists who can advise you on
the best time and date to do this.
ULTRASOUND: Students on the Ultrasound rotation will spend 2 weeks at the main hospital within the ultrasound department and 2
weeks at the ACC ultrasound department. Students will go to the main hospital on the 1st and 4th weeks of the rotation; students will be
at the ACC Ultrasound department on the 2nd and 3rd weeks of the rotation. When placed at the main hospital, students should arrive
by 8 am in order to be present for the review of the procedures for the day during the morning meeting between the radiologists,
technologists, and nurses. When rotating through the outpatient ultrasound section at the ACC building, students should arrive at 8:30
am. Students are encouraged to work closely with technologists in order to better learn and practice scanning skills; discuss this with
the radiologists and technologists who might pair you with the most appropriate individuals.
GUIDELINES
Our goal is to provide an engaging educational experience in radiology. The faculty, fellows and residents will facilitate your learning
process. Taking an active role in your education will help to achieve this goal. How can this be done? One way is by participating in the
clinical work. Ask residents or faculty if you can preview several radiologic exams. Gather the appropriate history, physical exam, and
other laboratory data that may help you in the image interpretation. Ask then to review the exam with the faculty so that you may
receive direct feedback on your imaging interpretation. At other times, such as when a faculty member is reviewing a study with a
resident and a clinical question arises, medical students can greatly assist in patient care by reviewing the patient's electronic
medical record or finding pertinent literature.
While much of radiology is now based upon imaging interpretation, all aspects of radiology have varying degrees of patient contact. You
will have the opportunity to take a history and conduct relevant physical exams of patients who present to the radiology department for
imaging exams or procedures. This may be helpful in improving the patient's care by directing appropriate attention to the site of
clinical concern. We expect that as in any other clinical clerkship you will maintain a professional demeanor. Remember to always
introduce yourself to a patient and state your role on the medical team. Also please remember to be courteous to patients and staff
and at all times respect patient privacy. Members of the radiology team, such as technologists, nurse practitioners, and nurses are also
key members of patient care.
If you encounter an interesting topic, utilize all the resources available to you. The provided textbook, journals, and websites (see
online references for examples) may all be useful in grasping a basic understanding of radiological concepts.
Please show your appreciation toward those whom assist you in better understanding radiology. This appreciation will encourage these
individuals to continue their efforts! Your evaluations of the rotation and the conferences will help us improve the rotation for future
medical students. Additionally, it is important that your evaluations of the lecturers accurately reflect the educational experience, as
these evaluations may be used in matters such as promotions.
Lastly, feel free to ask questions!
TEXTBOOKS
Mettler FA Jr, Essentials of Radiology (2nd edition), 2005 Elseiver, Inc.
Considering reading chapters as applicable to various rotations.
Book Check-out: Sign your name on the card inside the front cover of each book, then give the cards to the Course Coordinator.
YOU MUST RETURN THE BOOK BY THE FINAL DATE OF THE ROTATION IN ORDER TO RECEIVE A GRADE FOR THIS COURSE!
DAILY CONFERENCES
TEACHING CONFERENCES (Monday to Friday 12:00 pm - 1:00 pm)
A key part of the rotation is attendance and participation at conferences. Students are required to attend the daily medical student
educational conference held at noon. Please see the separate lecture schedule for the topics, speakers, and locations of the meetings.
It is vital that each student provides feedback for each lecture. If a lecturer or the topic is particularly interesting, we would like to know
this so that the individual or topic might occur more frequently. All lecture evaluations are online via surveymonkey.com – each
respective lecture evaluation form may be accessed by typing https://www.surveymonkey.com/s/ followed by the respective listing
for that lecture (see lecture schedule for further details - note that some evaluations are at https://www.surveymonkey.com/r/).
Students will at times attend the lectures for the radiology residents. This will be in lieu of a lecture specifically for the students. The
students will be directed toward these specific lectures as it has been determined that these lectures will also be appropriate for medical
students. A detailed radiology residency lecture schedule is posted throughout the department. Typically, the radiology resident lectures are
at 11:30am-12:10pm and 12:20pm-1pm, located at 1704 Conference Room in the Davis Tower. See this schedule for exceptions on dates and
alternate locations.
Additionally, sections within the radiology department have their own respective conferences, and medical students are expected to attend
these when rotating within these respective sections. If you are not rotating within a respective subsection of radiology, you are not
required to attend these subsection conferences, but you are welcome to attend them if you like. These include the following:
Abdominal Imaging
GI radiology
Thursdays 11 am-12 pm
1704 Davis Tower
CT abdomen, MRI abdomen, and fluoroscopic exams are reviewed with the Gastroenterology team.
Musculoskeletal Radiology
Rheumatology/Radiology
1st and 3rd Tuesdays (confirm with musculoskeletal section)
7:30 am – 8:30 am
ACC 1812 - Musculoskeletal reading room
Examples of various radiologic manifestations of rheumatologic conditions are reviewed with the rheumatologists.
Weekly Interesting Cases
Fridays 7:30am-8:30am
ACC 1812 - 1st floor Musculoskeletal reading room
The interesting exams of the week are compiled and reviewed by the Musculoskeletal faculty. This is also attended by various
members of Orthopedics and Physical Medicine and Rehabilitation.
National Teleconference
“Intergalactic Meeting”
Fridays 12:00pm-1:00pm
ACC 1812 - 1st floor Musculoskeletal reading room
Various educational topics related to musculoskeletal radiology are presented by multiple radiology departments throughout the country,
such as University of Washington, UCLA, Mayo Clinic of Arizona, Penn State, and UT Houston.
Neuroradiology
Fellow education conference
Wednesdays 8 am
1891 Davis Tower
Cases and lectures are provided by the neuroradiology faculty, geared toward the education of the neuoradiology fellow(s).
Interesting case conference
Fridays 8am
1891 Davis Tower
Interesting cases of the week are reviewed by the Neuroradiology section.
A lecture schedule is included in your Orientation Packet. You will be notified by e-mail or pager of any changes made to the
schedule. Bring lunch and be ready to start on time.
lecture
ONLINE EDUCATION
In order to ensure that each student sees a diversity of abnormalities, the lectures and clinical workdays are supplemented with an online
educational resource. This educational resource has been developed by radiologists who seek to further the education of medical students.
Each student will have a username and password assigned to him/her. While not a requirement, it is advised that students complete this
material. Students might consider utilizing this resource during “down-times” of the rotation.
This material may be accessed at:
http://www.med-u.org/core
The UC Davis School of Medicine has an account with MedU. If you have not already utilized the MedU system previously, such as in the 3rd
year of medical school, students can easily create an account to access the material. To do so log on to the above listed website. Click the
“Sign In” button on the top right of the screen. If you are not already registered, students simply then register as a student. Individuals are
then directed to a registration page that will ask for an e-mail address and generation of a password. Student will then be notified by MedU
that they can access the material on the website. For visiting students that do not have an account through their medical school, please see
one of the instructors of record for further details on how to access the material.
ONLINE RESOURCES
While this is not an all encompassing list, the following websites cover all aspects of Radiology and are amongst the most utilized by
Radiologists.
http://learningradiology.com This website is designed specifically for medical students. The website provides a case of the week. There
are specific short lecture topics addressing topics such as congestive heart failure and pneumothoraces.
http://www.acr.org While designed for practicing radiologists, this website provides a “Case of the Day,” which can be accessed from the
main webpage. Additional educational materials are available under the “Residents and Fellow” section.
http://auntminnie.com This website also has a “Case of the Day.” Other aspects include brief articles discussing recent research and
technical developments and a forum section.
JOURNALS
There are numerous journals available that might help assist you in your education and the education of others. This is only a suggestion;
the following journals typically provide well written peer-reviewed research material.
American Journal of Roentgenology This is the official journal of the American Roentgen Ray Society, one of the largest radiologic
organizations in North America. All articles more than 1 year old are readily available through the internet. Articles less than 1 year old are
not available via the internet nor the UCD library’s website. A print article can be obtained at the UCD library, if necessary. Articles may be
either original research or reviews.
Radiology This is the official journal of the Radiologists Society of North America, the largest radiology organization in the US and Canada.
All articles are available through the UCD library website (with VPN access needed when off campus). Articles more commonly are original
research, although there are also an appropriate number of review articles.
Radiographics This is a companion journal of the Radiologists Society of North America, the largest radiology organization in the US and
Canada. All articles are available through the UCD library website (with VPN access needed when off campus). Published material more
commonly consists of review articles that tend to be heavily image based.
GRADING POLICY
The final grade is determined by professionalism, presentations, and evaluations.
PROFESSIONALISM: Professionalism will be determined based upon attendance, timely completion of tasks, and completion of required
evaluations. Participation in both required and optional tasks, such as during the educational session and online education will be factored.
As stated above, students are expected to attend the lectures specifically designed for the medical students, held typically from 12 pm to 1
pm. Please be respectful to the presenter by turning off your mobile phone during presentations and throughout the rotation.
The radiology lecture series is composed of a core set of lectures. For those who are repeating on the radiology rotation, you may be
exposed to a lecture that you have already attended previously. In those situations, you are expected to attend the radiology residency
lectures instead that are held concurrently. This lecture schedule is posted throughout the radiology department. You are required to
submit evaluations of the student specific lectures via surveymonkey.com.
Absence: Students are excused up to 3 days for residency interviews. Please notify us via e-mail of the days you will be absent. If you
miss more than 3 days while on the rotation, you may be given an additional assignment or may need to make up missed day(s).
Unexcused absences may result in course failure.
If you are sick, please contact us via e-mail that day to notify us of your absence. Students will be excused for the “Doctoring” course.
Students will be granted up to 4 half day absences per 4 week rotation (2 per 2 week rotation) for the “Doctoring” course. Students will
notify the course director at the start of this course of the dates in which these sessions occur and their faculty facilitator. Students will be
expected to adhere to this schedule.
PRESENTATIONS: Each medical student on the 4 week rotation will be responsible for preparing a total of 2 case presentations (students
on subspecialty 2 week rotations will also be expected to participate by preparing one presentation for each 2 week block). These
presentations will occur during an allotted time noted on the teaching conference schedule. This presentation should last approximately 5
minutes. The presentation should discuss the pertinent history, imaging findings, differential diagnosis, final diagnosis, typical imaging
findings of the final diagnosis, and management. The presentation should be provided in PowerPoint, Keynote, or PDF format.
Presentations should be 10 slides or less. The images should be current and, if necessary, available on the PACS so that the IOR can review
the salient images with the other attendees. The presentation should be focused on a topic encountered during your clinical rotations, and
images should be from a patient you have seen. Annotations and patient identification information should be removed from the images.
We would advise providing focused laboratory values, clinical history, and physical exam findings. Proper image selection is critical to ensure
that your colleagues grasp how the imaging has assisted in the diagnosis. Consider also having images of key differential diagnoses to better
educate your colleagues on the differing imaging features. Additionally, it is important to emphasize what are the proper imaging modalities
for your potential diagnoses.
If you need assistance, ask a resident, fellow, attending physician, or instructor of record. Appropriate references should also be
documented (note that references such as wikipedia, radiopedia, emedicine, and uptodate solely on their own are not appropriate). The
presentation should be e-mailed to Dr. Bateni, one of the instructors of record – his e-mail address is: cpbateni@ucdavis.edu (you will be
notified if your presentation also needs to be e-mailed to Dr. Aminololama-Shakeri).
If you will be absent for the presentations, it is expected that you e-mail your presentation to the course directors and coordinator before
the date and time of the presentation session. If a student does not compose a presentation, this may result in course failure.
EVALUATIONS: Residents, fellows and attending physicians will be evaluating each medical student as he/she rotates through various
sections of radiology. Evaluations are based upon attendance, professionalism, communication, and clinical skills. Medical students will be
responsible for providing the evaluations to the resident, fellow, or attending physician within the assigned section for that week before the
end of each respective week.
CQI POLICY
This course belongs to YOU. Your active participation will significantly enhance your personal learning experience and that of your
classmates. We continually strive to find ways to make the course relevant to your current medical training and future clinical practice.
Please take time to complete your lecture evaluations on the website surveymonkey for the lecturers. We ask for at least a 75%
response rate from all attendees. Failure to achieve a 75% response rate may result in delay of the release of grades. We would also like
you to evaluate faculty with whom you spent a significant amount of time with on your radiology rotation. These surveys are listed
below.
GENERAL FACULTY EVALUATIONS
Abdominal Radiology:
https://www.surveymonkey.com/r/ucdabdfaculty
Chest Radiology:
https://www.surveymonkey.com/r/ucdchestfaculty
Interventional Radiology:
https://www.surveymonkey.com/r/ucdirfaculty
Musculoskeletal Radiology:
https://www.surveymonkey.com/r/ucdmskfaculty
Neuroradiology:
https://www.surveymonkey.com/r/ucdneurofaculty
Pediatric radiology:
https://www.surveymonkey.com/r/ucdpedfaculty
If you find an aspect of the course to be suboptimal, or if you should experience a negative interpersonal interaction, please bring it to the
attention of the IOR or the Course Coordinator as soon as possible so that it can be remedied appropriately.
We greatly value your input. Your feedback will enable us to continue to improve the rotation for future medical students. We look forward
to working with you!
END OF THE ROTATION CHECKLIST
Have you:
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Returned the textbook (if applicable)?
Turned in your sign-in sheet?
Provided evaluation forms to faculty, fellows, and/or residents?
E-mail Hue To (htto@ucdavis.edu) a list of faculty whom you have the most contact with during the rotation. (3600 evaluation)
E-mailed your presentations to the instructors of record prior to the date of the presentation?
Completed the lecture evaluations via surveymonkey.com?
Completed any applicable faculty evaluations via surveymonkey.com?