Editors –
Dr. Julian Dobranowski
Assistant Editor –
Kim Harper
DIAGNOSTIC
IMAGING
Medical Student Elective Program
OBJECTIVES
and
GUIDELINES
I.
ELECTIVE INFORMATION
The Medical Student Elective Program operates year-round. Electives are two-weeks in duration and
based at the Charlton Site of St. Joseph’s Healthcare Hamilton, Juravinski Innovation Tower, Level 0
50 Charlton Avenue East, Hamilton ON L8N 4A6.
There is a maximum of two students per two-week elective
The hours are 8:00am to 5:00pm – MON to FRI
II.
GENERAL INFORMATION
St. Joseph’s Healthcare Services is comprised of three sites in Hamilton, the Charlton Site, the Centre for
Mountain Health Services (CMHC – West 5th site) and the Centre for Ambulatory Care Services (CAHS –
King Street East site).
Charlton Site
The Charlton Site is a tertiary-care hospital, with the busiest Emergency Services in the City. It is the
Regional Referral Centre for Rheumatology, Nephrology, Urology and Thoracic Surgery.
It is also home to a busy general orthopedic practice with a special interest in trauma, sports medicine,
spinal surgery and upper extremity orthopedics. There are also very active departments of rheumatology
and physical rehabilitation.
The Department of Diagnostic Imaging is equipped with –







PACS
a twin gradient 1.5 T MRI Scanner
a new gradient 3T MRI Scanner
a 16-slice CT scanner
a 64-slice VCT scanner
digital mammography
Ultrasound
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Centre for Ambulatory Health Services (CAHS – King Street East)
St. Joseph’s Centre for Ambulatory Health Services (formerly St. Joseph’s Community Health Centre) is a
pioneer in Ontario’s health care system. It is a hospital-sponsored outpatient facility supporting the
service needs of the residents of Stoney Creek, East Hamilton, and the broader Hamilton Region.
CAHS brings health care into the community with a variety of services and programs from sports
medicine and eye care to pain management. The Urgent Care Centre, for non-life threatening
emergencies, is the region's busiest emergency service next to St. Joseph's Emergency Department.
CAHS also offers health education ranging from asthma management to nutrition for diabetes. Two new
centres broaden the services at CAHS: the Women's Health Centre offers many options for the maturing
woman, including the Ontario Breast Screening Program, and the Surgery Centre provides day surgeries,
such as cataract removal.
Centre for Mountain Health Services
(CMHS – West 5th)
St. Joseph’s Centre for Mountain Health Services (formerly the Hamilton Psychiatric Hospital) is home to
the regional specialized Mental Health Services for Central South. It is a specialized tertiary care centre
dedicated to the service of individuals suffering with a severe mental illness, their families and their
community. It is located in Hamilton and serves the city of Hamilton and the regions of Halton, Brant,
Niagara, and Haldimand.
III.
OVERVIEW
Elective Students will be involved in the reviewing of multimodality images from the Charlton Site, CMHS
and CAHS.
Elective Students will have to schedule a time in Computed Tomography (CT), Fluoroscopy,
angiography/interventional, Ultrasound, Magnetic Resonance Imaging (MRI) and Mammography to
broaden your scope of knowledge of the procedures and examinations performed in the Department of
Diagnostic Imaging.
Elective Students will assess patient care by following designated patients from “check-in” (ie when the
patient arrives in the department) through image acquisition, the role of the technologist, and image
interpretation by the radiologist.
The Elective Student will learn to assess the impact of diagnostic imaging on patient management.
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During the first week of the elective program, the student will rotate through the main modalities of
Diagnostic Imaging.
ROTATION
DAY
W
E
E
K
O
N
E
MODALITY
MONDAY
General Radiology / Fluoroscopy
TUESDAY
Ultrasound / Mammography
WEDNESDAY
Computerized Tomography (CT)
THURSDAY
Magnetic Resonance Imaging (MRI) (Check for CTU Chest Rounds)
FRIDAY
Angiography / Interventional
The second week the student will rotate to different subspecialties.
ROTATION
DAY
W
E
E
K
T
W
O
MODALITY
MONDAY
Respiratory Imaging – Centre of Radiological Anatomy
TUESDAY
GI / GU Imaging
WEDNESDAY
Musculoskeletal Imaging / Angio-Interventional
THURSDAY
Neuro Imaging (Check for CTU Chest Rounds)
FRIDAY
Emergency Radiology
CORA – the Centre of Radiological Anatomy, under the Directorship of Dr. Julian Dobranowski, is a unique interactive learning environment located on the 3rd Floor of the Juravinski Innovation Tower. Students are encouraged
to work through a number of specific modules and are expected to complete test evaluations upon completion of
each module. There is an extensive set of modules geared toward chest imaging.
To access the CORA lab, please contact Sue Wagland – DI Administrative Assistant, ext. 33308.
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IV.
Medical Student Elective Program
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EDUCATION
Attendance at the various educational rounds available within the department and outside the department
by elective undergraduate students is encouraged to enhance the success of the elective experience.
Weekly Rounds –
M - MON / T - TUE / W - WED / Th – THU /
F - FRI
TIME
DAY
MODALITY
LOCATION
12-1pm
M/T/Th/F
Radiology Resident Hot Seat
Teaching Rounds
Reporting Room of
Radiologist on Flu/Gen
8-9am
T
General Radiology
DI Conf Rm T0102
8-9am
W
Medical Grand Rounds
Fontbonne Bldg – Stelco
Amphitheatre
12-1pm
W
Musculoskeletal/Vasculitis
DI Conf Rm T0102
4:30pm - 5:30pm
W
Multidisciplinary GI
Mary Grace Boardroom
12-1pm
Th
Breast/Pathology
DI Conf Rm T0102
12-1pm
Th
Clinical Teaching Unit Rounds
(combined with Respirology and
Radiology)
Firestone Teaching Room &
Centre of Radiological
Anatomy (CORA)
Hepatobiliary
DI Conf Rm T0102
7-8am
F
(Check first – not always consistent)
8-9am
F
Multidisciplinary Chest
Firestone Conf Room
Level One – Juravinski Tower
CROSS-SECTIONAL / NEURO ROUNDS – TUE
A variety of recent CT, MRI and plain radiographs pertaining to several modalities are reviewed by radiological staff in
a teaching environment with clinical correlation and follow-up.
MULTIDISCIPLINARY GI ROUNDS (Gastrointestinal / Surgical) - WED
GI radiological cases are presented for discussion with surgeons and residents.
MULTIDISCIPLINARY CHEST ROUNDS - FRI
Chest problem cases are presented for discussion. The rounds are presented for respirologists, radiologists and
thoracic surgeons.
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MEDICAL GRAND ROUNDS – WED
Presentations by a variety of specialties and sub-specialties, addressing a wide range of cases of clinical
interest and new developments.
RADIOLOGY RESIDENT ROUNDS – M & T (12 noon) W – 7:30am
These rounds are conducted by the Staff Radiologist scheduled for General/ICU Reporting. They are geared toward
Radiology Residents, however, medical students are expected to attend. The exact time for these rounds can
fluctuate depending on the radiologist’s workload. Students are advised to check with the residents.
CLINICAL TEACHING UNIT (CTU) ROUNDS – THU – 12 noon
Radiology Rounds have been organized for the Clinical Teaching Unit at St. Joseph’s Healthcare. They take place
each Thursday in CORA and are conducted on alternating weeks by Dr. Gerry Cox (Respirology) and Dr. Julian
Dobranowski (Chief DI).
The curriculum of the rounds is to review the radiological anatomy of the thorax and to introduce concepts of
pathology as related to the thorax and to introduce concepts of pathology related to the thorax. The curriculum of the
rounds rotates with two or three presentations on normal anatomy and the remainder focusing on image-based
pathology. The students are also introduced into concepts of neuro imaging as they apply to internal medicine.
OTHER
Students enrolled in the Medical Student Elective Program are welcome to attend educational rounds of
interest at St. Joseph’s Healthcare Hamilton or Hamilton Health Sciences.
V.
RESEARCH OPPORTUNITIES
There are many opportunities for students to become involved in research or educational projects in
Diagnostic Imaging, including creation of radiological anatomy modules, Case Reports, Perspective
Studies and Posters. Interested students are asked to notify the Electives Coordinator,
(Dr. Judith Coret-Simon) or the Director of CORA – the Centre of Radiological Anatomy.
(Dr. Julian Dobranowski).
The McMaster University Imaging Research Centre/Brain Body Institute located at St. Joseph's
Healthcare, has a CT-PET scanner and a 3T MRI scanner, offering excellent opportunities for research.
VI.
EVALUATION
Following completion of the two-week elective period, students will be assessed by the Elective Student
Coordinator, based upon objectives achieved and any areas requiring improvement or further study.
The student will be required to complete a 20-question quiz related to the student’s understanding of the
physics, radiation exposure, patient perspective, role of technologist and supporting staff as detailed in
the McMaster Medical Student Radiology curriculum.
DIAGNOSTIC
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Medical Student Elective Program
Medical Student Elective Coordinator
Dr. Judith Coret-Simon
Rm. T0114 905 522-1155 Ex 34192
jcoret@stjoes.ca
Medical Student Elective Co-Coordinator
Dr. Sriharsha Athreya
Rm. T0112 905 522-1155 Ex 33274
sathreya@stjoes.ca
(in the event Dr. Coret-Simon is away, Dr. Athreya supervises
the Elective Program)
Apply for an Elective Program at St. Joseph’s Healthcare Hamilton
Sue Wagland – Diagnostic Imaging – Administrative Coordinator
905-522-1155 Ex. 33308
swagland@stjoes.ca
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