New Application: Abdominal Radiology
Review Committee for Diagnostic Radiology
ACGME
515 North State Street, Suite 2000, Chicago, Illinois 60654  312.755.5000  www.acgme.org
PARTICIPATING SITES
Provide the name and 10-digit program ID of the ACGME-accredited diagnostic radiology program with
which the fellowship program is associated. [PR I.B.3.]
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PROGRAM PERSONNEL AND RESOURCES
Program Director
What percentage of time does the program director spend in the subspecialty? [PR II.A.4.] .............. # %
Faculty
1. Will abdominal radiologists supervise special imaging, such as computed tomography,
ultrasonography, and magnetic resonance imaging? [PR II.B.3.a).(1)] ......................... ☐ YES ☐ NO
a) If no, does the faculty include part-time members who are specialists in these areas?
............................................................................................................................... ☐ YES ☐ NO
2. Will the faculty provide didactic teaching and supervision of the fellow’s performance and
interpretation of all abdominal imaging procedures? [PR II.B.3.b)] ............................... ☐ YES ☐ NO
Other Program Personnel
1. Is there a program coordinator available to the program? [PR II.C.1.] .......................... ☐ YES ☐ NO
If no, explain
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2. Does the program coordinator have sufficient time and resources to support the administration and
educational conduct of the program? [PR II.C.1.] ......................................................... ☐ YES ☐ NO
If no, explain
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Resources
1. Briefly describe the facilities and space, including study space, conference space, and access to
computers, available for the education of fellow. [PR II.D.1.a)]
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2. List the number of units available to fellows in each site. Include units in other departments, e.g., GI
and GU. [PR II.D.2.]
Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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CT Equipment
Multidetector CT units (for
each unit list number of
detectors)
Ultrasound Equipment
(Include manufacturer, model,
date installed)
MRI Equipment (Include
manufacturer, model, date
installed) For each scanner list
field strength
PET or PET CT(include
manufacturer, model, date
installed)
Site #1
Site #2
Site #3
Site #4
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3. Briefly describe the pathology and laboratory services available to support the program. [PR II.D.2.]
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4. Does the institution sponsor ACGME-accredited programs in the following: [PR II.D.3.]
a)
b)
c)
d)
e)
f)
General surgery ..................................................................................................... ☐ YES ☐ NO
Gastroenterology.................................................................................................... ☐ YES ☐ NO
Oncology ................................................................................................................ ☐ YES ☐ NO
Urology................................................................................................................... ☐ YES ☐ NO
Obstetrics/Gynecology ........................................................................................... ☐ YES ☐ NO
Pathology ............................................................................................................... ☐ YES ☐ NO
Explain any “no” responses.
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5. Provide the following information for the most recent 12-month period. [PR II.D.4.]
Reporting Period:
From: Click here to enter a date.
Site #1
#
#
Hospital Bed Capacity
Diagnostic radiology cases
To: Click here to enter a date.
Site #2
#
#
Site #3
#
#
Site #4
#
#
6. Abdominal Radiology Procedures
Provide the data requested below regarding the number of procedures performed at each site that
participates in the program for the most recent 12 month period. [PR II.D.4.; IV.A.2.a).(1).(g)]
Exam
CT Scan
CT Abdomen w & w/o
contrast
CPT
Site #1
Site #2
Site #3
Site #4
74170
#
#
#
#
Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
Page 2 of 8
Exam
CPT
CT Abdomen w/
74160
contrast
CT Abdomen w/o
74150
contrast
CT Angio Abdomen w & 74175, 74174, 72191
w/o contrast
CT and US Aspiration / Drainage
CT/US Aspiration or
49405
Drainage, Visceral,
Percutaneous
CT/US Aspiration or
49406
Drainage, Peritoneal or
Retroperitoneal
CT/US Aspiration or
49407
Drainage – Transvaginal
or Transrectal
CT Biopsy
Biopsy / Abdomen /
49180 (biopsy),
Pelvis /
77012/CTGuidance
Retroperitoneum
Biopsy - Liver
47000
77012/CTGuidance
Biopsy - Pancreas
48102
77012/CTGuidance
Nuclear Medicine
Renal Scan (MAG3)
78707
Gallium Scan (Infection)
78806
Gallium Scan Tumor
78802
Hepatobiliary System
78226, 78227
Imaging with
Quantitative
Measurements
PET
Tumor Imag PET/CT
78815
Skull Base to Mid Thigh
Tumor Imag PET/CT
78816
Whole Body
Ultrasound
Abdomen Complete
76700
Abdomen Limited (gall
76705
bladder, liver, pancreas)
Retroperitoneal
76770
Complete
Retroperitoneal Limited
76775
(kidney, ureters)
Pelvis US Complete
76856
Pelvic US Limited
76857
US Biopsy
49180, 76942
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Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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Exam
Biopsy / Liver
US/ Biopsy / Pancreas
Abdominal
Paracentesis w/
Imaging
MRA / MRI
MRA Abdomen
MRI Abdomen w & w/o
contrast
MRI Abdomen w
contrast
MRI Abdomen w/o
contrast
CPT
47000, 76942
Ultrasound Guidance
48102, 76942
Ultrasound Guidance
49803
Site #1
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Site #2
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Site #3
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Site #4
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74185
74183
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74182
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74181
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Medical Information Access
Describe resources available for point of service teaching and learning utilized during read out session.
The description should include the availability of electronic resources. [PR II.E.]
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FELLOW APPOINTMENTS
Explain the distinction between the diagnostic radiology residents and the fellows in terms of clinical
activities and level of responsibility. [PR III.B.4.]
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EDUCATIONAL PROGRAM
Patient Care
1. Briefly describe how fellows will provide consultation with referring physicians or services.
[PR IV.A.2.a).(1).(a)]
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2. Will fellows have a clearly defined role in educating diagnostic residents, and if appropriate, medical
students and other professional personnel in the care and management of patients?
[PR IV.A.2.a).(1).(b)] ................................................................................................... ☐ YES ☐ NO
If no, explain
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3. Provide examples of how fellows will follow standards of care for practicing in a safe environment,
attempt to reduce errors, and improve patient outcomes. [PR IV.A.2.a).(1).(c)]
Limit to 200 words
Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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
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
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4. Briefly describe how graded responsibility and supervision will be implemented for exam and
invasive study interpretation. [PR IV.A.2.a).(1).(d)]
Limit to 200 words
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5. Will fellows have the opportunity to interpret the following:
a) plain films and contrast enhanced conventional radiography studies of the GI and GU tracts
including Barium contrast studies and urography [PR IV.A.2.a).(1).(e).(i)] .............. ☐ YES ☐ NO
b) all ultrasonic examinations of the solid and hollow organs and conduits of the GI tract and of the
kidneys, retroperitoneal spaces, the bladder and male and female reproductive organs and
conduits [PR IV.A.2.a).(1).(e).(ii)]............................................................................ ☐ YES ☐ NO
c) all computed tomography examinations of the solid and hollow organs and conduits of the GI
and GU tracts and associated vessels and space [PR IV.A.2.a).(1).(e).(iii)] ........... ☐ YES ☐ NO
d) all magnetic resonance imaging examinations of the abdomen including but not limited to
magnetic resonance cholangiopancreatography and magnetic resonance angiography [PR
IV.A.2.a).(1).(e).(iv)]................................................................................................ ☐ YES ☐ NO
Explain any “no” responses.
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6. Briefly describe how fellows will become familiar with the indications and complications of
percutaneous nephrostomy, and transhepatic cholangiography, tumor embolizations, and
percutaneous ablation. [PR IV.A.2.a).(1).(f)]
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7. Briefly describe how fellows will become familiar with the indications, performance, and
interpretation of PET and PET/CT in relation to abdominal disease. [PR IV.A.2.a).(1).(g)]
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8. Briefly describe how, through conferences and individual consultation, fellows will integrate invasive
procedures, where indicated, into optimal care plans for patients, even though formal responsibility
for performing the procedures may not be part of the program [PR IV.A.2.a).(1).(h)]
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9. Briefly describe how graded responsibility and supervision will be implemented for performance of
exams and invasive studies. [PR IV.A.2.a).(2).(b)] ....................................................... ☐ YES ☐ NO
Limit to 200 words
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Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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Medical Knowledge
1. Describe how fellows will develop knowledge of low dose radiation techniques for both adults and
children. [PR IV.A.2.b).(2)]
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2. Describe how fellows will develop knowledge of prevention and/or treatment of complications of
contrast administration. [PR IV.A.2.b).(3)]
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3. Will fellows be provided with opportunities to prepare and present educational material for medical
students, graduate medical staff, and allied health personnel? [PR IV.A.2.b).(4)]......... ☐ YES ☐ NO
4. Will fellows have daily image interpretation sessions, under faculty review and critique, in which
fellows reach their own diagnostic conclusions? [PR IV.A.2.b).(5)]............................... ☐ YES ☐ NO
Curriculum
1. If there are outside rotations, describe the fellows' duties and level of responsibility during each of
the outside assignments.
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2. Briefly describe how the program will provide the fellows with clinical and didactic experiences that
encompass the full breadth of abdominal diseases and their pathophysiology. [PR IV.A.3.a) IV.A.3.a).(1)]
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3. Briefly describe how fellows will be instructed in the indications, risks, limitations, alternatives, and
appropriate utilization of imaging and image-guided invasive procedures. [PR IV.A.3.b)]
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Conferences
1. Do conferences include:
a) Intradepartmental conferences [PR IV.A.3.d).(1).(a)] .............................................. ☐ YES ☐ NO
If yes, how frequently does this occur? [PR IV.A.3.c)] ............................................... (Frequency)
b) Departmental grand rounds [PR IV.A.3.d).(1).(b)]................................................... ☐ YES ☐ NO
If yes, how frequently does this occur? [PR IV.A.3.c)] ............................................... (Frequency)
c) At least one interdisciplinary conference per week [IV.A.3.d).(1).(c)] ...................... ☐ YES ☐ NO
d) Peer review case conference and/or M&M conference [PR IV.A.3.d).(1).(d)] ......... ☐ YES ☐ NO
If yes, how frequently does this occur? [PR IV.A.3.c)] ................................................ [Frequency]
Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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2. Briefly describe the policy for fellow attendance and participation at local and national meetings.
Indicate whether the program will provide reimbursement. [PR IV.A.3.e). - IV.A.3.e).(1)]
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3. Formal didactic sessions
Enter the schedule of planned conferences and lectures. The specific title of lectures/sessions is
requested. Add rows as necessary. [PR IV.A.3.f)]
Reporting Period (Planned
From: Click here to enter a date.
12-month period):
Type and Frequency
To: Click here to enter a date.
Title
Fellows’ Scholarly Activities
Describe how fellows will be instructed in the fundamentals of experimental design, performance, and
interpretation of results. [PR IV.B.1.]
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EVALUATION
Fellow Formative Evaluation
1. Will fellow evaluations include at least a quarterly review? [PR V.A.1.b).(3).(a)]........... ☐ YES ☐ NO
2. Will the quarterly review include the following? [PR V.A.1.b).(3).(a).(i).(a)-(c)]
a) Review of the faculty’s evaluations of the fellow ..................................................... ☐ YES ☐ NO
b) Review of the fellow’s procedure log ...................................................................... ☐ YES ☐ NO
c) Documentation of compliance with institutional and department policies (e.g. HIPAA, the JC,
patient safety, infection control, etc.) ...................................................................... ☐ YES ☐ NO
Explain any “no” responses.
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Faculty Evaluation
1. Will faculty evaluations include a written confidential evaluation by the fellows? [PR V.B.3.]
.................................................................................................................................... ☐ YES ☐ NO
2. Will faculty receive annual feedback from these evaluations? [PR V.B.3.].................... ☐ YES ☐ NO
Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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Explain any “no” responses.
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Abdominal Radiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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