New Application: Neuroradiology
Review Committee for Diagnostic Radiology
ACGME
515 North State Street, Suite 2000, Chicago, Illinois 60654  312.755.5000  www.acgme.org
PARTICIPATING SITES
Name of ACGME-accredited diagnostic radiology program with which the fellowship program is
associated.
Click here to enter text.
PROGRAM PERSONNEL AND RESOURCES
Program Director
What percentage of time does the program director spend in the subspecialty? [PR II.A.4.] .............. # %
Faculty
1. What percentage of time does the neuroradiology faculty member(s), excluding the program
director, spend in the practice of neuroradiology? [PR II.B.1.a).(1)].............................................. # %
2. Describe how the faculty members will supervise fellow performance and interpretation of
neuroradiologic procedures? [PR II.B.2.a)]
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Other Program Personnel
1. Is there a program coordinator available to the program? [PR II.C.] ............................. ☐ 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.] ............................................................ ☐ YES ☐ NO
If no, explain.
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3. Will support for research projects be provided? [PR II.C.1.] ......................................... ☐ YES ☐ NO
If no, explain.
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4. Will assistance for literature searches, editing, statistical tabulation, and photography be provided?
[PR II.C.1.a)] ................................................................................................................ ☐ YES ☐ NO
If no, explain.
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Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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5. Are appropriately trained nurses and technologists for invasive procedures available? [PR II.D.1.a)]
.................................................................................................................................... ☐ YES ☐ NO
Resources
1. Describe the following: [PR II.D.1.(a)-(b)]
a) Conference facilities and space
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b) Office and study space for faculty and fellows
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c) Research space and laboratory facilities
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d) Computer, image display, internet and electronic health record access
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2. List the number and date of units available to neuroradiology fellows in each site: [PR II.D.1.a)]
Magnetic Resonance Imager:
Less than 1.5 T
1.5 T
3.0 T
CT Scanner:
Fewer than 16 detector rows
16-32 detector rows
64 or more detector rows
Angiographic Unit (indicate if digital):
Ultrasonic equipment
Doppler
Intraoperative
Transcranial
SPECT
PET/CT
MR Spectroscopy
Tomographic Imaging Systems
Site #1
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Site # 2
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
Site #3
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
#
3. Is physiological monitoring available at each site? [PR II.D.1.a)] .................................. ☐ YES ☐ NO
4. Is a crash cart for emergency ventilation and cardiac life support available at each site?
[PR II.D.1.a)] ................................................................................................................ ☐ YES ☐ NO
Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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5. Indicate whether the following are available:
a) Facilities, adjacent to or within examination rooms, for storing supplies needed for the conduct
of invasive neurological procedures [PR II.D.1.a)] ..................................................... ☐ YES ☐ N
b) Space for image display, interpretation of studies, and consultation with clinicians [PR II.D.1.b)]
............................................................................................................................... ☐ YES ☐ NO
6. Indicate whether the following are available:
RIS / PACS
Is there a RIS
(Radiology
Information
System)?
[PR II.D.1. b)]
Is there PACS
(Picture
Archiving
Communication
System)?
[PR II.D.1. b)]
Primary Clinical Site #1
Year of
Check if most recent
Yes
installation
Year
☐
☐
Year
Site #2
Year of
Check if most recent
Yes
installation
Year
☐
☐
Year
Site #3
Year of
Check if most recent
Yes
installation
Year
☐
☐
Year
7. Is there a neuroradiology teaching file available to fellows? [PR II.D.2.].... ................... ☐ YES ☐ NO
8. Will the fellows have access to a neuroradiology-specific library or electronic reference materials?
[PR II.D.2.] ................................................................................................................... ☐ YES ☐ NO
9. Describe resources available for point of service teaching and learning utilized during read out
sessions. The description should include the availability of electronic resources. [PR II.D.2.]
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10. Patient Data [PR II.D.; IV.A.2.a).(2)]
Reporting Period (Recent 12month period):
From: Click here to enter a date. To: Click here to enter a date.
Hospital Bed Capacity
Hospital Admissions (total)
Adult
Pediatric
Number of Neurological Surgery Admissions
Number of Neurology Admissions
Site #1
#
#
#
#
#
#
Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Site #2
#
#
#
#
#
#
Site #3
#
#
#
#
#
#
Updated 2/2015
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11. Neuroradiology 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.; IV.A.2.a).(1).(a);
IV.A.2.a).(2).(c)-(e); IV.A.2.a).(2).(g)]
Procedure
Brain CT and MR
CPT
70460, 70470, 70496, 70551,
70552, 70553
Spine CT and MR
72125, 72126, 72127, 72128,
72129, 72130, 72131, 72132,
72133, 72141, 72142, 72146,
72147, 72148, 72149, 72156,
72157
Head and Neck CT and 72158, 70360, 70480, 70450,
MR
70460, 70470, 70480, 70481,
70486, 70487, 70490, 70491,
70492, 70540, 70542, 70543,
70557, 70336
CTA and MRA
70559, 70496, 70498, 70544,
70545, 70546, 70547, 70578
Advanced Imaging
70549, 70554, 70555, 76376,
76377, 76390, 0042T
Diagnostic Angiography 0042T, 75705, 75710, 75716,
36221, 36222, 36223, 36224,
36225, 36226, 36227
Image guided spinal
75774, 20220, 20225, 20251,
canal access and/or
20551, 20552, 20553, 21550,
biopsy of spine and
61120, 61140, 61751, 61575,
head/neck
61750, 61751, 62263, 62264,
62269, 62270, 70390
Endovascular
62284, 62350, 62351, 62355,
Interventions
70010, 72240, 72255
Spine Interventions
77002, 77003, 61623, 61624,
61626, 61630, 61635, 61640,
61641, 61642, 22520, 22521,
22522, 22523, 22524, 22525,
22526, 22527, 62310, 62311,
62280, 62281, 62282, 62310,
62311, 62318, 62319, 64479,
64480, 64483, 64484, 6466,
72275, 27096, 61055, 62290,
62291, 64420, 64421, 64510,
72159, 72285, 64490, 64491,
64492, 64493, 64494, 644925,
64635
Site #1
#
Site #2
#
Site #3
#
#
#
#
#
#
#
#
#
#
#
#
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#
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#
FELLOW APPOINTMENTS
1. Describe the selection process the program will use for neuroradiology fellows. [PR III.A.-III.A.1.]
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Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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2. If there are training programs in the primary clinical site in any of the following areas, provide the
data indicated: [PR III.B.; III.B.3.]
Core Radiology
Neurology
Neurological surgery
Neuropathology
# Medical Personnel
#
#
#
#
# Residents
#
#
#
#
# Fellows
N/A
#
#
#
3. How will the program director ensure the subspecialty program in neuroradiology does not have an
adverse impact, as by dilution of the available clinical material, on the education of the diagnostic
radiology residents in the site? [PR III.B.3.]
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4. Explain the distinction between the diagnostic radiology residents and the fellows in terms of clinical
activities and level of responsibility [PR IV.A.2-IV.A.2.a).(2).(h)]
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EDUCATIONAL PROGRAM
Patient Care
1. For the patient care and procedural areas listed in the table below, identify the learning activities
and settings in which the fellows engage. [PR IV.A.5.a).(2).(a)-(e)]
List in Bulleted Format the
Learning Activities Used to
Address the Core Knowledge
Areas
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CORE CURRICULUM
Interpretation of non-invasive
imaging studies of the brain,
spine, neck, organs of special
sense and vascular supply to
those regions including CT, MR,
plain radiography, ultrasound,
nuclear medicine including
PET, and new and evolving
techniques
[PR IV.A.2.a).(1).(a).IV.A.2.a).(1).(a).(vi)]
Administering and monitoring

sedation of the conscious
patient
[PR IV.A.2.a).(1).(b)]
1500 neuroradiological CT

scans and 1500
neuroradiological MR scans
[PR IV.A.2.a).(2).(a)]
List the Corresponding
Setting(s) in Which These
Learning Activities Take
Place
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Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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List in Bulleted Format the
Learning Activities Used to
Address the Core Knowledge
CORE CURRICULUM
Areas
Performance and interpretation  Click here to enter text.
of 50 catheter based
angiographic procedures, 50
image-guided invasive
procedures, 250 non-invasive
angiograms
[PR IV.A.2.a).(2).(b).IV.A.2.a).(2).(b).(iii)]
Perform invasive procedures
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and spine interventions
including: diagnostic catheterbased cerebral angiography;
percutaneous minimallyinvasive procedure for imageguided biopsies, spinal canal
access; and spine interventions,
with direct supervision by an
attending radiologist including
pre- and post-procedural patient
care
[PR IV.A.2.a).(2).(c)]
Perform non-invasive imaging  Click here to enter text.
studies related to the brain,
head, neck, organs of special
sense, skull base and spine
[PR IV.A.2.a).(2).(d)]
Perform advanced techniques  Click here to enter text.
such as MRS and fMRI
[PR IV.A.2.a).(2).(e)]
ACLS
 Click here to enter text.
[PR IV.A.2.a).(2).(f)]
Performing invasive
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procedures: angiography of the
cranial cavity, neck and spine;
image guided access to the
spinal subarachnoid space for
the purposes of myelography,
CSF analysis, and/r instillation
of therapeutic agents; imageguided biopsies of the spine,
skull and neck; and, spine
procedures.
[PR IV.A.2.a).(2).(g)IV.A.2.a).(2).(g).(iv)]
Perform patient evaluation; and  Click here to enter text.
demonstrate patient
management skills and
pharmacology skills
Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
List the Corresponding
Setting(s) in Which These
Learning Activities Take
Place
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CORE CURRICULUM
[PR IV.A.2.a).(2).(h)]
List in Bulleted Format the
Learning Activities Used to
Address the Core Knowledge
Areas
List the Corresponding
Setting(s) in Which These
Learning Activities Take
Place
2. Describe fellow participation in neuroangiographic procedures and indicate the estimated average
number of procedures that will be performed by each fellow. [PR IV.A.2.a).(2).(b)]
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3. Explain fellow responsibility for invasive procedures. How will graded responsibility be ensured?
Does responsibility include pre- post-procedural patient care? [PR IV.A.2.a).(2).(c)]
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4. Briefly describe how fellows will provide consultation with referring physicians or services.
[PR Int.B.; II.D.1.b); IV.A.2.a).(2).(h)]
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Medical Knowledge
1. Describe the activities and settings in which fellows will be given opportunities to develop
knowledge in the following topics.
List in Bulleted Format the
Learning Activities Used to
Address the Core Knowledge
Area
 Click here to enter text.
CORE CURRICULUM
Indications, limitations, risks,
alternatives and appropriate
utilization of neuroradiologic
imaging and interventional
procedures [PR IV.A.2.b).(1).(a)]
Normal anatomy, physiology

and genetics of the central and
peripheral nervous systems [PR
IV.A.2.b).(1).(b)]
Pathophysiology, pathology,

anatomy, and genetics of
diseases that affect the brain,
neck and spine, including
congenital, traumatic, vascular,
neoplastic, infectious,
inflammatory, metabolic, and
neurodegenerative disorders
[PR IV.A.2.b).(1).(c)]
Neuroradiologic consequences 
of medical and surgical
treatments of diseases of the
List the Corresponding
Setting(s) in Which These
Learning Activities Take Place
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Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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List in Bulleted Format the
Learning Activities Used to
List the Corresponding
Address the Core Knowledge Setting(s) in Which These
Area
Learning Activities Take Place
CORE CURRICULUM
brain, spine and head and neck
[PR IV.A.2.b).(1).(d)]
Radiologic sciences with an

emphasis on CT and MR
physics, radiation biology, and
the pharmacology of
radiographic contrast materials
[PR IV.A.2.b).(1).(e)]

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2. Describe and provide examples of how fellows will be educated in and apply low dose radiation
techniques in both adults and children and how they become skilled in preventing and treating
complications of contrast administration. [PR IV.A.2.b).(1).(e); VI.A.6.a)]
Limit to 200 words
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Practice-based Learning and Improvement
Describe the activities and settings in which fellows will be given opportunities to develop skills in the
following topics.
CORE CURRICULUM
Reach their own diagnostic
conclusions [PR IV.A.2.c).(3)]
Actively participate in a regular
review of all morbidity and
mortality related to the
performance of interventional
procedures [PR IV.A.2.c).(4)]
Participate in one or more weekly
departmental and/or
interdepartmental conferences
with allied clinical departments
[PR IV.A.2.c).(5)]
Utilize web-based educational
materials including those
provided by ASNR to enhance
their learning [PR IV.A.2.c).(6)]
Teach conferences for medical
students, radiology residents,
residents from other services,
graduate medical staff, and other
health professionals [PR
IV.A.2.c).(7)]
List in Bulleted Format the
Learning Activities Used to
Address the Core Knowledge
Area
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List the Corresponding
Setting(s) in Which These
Learning Activities Take Place
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Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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List in Bulleted Format the
Learning Activities Used to
Address the Core Knowledge
Area
 Click here to enter text.
CORE CURRICULUM
Present at least one didactic
lecture reflecting their research
[PR IV.A.2.c).(8)]
Attend and participate in local

and regional extramural
conferences and attend at least
one national meeting or postgraduate course in
neuroradiology, and participate in
local, regional, and national
neuroradiology societies [PR
IV.A.2.c).(9)]
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List the Corresponding
Setting(s) in Which These
Learning Activities Take Place
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
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Procedure Log
1. Will fellows be required to maintain documentation of the invasive cases in which they have been
the performing radiologist? [PR IV.A.3.]........................................................................ ☐ YES ☐ NO
2. How often will the program director review the logs with the fellows? [PR IV.A.3.]
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Interchange with Students and Fellows in Other Specialties
1. Will fellows attend clinical conferences in other specialties including serving as consultants to these
conferences? [PR IV.A.4.b)] ........................................................................................ ☐ YES ☐ NO
If no, explain.
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2. Will the neuroradiology fellow have responsibility for teaching residents or medical students?
[PR IV.A.4.b).(1)] .......................................................................................................... ☐ YES ☐ NO
If so, describe.
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Clinical Experiences
1. Describe fellow experience in pediatric neuroradiology. [PR IV.A.6.a)]
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2. Describe fellow experience in head and neck radiology. [PR IV.A.6.b)]
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3. Describe fellow experience in spine radiology. [PR IV.A.6.c)]
Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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4. Describe fellow experience in vascular neuroradiology. [PR IV.A.6.d)]
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5. Describe fellow experience in general (adult) neuroradiology. [PR IV.A.6.e)]
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Conferences
1. Do conferences include:
a) Journal Club [PR IV.A.5.] ....................................................................................... ☐ YES ☐ NO
If yes, how frequently does this occur? ...................................................................... [Frequency]
b) Intradepartmental conferences [PR IV.A.6.g)] ........................................................ ☐ YES ☐ NO
If yes, how frequently does this occur? ...................................................................... [Frequency]
c) Departmental grand rounds [PR IV.A.6.g).(2)] ........................................................ ☐ YES ☐ NO
If yes, how frequently does this occur? ...................................................................... [Frequency]
d) Interdisciplinary conferences [PR IV.A.6.g)] ........................................................... ☐ YES ☐ NO
If yes, how frequently does this occur? ...................................................................... [Frequency]
e) M&M conference [PR IV.A.6.f)] .............................................................................. ☐ YES ☐ NO
If yes, how frequently does this occur? ....................................................................... [Frequency]
2. Briefly describe the policy for fellow attendance and participation at local and national meetings.
Indicate whether the program will provide reimbursement. [PR IV.B.3.].
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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 additional rows as necessary. [PR IV.A.5.; IV.A.6.f)-IV.A.6.g).(2)]
Reporting Period (Proposed 12month period):
Topic
From: Click here to enter a
date.
To: Click here to enter a date.
Title
4. Describe the opportunities for fellows to attend and participate in clinical conferences in other
specialties, such as neurology and neurological surgery. [PR IV.A.6.g); IV.A.6.g).(2)]
Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
Page 10 of 12
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5. Describe how fellows will receive advanced cardiac life support training and certification.
[PR IV.A.2.a).(2).(f)]
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Fellows’ Scholarly Activities
1. 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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2. Will fellows participate in clinical, basic biomedical, or health services research projects?
[PR IV.B.2.] .................................................................................................................. ☐ YES ☐ NO
If no, explain.
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3. Will fellows be encouraged to undertake at least one project as the principal investigator?
[PR IV.B.2.a)] ............................................................................................................... ☐ YES ☐ NO
If no, explain.
Click here to enter text.
4. What opportunities will there be for the fellows to submit scientific papers or presentations and
attend regional or national meetings in neuroradiology? [PR IV.B.3.]
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5. Will fellows be provided opportunities to develop their competence in critical assessment of new
imaging modalities and of new procedures in neuroradiology? [PR IV.B.4.] ................. ☐ YES ☐ NO
EVALUATION
Fellow Formative Evaluation
1. Will fellow evaluations include at least a quarterly review? [PR V.A.1.d)] ..................... ☐ YES ☐ NO
2. Will the quarterly review include the following?
a) review of multiple evaluator’s assessments of the fellow [PR V.A.1.b).(1)-(3)] ........ ☐ YES ☐ NO
b) review of the fellow’s procedure log [PR IV.A.3.] .................................................... ☐ YES ☐ NO
c) review of diagnostic conclusions including diagnostic reports and feedback [PR V.A.1.e)V.A.1.e).(1)] ............................................................................................................ ☐ YES ☐ NO
Explain any “no” responses.
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Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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3. Provide examples of how the program director will evaluate each fellow’s abilities for practicing in a
safe environment, attempting to reduce errors, and improving patient outcomes. [PR IV.A.2).(c).(1);
V.A.1).(b).(1)]
Limit to 100 words
Click here to enter text.
Faculty Evaluation
1. Will faculty performance as it relates to the educational program be evaluated at least annually by
the fellows? [PR V.B.1.] ............................................................................................... ☐ YES ☐ NO
2. Will faculty evaluations include a review of the faculty’s clinical teaching abilities, commitment to the
educational program, clinical knowledge, professionalism, and scholarly activities? [PR V.B.2)]
.................................................................................................................................... ☐ YES ☐ NO
If no, explain.
Click here to enter text.
Program Evaluation and Improvement
Will formal, systematic program evaluations include fellow performance, faculty development; and a
written, documented plan of action if deficiencies are found? [PR V.C-V.C.2.a)] ................ ☐ YES ☐ NO
If no, explain.
Neuroradiology
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 2/2015
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