1 2013-2014 Integrated Radiology Curriculum YEAR ONE Objectives 1) Demonstrate a basic knowledge of radiologic anatomy Pedagogy 8 h total Correlate normal anatomy with radiological images Format will depend on faculty member: large groups of 15 or large lecture format Orientation Overview lecture Dr. McGuffin (could be given at beginning of Block 2) Block 1 Elements of Medicine Block 2 Structure and Function 1: Musculoskeletal and Integument Block 3 Structure and Function 2: Neuroscience and Behavior Block 4 Structure and Function 3: Cardiovascular , Renal and Respiratory Block 5 Structure and Function 4: GI, Endocrine and Reproduction 1h 1h 3x1h 3x1h 1 h lecture provided by Radiology Related to block material Cerebrovascular Accident Head and Neck Anatomy Headache Sinusitis Seizures Thromboembolic Disease 3X1 h lecture provided by Radiology Related to block material Asthma Chest Pain Congestive Heart Failure Cough Hypertension Myocardial Infarction Pneumonia Upper Respiratory Infection Urinary Tract Infection 3X1 h lecture provided by Radiology Related to block material Amenorrhea Colon Cancer Constipation Cystic Fibrosis Gastroesophageal Reflux Disease Hernia Hypertensive Disorders in Pregnancy Hernia Hyperthyroidism Hypothyroidism Jaundice Osteoporosis Pancreatic Disease Prostate Cancer Back Pain Hip Fracture/Falls Joint Pain Osteoarthritis Assessment MCQ on block exams Competencies MK1D1 Clinical Skills 2 YEAR TWO Objectives 1) Demonstrate ability to recognize abnormal findings on radiologic images appropriate to each block 2) Demonstrate a basic knowledge of the indications for the use of contrast media 3) Demonstrate a basic knowledge of radiation safety and the radiation risks of imaging studies 4) Demonstrate a basic knowledge of the limitations of radiological studies Pedagogy 8h total Introduce pathology and algorithms Format will depend on faculty member: large groups of 15 or large lecture format Assessment MCQ on block exams Competencies MK2C1 Block 1 Principles of Disease Anemia - adult Anemia - child Common Cancers including breast, colon, prostate Congestive heart failure Dysrhythmia HIV Infection Lower gastrointestinal bleeding Thromboembolic Disease Upper gastrointestinal bleeding Urinary disorders Block 2 Disease and Therapeutics 1: Musculoskeletal, Skin and Hematology Block 3 Disease and Therapeutics 2: Nervous System, Eye and Psychopatholgy Block 4 Disease and Therapeutics 3: Cardiovascular, Renal, Respiratory and ENT Block 5 Disease and Therapeutics 4: GI, Endocrine, Reproductive, Genitorurinary and Toxicology 1h 1h 3x1h 3x1h Anemia Back Pain Chest Pain Common Cancers including breast, colon, prostate Headache Hip Fracture/Falls HIV Infection Joint Pain Osteoarthritis Osteoporosis Substance Abuse/Dependence Trauma All pain ADHD Altered Mental Status Anxiety Disorder Bipolar Disorder Cerebrovascular Accident Chest Pain Common Cancers including breast, colon, prostate Delirium Dementia Domestic Violence Down Syndrome Eating Disorder Headache HIV Infection Hypertension Meningitis Personality Disorder Abdominal Pain Acute Renal Failure Allergy Anemia Asthma Chest Pain COPD Common Cancers including breast, colon, prostate Congestive Heart Failure Cough Cystic Fibrosis Down Syndrome Dysrhythmia HIV Infection Hypertension Myasthenia gravis Myocardial Infarction Abdominal Pain Abnormal Uterine Bleeding Abortion & Ectopic Pregnancy Acute Abdomen/Appendiciti s Acute Renal Failure Altered mental status Amenorrhea Anemia Antepartum Bleeding (not First Trimester) including Placenta Previa & Placental Abruption Biliary Tract Disease Bowel Obstruction Chest Pain Chronic Pelvic Pain Common Cancers including breast, colon, prostate Constipation 3 Schizoaffective Disorder Schizophrenia Seizures Substance Abuse/Dependenc e Thromboembolic Disease Tourette's syndrome Peripheral Vascular Disease Pneumonia Pneumothorax Shock Sinusitis Upper Respiratory Infection Urinary Disorders COPD Cystic Fibrosis Down Syndrome Dysuria First Trimester Bleeding Gastroesophageal Reflux Disease HIV Infection Hypertensive Disorders in Pregnancy Hyperthyroidism Hypothyroidism Jaundice Lower Gastrointestinal Bleeding Normal Antepartum Pancreatic Disease Seizures - adult Seizures - child Sexually Transmitted Disease Upper Gastrointestinal Bleeding 4 YEAR THREE Objectives 1) Demonstrate the ability to choose the most appropriate test for diseases encountered in the specific clerkship 2) Demonstrate the ability to communicate relevant clinical history when ordering a radiographic study 3) Demonstrate the ability to use radiographic studies to narrow a differential diagnosis 4) Demonstrate the ability to interpret a radiologists report 5) Demonstrate the ability to communicate effectively with patients about radiological studies and procedures 6) Demonstrate a knowledge of the costs of Family Abdominal Pain Abnormal Uterine Bleeding Acute Abdomen/Appendicitis ADHD Altered Mental Status Amenorrhea Anemia Anxiety Disorder Asthma Back Pain Cerebrovascular Accident Chest Pain COPD Common Cancers including breast, colon, prostate Congestive Heart Failure Constipation Cough Dementia Disorders of childbirth, infections, immune, (Rh factor) Domestic Violence Dysrhythmia Dysuria Eating Disorder Gastroesophageal Reflux Disease Gastroenteritis GU male, Female: Infections UG, TI, STD Headache Surgery Abdominal Pain Acute Abdomen/Appendicitis Acute Renal Failure Altered Mental Status Anemia Back Pain Biliary Tract Disease Bowel Obstruction Chest Pain CNS D/O infections (brain abscess etc) Common Cancers including breast, colon, prostate CVS D/O infections (endo, pericarditis, rheumatic heart disease) D/O respiratory, lung, peritonsillar abscess, sinusitis, tonsillitis D/O MK CT, infectious septic arthritis D/O Skin, subcutaneous infectious (gangrene, cellulitis) Blood and blood forming infections Dysrhythmia Gyno.GU: Infectious, (UTI, abscess) Hernia Hip Fracture/Falls Hypertension Jaundice Lower Gastrointestinal Bleeding Psychiatry/Neurology Abdominal Pain ADHD Altered Mental Status Anxiety Disorder Back Pain Bipolar Disorder Cerebrovascular Accident Common Cancers including breast, colon, prostate Delirium Dementia Domestic Violence Eating Disorder Headache Personality Disorder Schizophrenia Sleep Disorders Substance Abuse/Dependence Tourette's syndrome Ob/Gyn Abdominal Pain Abnormal Uterine Bleeding Amenorrhea Anemia Antepartum Bleeding (not the First Trimester) including Placental Abruption Chronic Pelvic Pain Common Cancers including breast, colon, prostate Domestic Violence D/O: Pregancy, Childbirth, infections, screening (e.g. Rh factor) First Trimester Bleeding including Spontaneous Gynecologic D/O: infectious (UTI, STD, abscess, mastitis) Sexually Transmitted Medicine Abdominal Pain Acute Abdomen/Appendicitis Acute Renal Failure Altered Mental Status Amenorrhea Anemia Anxiety Disorder Asthma Back Pain Cerebrovascular Accident Chest Pain COPD Common Cancers including breast, colon, prostate Congestive Heart Failure Constipation Cough Dementia Disorders of childbirth Domestic Violence Dysrhythmia Dysuria Gastroesophageal Reflux Disease GU, UTI + STDs Headache Hip Fracture/Falls HIV Infection Hypertension Hyperthyroidism Hypothyroidism Immune mediated disease (IBD celiac disease) infections Pediatrics Abdominal Pain Acute Abdomen/Appendicitis Acute Renal Failure ADHD Altered Mental Status Anemia Anxiety Disorder Asthma Chest Pain Chicken Pox Common Cancers including breast, colon, prostate Connective Tissue disorders Congenital Constipation Cough Cystic Fibrosis Domestic Violence Down Syndrome Dysrhythmia Dysuria Eating Disorder Endocarditis Gastroesophageal Reflux Disease Gastroenteritis Headache Hernia Hypertension Hyperthyroidism Hypothyroidism Immune deficiencies humoral and cell mediated Immune mediated disease (IBD celiac disease) 5 radiological studies and the ability to choose the most cost effective study for the specific clinical situation 7) Demonstrate an ability to systematically approach the viewing of radiographic images Pedagogy 1h large group discussion per clerkship Assessment Evaluation by clerkship director/MCQ on exam or miniboard Competencies IC3A1, IC3A2, IC3A3, MK3C1, MK3D1, MK3D2, PC3D1, PC3E1, PC3E2, Hip Fracture/Falls HIV Infection Hypertension Hyperthyroidism Hypothyroidism Immune mediated – IBD, Celiac Immunodeficiency infections: peri, endocarditis, rheumatic fever Jaundice Joint Pain Lower Gastrointestinal Bleeding Meningitis Myocardial Infarction Normal Antepartum Osteoarthritis Osteoporosis Peripheral Vascular Disease Pneumonia Seizures Sexually Transmitted Disease Shock Sinusitis Substance Abuse/Dependence Thromboembolic Disease Upper Gastrointestinal Bleeding Upper Respiratory Infection Urinary Disorders Pancreatic Disease Peripheral Vascular Disease Pneumothorax Shock Substance Abuse/Dependence Thromboembolic Disease Trauma Upper Gastrointestinal Bleeding Disease Spontaneous Abortion & Ectopic Pregnancy Hypertensive Disorders in Pregnancy Intrapartum with Delivery Disease Normal Antepartum Urinary Tract Infection Infectious and parasitic infections Infectious and immune mediated of musculo and connective tissue Jaundice Joint Pain Lower Gastrointestinal Bleeding Meningitis Myocardial Infarction Osteoarthritis Osteoporosis Pancreatic Disease Peripheral Vascular Disease Pneumonia Respiratory infectious disease Seizures Sexually Transmitted Disease Shock Sinusitis Substance Abuse/Dependence Thromboembolic Disease Upper Gastrointestinal Bleeding Upper Respiratory Infection Urinary Disorders infections viral hepatitis Infections of nervous system inflammatory immunologic disorder Jaundice Lower Gastrointestinal Bleeding Meningitis Pericarditis Pneumonia Seizures Septic arthritis Sexually Transmitted Disease Shock Sinusitis Trauma Upper Respiratory Infection Urinary Disorders Well Child Visit Well Newborn Visit 6 YEAR FOUR Objectives As in Y3 Pedagogy 1h large group discussion per clerkship Assessment Evaluation by clerkship director/MCQ on exam or miniboardAssessment Final comprehensive exam Students must demonstrate competency in recognizing and interpreting common findings on Chest X-ray and CT, Abdominal X-ray, CT and US, Bone and Joint X-rays, Head CT, Pelvis CT and US, MRI and PET scan Competencies IC4A2, IC4B1, MK4D1, MK4D3, PC4E1 Required Courses As in Y3 appropriate for clerkship or Sub-internship Electives As in Y3 appropriate