Syllabus AY 2014-2015
I.
Radiology – MRAD 800 Radiology Clerkship
II.
Clerkship in Radiology, 1 credit
III.
Fall
IV.
Course Directors and Coordinators
Course Director
Mark L. Montgomery, M.D.
MMONTGOMERY@swmail.sw.org
254-724-7788/254-724-2007
Department of Radiology
By appointment
Temple, TX
Course Coordinator
Kristen Randolph
KRANDOLPH@swmail.sw.org
254-724-2548
Medical Education Center 407E
By appointment
Temple, TX
Clerkship Director
B. Shane Tindall, MD
stindall@aggienetwork.com
979-776-8291
By appointment
Bryan, TX
Course Coordinator
Arthur Castro
acastro@medicine.tamhsc.edu
979-862-8308
St. Joseph Regional Health Center
By appointment
Bryan, TX
Clerkship Director
Jorge Taboada, M.D.
JTABOADA@sw.org
Course Coordinator
Natalie Washburn
Washburn@medicine.tamhsc.edu
512-509-9112
512-341-4960
Office N404K
By appointment
Round Rock, TX
By appointment
Round Rock, TX
Name
Email
Phone
Office location
Clerkship Director
Joseph Philip, M.D.
jphilip@americanrad.com
214-841-3010
Baylor University Medical Center
Office hours
Campus
By appointment
Dallas, TX
Course Coordinator
Nemika Meely
Nemika.Meely@baylorhealth.edu
214-818-6497
Baylor University Medical Center
1st Floor Roberts Building
Suite 1013
By appointment
Dallas, TX
Name
Email
Phone
Office location
Office hours
Campus
Name
Email
Phone
Office location
Office hours
Campus
Name
Email
Phone
Office location
Office hours
Campus
a. Other participating faculty (include in Appendices)
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
V. Course Description (from HSC Course Catalogue) and Overview
http://www.tamhsc.edu/education/catalog/courses/com/index.html
The Radiology Clerkship course provides students with knowledge of the methods of medical imaging;
conventional radiology, ultrasound, computerized tomography, magnetic resonance imaging,
interventional radiology and nuclear radiology, and application of these methods to specific clinical
problems.
Prerequisite: Satisfactory completion of year two of the medical curriculum.
Course Overview: Radiology has enjoyed an enviable position among medical specialties over the past
several years. Unprecedented developments in new technology have greatly expanded its horizons, and
the volume of radiologic procedures has increased far more than overall growth in most other health care
services. The intent of this course is to familiarize the medical student with the basic principles of
radiologic imaging. Radiologic imaging touches every branch of medicine in the modern health care
delivery system, and it is our hope that this course will lead to a better understanding of the many services
provided by Radiology.
VI. Course Objectives and Evaluation Method
Upon completion of the course, students will be able to:
http://medicine.tamhsc.edu/academic-affairs/curriculum/objectives/)
Course Objective:
At the end of this course, the student will:
COM
Competency
Based
Learning
Objectives
Evaluation
Taught
(T)
and/or
Evaluated
(E):
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
Radiology of the Chest
1. be able to understand and complete a
basic evaluation of the chest
2. know basic radiologic methods to evaluate
the chest
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
3. know what abnormalities produce
increased density
MK1
T, E
Exam
MK2
T, E
Exam
4. know what causes decreased density
MK1
T, E
Exam
MK2
T, E
Exam
5. know what causes cavities
MK1
T, E
Exam
6. know how to identify lesions in the
mediastinum
MK1
T, E
Exam
MK2
T, E
Exam
7. know how to recognize the findings of CHF
on a chest x-ray
MK1
T, E
Exam
MK2
T, E
Exam
PC7
T, E
Exam
MK1
T, E
Exam
MK2
T, E
Exam
MK2
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
11. identify metabolic bone disease including
radiographic findings of osteoporosis,
osteomalicia, and endocrine disorders of
the bone
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
12. recognize bone tumors and the
presentation of radiographic findings to
identify benign versus malignant lesions
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
8. be familiar with monitoring devices and
proper radiographic evaluation
Skeletal Radiology
9. know the descriptive terms and
classification of fractures
10. recognize different fractures and what are
the most common throughout the body
13. identify infectious manifestations on bone
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
14. identify the primary radiographic findings
with arthritis
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
16. demonstrate the ability to identify
radiographic findings of pathology and be
able to apply a systematic approach to
visualization
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
17. identify radiographic findings of small
bowel obstruction and colonic obstruction
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
19. recognize what causes increased density
MK1
(calculi) on plain film such as fecalith of the
PC5
appendix, ureteral calculi, gallstones,
pancreatic calculi, and abdominal aortic
PC14
aneurysms
T, E
Exam
T, E
Exam
T, E
Exam
20. differentiate radiographic exams for the GI
tract
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
15. recognize findings and indications for
appropriate ordering of an MRI in the
musculoskeletal system
Abdominal Radiology
18. identify what causes abnormal collections
of gas on plain film
21. distinguish between ulcerative colitis and
Crohn’s disease
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
T, E
Exam
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
28. identify common uses and indications for
positron emission tomography (PET) scans
Interventional Radiology
MK1
T, E
Exam
29. know the common indications for
diagnostic angiography including thoracic
aorta, abdominal aorta, peripheral vascular
system, visceral and renal
MK1
T, E
Exam
22. recognize imaging in the abdomen
including what the imaging looks like for
liver, spleen, pancreas, adrenal and
genitourinary and what the most common
pathologies are in these organs
Nuclear Medicine
23. be able to identify common nuclear
medicine imaging to evaluate the heart
24. recognize nuclear medicine studies to
image and treat the thyroid gland
25. identify nuclear medicine studies to image
and treat the kidney
26. be able to identify nuclear medicine studies MK2
to image and treat hepatobiliary tract
PC5
27. recognize common uses and indications for
bone scans
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
30. be able to recognize the common
indications for angiography for purposes of
GI bleeding
31. identify common indications of renal
insufficiency
32. recognize what TIPS is (Transjugular
Intrahepatic Portosystemic Shunt) and the
indications and procedural steps for TIPS
MK1
T, E
Exam
MK1
T, E
Exam
MK1
T, E
Exam
33. identify diagnosis and management for
pulmonary embolism
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK1
T, E
Exam
PC10
T, E
Exam
35. recognize the main uses of ultrasound
MK1
T, E
Exam
36. identify how to assess gestational age with
ultrasound
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
34. identify indications for ICV Filter
Placement, embolization therapy, uterine
fibroid embolication, percutaneous biliary
drainage, cholecystostomy, percutaneous
nephrostomy, radiofrequency ablation,
vertebroplasty, and vein ablation
Ultrasound
37. demonstrate the ability to assess causes of
bleeding in pregnancy
38. identify assessment of ectopic pregnancy
by ultrasound
39. identify how to evaluate the appearance of
the gallbladder and bile ducts
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
40. recognize identification of DVT by
ultrasound
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK1
T, E
Exam
MK1
T, E
Exam
MK1
T, E
Exam
44. know general CT terms and technology
MK1
T, E
Exam
45. identify MRI basics and be familiar with
general terms and what information these
images provide
46. recognize contraindications for the MRI
MK1
T, E
Exam
MK1
T, E
Exam
SBP2
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK1
T, E
Exam
Breast Imaging
41. recognize indications for screening
mammography
42. identify standard views for screening
mammograhs
43. recognize the standard categories for BIRADS
Neuroradiology/Cervical Spine
47. recognize radiographic findings of
neoplasms of the brain
48. identify radiographic findings of vascular
diseases
49. identify CT findings of head trauma
50. recognize indications for imaging of the
spine
Pediatric Radiology
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
51. recognize pediatric manifestations of
pneumonia
52. recognize radiographic findings of foreign
bodies in the airways
MK1
T, E
Exam
MK1
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
54. distinguish between high and low
obstructions of the intestines by imaging
recognizing what causes each and what
are the manifestations of each type of
obstruction
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
55. recognize radiologic manifestations of
congenital hip dislocation
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
MK2
T, E
Exam
PC5
T, E
Exam
PC14
T, E
Exam
53. differentiate findings of neonatal
respiratory distress
56. identify radiologic manifestations of slipped
capital femoral epiphysis
VII. Attendance Policy
All radiology lectures will be held on selected Fridays 3-6:00 p.m., unless otherwise specified.
Attendance is absolutely MANDATORY!! Any absence must be cleared directly from the Course
Director. Those students missing any lecture with an unexcused absence will be subject to disciplinary
action including failure of the course. Attendance will be taken at the end of each lecture by signing in.
It is the students responsibility to submit the online Phase III (M3) Absence form
http://medicine.tamhsc.edu/current/absence-forms/m3-absence.html to request an absence or personal
day for any reason. Absences and personal days may or may not be approved by the Clerkship Director
and/or other applicable staff.
Students are allowed up to two personal days during their third year rotation. Personal days must be
approved in advance and approval is not guaranteed, but will depend on the activities of the team and the
number of students off on any given day.
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
Please note that these personal days may not be taken during an OSCE exam, NBME or other scheduled
exam (no half days or hour counts are permitted).
Absences, regardless excused or unexcused, totaling 10% or more of the days for a clerkship will require
counseling and the development of a remediation plan. If absences exceed 20% of the days required for a
clerkship, the student may be required to repeat the clerkship before being promoted to the fourth year. If
absences exceed 20% of the days for two clerkships, the student may be required to repeat the entire year
as determined by the Student Promotions Committee. Unauthorized absences will result in a failure of the
clerkship, academic probation or dismissal by the Student Promotions Committee.
For a complete description of the absence and personal day policy please see the Student Handbook
(http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf).
VIII. Policies and Procedures (generic information for all campuses)
See Attendance Policy for more information
IX. Learning Materials and Activities
Course materials are available online 24/7. The exact method of delivery will vary by campus. Refer to
the logistical information for your campus for further information.
X. Grading and Remediation Policies
COMPONENTS AND PROCESS
The final course grade will be based on the following:
Grading policies include one exam; discussion with audience response systems; Large and small
group/interactive discussions. Attendance is part of the overall grade and self-assessment questions are to
be expected from previous classes when attending each class during this course. Points may be deducted
from the Final exam grade based on the number of any lecture dates missed.
A
B
C
F
Final Exam
100%
Total
100%
GRADING SCALE
90-100
80-89
70-79
69 and below
Pass
Pass
Pass
Fail
***This course has been designated as PASS/FAIL only.
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
A. REMEDIATION- Refer to the official COM Grading and Remediation Policy. The final
course grade will be based on the final exam.
B. All lectures are MANDATORY. Attendance is part of the overall grade and selfassessment questions are to be expected from previous classes when attending each class
during this course. Points may be deducted from the Final exam grade based on the
number of any lecture dates missed.
C. Remediation exam should be completed in the semester in which the course was
delivered. If this is not possible due to exceptional circumstances, remediation should be
completed during the Winter Break.
D. A student will have one chance to pass the remediation exam.
E. Failure of the remediation exam will be reported to the Student Promotions Committee
for further evaluation and the course will be repeated the following academic year.
RADIOLOGY
Grade Component
Final Exam
Percentage or Points Value
100%
AIM
Clinical Grade Calculation
Final Exam grade will determine overall course grade.
Dallas
Clinical Grade Calculation
Final Exam grade will determine overall course grade.
Round Rock
Clinical Grade Calculation
Final Exam grade will determine overall course grade.
Temple
Clinical Grade Calculation
Final Exam grade will determine overall course grade.
XI. Course Schedule (include in Appendices if available)
See Blackboard for more information.
XII. Important Legal Information and Policies
a. TAMHSC E-mail Access and FERPA
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
TAMHSC is communicating all official information to students through the students’ TAMHSC e-mail
accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these
additional resources and participate fully in the course, you have been assigned an e-mail address by the
Texas A&M Health Science Center. This e-mail address is for internal use only, so that faculty may
communicate with you and the entire class. By registering for this course, you are agreeing to allow your
classmates to have access to this e-mail address. Should you have any questions, please contact the
Office of the Registrar at 888-523-2905.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is
intended to protect the privacy of education records, to establish the rights of students to inspect and
review their education records and to provide guidelines for the correction of inaccurate or misleading
data through informal and formal hearings. Students also have the right to file complaints with the Family
Educational Rights and Privacy Act Office of the Department of Education in Washington, D.C.,
concerning alleged failures by the HSC to comply with the act.
b. Students with Disabilities
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides
comprehensive civil rights protection for persons with disabilities. Among other things, this legislation
requires that all students with disabilities be guaranteed a learning environment that provides for
reasonable accommodation of their disabilities. If you believe you have a disability requiring an
accommodation, please contact the Disability Services Office at 979-845-1637 or visit the website
http://disability.tamu.edu/. Any student with a disability who needs accommodation should inform the
instructor at the beginning of the course.
c. Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All TAMHSC students are required to comply with the student code of conduct and the academic
integrity and honesty standards published in each component’s Student Handbook. Disciplinary action
will be taken in accordance with the policies of each component. Students found guilty of Academic
Dishonesty will receive an “F”/Unsatisfactory in the course.
As commonly defined, plagiarism consists of presenting as one's own the ideas, words, writings, etc.,
which belong to another. In accordance with this definition, you are committing plagiarism if you copy
the work of another person and turn it in as your own work, even if you should have the permission of
that person. Plagiarism is one of the worst academic violations, for the plagiarist destroys the trust among
colleagues without which academic communication cannot be safely conducted.
d. Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can
meet their academic goals based on mutual respect in the teacher/learner relationship. Both parties must
be sensitive to the needs of others and differences in gender, race, sexual orientation, religion, age or
disability. As outlined in the Standards of Conduct in the Teacher-Learner Relationship, belittlement,
intimidation and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches
involving student mistreatment may result in a faculty or staff member being sanctioned or the loss of
faculty and/or staff appointment. The College of Medicine internal policy for dealing with claims of
student mistreatment or unprofessional behavior is described here. This policy addresses student
mistreatment involving College of Medicine employees. However, we realize that a student may
experience mistreatment from residents, affiliate staff, or patients. These instances will be discussed in
Date Created/Revised:________
By: _______
Syllabus AY 2014-2015
Section V of the document. Please access the policy at http://medicine.tamhsc.edu/dean/policies/studentpolicies/mistreatment-of-students.html for more information regarding reporting, resolution of claims,
appeals, and responsibilities. To report mistreatment via College of Medicine telephone hotline, dial
1(855)-397-9835. To report via web page, click http://medicine.tamhsc.edu/dean/policies/studentpolicies/form.html
e. Exposure and Occupational Hazard
The Needle Stick Policy for Medical Students may be accessed at:
http://medicine.tamhsc.edu/dean/policies/student-policies/needle-stick-policy.html
Note: More information is available on the aforementioned topics to all students in the online course
catalog and or on the College of Medicine website.
XIII. College of Medicine Competency Based Learning Objectives
College of Medicine Competency Based Learning Objectives can be found under the Office of Academic
Affairs website:
http://medicine.tamhsc.edu/academic-affairs/curriculum/objectives/
XIV. Principles and Guidelines for Curriculum Development
Principles and Guidelines for Curriculum Development can be found under the Office of The Dean
website:
http://medicine.tamhsc.edu/dean/policies/pdf/curriculum-principles-guidelines.pdf
Date Created/Revised:________
By: _______