MEDICAL STUDENT LOG BOOK
DEPARTMENT OF RADIOLOGY
YEAR 4 MED4702
NAME:
GROUP:
MATRIC NO:
YEAR:
MED4702: RADIOLOGY LOG BOOK
CONTENTS
i.
Course Synopsis
ii. Instructors
iii. Course Objectives
iv. Learning Outcomes
v. Lecture and Seminar Topics
vi. Tutorials and Room Postings
vii. Posting Timetable.
viii. Course Assessment
ix. Rules and Regulations
x. References
xi. Log Book
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MED4702: RADIOLOGY LOG BOOK
COURSE SYNOPSIS
Welcome to the Year 4 Radiology posting. In this period you will spend 2 weeks in the Radiology Department. During this
short period, the aim is for you to grasp adequate knowledge and understanding of basic radiological principles.
We hope you can correlate the teaching with the lectures that you have had previously in year 2 and 3. During the whole 10
weeks of the specialized posting, there will be also 10 radiology lectures every Monday afternoon and one Radiology Seminar.
Learning radiology doesn’t stop in this 2 weeks short radiology posting. It is a continuous learning process which started on the first
day you enter your clinical years in year 3. In every clinical posting, whether it is Paediatrics, Obstetrics and Gynaecology,
Orthopaedics, Surgery, Internal Medicine, ORL, Ophthalmology or Anaesthesia, there will be things in radiology need to be learned.
Whatever you learn in this two weeks posting need to be correlated with what you have and going to learn in all the clinical
postings.
We hope in year 5, you can consult the radiologist on ad hoc basis to discuss any interesting cases that you have seen during
your clinical postings. This will give you more understanding on the clinical cases that you have seen.
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MED4702: RADIOLOGY LOG BOOK
INSTRUCTORS
A. Radiologists
a.
b.
c.
d.
e.
f.
g.
Prof. Dr. Humairah Samad Cheung
Assoc. Prof. Dr. Azian binti Dato’ Abdul Aziz
Asst. Prof. Dr. Azlin bt. Sa’at @ Yusof
Asst. Prof. Dr. Ahmad Razali bin Md Ralib @ Md. Raghib
Asst. Prof. Dr. Mohd. Amran bin Abdul Rashid
Asst. Prof. Dr. Radhiana bt. Hassan
Asst. Prof. Dr. Siti Kamariah bt. Mohamed
B. Science Officer
a. Sr. Fitrina Yusrin bt. Yusof
C. Medical Radiography Technologist
a.
b.
c.
d.
e.
f.
g.
Sr. Akma bt. Zainun
Sr. Ima Julia Afiza bt. Idris
Br. Shaifpul Nizam b. Mohamed
Sr. Ani Rohani Pataniah bt. Salahuddin
Sr. Shahida bt. Zainordin
Sr. Roslinawati bt. Mansor
Br. Mohamad Izwan b. Roselan
D. Staff Nurse
a. Sr. Rohani bt. Mat Aziz
b. Sr. Sarina bt. Ahmad
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MED4702: RADIOLOGY LOG BOOK
COURSE OBJECTIVES
GENERAL OBJECTIVES
The general objectives are for the students:
1. To acquire adequate knowledge and understanding of basic radiological principles, techniques and applications.
2. To be able to recognize and interpret basic, common and emergency radiological abnormalities.
3. To gain exposure as a stimulus for those who would later wish to specialize in the field of radiology and diagnostic
imaging.
SPECIFIC OBJECTIVES
The Specific Objectives of the Radiology curriculum are:
1.
2.
3.
4.
5.
To understand how a basic radiological examination and film processing are carried out.
To learn and understand in principle how various procedures in radiology are performed.
To understand the reasons and indications for various radiological examinations and procedures performed.
To understand the role of the doctor where radiological investigations or procedures are concerned.
To understand the rationale in preparing patients for various radiological examinations such as IVU (intravenous
urography), contrast studies, ultrasound, CT and MRI scan.
6. To understand and be aware of complications that may arise from the various procedures in radiology.
7. To know about contrast agents and other drugs frequently used in radiology.
8. To realize and be familiar with the advantages and limitations of radiology in the diagnosis and management of patients.
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MED4702: RADIOLOGY LOG BOOK
LEARNING OUTCOME
At the end of the posting, the students are expected to be able:
1.
2.
3.
4.
5.
To differentiate the nature of ionizing and non-ionizing radiation.
To list uses of ionizing radiation in medical practice.
To define the basic principle of X-ray production and how a radiograph is obtained.
To explain how X-ray is used in diagnostic work.
To describe the normal radiological anatomy of the chest, abdomen, gastrointestinal tract, genitourinary system, central
nervous system, spine and musculoskeletal system.
6. To identify common anatomical variations of the chest, abdomen, gastrointestinal tract, genitourinary system, central
nervous system, spine and musculoskeletal system.
7. To identify the radiological abnormalities and provide differential diagnoses for the chest, abdomen, gastrointestinal
tract, genitourinary system, central nervous system, spine and musculoskeletal system.
8. To list the use of various imaging modalities available for the chest, abdomen, gastrointestinal tract, genitourinary
system, central nervous system, spine and musculoskeletal system.
9. To identify and interpret radiological abnormalities and provide differential diagnoses in common emergency radiology
imaging.
10. To list the use of other imaging modalities available for emergencies.
11. To describe all the contrast agents used in radiology
12. To explain the indications and contraindications for contrast agents in radiology.
13. To explain the side effects of all the contrast media
14. To state the adverse reactions of contrast agents in radiology.
15. To identify the adverse effect of ionizing radiation on human i.e. patients, radiation workers and public.
16. To define the principles of radiation protection.
17. To describe the various radiation protection procedures and devices available in medical use.
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MED4702: RADIOLOGY LOG BOOK
LECTURE AND SEMINAR TOPICS
Lectures
1. Ionizing radiation for medical use
2. Principles of X-ray diagnosis
3. Imaging of the Chest
4. Imaging of the Abdomen and Gastrointestinal Tract
5. Imaging of the Central Nervous System and Spine
6. Imaging of the Musculoskeletal System and Soft Tissues
7. Emergency Radiology
8. Contrast Agents used in Radiology
9. Imaging of the Genitourinary System
10. Radiation hazards and protection
Seminar
1. Ultrasound and its Medical Applications
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MED4702: RADIOLOGY LOG BOOK
TUTORIALS AND ROOM POSTINGS
Tutorials
1.
2.
3.
4.
5.
6.
Chest Imaging
Head and Neck Imaging
Abdomen and Gastrointestinal tract Imaging
Musculoskeletal Imaging
Genitourinary Tract Imaging
Others
Room Postings
1.
2.
3.
4.
5.
6.
7.
8.
General Radiography
Computed Tomography
Magnetic Resonance Imaging
Fluoroscopy
Angiography
Ultrasound
Mammography
Bone Densitometry
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MED4702: RADIOLOGY LOG BOOK
POSTING TIMETABLE
WEEK 1
Monday
Tuesday
Wednesday
Thursday
Friday
8.00 am – 9.30 am
Briefing and Pre Test
ORL Lecture
Room Postings /
Ophthalmology Lecture
CPC
Room Postings /
Practical
Room Postings /
Tutorials
9.30 am – 11.30 am
Practical
11.30 am – 1.00 pm
Tutorials
Practical
Tutorials
Tutorials
1.00 pm – 2.00 pm
Tutorials
Lunch Break
2.00 pm – 4.00 pm
Tutorials
Tutorials
Tutorials
Tutorials
IRK
4.00 pm – 5.00 pm
Radiology Lecture
Room Postings /
Dermatology Lecture
Room Postings /
Seminar
Practical
Practical
WEEK 2
Monday
Tuesday
Wednesday
Thursday
Friday
8.00 am – 9.30 am
Room Postings /
ORL Lecture
Room Postings /
Ophthalmology Lecture
CPC
9.30 am – 11.30 am
Practical
Room Postings /
Practical
Room Postings /
End of Posting
Practical
Assessment (OSCE)
Practical
11.30 am – 1.00 pm
Tutorials
Tutorials
Tutorials
1.00 pm – 2.00 pm
Tutorials
Lunch Break
2.00 pm – 4.00 pm
Tutorials
Tutorials
Tutorials
Tutorials
IRK
4.00 pm – 5.00 pm
Radiology Lecture
Room Postings /
Dermatology Lecture
Room Postings /
Seminar
Practical
Practical
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MED4702: RADIOLOGY LOG BOOK
COURSE ASSESSMENT
Percentage
Method
Part I
a. Continuous assessment
(Attendance, room postings, case presentation, seminar, logbook, tutorials.)
b. Theory paper examination
 Multiple choice questions (T/F)
 Patient Management Problem
40%
60%
Part II
Closed Marking System for Clinical Examination
 Objectively Structured Clinical Exam (OSCE) at the end of 2 weeks
posting.
 Objectively Structured Clinical Exam (OSCE) at the end of block
examination.
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MED4702: RADIOLOGY LOG BOOK
RULES AND REGULATIONS
A. Room Posting
a. You are expected to be in the department at all times from 8.00 am to 5.00 pm except during the general lectures in
Jalan Hospital Campus.
b. You are advised to divide yourselves into small groups for the room posting especially for ultrasound, CT scan and MRI
room postings.
c. However for IVU and Fluoroscopy postings, all of you are advised to attend these rooms, due to limited cases done
during the two weeks posting.
d. All of you are advised to read about the procedures a day before by checking the type of cases from the appointment
book.
e. IVU is performed every Monday and Friday.
f. Fluoroscopy is performed every Tuesday and Thursday.
g. US, CT, MRI and general radiography are performed every working day.
h. Please introduce yourself to the Radiologists, Medical Officer, Radiographers or Staff Nurse when you enter any
examination rooms in the department.
i.
Interventional procedures are being performed on ad-hoc basis. You should ask the medical officers or staff nurses if
there are any interventional cases which will be performed on that day.
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MED4702: RADIOLOGY LOG BOOK
B. Tutorials
a. All tutorials are being done either in the tutorial room, examination room or IIUM Breast Centre.
b. There are no fixed times for tutorials.
c. You should check on the whiteboard for the time and schedule for the tutorials.
d. You must go through the films on the motorized panels before the tutorials, to expedite the discussion.
C. Pre test assessment
a. These must be done after the briefing with the radiologist on the first day of the posting.
b. The format as stated on the white board must be followed.
c. The films will be discussed later during the tutorials with the radiologist who briefed you.
D. Filling the log book
a. The log book must be with you all the time during the posting.
b. You must study all the request form, for the clinical data, indication for study and radiological diagnosis.
c. Due to limited spaces, only relevant data must be included in the log book.
d. The procedures can only be signed either by the medical officer or radiologist in charge of the cases.
e. For plain radiography section, it can be signed by radiographers or MRTs.
f. For mammography, male students are not encouraged to observe the examination unless allowed by the patient.
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MED4702: RADIOLOGY LOG BOOK
E. End of posting Assessment / OSCE
a. At the end of the posting, usually on the second Friday, there will be an end of posting assessment.
b. The marks for this assessment will be included in the clinical component of the whole specialized posting block.
c. It will be done in OSCE format (Objectively Structured Clinical Examination).
d. There will be 10 OSCE questions.
e. You will be given 5 minutes to view the film and answer the questions given for each OSCE.
f. For the assessment, you will be divided into 2 groups, with 3 to 4 persons per group.
g. The total time for the test is about 1 hour.
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MED4702: RADIOLOGY LOG BOOK
REFERENCES
Required
i.
Diagnostic Imaging, 5th edition by Peter Armstrong, Martin L. Wastie, Andrea G. Rockall. Blackwell Science 2004. ISBN
1405102306
Recommended
i.
ii.
Radiology and Imaging For Medical Students, 7th edition by David Sutton. Churchill Livingston 1998. ISBN 0-443-05917-9
Imaging Atlas of Human Anatomy, 3rd Edition by Jamie Weir. Mosby Inc 2003. ISBN 0723432112
Websites
•
http://www.med-ed.virginia.edu/courses/rad/cxr/index.html
•
http://www.med-ed.virginia.edu/courses/rad/
•
http://brighamrad.harvard.edu/education/online/clerk_2/toc.html
•
http://www.radiology.co.uk/srs-x/tutorials.htm
•
http://www.auntminnie.com
•
http://www.radiologyeducation.com
•
http://www.rad.uab.edu:591/tf/browse_category.htm
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MED4702: RADIOLOGY LOG BOOK
PLAIN RADIOGRAPHY
MUST SEE CASES
c.
d.
e.
f.
g.
NO
DATE
Chest Xray: PA, AP, Lateral, Decubitus for adult and children.
Abdominal Xray: Supine, Erect and Decubitus
Skull Xray: AP, Lateral, OM.
Spine Xray: Cervical (AP, Lateral and Open Mouth), Thoracic, Lumbar, Sacrum.
Extremities: Upper and Lower Limbs.
PROCEDURE
NAME
INDICATION
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RADILOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
NO
DATE
PROCEDURE
NAME
INDICATION
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RADILOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
FLUOROSCOPY / CONTRAST STUDY
MUST SEE CASES
a. Gastrointestinal Tract.
a. Barium Swallow
b. Barium Follow Through / Small Bowel Enema.
c. Barium Enema.
d. Loopogram
b. Genitourinary System.
a. Micturating Cystourethrogram.
b. Ascending Urethrogram
c. Retrograde Pyelogram
d. Intravenous Urography
c. Others.
a. Myelography
b. Hysterosalpingography
c. T-tube Cholongiogram
d. Percutaneous Transhepatic Cholangiogram.
e. Venogram.
f. Endoscopic Retrograde Cholangiopancreaticogram.
(Note: Some of the cases may be performed during your 2 weeks posting)
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MED4702: RADIOLOGY LOG BOOK
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
ANGIOGRAPHY
MUST SEE CASES
a. Cerebral angiogram
b. Lower limb angiogram
c. Flush aortogram.
(Note: Some of the cases may be performed during your 2 weeks posting)
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
ULTRASOUND
MUST SEE CASES
a.
b.
c.
d.
e.
f.
g.
h.
i.
NO
Hepatobiliary System.
Pancreas
Spleen.
Kidneys and Bladder.
Thyroid.
Testes.
Breast
Cranium
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
COMPUTED TOMOGRAPHY SCAN
MUST SEE CASES
a.
b.
c.
d.
e.
f.
g.
NO
Brain
Thorax
Abdomen
Pelvis
CT Myelogram (May not be done in your 2 weeks posting).
Orbit
PNS
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
MAGNETIC RESONANCE IMAGING
MUST SEE CASES
a. Brain
b. Cervical Spine
c. Lumbosacral Spine
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
MAMMOGRAPHY
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
BONE DENSITOMETRY
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
INTERVENTIONAL PROCEDURES
MUST SEE CASES
a.
b.
c.
d.
Ultrasound guided biopsy.
CT guided biopsy.
Nephrostomy.
PTC / PTBD.
(Note: Some of the cases may be performed during your 2 weeks posting)
NO
DATE
PROCEDURE
NAME
INDICATION
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RADIOLOGICAL DIAGNOSIS
SIGN
MED4702: RADIOLOGY LOG BOOK
NOTES
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MED4702: RADIOLOGY LOG BOOK
NOTES
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MED4702: RADIOLOGY LOG BOOK
NOTES
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