3RD YEAR RADIOLOGY ROTATION PMED 1702 ROTATION SYLLABUS MIDWESTERN UNIVERSITY Arizona School of Podiatric Medicine 2.0 CREDIT HOURS TABLE OF CONTENTS I. Rotation Faculty II. Rotation Description III. Prerequisites IV. Rotation Goals V. Rotation Educational Objectives VI. Schedule VII. Policies and Procedures VIII. Health and Safety IX. Evaluation Policy X. Required Textbooks/Reading XI. Podiatry Program Mission and Vision Statements XII. Group Assignments XIII. Rotation Schedule by Group 2 I. Rotation Faculty William Finch, MD (Rotation Director) Title: Director Phone: 602-432-3639 Email: wfinch5@cox.net Michelle Young, MD: Gastroenterologist, CTHVAMC Richard Robbins, MD: Professor of Medicine, University of Arizona Owen Austrheim, MD: Pulmonologist, CTHVAMC John Tesser, MD: Rheumatologist, Private Practice Alex McLaren, MD: Program Director, Orthopedic Residency, BGSMC Kathy Benson, MD: Cardiology Fellow, BGSMC Edwin Goldstein, MD Radiologist, BGSMC Charles Raker, MD: Radiologist, BGSMC Durga Pai, MD: Radiologist, CTHVAMC Jeanne Attrep, MD: Radiologist, CTHVAMC Bruce Mallin, MD: Orthopedic oncologist Calvin Lutrin, MD: Head Nuclear Medicine, CTHVAMC Richard Matthews, MD: Neurologist, CTHVAMC Allen Thomas, MD: Pulmonologist, CTHVAMC 3 II. EXPERIENCE DESCRIPTION The Radiology Experience is an 8 day workshop presented by radiologists, orthopedists and various sub-specialists in internal medicine. The majority of the workshop will occur on campus, but there will be sessions at outpatient or inpatient imaging facilities. The format of this experience will include lectures, student evaluations of unknowns, self-learning using textbooks, publications and online materials followed by student presentations. III. PREREQUISITES The first two years of didactic curriculum plus the third year didactic curriculum must be completed successfully prior to beginning this rotation. IV. GOALS The goal of this experience is to familiarize the student with clinical correlations of imaging abnormalities and indications for appropriate consultations. In addition students will develop an understanding of various imaging modalities including plain radiograph, MRI, CT scans, bone scans, ultrasound and densitometry. V. RADIOLOGY OBJECTIVES 1. Demonstrate knowledge the role of various imaging techniques in the management of patients, including their strengths, limitations and risks. 2. Recognize the indications, contraindications and complications of various imaging techniques. 3. Develop skills needed to read various imaging studies 4. Demonstrate knowledge of chest radiographs and recognize common pathology 5. Demonstrate knowledge of abdominal radiographs and recognize common pathology 6. Demonstrate knowledge of musculoskeletal radiographs and recognize common pathology 7. Indentify basic cross-sectional anatomy and learn to differentiate normal from abnormal and to develop a differential diagnosis for abnormal findings. VI. SCHEDULE Morning sessions are regularly scheduled from 8am to 11:00 am daily. Most days have afternoon sessions as well as evening sessions. Because of the unique format of this rotation, it is imperative that you check the lecture schedule carefully. For location and times, please refer to the attached lecture schedule. 4 VII. POLICIES and PROCEDURES Attendance: Because class participation is essential to learning how to read radiographs and because images reproduce poorly, attendance is required. Professionalism Arizona School of Podiatric Medicine supports the MWU Student Handbook for guidelines on professional behavior at all times and recognizes the classrooms as a training ground for developing professional behavior and attitudes. Student conduct is expected to be exemplary and professional at all times. This includes, but is not limited to: Achieving and maintaining a high standard of academic, professional and social conduct considering individual aptitude and abilities The recognition of the value and necessity for self education as a vital adjunct to the University’s formal educational program and to work diligently to educate oneself to become a competent professional who can live up to the standards set by the Podiatric Medicine field. Student Behavior While students are greatly encouraged to share their feedback, questions and concerns, disrespectful behavior towards any faculty member, guest lecturer, staff member or peer will not be tolerated in the classroom or in the offices. If persons are unable to present themselves in a professional, calm and respectful manner, they may be asked to leave and return later when they are able to do so. Other consequences may follow a lack of professional behavior and in severe cases may result in failure of the rotation. Classroom Etiquette The actions of students and their interactions with faculty members shall be governed by the student conduct code set forth in the Student Handbook. In order to maintain an appropriate classroom/exam environment that is most conducive to teaching, learning and performing one’s best on exams, students are expected to behave in a manner that is not disruptive or disrespectful to any person and that does not adversely affect teaching, learning, or examination performance of any person. If you are late, DO NOT ENTER the classroom. Wait until the break for entry. Cell phones and pagers are to be turned off during class and laboratory time. If cell phones and pagers need to be turned on during classroom time, then they must be set to the vibrate mode. All calls must be made/received outside of the classroom as this type of activity is disruptive to the teaching/learning environment and is disrespectful to others in the classroom. Cell phones, pagers and other electronic devices are strictly prohibited during examinations. Please remove hats upon entry to the building/classroom. As professional students, appropriate professional dress is necessary. Students who do not abide by these policies may be asked to leave the classroom and continued abuse of this policy will result in disciplinary procedures and could result in failure of the rotation. 5 VIII. EVALUATION POLICY Evaluation of student performance will be determined by the following: 1. One written exam of true-false and multiple choice questions. 2. Student ability to read and verbally report an imaging study during class. 3. Self-Learning Presentation - The instructor will briefly present a clinical case and image. This will be discussed by student and instructor. Based on the findings, the student will be assigned a related topic to research. Students will then present their research findings to the class in the form of a PowerPoint presentation as follows: a. An oral presentation lasting approximately 10 minutes. b. The presentation must include at least 1 image to support findings. c. The presentation must include at least 1 reference from a recognized medical text or the medical literature. Web sites like Wikipedia or WEB MD are not considered appropriate. The total possible points for the entire rotation are 100 points. To satisfy the minimum academic standards for the rotation, students must achieve an overall course grade of 70% or higher. Evaluation Exam Student ability to read and verbally report an imaging studies Self-Learning Presentation Total Points Possible for Course: Total Points Possible: 20 40 40 100 Grading The final course grade will be determined by the percentage of points earned divided by the possible points according to the following scale: a GRADE A AB+ B BC+ C F PERCENT 93-100 90-92 87-89 83-86 80-82 77-79 70-76 <70 PER CREDIT 4.00 3.75 3.25 3.00 2.75 2.25 2.00 Failure, no course credit 6 *Percentages will be rounded down or up: 0.4% and less will be rounded down to the closest whole number, 0.5% and greater will be rounded up to the closest whole number. It should be noted that successful passage of a rotation does not rest on percentage grade alone as professionalism is considered a requirement for passage. The Arizona School of Podiatric Medicine is the final authority in determining whether a student has met the requirements to satisfactorily pass a rotation MAKE-UP POLICY This rotation will follow the guidelines established by the AZPod department. A legitimate explanation (as decided by the course director) is required to excuse a student from an exam. It is the course director’s discretion whether an exam can be made up or rescheduled for that particular student. Each situation will be handled on a case by case basis. REMEDIATION OF THE COURSE If a student fails the course, remediation will be conducted. Each situation will be handled from a case by case basis with the involvement of the course director and the podiatry program director. IX. REQUIRED TEXTBOOK/READING There is no required textbook for this course. II. RECOMMENDED TEXTBOOK/READING 1. Erkonen, William E. The Radiology 101: the Basics and Fundamentals of Imaging: Lippincott Williams & Wilkins. 2. Learning Radiology.com is an online radiology tutorial for students and residents. It contains excellent pictures and lectures on many aspects of imaging. 3. Through the library on MDCONSULT the following radiology texts can be accessed: Adam: Grainger and Allisons’s Diagnostic Radiology, 5th ed. – 2008 - Churchill Livingstone Mettler, FA, Essentials of Radiology, 2nd ed. – 2005- Saunders. 7 III. AZPod MISSION STATEMENT As a leader in podiatric medical education, our mission is to ensure excellence in an environment that nurtures diversity, professionalism, dedication and creativity. Our vision is to be the standard of excellence by which podiatric medical education will be measured through: 1. 2. 3. 4. 5. Innovative curriculum Cutting edge research Compassionate patient care Contemporary graduate and continuing medical education Service to community 8 RADIOLOGY ROTATION GROUP ASSIGNMENTS GROUP A John Aker Jordan Dille Megan Filkins Troy Harris Jason Kayce Sang Kim Jacob McLeod Ashley Olander-Evanoff Rebecca Smith McQueen Suen-August Ronnie Weber Joanna Wyman GROUP B Adam Caton William Davis David Gooch Jessica Johnson Ryan Kemp Robert Lords Brian Oase Caleb Roberts Jared Stanton Joseph Vella Darren Woodruff 9 ROTATION SCHEDULE GROUP A Oct. 9- 16, 2009 DATE TOPIC INSTRUCTOR WED 10/07/09 8:00-11:00 AM 1:10-4:00 PM THURS 10/08/09 8:00-11:00 AM 6:00 – 9:00 PM GI Pulmonary Introduction Dr. Young Dr. Robbins Orthopedics-Fractures Pulmonary unknowns Radiologists Dr. Austrheim Self-learning Cases Cardiovascular Disease Osteomyelitis Dr. Finch Dr. Benson Radiologists Student Presentations Total Joint Arthroplasty Pediatric Foot Dr. Finch Dr. McLaren Dr. Goldstein Musculoskeletal Interventional Radiology Dr. Finch Dr. Raker Musculoskeletal unknowns MRI-CT Introduction Dr. Finch Dr’s. Pai & Stipinovich 8:00 – 10:00 AM 10:00 – 11:00 AM 6:00 – 7:00 PM 7:00 – 9:00 PM Bone Density Dislocations & Tears Bone and Joint Tumors Nuclear Medicine Dr. Attrep Radiologits Dr. Mallin Dr. Lutrin FRI 10/16/09 8:00 – 10:00 AM 10:00 – 11:00 AM Neuroradiology Osteonecrosis: Ultrasound Dr. Matthews Radiologists FRI 10/16/09 1:10 – 3:00 PM EXAM FRI. 10/09/09 8:00-11:00 AM 6:00 – 8:00 PM 8:00 - 9:00PM MON 10/12/09 8:00-11:00 AM 6:00 – 7:00 PM 7:00 – 9:00 PM TUE 10/13/09 8:00 – 11:00 AM 6:00 – 9:00 PM ROOM WED 10/14/09 8:00- 11:00 AM 1:10 – 4:00 PM VA Hospital Bldg 21 THURS 10/15/09 10 ROTATION SCHEDULE GROUP B Oct. 19- 28, 2009 DATE TOPIC INSTRUCTOR MON 10/19/09 8:00 – 11:00 AM 1:00 – 4:00 PM TUES 10/20/09 8:00 – 11:00 AM 6:00 – 8:00 PM 8:00 – 9:00 PM WED 10/21/09 8:00 – 10:00 AM 10:00 – 11:00 AM 6:00 – 9:00 PM THURS 10/22/09 8:00 – 10:00 AM 10:00 – 11:00 AM 6:00 – 9:00 PM FRI 10/23/09 8:00 – 11:00 AM 6:00 – 7:00 PM 7:00 – 9:00 PM MON 10/26/09 8:00 – 11:00 AM 1:10 – 4:00 PM TUES 10/27/09 8:00 – 11:00 AM 6:00 – 7:00 PM 7:00 – 9:00 PM WED 10/28/09 8:00 – 11:00 AM WED 10/28/09 1:10 – 3:00 PM GI Pulmonary Introduction Dr. Young Dr. Robbins Orthopedics - Fractures Cardiovascular Osteomyelitis Radiologists Dr. Benson Radiologists Neuroradiology Dislocations & Tears Pulmonary Unknowns Dr. Matthews Radiologists Dr. Thomas Bone Density Osteonecrosis, Ultrasound Interventional Radiology Dr. Atrep Self Learning Cases Total Joint Arthoplasty Pediatric Foot Dr. Finch Dr. McLaren Dr. Goldstein Student Presentations Introduction to MRI-CT Dr. Finch Dr’s. Pai & Stipinovich Musculoskeletal Bone and Joint Tumors Nuclear Medicine Dr. Finch Dr. Mallin Dr. Lutrin Musculoskeletal unknowns Dr. Finch ROOM Radiologists Dr. Raker VA Hospital Bldg. 21 EXAM 11