Subspecialty Fellowship Requirements in Musculoskeletal Radiology The following is a list of requirements for the subspecialty residency (fellowship) in musculoskeletal radiology. This list represents requirements of the Departmental program but where these requirements also satisfy the program requirements for musculoskeletal radiology according to the Accreditation Council on Graduate Medical Education is indicated below. 1. Preliminary Requirements: a. Prerequisite training for entry into a diagnostic radiology subspecialty program includes the satisfactory completion of a diagnostic radiology residency accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the Royal College of Physicians and Surgeons of Canada (RCPSC), or other training judged suitable by the program director. - PROGRAM REQUIREMENT 2. The following requirements are based on a 52 week academic year: a. Musculoskeletal Radiology – 30 Weeks i. MR Imaging 10 Weeks ii. CT Imaging – 6 Weeks iii. Interventional MSK Radiology – 4 Weeks iv. Plainfilm Radiography – 8 Weeks v. Nuclear Medicine/Ultrasound/PET – 2 Weeks b. General Diagnostic Radiology – 10 weeks c. Subspecialty Specific Research – 4 weeks d. Vacation – 4 Weeks e. Professional Time (To Include Professional Meetings and Presentations) – 2 Weeks f. General Holidays, etc – 2 Weeks 3. Research: a. Subspecialty fellows will be required to engage in an investigative project under faculty supervision. This may take the form of laboratory research, clinical research, or the retrospective analysis of data from patients, and results of such projects shall be suitable for publication or presentation at local, regional, or national scientific meetings. The subspecialty residents will have access to office space, office supplies, and secretarial help for the conduct of research projects. The attending faculty or research assistant will also be available to provide assistance with literature searches, editing, statistical tabulation, and photography. – PROGRAM REQUIREMENT 4. Conferences & Teaching a. Subspecialty fellows will be required to attend the subspecialty specific conferences provided by Orthopedic Surgery, Rheumatology, Sports Medicine, and other appropriate specialties or subspecialties. The conferences include grand rounds presentations as well as other routine meetings and discussions. Subspecialty fellows will also be encouraged to attend clinical conferences in other specialties and serve as consultants to these conferences. It is desirable that they participate in the clinical teaching of medical students and also in the preclinical curriculum in subjects such as anatomy and physiology. b. Conferences will also include instruction necessary for developing skills applied to the critical evaluation of the academic literature. This will include quarterly journal club meetings as well as daily evaluation of the current clinical literature as it applies to the diagnostic interpretation sessions that occur, at minimum, twice daily. c. The subspecialty resident will also be expected to attend the Society of Skeletal Radiology. This national meeting showcases musculoskeletal practices and research throughout the United States. 5. Procedures a. According to the program requirements for subspecialty education in musculoskeletal radiology, a log must be kept by each subspecialty resident documenting the types of arthrographic and biopsy procedure he/she performs. Subspecialty residents are given graduated responsibility as their competence increases. Responsibilities for invasive procedures include appropriate patient selection, risk assessment, preprocedural patient preparation, the invasive procedure itself and post procedural patient care. – PROGRAM REQUIREMENT 6. Other Program Requirements a. Subspecialty fellows in non-accredited departmental training programs will be held to the standards as defined in the Accreditation Council for Graduate Medical Education’s Policies and Procedures for Residency Education in the Subspecialties of Diagnostic Radiology b. Subspecialty residents will also be required to develop or modify scanning protocols for computed tomography and magnetic resonance imaging evaluation of the joints and/or spine. The adequacy of these modifications will be assessed by the musculoskeletal imaging faculty. c. Subspecialty residents are expected to work in collaboration with residents from Orthopedic Surgery and Rheumatology whenever these additional residents are rotating on the service. 7. Extracurricular Employment a. Subspecialty residents will be allowed to pursue extracurricular employment provided their responsibilities to the department and the subspecialty division are adequately addressed. This employment will be allowed only as long as the program director and the fellowship director are in agreement that the subspecialty resident’s progress and performance in the subspecialty training program are adequate. 8. Faculty and Staff a. Clinical Radiology of Oklahoma employs 1 full time musculoskeletal radiologist (Douglas P. Beall, M.D.) – PROGRAM REQUIREMENT