Revised February 26, 2008
GOALS AND OBJECTIVES
RESIDENT CURRICULUM FOR RADIOLOGY ROTATION,
UMC AND SUBSPECIALTY CLINIC
Rotation Director:
Dianne Mazzu, MD
2020 Palomino Lane
Las Vegas, NV 89106
OVERVIEW
Educational Purpose
Knowledge of the proper utilization of Radiologic services is an important component of
patient care for the Internist.
The Radiology elective rotation is available to Internal Medicine residents through the
UMC Radiology Department. It can be taken in a 2-week or 4-week block. The resident
will be given an assignment schedule and a self-study CD-Rom by Dr. Mazzu or
associate. The resident will be assigned to radiologist for the rotation and is excused only
for continuity clinic, medical review and noon conferences or department request (sick
call).
The educational goals and objectives include the following general areas:
A.
Become familiar with the Radiologic tests and procedures available at UMC
including Invasive Radiology.
B.
To learn the proper utilization of imaging modalities in diagnosis and
intervention.
C.
To understand the clinical indications and contraindication of Radiologic tests and
procedures at UMC.
D.
To understand Radiologic testing procedures cost effectiveness and risk versus
benefit analysis.
Teaching Methods
The resident will work closely with the attending. The resident will review films with the
radiologist as they present to the department. In addition, the resident will engage in selfstudy with a CD-ROM collection of standardized radiographic studies and findings, and
take an examination at completion.
Mix of Diseases
Patients present a vast array of acute and medical problems for which imaging studies
may be indicated.
Patient Characteristics
The patient population is diverse, male and female, of all ages from adolescent to
geriatric, representing most ethnic and racial backgrounds, from all social and economic
strata. The hospital serves primarily the indigent population of the city of Las Vegas.
There is a mix of medical, surgical, obstetric and trauma cases
Types of Clinical Encounters
There are few clinical encounters except those in which a diagnostic radiologist might
need to interact with a patient, i.e., procedural sedation.
Resident Supervision
Residents have constant on site supervision by an attending radiologist.
Procedures and Services
No procedures are performed
Didactic Teaching
Noon Conference
Residents rotating are required to maintain greater than 60 % attendance at noon
conference. Noon conference occurs daily, Monday through Friday. These
sessions cover the basic core curriculum, and other curriculum topics such as
ethical issues, geriatrics, computer systems and informatics, health care systems,
occupational and environmental health issues, and other topics of concern.
Attending Rounds
There are no rounds per se. Cases are reviewed individually with an attending
radiologist.
Core Reading Materials
Self-study CD-ROM
Ancillary Educational Materials
Subspecialty Texts of Neurology, Pulmonary Medicine, Nephrology,
Endocrinology, Infectious Diseases, Rheumatology as well as General Medical
References (Harrison’s Principles of Internal Medicine, Cecil’s Textbook of
Medicine) are available 24 hours a day, seven days a week in the resident lounge.
Savitt Medical Library On-Line
Residents have access to the on-line services of Savitt Library (the main library of
the University of Nevada - Reno) via their computer in the resident room, Suite
300 of the 2040 W. Charleston Building. Access to this room is available 24
hours a day, seven days a week.
Full text is available for many peer-review journals including, but no limited to:
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ACP Journal Club
Annals of Internal Medicine
British Medical Journal
Cancer
Circulation
Journal of the American College of Cardiology
The Lancet
New England Journal of Medicine
Stroke
Also available on-line:
Harrison’s Principle’s of Internal Medicine, 14th ed.
Merck Manual, 17th ed.
Guide to Clinical Preventive Services, 2nd ed.
The Cochrane Library
Medline and Grateful Med Databases
Pathological Material and Other Educational Resources
None
Training Sites
University Medical Center
All of the diagnostic radiology experience occurs at University Medical Center
(UMC) under the supervision of one of the full-time radiology attendings.
Competency-based Goals and Objectives
Radiology Rotation
Learning Venues
Evaluation Methods
Level Specificity
1. Radiology Reading Suite
A. Radiologic testing
2. Fluoroscopy; CT Scanner; Follow-up B. Attending evaluation
IR Procedures
3. Self Study-CD Rom
C. Self Evaluation
R-1=1
4. Hospital Wards
R-3=3
Competency: Patient Care
Understand preparation of patients for
testing-Radiologic
D. Radiologic Tech
Evaluation
Learning
Venues
1, 4
Evaluation
Methods
A, B
R-2=2
Level
1, 2, 3
3
Discuss with patients the risk and
benefits of the radiologic procedure.
1, 2, 4
B, D
Competency: Medical Knowledge
Learning
Venues
1, 2, 3
Evaluation
Methods
A, B
1, 2, 3
A, B
1, 2, 3
A, B, C
1, 2, 3
1, 2, 3
A, B, E
A, B, D, E
2, 3
1, 2, 3
Competency: Interpersonal and
Communication Skills
Learning
Venues
Evaluation
Methods
Level
Communicate with radiologist and
radiology staff effectively
Communicate clearly with patients
concerning Radiologic testing
Understand patient preferences for testing
Maintain patient confidentiality
1, 2, 4
B, E
1, 2, 3
1, 2, 4
B, D, E
1, 2, 3
1, 2, 3
1, 2, 4
B, C, D
B, C, D, E
1, 2, 3
1, 2, 3
Competency: Professionalism
Learning
Venues
Evaluation
Methods
Level
Attend scheduled rotation assignments
Maintain patient confidentiality
1, 2, 4
1, 2
B, E
B, E
1, 2, 3
1, 2, 3
Competency-Practice: Based learning
Learning
Venues
Evaluation
Methods
Level
Understand the complications of test
performed unnecessarily
List three ways your utilization of
radiology services will change/improve
1, 2, 3, 4
A, B, C
2, 3
1,2,3
B,C
1,2,3
Competency-Systems: Based Practice
Learning
Venues
Evaluation
Methods
Level
Determine the most cost-effective ways
to diagnose four common problems
1, 2, 3, 4
A, B, C
2, 3
Interpret radiographs, X-Ray, CT and
MRI-head
Evaluate indications for invasive
procedures-arteriography, Mylograms,
Tissue biopsies
Understand risk and benefit of
Radiologic procedures
List all hazards of radiation
Understand preparation of patients for
radiologic procedures
2, 3
Level
1, 2, 3
1, 2, 3
2, 3
4
utilizing Radiologic resources
*Chest Pain
*Pulmonary Embolism
*Diabetic Foot-infection
*Abdominal Pain
EVALUATION
A. Of Residents
At the completion of each rotation, all clinical faculty are required to complete the
standard ABIM resident evaluation form. All clinical faculty are encouraged to
provide face-to-face feedback with the residents. The night-float resident is
evaluated by one of the three service attendings. In addition, residents may
receive interim feedback utilizing the ABIM’s Praise and Early Warning cards.
B. Of Rotation and Preceptor
All residents are encouraged to evaluate the rotation, and the clinical faculty
member, at the completion of the rotation. This evaluation form is included at the
end of this document. These evaluations are then converted to type and shared
anonymously with the clinical faculty.
The program director also discusses the rotation with the residents to ensure
rotation quality and satisfaction.
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Radiology Rotation Resident Check List
1. Evaluation reviewed at mid-month and end of rotation by the supervising faculty
member and resident.
2. Completed assigned readings
3. Attended all assigned activities (excluding scheduled time away, required clinics and
emergencies).
4. Completed required case report abstracts and/or posters if assigned by the supervising
faculty member.
5. Demonstrated understanding of the basic principals of radiologic diagnosis.
6. Received verbal feedback from attending at end of rotation.
Intern/Resident Signature_________________________
Date___________________
Supervising Attending Signature ___________________
Date__________________
All items must be completed for rotation credit and checklist returned to the
Department of Medicine by the rotation’s end.
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