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LEARNING OBJECTIVES
For
Senior Elective Rotation in
Diagnostic Radiology (Medical Imaging)
An update for 2009-2011
(March 11, 2011 & March 02, 2009 Update)

• Department: Diagnostic Radiology
• Site: Howard University Hospital, first floor,
        RADIOLOGY MAIN CONFERENCE ROOM 1-R78
• Chairman: Dr. Andre Duerinckx, MD-PhD
• Radiology Elective Program  Coordinator: Dr. Bonnie Davis,
      202.865.6100 (ask operator to connect you toher cell phone).
• Duration: 4 week rotations
• Max number of students: up to 6 students per 4 week rotation
• Radiology Elective Administrative Contact: Ms. Desta Golden, 202-865.1572 or 1576
• First Day Time: 8:00  AM.; other days: 8 AM to 4:30 PM.

Course/ Rotation  Goals:

• To provide a broader understanding of the principles of radiology and a familiarity with the many diagnostic techniques available, their values and limitations, and how they may best be used in the management of thepatient.
• To train the student in the basic skills of image interpretation with emphasis on, but not limited to, the brain, neck, chest, abdomen, pelvis and extremities.

Course Objectives:

• Exposure to both the CLINICAL and TECHNICAL (including, the science and research) aspects of Radiology.
• Review basic anatomy and pathology as seen on imaging studies.
• Develop basic understanding of special imaging studies such as CT, Ultrasound, MRI, Fluoroscopy, Nuclear Medicine, etc.
• Develop a GLOBAL understanding about Medical Imaging and radiology.

LEARNING OBJECTIVES:
At the end of the 4 week rotation,

• For CLINICAL RADIOLOGY the  student should be able to:
• Identify three structures on normal chest, abdominal and joint radiographs.
• Recognize free air in the thorax and abdomen.
• Identify two causes of consolidation  on chest radiograph.
• Describe  two imaging findings seen in high grade bowel obstruction.
• Recognize one imaging finding associated with appropriate placement of support line and tube placement in the thorax and abdomen.
• Identify one imaging finding used to determine the presence of  stones in the gallbladder, kidney and urinary bladder on CT imaging.
• Name one imaging characteristic to distinguish cystic from solid structures on sonography.
• Identify one imaging finding associated with moderate and large pulmonary emboli on CT imaging.
• Name two imaging  criteria used to detect aortic aneurysm and dissection on CT imaging.
• Name one imaging finding used to  identify, extra-axial fluid collections in the brain on CT imaging.
• Name two imaging findings used to recognize common fractures.
  
• For TECHNICAL ASPECTS of  RADIOLOGY the  student should be able to:
• Recognize the term PACS and know what the abbreviation stands for.
• Name three areas of Radiology research being pursued at Howard University COM.
• Name one professor or research project associated with  the Howard Molecular Imaging Laboratory.
• Name one  approach on how to deal with  Claustrophobia  in MRI scanners;
• Name three contraindications to X-ray contrast administration for CT scanning.
• Name four parameters monitored during radiology Quality Assurance (QA) Programs at Howard University Hospital.

• Methods of Instruction:

• In general: Daily interactive clinical observation combined with  faculty and/or student lectures with faculty coordinator.
• Two afternoons every week: Work with CT, MR and VIR/Angio team members (technologists, nurses, staff) to better understand the need for pre-study preps, informed consent prior to contrast injections (CT / MR studies), risk of contrast agents, and informed consent for vascular interventional radiology (VIR) Procedures.
• Learn how to access patient information from http://www.radiologyinfo.org/ to formally inform patients of any procedures done by VIR/angio teams.
• Weekly Tuesday NOON time Clinical Radiology Conference.
• Utilize blocks of time set aside each day to study web-based teaching files and didactic lectures. A few selected web sites are:
• Auntminnie.com  (http://www.auntminnie.com/index.asp?Sec=edu);
• Learning Radiology.com (http://www.learningradiology.com/);
• Med-ed.virginia.edu/courses/rad;
• American College of Radiology (acr.org);
  Daily cases at : http://caseinpoint.acr.org/;
• Rad.usuhs.mil/medpix/medpix
• Read-out sessions with various faculty members (clinical observation).
• Participate in  interdisciplinary conferences where imaging studies play a key role:
  Attendance at Surgical Grand Rounds (9 a.m. Monday mornings) and Tumor Board Conferences are required. Attendance at Cardiac cath conferences with Dr Duerinckx and cardiology staff (Fridays at 1:30 PM) will be encouraged to learn about cardiac CT/MR.

Attendance:

Students are expected to be available from 8:00  a.m. until 4:45 p.m. five days a week. Students need to sign in and out daily (log book). Interview time is permitted with prior approval. Each student is expected to attend lectures, conferences and read-out sessions as scheduled.

Research and Case Presentation:

Research is an integral part of today’s medical school education. We highly encourage students to select “interesting imaging cases” or “interesting diseases (with typical or unusual imaging findings)”, and to prepare a CASE REPORT or REVIEW OF WORLD LITERATURE for “prelim” presentation at the beginning of the third week of the 4 week rotation.

This will then allow fine tuning and preparation for final presentation to all radiology faculty and fellows on the Thursday of the fourth week (Students who plan an authorized absence or vacation at that time will be allowed to present earlier, or will be otherwise accommodated). Topics should be well researched and display specific imaging features. Alternatively, the student may wish to report on an interesting case.

All Students who complete a rotation lasting four weeks are required to give a  10 minute presentation using Microsoft Office PowerPoint software (or equivalent). Please provide hand-outs of the presentation and include name, topic, date and picture on the first slide. This will allow for quick recall if future recognition is needed.  A sample BLANK presentation  or examples of excellent prior presentations can be made available upon request.

           Method of Evaluation:

                        Students will be evaluated based on criteria set forth on the “Standard Evaluation” form as distributed by the Howard University College of Medicine.
Student must return textbook prior to receiving final evaluation. 

            Professionalism:

The student will function as part of the diagnostic radiology team in a professional manner, always respectful and compassionate with regards to patient’s concerns when appropriate, regardless of the patients’ culture, age, gender, and/or disability. Confidentiality of patient information is imperative.

 Textbook:

            Herring, William, M.D. Learning Radiology: Recognizing the Basics - With STUDENT CONSULT Online Access (320 pages, 510 Illustrations; *$49.95, softcover).  Philadelphia: Mosby Elsevier, May 2007 (first edition). Written by William Herring, MD, a seasoned radiology instructor and creator of an award-winning radiology teaching web site "Learning Radiology", efficiently presents just the radiology knowledge you need to know to get through clinical rotations and USMLEs. And, bonus online access via Student Consult where you will find the complete text of the book, self-assessment quizzes, and more makes this an even more effective learning tool!

                      *Each student will be provided with a textbook at the beginning of the  rotation, which must be returned upon completion of the elective.

AWARDS for EXCELLENCE in LEARNING  and/or CONTRIBUTING to RADIOLOGY as a   MEDICAL STUDENTS:
All senior students rotating through radiology can compete for one or more of the radiology awards listed below:

• *Dr. John W. Lawlah Award - For outstanding performance in Diagnostic Radiology ($250 and Certificate).
  * This award funded by the Radiology Department ($250 per award; up to 2 awards per year).

• Dr. Charles H. Kelley Award - For outstanding performance during the senior elective in Diagnostic Radiology ($200 and Certificate). *This award is funded by the Kelley family ($200 per award; up to 2 awards per year).

• The Duerinckx – Davis Award in Radiology Research and Education at Howard University College of Medicine- Awarded to the best Radiology Case Report submitted and accepted for publication by a Medical student (more details to be announced in 2009-2010).

More information about these awards can be obtained from the Medical Student Radiology Rotation Program Director.

Updated on March 11, 2011; Oct 01, 2010 and March 20, 2009

By Drs Davis and Duerinckx

See also:

Appendix A:
New web site to teach Radiology to Medical students... go to URL:

http://www.rsna.org/medstudents.cfm

and access “RSNA Clerkship Companion”

For information on how this web site was created, go to:

http://www.rsna.org/Publications/rsnanews/June-2010/new_website_feature.cfm

 (Press release) New Website is Critical Companion to Medical Students

While radiology plays an increasingly important role in managing patient care, the specialty is generally relegated to an elective status in many medical schools, often leaving medical students lacking information about the essential principles of diagnostic imaging.

RSNA's recently launched Clerkship Companion website, which assists medical students in clinical core rotations and electives.

This  new online tool allows medical students to explore the basic principles of diagnostic imaging while accessing information to aid in diagnosing and caring for patients in everyday practice at the point of care. Recently launched by RSNA, the Clerkship Companion acts as a "companion" to assist medical students in clinical core rotations and electives.

Dr. Judith K. Amorosa led a 100-plus member team from the Robert Wood Johnson Medical School/University of Medicine and Dentistry of New Jersey (UMDNJ) in Newark, N.J., in creating the Clerkship Companion, which was funded with two RSNA R&E Foundation Grants totaling $150,000.

Appendix B:
Applying to radiology residency:

The latest version of the Radiology Residency Match Guide, APPS OF STEEL (7th Edition), has been posted at the Hopkins Radiology Educational website, http://JHUTeamRads.com

http://JHUTeamRads.com.

 Please feel free to forward this to any students interested in the Radiology application process or to any student match advisors or educators at your institution.  Many non-radiology applicants have also found much of the more generic info (thank you letter controversies, odd questions asked at interviews, how to tell a program you'd like to rank them Number One, common pitfalls and pearls for the interview trail, etc...) useful.

The website, generously enabled by the MR and Evelyn Hudson Foundation, is still under development but has been heavily used this first year at Hopkins to help the MS One students with Gross Anatomy, and has been increasingly used for the Clinical Radiology Elective and Clinical (Medical, Surgical, etc) Clerkship students as well.  Feel free to explore the site.  Feedback or suggestions are always welcome.

Thanks,

Donna Magid, MD, M.Ed

Associate Professor of Radiology

Johns Hopkins