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Cairo University Faculty of Medicine Course Specification for MD Degree in Diagnostic and Intervention Radiology Advanced Functional Imaging Program on which the course is given: MD Degree in Diagnostic and Intervention Radiology. Department offering the program: The Diagnostic and Intervention Radiology Department. Course Code : RAD924AFI Minor element of program: Advanced functional imaging. Department offering the course: Diagnostic and Intervention Radiology department. Academic year: 2011-2012 Credit points: 5 Course coordinators: Prof. Youssriah Yahia Sabri Dr. Iman Hamdy Ibrahim 1 Dr. Rania Zeitoun Dr. Dalia Salah El Mesidy I. Aim of the course: The aim of the course is to enable the specialized candidates in the medical field of diagnostic radiology to achieve satisfactory levels of knowledge and clinical background in a sub-specialty of the radiology practice, interact with community problems, respect ethical values according to community culture, and promote their medical standards through engaging in continuing medical education. The program also aims to introduce the candidate to the scientific medical research. II. Intended learning outcomes: 1-knowledge and understanding: by the end of the program the candidate should: a) Distinguish the radiological appearances of different pathologies in a radiological subspecialty using different diagnostic modalities. b) Identify and discuses different diagnostic modalities and advanced functional imaging techniques in radiology needed to diagnose the nature of different imaging lesions. c) Identify the management of procedural complications. d) Describe different diagnostic modalities and advanced functional imaging techniques for diagnosing various lesions in a radiological subspecialty including thoracic Imaging , cardiovascular Imaging , neuroradiology , uroradiology , gastrointestinal Imaging, head and neck imaging , women Imaging and interventional radiology. 2 2- Intellectual Skills: By the end of the program the candidate should be able to: a) Develop skills and audit methodology that are necessary to structure and perform research and audit under appropriate guidance. b) Review published articles critically and to perform effective literature searches on a given topic. c) Interpretation of the effective application of research findings in every day practice will be also required. 3- Professional and practical skills: by the end of the program the candidates should be able to: a) Apply the different procedures competently and independently. b) Attaining experience in non interpretative skills (risk management, patient safety, recognition and management of contrast reaction). 4- General and transferable skills: by the end of the program the candidates should be able to: a) Participation in reporting different advanced functional radiological examinations of a specified radiological subspecialty which are done during the general through put of the normal working day of the department of diagnostic and intervention radiology. b) Performing any routine radiological procedure that might be booked during a normal working day. c) Attendance at end conducting clinico-radiological conferences and multidisciplinary meetings. d) Competence at reviewing studies of subspecialty a specified radiological on a workstation and familiarity with digital image manipulation and post processing. 3 e) Teaching and training. Appraising and assessing. f) Working with colleagues: o Treating colleagues fairly. o Working in teams. o Leading teams. o Taking up appointments. o Sharing information with colleagues, o Delegation and referral, o Assessing conduct or performance of colleagues. g) Relationships with patients o Obtaining consent. o Respecting confidentiality. o Maintaining trust. o Good communication. h) Probity: o Dealing with problems in professional practice, o Handing complaints and formal inquiries. III. Course contents: Elective course; one academic year (30 weeks Starts October) 5 credit points . The candidate has the right to choose only one of the following subspeciality courses to be examined in 4 Credit Points Total Item Advanced functional Thoracic Imaging a. Congenital lung lesions b. Inflammatory lung lesions c. Tumours of lungs and pleura d. Consolidation and collapse e. Diffuse infiltrative lung disease f. Vascular lung lesions g. Miscellaneous lesions (Hepatopulmonary axis, Airway diseases) h. Mediastinum i. Chest wall j. Diaphragm Item Advanced functional Cardiac Imaging a. Cardiac conventional radiography b. Cardiac MRI c. Coronary angiography d. Congenital heart diseases e. Myocardial ischemia and infarction f. Cardiomyopathy g. Valvular heart diseases h. Pericardial diseases i. Cardiac masses 5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5 0.5 0.5 0.5 Credit Points Total 0.5 0.5 0.5 0.5 1 0.5 0.5 0.5 0.5 5 Item Advanced functional GastroIntestinal Imaging a. Salivary glands/Esophagus /Pharynx b. Stomach/ Duodenum c. Small & Large bowel (inflammatory bowel dis.) d. Pancreas/ Spleen e. Acute abdomen/ Abdominal trauma f. Dynamic MR liver g. MRCP/ CT biliary h. Peritoneal/ Mesenteric pathologies i. Bariatric surgery (Gastric sleeve)/Large abdominal wall hernia j. MR defecography Items Advanced functional Urogenital Imaging a. b. c. d. e. f. g. h. i. j. Techniques/ Contrast media/MRU/Scintigraphy Congenital anomalies Stones & obstructive uropathy Tumors and cystic disease of kidneys Ureteric pathologies UB pathologies Prostate/ Seminal vesicles/Urethra/Scrotum Renal vascular lesions and reno-vascular hypertension Supra-renal imaging & lesions Pelvic floor imaging 6 Credit Points Total 0.5 0.5 0.5 0.5 0.5 5 0.5 0.5 0.5 0.5 0.5 Credit Points Total 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5 Item Advanced functional neuroradiology and Head and Neck Imaging I) Neuroradiology 1-CNS Infections 2-MRS 3-Supratentorial Tumors 4-Posterior Fossa Tumors 5-Craniocervical Junction 6-MR Diffusion and Perfusion 7-The Spinal Cord 8-Cerebrovascular Stroke 0.25 0.5 0.25 0.25 0.5 0.5 0.5 0.5 II)Head and Neck Imaging 1-Imaging of the Orbit 2-Imaging of the Petrous Bone 3-Imaging of the Paranasal sinuses 4-Imaging of the Larynx 5-Imaging of the Thyroid Gland 0.25 0.5 0.25 0.5 0.25 Item Advanced interventional radiology a. b. c. d. e. f. g. h. i. Credit Points Total Vascular interventions (diagnostic and therapeutic) Neuro-interventions Renal interventions Tumors ablation Hepatic focal lesion ablation Gastrointestinal bleeding Hepato-biliary interventional techniques Miscellaneous specialized techniques Doppler 7 5 Credit Points Total 1 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5 Item Advanced functional Musculoskeletal Imaging Advanced functional pediatric Imaging Skeletal trauma Bone infections c. Arthritis d. Bone tumors e. Imaging in hematological diseases f. Shoulder joint g. Elbow and wrist joints h. Hip joint i. Kneejoint j. Ankle joint a. b. Item 1. Pediatric musculoskeletal system 2. Pediatric cardiology 3. Pediatric genitourinary system 4. Pediatric head and neck 5. Pediatric spine 6. Pediatric neuroradiology 7. Pediatric gastrointestinal system 8. Pediatric chest 8 Credit Points Total 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5 Credit Total points 0.5 5 0.5 1 0.5 0.5 0.5 1 0.5 Advanced Women Imaging Item I) Imaging of the Breast 1-Techniques and positions of the breast and breast ultrasound 2-BIRADS lexicon interpretation 3-Benign breast lesions 4-Malignant breast lesions 5-Breast MRI 6-Special techniques of the breast II) Imaging of the female pelvis and DEXA 1-Hysterosalpingography and multimodality approach to uterine lesions 2- Multimodality approach to ovarian and adnexal lesions 3-CT of the female pelvis 4-Benign ovarian, adnexal and uterine lesions 5-Malignant ovarian, adnexal and uterine lesions 6-Obestetric ultrasound 7-Imaging of the placenta 8-DEXA Credit Points Total 5 0.4 0.4 0.3 0.3 0.4 0.4 0.4 0.4 0.4 0.3 0.3 0.3 0.3 IV Teaching methods: A. Tutorials: Tutorials are arranged to discuss daily radiology cases (images interpretation, possible differential diagnosis and final diagnosis) B. Presentations: All subspecialty imaging units direct a scientific meeting to present: Challenging cases presentations . Each case presentation includes: a) Radiology images 9 b) Relevant clinical data c) Differential diagnosis d) Final diagnosis • Scientific presentation for an advanced imaging technique and its applications C. Journal club: is held once a month by the thoracic imaging unit to review and discuss recent research studies and articles. D. Film Reading Sessions: Afternoon sessions are held daily discussing interesting cases. Weekly morning sessions reviewing the daily cases in thoracic imaging unit. E. Assignments: Candidates are assigned to contribute in the scientific meetings through sharing in cases presentation, journal club and discussions. V. Teaching and learning facilities: Lecture halls: 1. A well-designed conference room for weekly meetings with data show and projection capabilities that allow cases to be viewed directly from the PACS. 2. Rooms for small groups Audio-visual aids: Data shows Radiology imaging library 10 Digital library PACS Computer lab. List of References: Recommended books: General Radiology Grainger and Allison’s Diagnostic Radiology: A Textbook of Medical Imaging by Andreas Adam, Adrian K Dixon, Jonathan H. Gillard, Cornelia M.Schaefer-Prokop Textbook of Radiology and Imaging by David Sutton Women Imaging Diagnostic Imaging: Gynecology by H. Hricak, O.Akin, E. Sala, S.M. Ascher, D. Levine, C. Reinhold Diagnostic Imaging: Breast by W.A. Berg, R.L. Birdwell, E.C. Gombos, S. Wang, B.T. Parkinson, S. Raza, G.E. Green, A. Kennedy, M.D. Kettler Breast MRI: Diagnosis and Intervention by EA Morris, L.L. Liberman Thoracic Imaging Thoracic radiology : the requisites by Theresa c. Mcloud Diagnostic imaging: chest by Abbott-Martinez-Jiménez Thoracic imaging: pulmonary and cardiovascular radiology by W. Richard Webb and Charles B Higgins. Pediatric Imaging Diagnostic Imaging: Pediatrics by L.F. Donnely,B.V. Jones, S.M. Ohara, C.G. Anton, C. Benton, S.J Westra, S. J. Kraus, J.L. Strife, B.L. Koch, K.L.Hoeg, E.J. Krotty, R.B. Fortuna. Musculoskeletal Imaging Diagnostic imaging: orthopaedicsby Stoller-Tirman-Bredella-Beltran-Branstetter-Blease Musculoskeletal MRIby Helms-Major-Anderson-Kaplan-Dussault. 11 Interventional Radiology Interventional Radiology: A Survival Guide, byDavid Kesseland Iain Robertson Vascular and Interventional Radiology, by Karim Valji Handbook of Interventional Radiologic Procedures (Lippincott Williams & Wilkins Handbook Series) by Krishna Kandarpa and Lindsay Machan Neuroradiology and Head and neck imaging Diagnostic Imaging: Brain by A.G. Osborn, K.L. Salzman, A.J. Barkovich Diagnostic Imaging: Head and Neck by H.R. Harnsberger, R.H. Wiggins, P.A. Hudgins, M.A. Michel, J. Swartz, H.C. Davidson, A.J. Macdonald, C.M. Glastonbury, J.K. Cure, B. Branstetter Diagnostic Imaging: Spine by J.S. Ross, M. Brant-Zawadzki, K.R. Moore, J. Crim, M.Z. Chen, G.L.Katzman Urogenital imaging Textbook of Uroradiology By Dunnick Gastrointestinal Imaging CT and MRI of the abdomen and pelvis A teaching file MRI of the liver G. Schnieder Cardiac Imaging Clinical Cardiac MRI. Periodicals: Radiographics Radiology Web sites: > www.radiopaedia.org > www.learningradiology.com > www.radiologyeducation.com 12 VI. Supervision and Monitoring of the Training Program According to the faculty of medicine, Cairo university Bylaws for M.D. training programs, a logbook will be kept for each candidate to document his/her participation in different scientific activities. The head of the department allows the candidates to undergo the final examination when they complete their training program and collect the credit points needed. VII Assessment: A: Assessment Tools: M.D Thoracic imaging Exam A written exam : Essay questions (3 hours) Oral exam . B: Assessment Schedule: The written exam will be held in May/November every year . Oral exam (multiple examiners). C: Weighing Of Assessment: Marks allocated to courses. Written oral Total 125(50%) 125 (50%) 250 (100%) 13 Remarks: • It is mandatory to pass the written and oral exams. • Passing mark for the two written papers together is >60%. • Passing mark for oral exam is >60%. Course director Prof. Youssriah Yahia Sabri Dr. Iman Hamdy Date of approval by department council November 2016 Head of Department Prof. Nagui Abd El-Wahab 14