Download Course/Rotation Title - Berkshire Health Systems

Course/Rotation Title: Diagnostic Radiology
Date of Last Review/Update
3/7
Course/Rotation Director
Prakash Malkani
Location of clinical encounters
Inpatient % time = 50%
(Check all that apply)
[ ]
Wards
[ ]
ICU
[ ]
ED
[X]
Other : Radiology Suite
Outpatient% time = 50%
(Check all that apply)
[ ]
Clinic
[ ]
Home
[X]
Other: Radiology Suite
Course/Rotation description with educational purpose/value
The goal of this rotation is to allow future internists to gain exposure and expertise in reviewing
basic thoracic, abdominal, pelvic, and vascular imaging. In addition, it will allow future
internists a better understanding of which imaging modalities are appropriate for a given clinical
scenario. Lastly, the rotation has a goal preparing internists with an understanding of how to use
diagnostic radiologists as consultants to improve patient safety and outcomes.
The rotation will be spent one on one with a diagnostic radiologist (assigned by the course
director) reading films on both outpatient and inpatients in the Berkshire Medical Center reading
room. Self study and a didactic presentation may be assigned at the discretion of the rotation
director. The rotation director will provide times of duty at the beginning of the block.
Types of Clinical Encounters: (PLEASE SPECIFY)
Residents will be exposed to reading films from a variety of modalities including but not limited
to:
 Plain films
 Fluoroscopy
 CT
 MRI
 Nuclear Medicine
 Angiography
Types of Patients: (PLEASE SPECIFY)
1
[X]
[X]
[X]
[X]
Adults of all ages
Male
Female
Children < 18 years old
Mix of Diseases: (PLEASE SPECIFY ANY ADDITIONAL DISEASES
Full spectrum of pathologic process found at this teaching hospital.
Types of Procedures: (PLEASE SPECIFY)
 Fluoroscopy.
 Other interventional procedures might be available of no residents are rotating on the IR
elective.
Describe the level of supervision by faculty
[X]
[X]
[X]
Attending staff will supervise and precept all patient care activity directly or indirectly.
Attending staff will provide mid rotation feedback
Attending staff will provide end-of-rotation feedback
Competency Based Objectives/Expectations. Please see Roman Numeral II with additional
items specific to this rotation as below
Patient Care:
This elective encourages a comprehensive approach to patient care: clinical decisions are made
based on synthesis of information provided by history, exam, labs, and imaging studies. Imaging
is becoming ever more prominent in both inpatient and outpatient settings, and it is essential for
house officers from all specialties to be familiar with basic imaging techniques and
interpretation.
Medical Knowledge:
 Knowledge of appropriate choice of diagnostic study to clinical question being asked.
 Knowledge of complications associated with imaging studies (contrast, gadolinium,
radiation).
 Knowledge and approach to interpreting plain films of the chest, abdomen, pelvis, and
bones for major medical diagnoses such as: pneumonia, pulmonary edema, free air,
obstruction, fracture, etc.
 Knowledge of basic interpretation of CT and MR imaging and the reasons indications for
the use of contrast agents.
 Knowledge of differential diagnoses for common findings
Practice-Based Learning:
 Ability to work independently with texts to improve skills and differential diagnosis.
Interpersonal and Communication Skills:
 Ability to work as a consultant to other medical specialties and provide advice and
expertise
2
Professionalism:
System-Based Practice:
 Understand how to access radiology services and when to utilize radiologist expertise in
the care of medical patients.
Check Any Methods Used For Teaching and Assessment
[ ] Ambulatory Clinic (feedback written & verbal)
[ ] Annual In-service Exam (feedback written)
[ ] Attending Rounds (feedback written & verbal)
[ ] Board Review (feedback written examination)
[ ] Cancer Conference
[ ] Case Management Evaluation (360 degree written evaluation)
[ ] Chart Stimulated Recall & Feedback (feedback verbal)
[X] Direct Observation and Feedback (feedback written & verbal)
[ ] GME Core Curriculum
[ ] Interns Report (feedback written & verbal)
[ ] Journal Club (feedback written & verbal)
[ ] Medical Record Review (feedback written & verbal)
[ ] Mentor Feedback (feedback written & verbal)
[ ] Monthly End of Elective Exam (feedback written)
[ ] Monthly Mini CEX (feedback written & verbal)
[X] Monthly Competency Based Written Evaluation
[ ] Morning Report (feedback written & verbal)
[ ] Multidisciplinary Rounds Feedback (feedback verbal)
[ ] Nursing Evaluation (360 degree written evaluation)
[ ] Patient Evaluation (360 degree written evaluation)
[ ] Patient Management Discussions (feedback written & verbal)
[X] Procedure Logs
[ ] Performance improvement Multidisciplinary Morbidity and Mortality
(feedback written & verbal)
[ ] Semi Annual Program Director Feedback (feedback written & verbal)
[ ] Student Evaluation (feedback written & verbal)
[ ] Supervised Sign-In Rounds (feedback written & verbal)
[ ] Supervised Sign-Out Rounds (feedback verbal)
Other Policies
The Course Director recognizes that the trainee is accountable to all BMC Residency and GME
Personnel Policies and Procedures. The Course Director recognizes that the residents are
expected to attend all continuity clinics and mandatory educational conferences unless excused
by the Program Director or Chief Medical Resident with advanced notice.
Check The Educational Materials Used (beyond direct patient care)
3
[X] Reading List (Please Specify):
 Resources available in the Radiology conference room.
 BMC Radiology Department Reference Book for Residents / Med Students
[X] Review of Appropriate Radiology Images:
4