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Specialty Training Requirements in Diagnostic Radiology 2009 REVIEWED – 2013 These training requirements apply to those who begin training on or after July 1, 2009. MINIMUM TRAINING REQUIREMENTS The five years of approved training require closely supervised practice, with the opportunity for increasing responsibility in the final years, so that the resident near the end of training can function as a general radiology consultant. The residency may be followed by one or more years of fellowship training in a subspecialty discipline, as the residency training is not intended to provide a subspecialty level of expertise. Five (5) years of approved residency training in Diagnostic Radiology. This period must include: 1. One (1) year of basic clinical training taken as a junior resident The purpose of this year is to give the resident a degree of independent responsibility for clinical decisions; an opportunity for further development of the skills required in making effective relationships with patients; the consolidation of competence in primary clinical and technical skills across a broad range of medical practice; and an understanding of the nature of the relationship between a referring physician and a clinical radiological consultant. This training must include: 1.1. A minimum of ten (10) months of broad based medical experience relevant to Diagnostic Radiology, selected from Internal Medicine, surgery, Pediatrics, Obstetrics and Gynecology, Emergency Medicine, Neurology, Family Medicine or any combination of these, and not to exceed more than six (6) months in any one element 1.2. A maximum of two (2) months selected from the following: 1.2.1. Diagnostic Radiology 1.2.2. Nuclear Medicine 1.2.3. Basic sciences related to Diagnostic Radiology 1.2.4. Research related to Diagnostic Radiology © 2009 The Royal College of Physicians and Surgeons of Canada. All rights reserved. This document may be reproduced for educational purposes only provided that the following phrase is included in all related materials: Copyright © 2009 The Royal College of Physicians and Surgeons of Canada. Referenced and produced with permission. Please forward a copy of the final product to the Office of Education, attn: Associate Director. Written permission from the Royal College is required for all other uses. For further information regarding intellectual property, please contact: [email protected]. For questions regarding the use of this document, please contact: [email protected]. Page 1 of 3 SPECIALTY TRAINING REQUIREMENTS IN DIAGNOSTIC RADIOLOGY (2009) 2. Four (4) years of approved residency training Training in medical imaging integrates training in the imaging modalities and in the imaging of organ systems. This training must include adequate experience in imaging of adult and pediatric patients in inpatient, emergency and ambulatory settings. Resident training must include minimum training time as specified in the following organ systems and must include experience in general radiography, fluoroscopy, interventional procedures, ultrasound, CT, MRI and nuclear medicine as relevant to the following organ systems. For the purpose of this document, a block of training is equivalent to 4 weeks of training 2.1. Minimum of six (6) blocks of thoracic imaging, including general radiography, fluoroscopy, basic interventional procedures, CT, MRI and nuclear imaging of the respiratory and cardiac organs 2.2. Minimum of thirteen (13) blocks of imaging of the abdomen and pelvis, which must include a minimum of eight (8) weeks training in obstetric ultrasound and fetal imaging. This training must include experience in general radiography, fluoroscopy, basic interventional procedures, ultrasound, CT, MRI and nuclear imaging 2.3. Minimum of three (3) blocks of vascular and interventional imaging to include basic vascular and non-vascular procedures, ultrasound, CT and MRI 2.4. Minimum of six (6) blocks of musculoskeletal imaging to include general radiography, basic diagnostic and interventional procedures, ultrasound, CT, MRI and nuclear imaging 2.5. Minimum of six (6) blocks of neuroimaging including head, face, neck, and spine to include general radiography, basic interventional procedures, CT, MRI, ultrasound and nuclear imaging 2.6. Minimum of four (4) blocks of breast imaging including mammography, ultrasound, MRI, and interventional procedures under ultrasound and MRI guidance, and nuclear imaging 2.7. Minimum of four (4) blocks of pediatric imaging to include general radiography, fluoroscopy, basic interventional procedures, ultrasound, CT, MRI and nuclear imaging 3. Ten (10) blocks of approved residency consisting of any combination of the following as long as these are appropriately integrated and approved by the Residency Training Committee: 3.1. Thoracic imaging 3.2. Body imaging, which may include abdominal, pelvic, obstetric or fetal imaging 3.3. Vascular imaging which may include imaging for interventional procedures 3.4. Musculoskeletal imaging 3.5. Neuroimaging 3.6. Breast imaging 3.7. Pediatric imaging 3.8. Nuclear medicine © 2009 The Royal College of Physicians and Surgeons of Canada. All rights reserved. Page 2 of 3 SPECIALTY TRAINING REQUIREMENTS IN DIAGNOSTIC RADIOLOGY (2009) 3.9. Research project relevant to medical imaging 3.10. Maximum of three (3) blocks of training in pathology (including training at the Armed Forces Institute of Pathology - AFIP) or other clinical specialty relevant to the practice of medical imaging NOTES: In view of the amount and variety of medical imaging to be covered, and the skills required to be prepared as a general imaging consultant, it will seldom be appropriate to spend the entire 10 blocks (40 weeks) in any one of these areas. REVISED – 2009 Reviewed and approved – Specialty Committee – January 2013 © 2009 The Royal College of Physicians and Surgeons of Canada. All rights reserved. Page 3 of 3