MEL 8704: Diagnostic Radiology LVHN 15-16

This elective is designed to maximize the opportunity for a medical student to work closely on a one to one basis with radiologists from a broad range of subspecialties within the context of a busy private practice covering a large community hospital/tertiary care center. Unlike rotations in a more traditional academic environment, the emphasis is not on didactic sessions and exams, although student-directed study is encouraged. Rather than relying on house staff for teaching over the majority of a workday, the student can expect to be taught by a radiologist throughout the day. The student can also choose to spend more time in a particular area of interest if requested.

Objectives

  1. Students will develop an appreciation of the broad services a modern diagnostic radiology department provides, including all of the major body systems (neuroradiology, chest, breast, GI/GU, etc.), all of the major modalities (radiography, CT, MR, US, nuclear medicine) and dedicated imaging of pediatric patients.
  2. Students will be introduced to the concept of Appropriateness Criteria (as developed by the ACR) so that they may choose appropriate imaging examinations in the future, no matter what medical specialty they choose.
  3. Students can expect to observe and be taught to recognize common and life threatening conditions including tube and line placement, pneumothorax, pneumoperitoneum, pneumonia, pleural effusion, pulmonary edema, small bowel obstruction, fractures, dislocations, bowel wall thickening, abdominal masses, intracranial hemorrhage and stroke.

Methods

The student will rotate through the following subspecialty areas of diagnostic radiology: plain film, fluoroscopy, body CT, ultrasound, nuclear medicine, musculoskeletal radiology, pediatric radiology, breast imaging and interventional radiology. While on these rotations, the student will review and analyze diagnostic imaging studies directly with the attending radiologists of the department. The student will be expected to attend tumor boards and radiology rounds including pediatric and neonatal imaging rounds. A curriculum will be provided, outlining various books and online resources available for independent study. There is an assigned text the student is expected to read over the course of the rotation.  Upon completion, the student should be comfortable recognizing several common and important conditions. The student should also feel more comfortable identifying which examination is appropriate for a given clinical situation.

Evaluation

The trainee will be evaluated based on feedback from the various attending radiologists who have interaction with the student.