Renal scan with Tc_99m MAG3, Tc_99m DTPA, Tc_99m glucohepatonate and I_131 Hippuran for differential renal function, obstruction with lasix, renal vascular hypertension with captopril, and GFR or effective renal plasma flow determination. Educate and advise on the use and misuse of vascular and non-vascular imaging and intervention. Patient Dose Reduction by Audit of Grid Usage in Barium Enemas: Seymour R.  British J. of Radiology, Vol 70: pp. Ideally, at least one of the daily review sessions with staff should include a review of some of the resident approved report. The resident should use the book during the rotation and give the book back to Laura Lang at the end of the rotation or hand it to the next resident starting on cardiac radiology. A Mosby. Textbook of Gastrointestinal Radiology. Gain competency in supervising quality assurance, including assessing the quality of all reported imaging studies. Femur length? © 2020 — Curators of the University of Missouri. 6. The RTC may recommend changes to this strategy. They also outline several dimensions upon which a practice can establish goals and objectives. Become familiar with the advantages and limitations of percutaneous fine needle. To possess a sensitivity to the propriety of the female patient undergoing a gynecologic scan and a sensitivity to the psychological reactions following pregnancy loss. Residents will have the afternoon to do the following: Work through Rad-Primer Physics questions and cases, Meet with rotation supervisor (once/ week). The appropriate people can then be notified. Learn to recognize basic catheters and understand their mechanism of use. Wittram C, Maher MM, Yoo AJ, Kalra MK, Shepard JA, McLoud TC. Residents are expected to gain experience and be comfortable with performing the procedures associated with pediatric emergencies. Demonstrate the ability to teach the plain film findings of cardiac disease to medical students, residents, technologists and clinical colleagues. The resident will be required to meet with the rotation supervisor at the beginning of the rotation, and on a weekly basis to discuss questions arising from the weekly reading, and progress regarding the end of rotation rounds presentation. Friday: Report to General Campus Ultrasound (Module T). 3nd ed. In order to competently handle their on-call duties, beginning residents are expected to excel in diagnosis of life-threatening conditions. Float. Teaching Atlas of Vascular & Non-Vascular Interventional Radiology. Supervised learning or teaching sessions. Demonstrate the ability to be an effective teacher of ultrasound to medical students, residents, technologists and clinical colleagues. Become familiar with the differential diagnoses of lesions affecting the head & neck according to the compartment the lesion is placed in. All incidents should be reported to the relevant hospital’s or the Ontario Ministry of Health & Long Term Care Office of Occupational Health, Safety and Wellness and will be addressed as per their policies and procedures. It must be recognised that the responsibility for resident safety is jointly shared between the resident, residency program, Faculty of Medicine, University of Ottawa and its affiliated Hospital Sites, and Ontario Ministry of Health & Long Term Care. Ectopic pregnancy including diagnosis, pitfalls, and differential diagnosis, pseudo-gestational sac, heterotopic pregnancy, sub-chorionic hemorrhage, ultrasound signs of early pregnancy failure, multiple gestations including determination chorionicity and amnionicity. All residents are expected to participate in an MR safety orientation session provided by the program with the assistance of the chief MR technologist from a major teaching site. Namasivayam S, Kalra MK, Torres WE, Small WC. This must include knowledge of and ability to manage radiological complications effectively. Call will be performed on a “shadow call” basis and the resident will be assigned with a senior trainee. Diagnostic Ultrasound, Vol II. All residents can expect to be protected in the same fashion as patients and other members of the public, faculty and staff with regards to radiation exposure within the department from its computed tomography and radiography facilities as per the relevant Ontario Ministry of Health & Long Term Care policy and procedures. fluoroscopy or Nuclear Medicine). Dysphagia of any kind, motility assessment of the esophagus or stomach, upper GI obstructive symptoms. Drill Down Example: Hand Hygiene Department level summary. Yoon W, Jeong YY, Kim JK, Seo JJ, Lim HS, Shin SS, Kim JC, Jeong SW, Park JG, Kang HK. Can the major congenital cardiac anomalies be excluded by a normal 4-chamber view? This rotation aims to teach the resident in a graduated fashion the principles of breast cancer screening and to familiarise the resident with diagnostic breast interventional techniques. The resident must be able to explain complications that might occur to the patient as well as the clinical indications and contra-indications to the study. Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA. (Staff code on Qgenda: UBXG), Wednesday: Report to General Campus Ultrasound (Module T). The purpose of such goals is to keep various sectors of the company intact amidst the challenges the business may encounter. In between procedures, report venous ultrasound dopplers and protocol biopsies. An Atlas of Normal Developmental Roentgen Anatomy; Keats TE, and. Lippincott Williams & Wilkins. Gain a basic understanding of the physics of inherent tissue contrast in magnetic resonance images and how to manipulate this contrast. To demonstrate the ability to produce a report which describes the imaging findings, most likely differential diagnoses, and when indicated, to recommend further testing and/or management. The paucity of a well-organized study resource to address such selective preparation represents an additional challenge. Alfred B. Kurtz (Author). Mid-rotation written evaluation (optional). Optional involvement in endometriosis scanning program in DI with Drs. Measurable – Include a numeric or descriptive measurement.3. STEP THREE – COMPLETE YOUR GOALS. Breast Imaging; Lippincott Williams & Wilkins. PGY-1. Manage patients during procedures in close association with the radiologist. To gain knowledge of ultrasonographic pelvic anatomy. Exhibit appropriate personal and interpersonal professional behaviours. The workday begins at 8:00am or 8:30 am on the days there are morning rounds. How do you calculate RI, PI, S/D ratio? Ensure the program meets the standards of accreditation. You are also expected to report at least 1-2 CT chest/aorta/pulmonary angiograms per day. Residents will typically rotate at the Civic campus. In order to make a rational assessment of the anatomy, each element should be depicted in at least 2 views approaching orthogonality. Obtain informed consent from pediatric patients and their parents. Satisfactory attendance at departmental educational activities including academic half day, visiting professor and resident rounds. 2009. 2008, Lippincott Williams & Wilkins. Strategies achieve goals.Objectives are elements of a strategy that can be assigned to teams and individuals. The training program functions in accordance with the principles of the RCPSC CanMEDS project. Communicate effectively with patients and families and have a compassionate interest in them. Please note that the volume expectations outlined below are mere guidelines and will vary depending on taking on other responsibilities such as ‘hot seat’ duties and procedures etc. Please send an email to Melody Crawford, chief technologist of the General Campus (copy the rotation supervisor) to arrange the date to do this activity. Johnson PL, Eckard DA, Chason DP, Brecheisen MA, Batnitzky S. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, Pessin MS, Lamy C, Mas JL, Caplan LR. You will be welcomed by the staff and receive an initial orientation. (e.g. The resident is trusted to inform patients prior to the procedure and obtain informed consent. You should read and dictate the MR of the aorta that was performed the day before. 3rd ed. Tasks aren’t strategic. At the General Campus the resident is responsible for the 9am biopsy and is welcome to be involved in other procedures any given day. (must read), Symposium on Arthrography; Anderson TM, RCNA Vol 19 No 2, June 1981, Imaging of Joints; Kaye JJ, RCNA Vol 28 No 5, Sept 1990. Your objectives link out to your measures and initiatives. Oversee residency program formal curriculum including but no limited to: Members: M. McInnes, G. Doherty, A. Gupta, S. Peddle, K. Rakhra. Anticipate the major pathologies suggested by the patient’s account of symptoms and modify your exam accordingly. At the beginning of the day, you should communicate with the fellows and agree on the case(s) you will be reporting. Therefore, this can serve to fill in any missed days, or can provide additional experience in required areas. In order to take the maximum advantage of this role, I would like to undertake longitudinally a Medical Administration and Leadership Elective. 4) Mangrum WI et al. At the beginning of the day, you should communicate with the fellows and agree on which case(s) you will be reporting. The MSK Plain film radiologist will be responsible for reviewing the junior residents reading plain films and performing procedures. While creating an operating budget may not be an organization’s overarching goal, it is an integral part of strategic planning that requires a radiology practice to look forward, see the desired results, and try to set a course to achieve them. Goradia D, Blackmore CC, Talner LB, Bittles M, Meshberg E. Bono CM, Vaccaro AR, Fehlings M, Fisher C, Dvorak M, Ludwig S, Harrop J. Aulino JM, Tutt LK, Kaye JJ, Smith PW, Morris JA Jr. Deliganis AV, Baxter AB, Hanson JA, Fisher DJ, Cohen WA, Wilson AJ, Mann FA. Visit Amazon's Alfred B. Kurtz Page. Sick Days - When a resident is obliged to take a sick day, the resident is obligated to inform one of the site specific administrative assistants of the absence. Depending on the nature of the project, the Residency Training Program may have funds available to pay for some expenses. Perform interventional procedures including fine needle aspiration biopsies of focal thoracic lesions, core biopsies and insertion of pleural drainage catheters. Appendix G, of the CPSO “Guidebook for Managing Disruptive Physician Behaviour”1, has been modified to guide the behavioral management of all disruptive physician behavior within the residency program. splenic, hepatic, arterial laceration/hemorrhage), Conscious sedation (i.e. Relevant – Make sure the goal is consistent with the … Identify the common abdominal/pelvic abnormalities encountered in daily practice. Become familiar with applications of abdominal and peripheral Doppler examinations particularly peripheral venous Doppler. Demonstrate the ability to be an effective teacher of ultrasound to medical students and clinical colleagues. Communicate effectively with patients and family. Able to communicate effectively with technical staff, support staff, supervisors and colleagues. Interpret CT and MR of the thoracic aorta, heart and pericardium including CT coronary angiography and CT pulmonary angiography. Begin effective consultations and be introduced to clinical-radiological conferences. Goals and Objectives Musculoskeletal Imaging Fellowship. In addition to these examinations, the resident performance on rotations and in the professionalism domain will be assessed. The site radiology department will be responsible to have this apparel available for residents. The classification of gynecological benign and malignant neoplasms, as well as the staging and treatment of these. Salivary gland scan with Tc_99m Pertechnetate and lemon juice for Sjogren's syndrome, Warthin's tumor and radiation change. The reason for this is because you get … Identifies the important determinants of health affecting patients. A Saunders, 5th ed. The resident will supplement their CT/MRI exposure with a minimum of 10 plain films daily to supplement their cross-sectional exposure. The workday begins at 8:00am or 8:30 am when there are resident rounds. The resident should be prepared to submit their proposed research to the Research Ethics Review Board. The Visionof the Department of Radiology and Medical Imaging at the University of Virginia is to be one of the best Departments in the world in providing timely, cost-efficient, and high quality Medical Imaging and image-guided therapy services for a diverse patient population. Rotating q3-6 months. This elective offers an opportunity to rotate through the gynecologic ultrasound service as a senior resident at the Riverside in a reporting rather than scanning capacity. Become competent in performing myelograms and lumbar punctures. You will note the staff will only typically leave the hospital after all 5pm HIGH/STAT cases were reported. Residents should not assess violent or psychotic patients without the backup of security and a supervisor and also an awareness of accessible exits. OBJECTIVE. Goal Examples For Every Department By Betterworks on Dec 28, 2019 3 min read As people begin to prepare for the new year, many companies are looking to update their goal setting processes to make sure they’re operating at the highest level possible. Therefore their training environment and their duties may be modified to minimize these risks. What is the risk of pregnancy loss from this procedure. (more to be added – please also bring in your suggestions!). How is the abdominal circumference obtained? Establishing realistic, measureable goals and objectives for EHR implementation is critical to determine whether an implementation was successful. Do your thinking in front of still captured image. On Tuesdays, you should report the aorta MR from the day before and if there is time, the first cardiac MR of the day, as this is your academic half-day. Any recommendations for remediation or probation will first be discussed by the promotions sub-committee with the chief resident serving as resident advocate. Recruit students with a demonstrated track of educational excellence into our full-time professional program, Continually improve the educational program to ensure that students receive relevant and timely instruction as it pertains to the medical imaging discipline, Maintain accreditation with national organizations to ensure that our program continues to meet the high standards set forth by these organizations, Promote continuing education of medical imaging professionals with specific emphasis on providing this education to underserved health care regions including rural, urban, low-income, and ethnic minority communities, Stimulate critical-thinking and problem-solving abilities through curriculum design, Ensure that students are well prepared to pass national certifying examinations, Focus on accepted radiographic positions, while allowing students the opportunity to be creative and innovative in accomplishing this task, Adequately prepare students to enter into the job market competitively upon graduation, Provide students with opportunities for interaction with other health care professionals to develop a multidisciplinary approach to health care delivery, Encourage medical imaging professionals to consistently employ radiation safety to protect those who come to us for medical care, Promote professional and ethical behavior, thus positively influencing public perception of the medical imaging profession, Students will provide appropriate patient care, Students will demonstrate good patient positioning skills, Students will select appropriate technical factors, Students will demonstrate the proper use of radiation safety, Students will demonstrate effective written communication skills, Students will demonstrate effective oral communication skills, Students will be able to modify standard imaging protocols to non-routine procedures, Students will demonstrate an appropriate approach to solving problems, Students will demonstrate professional integrity, Students will evaluate the value of professional organization membership, Students will pass the ARRT national certification exam on first attempt, Students pursuing employment will be gainfully employed within 12 months of graduation, Students will be satisfied with their education, Employers will be satisfied with the graduate’s performance. Second rotation: Equipped with the base knowledge from the first rotation, the junior resident will be progressively exposed to routine outpatient xrays and CTs of extremities and joints. Blachar A, Federle MP, Pealer KM, Ikramuddin S, Schauer PR. To understand the concepts of Resistive Index, Pulsatility Index, and S/D ratio. If and when your goal shifts, don’t completely trash or delete your previous goal. Acquire basic knowledge of the role of the various imaging modalities (plain film, ultrasound, CT, MRI, nuclear medicine and ultrasound) for the diagnosis of musculoskeletal pathology. The project supervisor or Research Director may also recommend certain available resource to the resident, such as the Methods Centre. Residents should also refer to the Resident Well-Being Handbook provided by the PGME office in the resident handbook. Overview of the rotations -MSK radiology includes plain films, ultrasound, CT, MRI, CT and MRI arthrograms and bone interventions (biopsy, drainage, therapeutic and diagnostic injections guided by the different imaging modalities). It was in the face of this void that we decided to prepare this document. Case report forms are available from the technologists so you can record your findings for each patient. In the worst case you will review/report some of the cases on the next day. The resident will be given sufficient time and guidance during the rotation to complete this exercise. Our Department will also play a major and vital role in the education of patients, trainees, healthcare providers, healthcare administrators, legislat… The following table describes the minimum performance standard for each of these domains, and suggests approaches to a resident who does not meet this standard in a given, “Meets Expectations” overall and on at least 3 of 4 exam subsections. Able to diagnose and manage medical conditions presenting in the pediatric patient. Gain knowledge of theoretical, practical and legal aspects of radiation protection including possible harmful effects as related to CT. Gain a working knowledge of vascular and pertinent nonvascular anatomy. We highlight the framework we use for managing improvement projects in our department and review basic project management principles. Call duties and schedule are at the discretion of each individual rotation. What is a succenturiate lobe? Learn the advantages and disadvantages of each. (Staff code on Qgenda: UBXG). Muller, Silva. Gain knowledge of theoretical, practical and legal aspects of radiation protection including possible harmful effects. Work in close collaboration with sonographers. 2004. The human resource department is arguably one of the most important areas of an organization. Taking full exposure images only when the best spatial resolution is required. Other Sites (non-TOH) – As Per Individual Rotation arrangements. Understand the importance of communication with referring physicians including an understanding of when the results of an investigation or procedure should be urgently communicated. Understand the different anatomical compartments of the neck. Recognize the physical and psychological needs of the patients and their families undergoing radiological investigations and/or treatment including the needs of culture, race and gender. You are also encouraged to participate in any ultrasound-guided procedures that are scheduled. Gain an understanding of the formation of all types of angiography images including physical and technical aspects, patient positioning and contrast media. This should only be done if the first objectives have been mastered. If reflux occurs spontaneously during the exam, no provocative manoeuvre is required. 2006. Head & Neck Imaging. Department of Radiology Mission To provide the highest quality advanced imaging services in a setting dedicated to academic excellence and the provision of outstanding patient care and service. They should study cross-sectional imaging interpretation of MSK studies, particularly MRI. To demonstrate the ability to be an effective teacher of ultrasound to medical students, residents, technologists and clinical colleagues. A male resident must not perform an endovaginal scan unless a female sonographer is present. 12 Examples of Personal Development Goals It is natural for humans to aspire to become a better version of themselves as this is essential to achieve their long-sought dreams. This rotation aims to expose the resident to areas of VIR not covered in the introductory 2 blocks. The presentation will be scheduled during the last week or 2 weeks following the rotation. Keep an eye on the list. The following questions are also meant to help guide the resident through the rotation. It serves as an introduction to the many facets of the acute conditions encountered in the Emergency Department and prepares the PGY2 resident for their call experience. Written and face-to-face end of rotation evaluation. - here are not enough MRIs in the list: If the list is empty (slow down, maintenance, etc..) go to the teaching files and open cases compatible with your level while continuing to take plain films. Critically appraise sources of medical information. Further understand common workflow issues experienced at each modality. Ask the patient to give their version of the presenting symptoms. What are the two major abdominal wall defects? The mission of the Department of Radiology and Imaging Sciences remains unchanged from 2007: The Emory Department of Radiology and Imaging Sciences serves the The environment lends itself well to granting the PGY5 resident increased responsibility, such that they may be asked to function with reduced supervision occurring at an arm’s length. - On Mondays, Wednesdays, Thursdays and Fridays you are responsible for both Campuses, but: - On Thursdays there will be typically a fellow at the General taking care of supervised MRIs. Mortele KJ, Cantisani V, Brown DL, Ros PR. Overall Goal: This rotation in Internal Medicine is designed to expose the BCT resident to common problems encountered in the general medical patient. Involvement would include reviewing the case or reporting it formally. They are expected to maintain immunizations and TB testing up to date. You will dictate and review chest radiographs with staff in the morning and afternoon. Once you have accomplished this, the cardiac radiology staff should teach you the basics of cardiac CT post-processing and interpretation. Accurately assess one’s own performance, strengths and weaknesses. The finance department is responsible for managing the business revenues to ensure a steady flow of cash into and out of the organization. Gain the ability to be an effective teacher of magnetic resonance imaging to medical students, residents, technologists and clinical colleagues. The radiologist must ensure that the exam is carried out with attention to patient safety, managing risks that include: Ask questions of technologists and radiologists in order to discover all the measures that can be taken to minimize risk. If available, senior residents may opt to attend Sarcoma Rounds (Fridays, 12:00) where they will be expected to present at minimum a single case. Demonstrate the ability to produce a radiologic report which will describe the imaging findings, most likely differential diagnoses, and when indicated, recommend further testing and/or management. Mosby. Split the cases in the list with them, giving emphasis to your learning phase (knees and shoulders? The first step was to put in order a comprehensive list of emergency radiology topics, which was adopted from “Core Curriculum in Emergency Radiology” by Dr. R. A. Novelline. - In your third rotation, after opening the x-rays and CTs you should also open one or two MRIs everyday (typically knees). To understand the risks and benefits pertaining to screening for colon cancer, and the role that CTC plays in screening. Fridays are a full biopsy day. Richard M. Gore, Marc S. Levine. Understand the acceptable and expected results of investigations as well as unacceptable and unexpected results. The number of cases to be read each day depends on the resident’s experience level, as well as the number of consultations and cases to be protocolled that day. and Guiberteau M. J. Essentials of Nuclear Medicine Imaging. Gain knowledge of clinical radiology including understanding of thoracic, vascular, abdominal-pelvic and spinal diseases, appropriate selection of imaging modality, importance of informed consent and complications such as contrast media reactions.
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