The Radiology experience is a two-week rotation during the PGYIII year. This
rotational experience encompasses education in both the inpatient and radiology
office setting with board certified radiologists. Radiology is also a
longitudinal discipline with residents learning in the FMC and hospitals.
Elective rotations in special imaging are available at WRMC, NMC and at The
Breast Center of Northwest Arkansas.
Patient Care
Goal
Residents must be able to provide patient care that is
compassionate, appropriate, and effective for the treatment of health problems
and the promotion of health. Residents are expected to:
Competencies
Be able to order the correct imaging study to ensure accurate diagnoses.
Be able to counsel patients on the risks and benefits of procedures
Be able to recognize abnormal radiological signs on x-rays, ultrasounds and CT
scans.
Objectives
Become familiar with the various modalities of patient imaging and be able to
appropriately apply this in the diagnostic evaluation of their patients.
Improve their proficiency in the interpretation of radiology studies that are
utilized in the outpatient setting in Family Medicine.
Be able to recognize, diagnose, manage, and refer for consultation the
radiology problems that may present in daily practice.
Become familiar with the indications for special diagnostic radiological
procedures including advances in interventional radiology that their patients
may benefit from.
Be able to correlate radiographic findings with their patient's presenting
history, exam, and laboratory findings to ensure consistency in the diagnostic
workup.
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and
evolving biomedical, clinical, epidemiological, and social-behavioral sciences,
as well as the application of this knowledge to patient care. Residents
are expected to:
Competencies
Indications for:
Physiologic Principles of Radiology
Principles of X-ray interpretation
Plain Radiography
Computed Tomography
Ultrasonography
Nuclear Medicine studies
Magnetic Resonance Imaging
Fluoroscopy
Interventional Radiology
Mammogram
Arteriogram
Doppler studies
Venography
Objectives
Possess the knowledge and skills necessary to order the appropriate imaging
study.
Be able to consult with radiologists on problem cases.
Be familiar with the physiologic principles of radiological imaging.
Be able to assess whether a plain radiograph (particularly chest x-ray) is
adequate for interpretation.
Practice- Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific
evidence, and to continuously improve patient care based on constant
self-evaluation and life long learning. Residents are expected to develop
skills and habits to be able to:
Competencies
Identify strengths, deficiencies and limits in one's knowledge and expertise;
Objectives
The resident will learn their limitations in ordering and interpreting certain
imaging studies.
Systems Based Practice
Goal
Residents must demonstrate an awareness of and responsiveness
to the larger context and system of health care, as well as the ability to call
effectively on other resources in the system to provide optimal health
care. Residents are expected to:
Competencies
Incorporate considerations of cost awareness and risk-benefit analysis in
patient care
Objectives
The resident will become familiar with the relative cost and potential adverse
health risks of certain diagnostic procedures and be able to order a
cost-effective and safe diagnostic evaluation for their patients.
Professionalism
Goal
Residents must demonstrate a commitment to carrying out
professional responsibilities and an adherence to ethical principles.
Residents are expected to demonstrate:
Competencies
Compassion, integrity, and respect for others.
Objectives
The resident will be mentored by the faculty to teach the understanding of
compassion, integrity, and respect in care of the adult with acute and chronic
problems.
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication
skills that result in the effective exchange of information and teaming with
patients, their families, and professional associates. Residents are
expected to:
Competencies
Communicate effectively with physicians, other health professionals, and health
related agencies
Objectives
The resident will learn to effectively communicate the pertinent elements of
their patient's history, exam, and laboratory and other radiological studies
with the radiologist in order to assist the radiologist in his/her ability to
correctly interpret diagnostic studies.
The resident will learn to instruct the patient on the indications, need for,
and risks and benefits of a particular imaging procedure.
Teaching Methods
Reviewing and interpreting diagnostic imaging studies with the radiologists and
the Family Medicine faculty, “Essentials of Radiology” CD Rom, didactic
lecture, case-based discussions, Chest Conference at WRMC by pulmonologists.
Assessment Method
At the conclusion of each resident rotation, the residency coordinator sends a
formative-type, rotation-specific performance evaluation form to the rotations'
supervising physician. When the completed evaluation is returned, the resident
physician and the resident's faculty advisor review the evaluation and attest
to reviewing it by signing/initialing the form. Next, the program director
reviews and attests to the document. Once all three have reviewed and attested
the evaluation, it is included in the resident's permanent file.
Each resident is asked to evaluate the rotation and supervising physician(s) at
the end of the rotation. The resident's faculty advisor and program director
review the evaluation and attest to reviewing it by signing/initialing the
form. These evaluations are filed together by resident year.
Educational Resources
Resources available at the AHEC Library:
Novelline RA. Squires' fundamentals of radiology. 5th ed., Boston,
Harvard University Press, 1997.
Juhl JH, et. Al. Paul & Juhl's Essentials of radiologic imaging. 7th
ed., Philadelphia, Lippincott and Raven, 1998.
Resource distributed at time of rotation:
"Essentials of Radiology" CD Rom by Judith Amorosa, M.D.
