Elective Number: (Oasis E74x) 2911
Rotation Supervisor: Dr. Arun Krishnaraj
Coordinator: Linda (Lin) Moore; firstname.lastname@example.org; phone: 924-9484
Duration: 2 weeks
Available: Rotations 3b, 7a, 8a, 9a, 11a, 12a
Time to Report: 8:00 am
Place to Report: Residency/Student Elective Office - Room 1832
Typical day: 8:00 am - 4:00 pm
Attendance: Attendance at elective activities is mandatory.
- Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
- Students are allowed to take off up to 1 day per week to interview between
November 1 and February 1.
- Specific days missed must be approved by the Attending on Service.
Number of students per rotation: 2
Course Description: The general learning objectives of this rotation are:
- Enhance learning and understanding of human anatomy, physiology, and pathology through imaging;
- Acquire the knowledge of the language of abdominal imaging and interpretation of the radiology report;
- Prepare to efficiently use the resources of radiology in patient care and enable the understanding of what the next best study is for specific clinical presentations and associated symptoms;
- Learn to recognize common pathologies with different imaging modalities in abdominal imaging;
- Learn to recognize unexpected, critical and sometimes life threatening findings on imaging studies;
- Familiarize the students with the different imaging modalities used in abdominal imaging
- Enhance exposure of the student to frequently performed image guided procedures
Students will attend the lectures and tutorials given by radiology faculty, fellows, and residents and any conferences within abdominal imaging.
Additional time will be devoted to self-study of images, slide-and webbased interactive learning modules, which have been prepared as teaching materials. Students are encouraged to add cases to the teaching files. All students are encouraged to participate in department activities including numerous case-based and didactic conferences, seminars and other activities.
The students will have the opportunity to observe image guided procedures ( both CT and ultrasound guided) performed as a part of diagnostic and therapeutic work-up for neoplastic and non-neoplastic diseases of the abdomen.
The rotation will provide the students a basic but sufficient knowledge on the fundamentals of abdominal imaging in order to serve as a foundation to their internship and forthcoming specialty training.
Specific objectives of the Abdominal imaging rotation:
- Cross sectional imaging (CT and MRI)
- Learn the basic cross-sectional imaging anatomy of the abdominal structures
- Learn the basic objectives and various techniques used to image the organs
- Learn the basic terminology used in the description of findings and how to identify the common acute findings such as appendicitis, obstructing stone in the urinary system, bowel obstruction, traumatic injury to the organs
- Learn the usefulness and limitations of non-contrast and contrast CT and MRI of the abdomen.
- Learn the vascular and non- vascular anatomy of the abdomen
- Learn the basic scanning technique to understand the anatomy in various scan planes
- Learn the usefulness and limitations of ultrasound imaging
- Learn the basic terminology used in the description of findings and learn the imaging appearance of the most common emergent findings that should be communicated to the clinicians
- Image-guided procedures:
- Learn the advantages of using ultrasonography (US) and computed tomography (CT) as a guide for percutaneous biopsies, paracentesis, thoracocentesis and drainage tube placement
- Learn when to use which modality for the procedure
- Understand the potential complications with the image guided procedures and their emergent management
- Learn the main indications and contraindications of percutaneous image guided procedures in the abdomen
- By the end of the rotation, the student will be able to identify the normal and variant anatomy and be able to apply a systematic approach in the interpretation of cross sectional imaging and ultrasonography of the abdomen and pelvis
- The student will be able to recognize common and emergent pathologies seen with various imaging modalities (CT, MRI and US)
- The student will be able to suggest appropriate imaging technique for evaluation of common pathologies
- When participating in a procedure, the student must acknowledge the relevant clinical history of the patient, clinical indication for the procedure and be aware of comorbidities and risk factors that may contraindicate the procedure
- Due to the level of training, students will not be able to actively perform or participate in procedures; although they will be present throughout the process, including assessment of the potential procedure, decision-making for planning, most suitable imaging method to be used, observation of the procedure and interpretation of follow-up images
- An enthusiastic participation is expected from the students during the rotation. The student will participate in the read-out of radiology residents and will be asked to answer questions appropriate for his/her level
- Knowledge of main clinical history of the patients with interesting radiologic findings is encouraged, as association of clinical and radiologic findings will facilitate the understanding of the pathology and will promote long-term learning
- Avoiding disruptive behavior such as constant chatting with peers while the resident or attending interprets studies as well as cell phone use in the reading room is expected
Work (specific tasks for the student):
Students are be encouraged to participate in morning 8 am procedure huddle daily in Ultrasound procedure area and 8:30 am on Wednesdays. Attend Wednesday 8 am interesting case conference and noon lectures in Moss when possible. A workstation will be assigned to the student for him/her to review educational material, including interactive tutorials and reference articles. The student will spend at least 2 hours of the day reviewing the educational material. Shadow the attending during read-outs throughout the day and participate in discussion of cases. When on ultrasound rotation, cases will be assigned to participate in image guided procedures and scanning the patients. (on attached from)
Specific organization of rotations:
- First week will be spent in cross sectional imaging (CT and MRI) and the second week in diagnostic sonography and image guided procedures
- Daily review of the procedure schedule and interaction with the attending on service will facilitate the participation in the procedure
- When two students are on abdominal imaging electives, the second student will be on diagnostic sonography and image guided procedures for the first week and cross sectional imaging during the second week.
Students will be in charge of collecting interesting cases and adding these
to a teaching file.
The student will be asked to prepare and present a 15-minute power
point presentation of an interesting case to the attending on service
at the end of each week in the service; discussion of radiologic anatomy,
imaging findings, related physiopathology and best next step in imaging
will be emphasized.