Elective Number: 2911 (lottery)
Rotation Supervisor: Rachita Khot, MD
Coordinator:Sandy Kerns (firstname.lastname@example.org); 924-9484
Rotation Duration: 2 weeks
Rotation Location: UVA Medical Center, Main Hospital, Room 1514
Available: 1-4 & 6-12
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 Rotation Supervisor.
- All requests for days off must be emailed to Sandy Kerns, Education Coordinator (email@example.com)
- Students are allowed to take off 1 day per week to interview between November 1 and February 1.
- Additional days missed must be approved by the Rotation Supervisor.
Dress Code: None listed
Number of students per rotation: 1
Lecture Attendance: Students will attend the lectures and tutorials given by radiology faculty, fellows, and residents, as well as any conferences within the division of abdominal imaging (8:00 am on Wednesday and 12:15 pm – 1 pm M-F in Moss Auditorium).
Additional Requirements: Students will be in charge of collecting interesting cases and adding these to a teaching file. Each student will be asked to prepare and present a 15-minute power point presentation of an interesting case to the attending on service and the rotating residents at the end of each week on the service. The presentation should include a discussion of radiologic anatomy, imaging findings, related physiopathology, and the next best imaging and management steps. Please email of copy of your presentation to firstname.lastname@example.org for saving on the department’s I-Drive.
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.
Students will be assigned a workstation to review available educational material, including interactive tutorials and reference articles. The student will spend time reviewing the educational material on the assigned workstation. Once the attending on service starts the morning read-out with residents, the student will attend the read-out and participate in the discussion of cases. When on the ultrasound rotation, students will be assigned to cases and participate in image guided procedures.
Specific organization of rotation:
- The 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.
Students will have the opportunity to observe image guided procedures (CT and ultrasound guided) performed as a part of diagnostic and therapeutic work-up for neoplastic and non-neoplastic diseases of the abdomen. Students are encouraged to participate in procedure huddle every morning at 8 am in ultrasound procedure area and at 8:30 on Wednesdays.
Additional time will be devoted to self-study of images, slide-and web based interactive learning modules, which have been prepared as teaching materials.
General Learning Objectives:
- Enhance learning and understanding of human anatomy, physiology, and pathology through imaging
- Familiarize students with the different imaging modalities used in abdominal 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
- Enhance exposure of the student to frequently performed image guided procedures
Specific Learning Objectives:
- 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, thoracentesis 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