OVERVIEW: The field of
diagnostic radiology has changed significantly in the past decades with
particular acceleration in CT, MRI, and interventional applications. This has
coincided with a rapid increase in the volume of imaging and resultant limited
availability of all-encompassing education for medical students and
non-radiology residents. This void of radiology education has been replaced by
misinformation from non- radiology sources, however well- intentioned,
resulting in incorrect and redundant testing as well as excessive use of
ionizing radiation, all of which result in inflated medical cost to the system
and inefficient, and sometimes even dangerous, patient care.
Mercy Hospital and
Medical Center is an integrated site of the University of Illinois Diagnostic
Radiology residency, through which over one-third of radiology residents rotate
at any given time (presently 12 of the 28 residents per month). Members of the
faculty serve on the curriculum committee of the UIC residency. The resident
and medical student teaching tradition in the department extends back over 40
years in various manifestations. This elective rotation for UIC medical students is
targeted to both those pursuing a career in radiology as well as those wishing
to be exposed to a wide array of imaging applications by which to lay a
foundation for improved patient care. Students may design their daily rotation schedule, with
approval from the site director, to an extent to allow rotation on particular
modalities of interest, including procedural (interventional) radiology.
The field of
radiology is expansive- encompassing plain film, fluoroscopic, CT, MRI,
mammographic, ultrasound, nuclear medicine, and interventional applications -
and even a 5 year residency often only achieves introductory competence. It is
therefore presumptuous to expect measurable interpretive achievement for a
medical student following a single rotation. While identification of emergency
and obvious abnormalities is certainly achievable and expected, student
progress is rather primarily evaluated by interest and participation. This
includes daily attendance of the ER readout, attendance of daily morning and/
or noon conference and a case presentation for the radiology noon conference.
At the end of the rotation, the student should feel comfortable understanding
appropriateness and optimization of diagnostic imaging, and will also be
competent in identifying emergency and obvious abnormalities.
Required prior reading: None
PURPOSE: Please see overview above.
LEARNING OBJECTIVES: Please see overview above. Students will learn optimal imaging tests for various clinical presentations. They will learn how to interpret studies for obvious emergencies and dominant findings. They will hone professionalism in dealing with referring physicians who order procedures.
INSTRUCTIONAL METHOD: The course is 4 weeks long and offered throughout the year. Bulk of learning will be through personalized predominantly one-on-one learning at the workstation with a radiology attending with additional input from the rotating radiology resident. Learning activities are supplemented with textbooks (provided), daily morning and / or noon conference, extensive teaching files and learning case logs. There are no weekend duties unless desired by the student. 80% of instruction is to be supervised by the attending with 20% supervision by the resident.
ASSESSMENT: Please see overview above. Assessment is predominantly based on participation, expected to be complete without unexcused absence. A noon time case presentation inter-departmental conference is also expected before the end of the rotation. Students will be given midpoint feedback evaluations as required by the medical school.
Weekly schedule: The student is expected to attend ER readout 5 days a week. He/she will also attend daily 12:30-1:30 radiology conference given by a rotating attending. Between 9 a.m. and 12 p.m. and between 1:30 p.m. and 4 p.m., the student will shadow a teaching attending on 1 of 6 rotations to be assigned by the site director. Rotations include: Plain film imaging, body CT imaging, body MRI imaging, neuroradiology, ultrasound imaging, mammography, basic interventional radiology.
Program Number: ELEC 239
Program Director: Amir K Sepahdari, MD
Coordinator: Jeannine Kukuk
E-mail Address: firstname.lastname@example.org
Duration: 4 weeks
Lectures/Conference/Faculty Contact: 5
Night Call: No
Weekends: No (optional)
Students accepted: Min/Max 1/2
Independent Study: 5
House staff used as Faculty: Not primarily
Total hours/week: 40