– Unrealistic goals are not just unobtainable, they harm the program. Find all the books, read about the author, and more. Also, technologists will bring in doubts related to x-rays projections, CTs and MRIs protocoling. To recognize when a CT examination would be detrimental to the health of a patient and educate and advise on the use and misuse of CT. The resident and staff will decide beforehand what types of cases and procedures are to be reviewed and performed. Learn the projections that provide optimal depiction of each of these portions. Missing 2 or more such events per block without cause (illness, vacation, post call, excused by PD) will be considered below the minimum performance standard. Attend Neurosurgery rounds every Wednesday - 7:30 am in the C2 Clinic conference room, Civic Hospital. *** On Thursdays the Resident should go to the General Campus Prostate Biopsy Service (7th floor CAC). Cardiac Imaging: Rad Cases. Atlas of Ultrasound in Obstetrics and Gynecology. To learn to correlate CT findings with other imaging modalities. Perform basic duplex Doppler studies such as those of the upper and lower extremities. have a compassionate interest in them. Protocol all Ontario Breast Screening Program work-ups, supervise work-ups and make appropriate management decisions with minor assistance. Mosby. 3rd ed.2009. 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. William E Brant; Clyde A Helms. At what stage of pregnancy is genetic amniocentesis usually performed? What are some of the conditions that may contribute uniquely to increased morbidity in twin pregnancy? Staff Radiologist Core members are appointed by the Committee Chair in consultation with the remaining RTC members. Because of possible problems with the PACS, cases left in “green” status are sometimes accidentally read by someone else. In order to optimize the workload for trainees and add exposure to scanning problem solving with technologists, we recommend the following: The technologists are excellent teachers and are happy to help trainees understand practical aspects of scanning. Journal of Thoracic Imaging - Residents’ Collection: Cardiac Imaging. Demonstrate integrity, honesty and compassion. Fundamentals of Diagnostic Radiology; Brant, Helms; 3rd Edition (2006). The resident will plan the schedule for the month prior to starting the rotation and will review with Dr. Lee. Specific - Consider who, what, when, where, why and how in developing the goal. Wong H, Gotway MB, Sasson AD, Jeffrey RB. Increased skills in coaching and leadership. If caught up, you can read backlog outpatient ultrasound studies from Nunavut, RVH, or Riverside. Take that opportunity to see more plain films. All cases will be dictated before the end of the day. Ask the staff or alternatively the fellow to teach you how to navigate through the multiple sequences sent to PACS for every cardiac MR so that you are able to look at these independently. Develop, implement and monitor a personal continuing education strategy. Hibernating myocardium with FDG, Thallium and other perfusion agents, Gated blood pool images with labeled RBCs with Tc_99m Pertechnetate for left and right ventricular ejection fraction and the cardiac size. 1. Accurately assess one’s own performance, strengths and weaknesses. Become competent in computer science as it pertains to the practice of emergency radiology. 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. Although it was tempting to devise some kind of importance rank-order, either among different topics or for articles on the same topic, this would have not been more than arbitrary. Computed Body Tomography with MRI Correlation; Lee, Sagel, Stanley, Heiken; 4th Edition (2005). Remainder of day spent reporting diagnostic ultrasound studies and protocoling biopsies. RELEVANT 9. If a resident is scheduled at the General they should split the time with the Civic resident in 2 week blocks at each campus. (People Excellence) Objectives. To understand the importance of communication with referring physicians, including an understanding of when results should be urgently communicated. The resident will complete one research project which will ideally be presented in May of the PGY-3 year at the annual research day. Read journals regularly and attend journal clubs. To understand the advantages and pitfalls of endovaginal ultrasound. How does it differ from a true gestational sac? This book is a teaching file (that belongs to the Imaging Department). Deliver the highest quality care with integrity, honesty and compassion. Single-Contrast vs Double-Contrast Barium Enema in the Detection of Colonic Polyps: Ott DJ et al, AJR, Vol 146: pp. In this final rotation, the resident may also improve MSK procedural techniques including bone biopsy, and hopefully see the introduction of protocoling routine CT/MRI. Learn to organize the workday to include a balanced approach to patient care, learning needs and other activities. This excellent, readable series of articles published in Radiology from 2002-4 is an invaluable resource for application of statistical methods to radiology research. Hemoptysis and bronchial artery embolization. Department and University Information. Atlas of Roentgenographic Measurement; Keats TE., YBMP, 2001. 08:00 - 12:00: Participate in procedures and post procedural care. Blachar A, Federle MP, Pealer KM, Ikramuddin S, Schauer PR. Also, ask the staff to bring some books for you to take a look at them. Continually improve the educational program to ensure that students receive relevant and timely instruction as it pertains to the medical imaging discipline 3. Be actively involved in both vascular and nonvascular interventional work. Name each artefact and explain its physical basis. Assist in the appeal mechanism and other matters between the Radiology Residents and the Royal College of Physicians and Surgeons, the University of Ottawa Postgraduate Education Committee, and other training programs. The HR Goals and Objectives were adjusted by the top management, just because expectations were raised (the top management has risen the bar for HR Professionals). 2004. Funaki. Develop a basic approach to mammographic interpretation. Ideally, the pediatric radiology supervisor will try to meet with the trainee at these times as well to discuss their evaluation. Understands the principles of quality assurance, risk management, and standards of care Health Care Advocate, Attends the PGY 1 educational sessions, except when on booked vacation days. Understand the mammographic and ultrasound characteristics of benign and malignant lesions. Allocate finite health care resources wisely, and use information technology to optimize patient care, learning and other activities. The project supervisor or Research Director may also recommend certain available resource to the resident, such as the Methods Centre. Kim YH, Blake MA, Harisinghani MG, Archer-Arroyo K, Hahn PF, Pitman MB, Mueller PR. Demonstrates an understanding of the relationship of the emergency department with the EMS. Overall Goals and Objectives Overall Goals & Objectives Diagnostic Radiology. Hunter TB, Taljanovic MS, Tsau PH, Berger WG, Standen JR. Taljanovic MS, Hunter TB, Miller MD, Sheppard JE. (more to be added – please also bring in your suggestions!). Report all high and stat chest/aorta CT’s done at the Heart Institute up to 5 pm. Residents are expected to have at least one audit or research project underway by PGY2, completed by PGY3 and presented at Research Day by PGY4. Recognize radiation dose issues when considering imaging. Continue to practice scanning techniques, with a strong emphasis on the       sonography of various pathologies. Scanning will be supervised by a sonographer. Sebastia C, Quiroga S, Boye R, Cantarell C, Fernandez-Planas M, Alvarez A. - 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. If they have questions about the cases they should review them with the staff, senior resident or fellow. Set personal learning goals & objectives. Regularly and consistently evaluate the competence of students in the areas of technical expertise and professional development. The resident will be given sufficient time and guidance during the rotation to complete this exercise. Duke Review of MRI Principles: Case Review Series. Respiratory presentations including pneumonia, asthma, aspiration, laryngitis, Table safety (falls, abrasions, blows from the overhead tube). If appropriate, see in-patients scheduled for the following day, obtain written informed consent and write pre-procedure orders. Utilize time, budget and resources effectively. 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. Communicate effectively with patients and family. Elsevier: 2012. Gain an understanding of research ethics. Day begins:    8:00 am (or 8:30 when there are morning rounds). Residents must report any situation where personal safety is threatened and should be aware of the contact for security at participating training sites. Be able to lead or initiate a pre-procedural pause. Gain an understanding of patient positioning used in GI examinations. Remember the radiologist’s dictum:” One view is no view”. Residents will have the afternoon to do the following: Work through Rad-Primer Physics questions and cases, Meet with rotation supervisor (once/ week). To keep hiring managers from looking right through your resume and your potential, your resume objective needs to be impenetrable. 4. 2nd ed. To learn the critical appraisal of medical information as it pertains to this rotation and develop, implement and monitor a personal continuing education strategy. In the first few months of radiology training, mastery of emergency radiology topics remains the major focus of training for new residents. Residents should also refer to the University of Ottawa Postgraduate Medical Education Faculty of Medicine Occupational Health and Safety Policy (Publication pending as of May 2011). Once identified, the evaluation process should also provide useful information to determine the most appropriate intervention(s) to help the resident return to an expected level of performance. Third rotation: In his last MSK rotation as junior resident, there will be now also some exposure to MRIs knees and possibly shoulder as a complement to this more CT focused rotation. Gain first-hand insights on how to optimize usage of limited resources. municated plan with measurable goals that support both the department and organiza-tional goals. Ensure the program meets the standards of accreditation. • Full service Radiology department providing Diagnostic X-ray, Nuclear Medicine, CT, MRI, Ultrasound and Interventional Radiology 24/7 ... CT/ED Turnaround Time Goals and Objectives Summary • Applying LEAN methodology and maintaining engagement of the … 160-164, 1995. Musculoskeletal trauma topics except for Spine were excluded, considering their adequate coverage in the Greenspan’s textbook and Dr. Assaf’s excellent teaching case collection. 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). (Staff code on Qgenda: UBXG). The resident should therefore expect to be the first person to be contacted for technologist questions, “will see” unenhanced examinations, imaging consultations, and imaging requests. 2006. It should not be used as a minimum or maximum in that the resident should not stop working if this number of cases has been reached before the day is done, and the staff radiologist should take into consideration these other factors is=f the number of cases appears low. Conduct appropriate research to contribute to the medical imaging profession. Increased skills in communication and conflict resolution. It is the expectation that the resident will be able to perform a pelvic and TVUS independently by the end of the rotation. PGY4 and 5 rotations will be focused on building on the core fundamentals developed in the PGY 3 rotation with increased exposure to cross-sectional imaging, in particular MRI.As well, senior residents may take the opportunity to gain exposure to subspecialized areas of pediatric radiology such as Fetal MRI, Interventional Radiology, Nuclear Medicine and MR Enterography (MRE) based on availability. To be able to accurately assess one’s own performance, strengths and weaknesses. Despite the critical role historically played by UGI exam in the diagnosis of many disorders of the esophagus, stomach and duodenum, recent technologies have superseded fluoroscopy in many routine assessments of the upper GI tract. The rotation takes place at the Women’s Breast Health Centre on the 5th floor in the Grimes Lodge and at the Riverside Campus of The Ottawa Hospital. Gradually acquire knowledge of imaging protocols and the reasoning behind these protocols. Increased echogenicity posterior to an endometrioma. 6. 3rd ed. - Print your schedule and place it on the wall. The resident will participate in the review and reporting of ICU radiographs. The reasons for the low performance will be explored, and a plan will be formulated to avoid this from recurring. How does it differ from a retroplacental hemorrhage? - 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 importance of communication with referring physicians, including an understanding of when the results of the CT should be urgently communicated. Learn how to encourage gastric emptying. Gain insights on when imaging may be inappropriate or could potentially harm a patient. To communicate effectively with patients and their families the indication and complications of contrast administration and the utility of performing a CT study. Do your thinking in front of still captured image. Many resources are available to the residents to deal with stress within the program: Should the above local resources prove insufficient, the resources below may be of additional assistance: These numbers and more are on the UofO PGME website. The conditions for optimal depiction of the stomach and duodenum deteriorate rapidly. To exhibit appropriate personal and interpersonal professional behaviors including accepting constructive criticism. 2007. Instead, keep it and write an entirely new one. To understand the concepts of Resistive Index, Pulsatility Index, and S/D ratio. Expand knowledge of differential diagnoses as they pertain to ultrasound studies. Learn to manage the pediatric patient independently during an emergency situation. Hickman catheter), Temporary and permanent hemodialysis catheter insertion, exchange and acute and chronic complications, Hemodialysis fistula creation, types, imaging and treatment of complications including stenosis, thrombosis and steal syndrome, Upper and lower gastrointestinal hemorrhage diagnosis and treatment, Percutaneous gastrostomy, jejunostomy and cecostomy tubes, Percutaneous intraperitoneal abscess drainage. The purpose of these evaluations is to identify as early as possible residents who are not progressing as expected, who may be at risk of not successfully completing the Royal College examination process, or who not be able to acquire the skills required for independent practice. Report backlog outpatient ultrasound studies (Riverside, RVH, Nunavut) between cases. Attain the knowledge and ability to manage radiological complications effectively. This may involve performing a variety of duties every day, or focusing on one duty (eg. The resident will protocol a minimum of 20 cases on CPOE and will review these with the fellow or staff radiologist. ** A male resident must not perform an endovaginal scan unless a qualified female chaperone is present. 2. Ultrasound: The Requisites. They are expected to maintain immunizations and TB testing up to date. The resident should be integral and ‘first line’ in fielding requests from the technologists as well as consultations from clinicians. Demonstrate the ability to be an effective teacher of radiology to medical students, residents, technologists and clinical colleagues. Perform small parts scans of the thyroid and scrotum. Contribute effectively to interdisciplinary activities and rounds. Taljanovic MS, Jones MD, Ruth JT, Benjamin JB, Sheppard JE, Hunter TB. Radiology Technician Resume Objective . Practical Neurangiography. Practices medicine ethically, demonstrating integrity, honesty and compassion. Involvement would include reviewing the case or reporting it formally. To understand and communicate the benefits and risks of ultrasound. Modalities to be covered include mammography, ultrasound and MRI. Demonstrate awareness of one’s own limitations. This can be on any physics topic as it applies to radiology and should have a 20 minute didactic component followed by a 25 minute ‘case-based’ OSCE component composed of physics related issues/ problems commonly encountered in practice (artefacts, protocol optimization, quality assurance etc). A copy of this text is available for loan from each of the Civic and General Campuses. Understand the nature of formation of x-ray, ultrasound and CT images including the physical and technical aspects, patient positioning and contrast media. The site radiology department will be responsible to have this apparel available for residents. Revised: Dec 2014, Sept 8, 2015, Sept 5, 2018. Renal artery stenosis – etiology (i.e. Become familiar with the different pathologic processes which occur in each compartment. The resident will further enhance their skills in the assessment, diagnosis and management of the fetus and female patient population. This must include knowledge of and ability to manage radiological complications effectively. What is the reported incidence? Communicate effectively with patients and their families and have a compassionate interest in them. Understand and apply a sound and systematic style of reporting. Ali M, Safriel Y, Sclafani SJ, Schulze R. Sadeghi-Nejad H, Dogra V, Seftel AD, Mohamed MA. The residents are given an option to do a full-weekend on call or split the weekend on call prior to commencing their rotation. It is up to a person in a secretarial position to ensure that all documents are correctly handled and archived for quick retrieval, that scheduling is done smoothly, that calls are answered and clients are attended to in a prompt manner. Residents will be encouraged to evaluate arthropathic centered plain films given their complexity and required depth of knowledge. Reuter, Babagbemi. Middleton, William D. Middleton (Author). 12. Trainees shall familiarize themselves with routinely performed nuclear medicine procedures including patient preparations, radiotracers, image acquisition, normal biodistribution, interpretation, artifacts and limitations. Expand knowledge of patient safety issues relevant to imaging. Understand and communicate the benefits and risks of investigation and treatment including population screening. Yu J, Turner MA, Cho SR, Fulcher AS, DeMaria EJ, Kellum JM, Sugerman HJ. 2008. At the General Campus the resident is responsible for the 9am biopsy and is welcome to be involved in other procedures any given day. Supervisor name is listed on Resident Rotation Calendar. Reading should then be progressively focused around arthritides, bone and soft tissue tumors and metabolic bone disorders. Gain a knowledge of contrast media used in GI examinations. Home visits or air transports are not required of any resident in the program at any time. Show understanding of a sound and systematic style of reporting. The promotions subcommittee may decide to refer the resident to the Post-Graduate Medical Education (PGME) office for remediation of professionalism. First rotation: the residents will get accustomed to learning the basics of bone and trauma radiology. Objectives are divided into Junior (PGY2&3) and Senior (PGY4&5) objectives. Brown ED, Chen MY, Wolfman NT, Ott DJ, Watson NE Jr. Lemos AA, Sternberg JM, Tognini L, Lauro R, Biondetti PR. Exhibit appropriate personal and interpersonal professional behaviors including accepting constructive criticism. 1565-1567, Dec 1997. Experience with large-scale budget management and skills in contract negotiation. Parathyroid scan with dual phase method with SestaMIBI and dual tracer with I-123 (or Tc_99m Pertechnetate), and SestaMIBI (or Myoview or Thallium) method, respectively. Note: A similar process exists at the hospital, departmental and university level for staff physicians and other personnel. This should help residents understand how to optimize triaging and protocolling of patients to match an individual patient’s needs with an imaging modality best suited to answer the clinical question. Please bring your suggestions regarding materials to add to the rotation! Fridays are a full biopsy day. In other words, they’re strategic goals you’re trying to achieve in a certain period of time—typically 3-5 years. 4. Tasks aren’t strategic. Deliver the highest quality of care with integrity, honesty and compassion. Breast Imaging Companion; Lippincott Williams & Wilkins. Some topics are explored to a greater extent in the literature, hence the multiplicity of suggested articles in those areas. If you are on biopsy and have no rounds please show up early (7:45am) to get consent for procedures scheduled to begin at 8 am. To be familiar with an appropriate bowel preparation (including fecal and fluid tagging). Function as a junior consultant within the breast imaging & intervention team including the surgeons & nurses at the centre. On your first day in cardiac MR dedicate time to observe the technologists perform 1 cardiac MR and 1 MR angiogram of the aorta or pulmonary arteries. Radiologists should be capable of optimizing an imaging study given their unique knowledge of disease, clinical context and image interpretation skills. 2007. 1. On-call duties during pregnancy shall be in compliance with the PAIRO-OCATH agreement. aspiration/core biopsy by attending and participating in ultrasound-guided biopsies. Gain an understanding of the principles of evidence based research. Educate and advise on the use and misuse of breast imaging. Any anatomic or functional abnormality deserves both upright and supine or prone right decubitus depiction, in addition to orthogonal projections. HR Strategic Plan, Goals and Objectives . The overall goal of the program is to train residents to be successful, well-qualified Radiologists, fulfilled in their future careers. To learn to accurately assess one’s own performance, strengths, and weaknesses and obtain staff feedback in these regards. The mission of the Department of Radiology To provide radiological service that is timely, cost effective, appropriate and of the highest quality. Begin effective consultations and be introduced to clinical-radiological conferences. Ask the patient to give their version of the presenting symptoms. 11. Volume of imaging expected of 7 CTs, or 5 MRIs, per half day. Drill Down Example: Hand Hygiene Compliance KPI In Each Midterm and final evaluations are filled out as per the One45 system. As TOH radiologists routinely work at all three campuses, there are no site specific RTC members other than those representing CHEO. Taking full exposure images only when the best spatial resolution is required. Note- please do not forget to do your minimum number of x-rays. Written & face to face end of rotation evaluation. Discuss the different types of imaging acquisition techniques used for cardiac CT and thoracic aortic CT angiography including retrospective and prospective gating and high-pitch helical imaging. Review the list of procedures scheduled for the next day and read around cases to be performed. Recognize when radiological investigation or treatment would be detrimental to the health of the patient. The purpose of such goals is to keep various sectors of the company intact amidst the challenges the business may encounter. Able to diagnose and manage medical conditions presenting in the pediatric patient. Testicular scan with Tc_99m Pertechnetate for acute testicular torsion and inflammation. Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA. Utilize information technology to optimize patient care. OBJECTIVE. After completing this journal-based SA-CME activity, participants will be able to: 1. Cerebral perfusion study or Brain Scan with Tc_99m HMPAO or Tc_99m ECD (flow tracers Tc_99m DTPA, Tc_99m Pertechnetate and Tc_99m glucohepatonate used in the old days) for brain death, Alzheimer's disease and other cerebrovascular diseases, Shuntogram with In_111 DTPA for VP shunt patency, Cisternorgram with In_111 DTPA for normal pressure hydrocephalus and CSF leakage, FDG PET/CT for Alzheimer's disease and other cerebravascular diseases. 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