Diagnostic Radiology Residency Senior Electives

Abdomen
  • Tumor Ablation - An Advanced Abdominal Imaging and Intervention Elective. The Division of Abdominal Imaging and Intervention is offering an advanced rotation for senior radiology residents who wish to gain experience with percutaneous tumor ablations.
  • The Tumor Ablation Program has performed over 600 ablation procedures in a variety of organs systems including the chest, abdomen, pelvis, and musculoskeletal system. Both radiofrequency ablations and cryoablation procedures are performed under CT and MRI guidance. The resident will participate actively in the performance of the procedures as well as in the pre and post procedure evaluation of patients referred for ablation.
  • Residents will participate in ablation rounds, two clinic sessions, and perform two to four ablation procedures per week. Knowledge gained during this rotation include a thorough understanding of the clinical utility of ablation, how the procedures are performed, how the patients are prepared and followed when the procedure is complete. Opportunities for research are also included.
  • Abdominal MRI – Dedicated abdominal MR imaging.
Breast
  • Breast Imaging Advanced Elective – Opportunity to explore advanced techniques in Breast MRI Imaging and Biopsies. Specifics to be discussed with Dr. Raza prior to the elective.
Cancer Imaging
  • MR/CT/US: Flexible elective combining research in cancer imaging with focused clinical training in tumoral-based cancer imaging.  Elective time may be spent in the reading room or on the consult floor, where radiologists directly interact with oncologists, radiation oncologists, and surgeons.
  • PET/CT: Dedicated elective time focusing on the use of PET/CT in cancer imaging, with the potential to add focused time for  research, including molecular imaging studies.
Chest
  • Chest MRI/Biopsies - Senior Elective in Thoracic Imaging. The fourth year senior elective will capitalize on areas less emphasized in the core rotations. These areas include Interventional work and Thoracic MRI. The senior resident will be guaranteed at least half of all interventional work while on the elective. This will include the screening, planning, and scheduling of the biopsy and “rounding” on the patient with the attending Radiologist who will be performing the biopsy. The resident will be expected to check all labs on the morning of the procedure consent the patient and perform the biopsy with supervision.
  • In regards to thoracic MRI, we read brachial plexus MRI for oncology referrals and we read all chest MRI for all pathologies. The resident will learn to protocol these appropriately as well.
  • Senior residents will also be expected to participate in the less glamorous areas of thoracic radiology life as well.
  • Some senior residents want only to brush up on plain film and CT work and this is obviously welcomed as well.
CV
  • Cardiac MRI - Dr. Kwong
  • Coronary CTA, including post-processing - Dr. Steigner
  • MRA Techniques and Practical Applications at the Scanner- Dr. Rybicki
MRI
  • MRI Elective - Sponsored by Dr. Hiroto Hatabu. Dedicated hands-on training in MR acquisition techniques and protocol optimization at the scanner. Tutorials on MRI physics and sequences with MRI. Self learning time.
MSK
  • MSK MRI.
  • Arthogram/biopsy elective.
Neuro
  • Advanced Neuroradiology Imaging 4 week elective focused on MRI and CTA.
Ultrasound
  • Vascular - 1 or 2 weeks (limited availability) - Includes carotids,venous and graft scanning.
  • High Risk OB- 2 to 4 weeks. Resident will be assigned to a room in High Risk. Includes all types of OB ultrasound, including First Looks, transvaginal cerivcal exams, multiple gestations and fetal anomalies.
  • Senior rotation L1 - 1-4 weeks. Shadow attendings. Train to guide procedures, attend OR cases and check cases with supervision.Resident will collect cases and present morning conference one morning each week with attending assistance.

BWH Clinician-Educator Track
  • This elective is geared towards residents with a passion for medical education that seek formal training and experience in the field. The elective is built upon 7 major themes: 1) learning theory, 2) hands-on teaching, 3) curriculum design, 4) evaluation & feedback, 5) mentorship 6) educational leadership and 7) research. Each section has a set of learning objectives and assignments. The elective is intended to comprise 12 weeks, though can be shortened based on timing and the particular interests of the resident. Throughout the elective, trainees will generate a teaching portfolio to build upon throughout his or her career.
Leadership Pathway

Catie Phillips participated in the 2016-2017 Leadership Pathway. This experience allowed her to participate in the following:

  1. Radiology Leadership Institute Leadership Summit
    1. September 8-11, 2016, Babson College
    2. Awarded a Massachusetts Radiological Society Scholarship to attend
  • MRS Leadership Symposium
    1. September 7, 2016, Babson College
    2. Funding opportunities available through the BWH radiology department
  • Harvard Medical School Medical Education Day
    1. October 25, 2016, Harvard Medical School
    1. Conference attendee and poster presenter for project entitled “Mentor, the Mentee and the Milieu: Enhancing mentoring between faculty, senior and junior residents.”
  • Harvard Macy Post Graduate Program for Trainees
    1. December 10-12th 2016, Massachusetts General Hospital Institute of Health Professions
    1. Full merit based scholarship awarded from Partners Healthcare International based on project proposal
    1. Through this course, I worked to establish a structured mentoring program was a highlight of my leadership pathway.
  • Radiology Leadership Institute Courses
    1. Structured, web-base curriculum for radiologists encompassing 151 competencies across seven topic areas, each focused on skills and knowledge essential to radiology leadership success.  In RLI's unique educational structure, participants "graduate" through 4 total progressive levels of leadership training by earning RLI Credits in important topic areas. To advance, participants must satisfy credit requirements designated for each level.
    1. Funded via resident book fund
    1. Certificate of Leadership Fundamentals - Level 1
    1. Completed 12 Level 1 RLI credit hours
    2. Awarded 8/4/1
    1. Certificate of Leadership Proficiency – Level 2
    1. Completed 30 Level 2 RLI credit hours
    2. Awarded 12/22/16
  • RSNA Leadership Pathway Courses (RLI)
    1. Annual RSNA meeting, Chicago, IL
    2. RSNA leadership curriculum 2016 Lectures including:
    1. Women in Leadership
    2. How to avoid failure: Qualities of a successful leader
    3. Mentoring Future Leaders
    4. The business of Radiology: Updates and issues
    5. RSNA residents and fellow symposium: Career 101: Contract Negotiation
    6. Leadership: How can we teach it and promote it?
  • Background Reading:
    1. Bill George and Peter Sims. True North: Discovering Your Authentic Leadership. San Francisco: John Wiley & Sons, 2007.
    2. Daniel Goleman. Emotional Intellegance: Why it can matter more than IQ. New York: Bentam Books, 2005
    3. David A. Lax and James K. Sebenius. 3D Negotiation: Powerful Tools to Change the Game in Your Most Important Deals. Boston, MA: Harvard Business School Press, 2006.
    4. Gunderman RB Brown BP. Excellence and professionalism in radiology. Am J roentgenol, 2013 Jun;200(6).
    5. Gunderman RB. Education in Professionalism: Improvisation. Acad Radiol. 2016 May;23(5): 655-7
    6. Gunderman RB. Teaching Professionalism through Case Studies. Acad Radiol. 2013 Sep;20(9):1183-5.

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