Radiology Clerkship Week by Week Goals/Objectives

In addition to the HMS overall clerkship objectives, we also offer the following week by week guide. You may find this information helpful to use as a study guide of sorts as well as an indicator of the expected development and progression of your radiologic knowledge and skills.You should plan to read the entirety of the textbook supplied (Herring) within the first two weeks of the clerkship. This will give you time to cement your knowledge using the multiple other learning tools (practice tests, algorithm assignments) which will be posted online in the latter half of the course.

Week 1

This week is heavy in structured didactics (Radlabs 1-4), which lays the groundwork for the following 3 weeks.  Take advantage of this time to develop and polish your general radiology knowledge base so that you may take full advantage of the less structured learning opportunities presented throughout the rest of the rotation.  Much of what you will be tested on later is presented to you during the first week.  During the course of Week 1, you work to develop your ability to:

  1. Recognize the type of study, the plane of section, and the use (or absence) of contrast.
  2. Recognize (and relearn) radiologic anatomy (build upon knowledge acquired during years 1 and 2).
  3. Recognize basic tissue densities on plain film and CT.
  4. Recognize alterations of normal anatomy.
  5. Associate types of exams with specific pathology (appropriate exam selection).
  6. Identify pathology when presented with selected images from a complete exam.
  7. Realize that one example of pathology is not representative of all patients with the same pathology (the radiologic presentation of a single disease entity will frequently vary from patient to patient).
  8. Recognize differences among imaging modalities and what each can depict or display.
  9. Become introduced to PACS imaging display systems (centricity web and PACS workstation).
Week 2

This week marks the beginning of the observation experiences and is also when you will be responsible for writing up 2 cases in the Mini-CEX assessment and a midterm exam. Midcourse feedback will be given. Expectations for this week are that you will continue to develop your ability to:

  1. Present a case radiologically, which entails giving a brief clinical profile, finding images on PACS, using PACS display tools appropriately (window, level, magnification, ROI, and displaying comparison studies), using correct terminology particularly as it relates to anatomic descriptions, and relating pathophysiologic processes to the imaging findings.
  2. Learn the basics of contrast safety.  View the contrast safety/crisis management module and complete the related MCQ quiz.
  3. Become familiar with core diagnoses in the observation areas visited (relate cases observed to the PCE log).  Prior to the abdomen, chest, and musculoskeletal observation areas, you are expected to review the first of the relevant “Interactive Tutorials Module” on Dr. Lieberman's eRadiology site (see Sectipn 8.  The respective module titles are “The Abdominal Plain Film,” “Systematic Approach to Evaluating Chest X-Rays,” and “Systematic Approach to Evaluating Musculoskeletal Images” for abdomen, chest, and MSK.
  4. Begin entering cases into the PCE log, based on material observed during RadLabs, observations, and tutorials.
  5. Create radiology reports for chest cases based on first PACS assignment.
  6. Completed the required CORE modules in MSK and Neuro.
Week 3

You will  give your Morning Report during this week. You are expected to continue developing your skills from Weeks 1 and 2 as well as:

  1. Become familiar with core diagnoses in the observation areas visited, as above, and continue to relate the cases you observe to your PCE log.
  2. Incorporate information learned from the subspecialty tutorials and use the skills developed in the morning report exercise to both teach and to learn from medical students in another clerkship in an interdisciplinary conference setting (may occur in Week 4).
  3. Examine classic radiologic diagnoses and develop your presentation and self-testing skills via the Tasting Menus in chest and abdomen.
  4. Create radiology reports for abdominal CT cases based on second PACS assignment.
  5. Begin to study practice tests, found online and in the educational folder on desktop of Mac student computers.
  6. Teach using the case presentation format to reinforce an important concept in radiology (Morning Report)
Week 4

During Week 4, you will give your Oral Radiology PowerPoint presentation and participate in interdisciplinary conferences (if not done in Week 3).  This week will also consist of more subspecialty tutorials, observation areas (core and elective to explore other areas), and a wrap-up session reviewing radiologic diagnosis of the chest and abdomen. - You are expected to:

  1. Continue to develop your (by now maturing) skills in radiologic diagnosis in preparation for the chest and abdomen wrap-up session.  Be able to recognize pathology when presented with selected images from a complete exam.
  2. Continue to familiarize yourself with core diagnoses related to your PCE log.
  3. Complete your review of the required text and online resources, including all practice tests, in preparation for the final exam.
  4. Complete your PCE logs and all surveys.
  5. Function as "radiology consultant" for your peers in a conjoined conference either in surgery or ob/gyn.

A word about the PCE log

The PCE log was developed as a way to ensure that core topics in each clerkship are covered for all students at all sites during their HMS education. Duty hour monitoring was instituted to prevent students from spending excessive time in the hospital to the detriment of health and rest. It is important that students keep track of their exposure to the key radiologic diagnoses and imaging work-up algorithms which are listed in the PCE log. The clerkship directors use this as a check to be sure that students recall specific disease entities; this list serves as the source for the cases that students will be tested on during the evaluations in this course (mini-CEX, chest/abdomen wrap-up session, and the final exam). You should also be aware that the individual student entries in the log  and the duty hours are monitored not only by clerkship directors, but also the dean for medical education. Incomplete entries in either area will result in an incomplete grade for the course; to avoid unnecessary correspondence, please be sure the keep the PCE log up to date. The midcourse feedback which occurs after the mini-CEX will include a review of the log entries.

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