July 2017- Donna Magid, M.D., M.Ed.
The following sites are available for radiology tutorial sessions: Interventional Diagnostic Lab, Ultrasound, Body CT, Mammography, Fluoroscopy, and Emergency Medicine Radiology. Please refer to corresponding sections below for the location and morning starting time for a tutorial.
EMERGENCY DEPARTMENT Zayed Ground level, EMed G1305
- •Introduce yourself to the ED Radiology resident at 5:00 p.m.(If you elect to join earlier, observe technologists until 5) White coats!
- •Work load very variable. Slow times, residents should have some basic teaching cases available, or read Normal Variants or whatever you brought.
- •No more than 1 student each evening. 2nd night optional.
INTERVENTIONAL RADS DIAGNOSTIC LAB(IR) SZ 7212
7:30 am Morning Conference, SZ 7212 Conference Room
8:00 am Diagnostic Labs Begin – Ask for Drs. Hong, Yim, Weiss, or "Radiologist in Charge"
- There is usually some choice in which type of exam you observe. Be prepared to change into scrubs, and wear comfortable shoes!
ULTRASOUND SZ 4th floor, ULTRASOUND RECEPTION DESK 5-4024
9:00 am Report to Bob DeJong, RT, Chief Technologist(or Radiologist in charge and identify yourself as the Medical Student). You may be re-directed to JHOC 4 some days.
- Observe technologist and physicians scanning patients. Try to observe several types of examination (RUQ, Renal, Thyroid, and/or Vascular, etc.)
- Follow some studies with the radiologist to see how it is reviewed and reported.
- Respect patient privacy, especially during vaginal and rectal exams.
BODY COMPUTED TOMOGRAPHY(JHOC 3rd Floor Reading Room)
9:00 am Report to Body CT, and identify yourself to the Radiologist in charge. You may be re-directed to SZ, or to Weinberg CT areas . In JHOC 3 area, ask for access to the Student CDs--intro material, CD ROM disc in blue folder nearfax maxhine (5 basic cases to review on your own). If faculty unfamiliar with same, Ping Dr Pam Johnson or Dr Linda Chu for info.
- Observe how studies are performed and identify when different forms of contrast (oral, IV, rectal, etc.) are indicated. How long does giving contrast take?
- Read-out is variable and intermittent. Try to sit in on some case reviews (Reading Room is part of the CT work area).
- Watch the technologists to see how windowing changes image information.
9:00 am JHOC 4 Ask for Radiologist in charge. Male students--cannot guarantee degree of observation permitted.
9:00 am NELSON TOWER BASEMENT. Ask for Radiologist in charge.
8:20 AM SZ 4173 Peds Reading Room –ask for Radiologist in charge – they will escort you to 8:30 PICU Conference
CONSIDER…What are the indications for any given test?
- Is the exam you are watching indicated? Most goal-directed? Best cost/benefit?
- What information should the clinician provide?
- What information did the clinician provide?
- What did the patient experience, feel, taste, hear? How long did it take? What prep was required? What are the possible after effects or instructions?
- Look at radiologyinformation.org to see how to explain studies to patients.
- Look at www.TeamRads under Transition to Wards for basic intro to modalities
- Use ACR Appropriateness Criteria to assess what tests to use when--was this the BEST choice?
CONSIDER THE PATIENT EXPERIENCE
- How mobile must a patient be?
- Why is the patient turned or positioned in certain ways?
- What patient factors – mobility, recent surgery/NPO status, cast, monitoring equipment – may impact on the ability to get a satisfactory exam?
- How uncomfortable is this test? What will the patient feel, hear, or see which may be stressful?
- How will the patient feel following the study?
- Please arrive punctually and properly attired. Introduce yourself to the contact person or Radiologist in charge. Use common sense, courtesy, and discretion in dealing with patients. Be politely aggressive if you are being ignored- “Is there a way to see these studies being done?” “Where are procedures being done today?”
Medical Students are important to me and to everyone in the Department. Please let me know promptly if you encounter any problems.
Donna Magid, MD, M.Ed.
PING or 5-6501