Rotation Specific Objectives - Radiology

 

 

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PROGRAM GOALS:

 

By the end of this one-month rotation, the orthopedic resident should have acquired: basic skills in radiographic image interpretation; knowledge of choice of “best test” for cross-sectional imaging (US, CT or MRI); familiarity with some image-guided biopsy procedures. Overall rotation goals include:

1) Plain film interpretation of extremity, spine, joints, soft tissues

2) CT - indication, basic interpretation

3) MRI - indication, basic interpretation of a few common bone, joint and soft tissue problems

4) Arthrography (XR, CT, MRI) and joint injections – knowledge of appropriate indications

5) Musculoskeletal ultrasound - indication, basic interpretation

6) Interventional procedures – exposure to and understanding of indications

 

ROTATION SPECIFIC OBJECTIVES:

 

1. MEDICAL EXPERT/CLINICAL DECISION-MAKER:


a. Demonstrate knowledge of radiological anatomy of peripheral and axial skeleton, including the relevant soft tissues.

b. To demonstrate skills in basic interpretation of plain films.

c. Spine interpretation – approach to clearing C spine on plain films; T and L spine plain film interpretation; Spine CT imaging indications and interpretation; common injury patterns; role of MRI in spine imaging

d. Demonstrate knowledge and awareness of common anatomic variants, including accessory ossicles, growth centers, normal variants, etc.

e. Demonstrate familiarity with standard views and projections for plain film MSK imaging.

f. Recognize and describe common fractures, dislocations and injury patterns.

g. Demonstrate a basic approach to common joint disorders, including knowledge of clinical and imaging features differentiating various forms of arthritis.

h. Demonstrate a basic approach to assessment and diagnosis of tumours and tumour-like conditions, in particular the radiographic features discriminating non-aggressive from aggressive bone lesions.

i. To recognize and describe key features of common tumour-like conditions or mimics, for example Paget’s disease, fibrous dysplasia, etc.

j. Demonstrate a basic understanding of infection and how it affects the musculoskeletal system (osteomyelitis, septic arthritis, diskitis). How to differentiate infection from malignancy.

k. To gain familiarity with appearance and interpretation of basic MRI and a few common MRI pathologies.

l. To understand the different advantages and disadvantages of CT versus MRI for orthopedic applications.

m. To gain an understanding of the role of MSK US and introduction to image and case interpretation, including a basic understanding of ultrasound appearance of normal structures (tendons, ligaments, muscles) as well as common pathologies (for example, rotator cuff tear, Achilles tendon tear).

 

 

2. COMMUNICATOR:


a. To describe relevant findings, diagnosis and recommendations, using appropriate terminology and descriptive terms.

b. To demonstrate effective communication skills when dealing with patients, technologists and clinical colleagues.

 

 

3. COLLABORATOR:


a. To demonstrate good peer skills when interacting with other physicians & health team members.

b. To interact appropriately with other radiology department staff, demonstrating a team approach to patient care.

 

 

4. MANAGER:


a. To develop an understanding of indication for plain film assessment, nuclear medicine, CT and MRI, considering advantages and disadvantages of available imaging modalities.

b. To consider available imaging resources when planning and recommending patient care, using them effectively and efficiently.

 

 

5. HEALTH ADVOCATE:


a. Recognize and consider radiation doses in patient care management choices.

 

 

6. PROFESSIONAL:


a. To demonstrate integrity, honesty and compassion and respect for others

b. To demonstrate professional appearance and communication

c. To demonstrate good work ethic, with enthusiasm and motivation for learning

d. To demonstrate professional work habits with punctuality, organization and efficiency

e. To demonstrate awareness of own limitations. T

f. o incorporate feedback into improved personal performance

 

 

7. SCHOLAR:


a. To set personal learning goals and reading plan during rotation.