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Educational Goals and Objectives for the CT Rotation

The following goals and objectives should be used in the evaluation of residents rotating through CT. Competency by PGY level should be based on these criteria.

PGY I

• Knowledge-based objectives: At the end of the rotation, the resident should be able to identify detailed cross sectional anatomy; develop differential diagnosis for radiologic findings seen on CT. Able to identify sites for Web-based learning.
• Technical skills: Obtain relevant history from patient to allow for safe administration of contrast media; understand management of contrast reactions; describe fundamentals of CT scan production; produce coherent dictations.
• Decision-making and value judgment skills: Begin to understand importance of protocols; understand important findings needed to evaluate emergency CT on call.

PGY II

• Knowledge-based objectives: All above and able to obtain pertinent history from biopsy patient, explain risks and benefits and alternatives, effectively communicate with family members; understand basic physics for CT imaging; expand differential diagnosis.
• Technical skills: Perform CT-guided procedures under direct supervision.
• Decision-making: Modify protocols to fit clinical situation; able to run service with close supervision; begin to understand when CT procedures are not indicated.

PGY III

• Knowledge-based objectives: All above and able to discuss complete differential diagnosis and correlate with other imaging studies; familiar with protocols applying to each clinical question.
• Technical skills: Perform all but most difficult procedures with minimal supervision; understand function of needles, drains; begin to use 3D workstation to produce reformatted images.
• Decision-making: Able to "run the service" with very little direct supervision; identify where additional imaging is required.

PGY IV

• Knowledge-based objectives: All above and consistently identify abnormalities on CT; demonstrate knowledge of CT angio.
• Technical skills: Needs assistance only with most difficult procedures; produce 3D images on workstation.
• Decision-making: Provide consultation for referring clinicians; suggest appropriate further evaluation of patient when needed.

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