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Dept. of Radiology Residency Program: Education

Educational Goals and Objectives for the Pediatric Radiology Rotation

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

PGY I

  • Able to perform and interpret basic upper GI series, small bowel series, barium enema, VCUG.
  • Learn the most common pediatric chest diseases, HMD, BPD, pneumonia, reactive airway disease, cystic fibrosis, foreign body aspiration.
  • Be able to recognize epiglottitis, croup and sinus infection. Know the plain film findings of intussusception.
  • Know Salter-Harris fracture classification and fractures suspicious for child abuse.
  • Know the sonographic and UGI features of pyloric stenosis.
  • Show sensitivity towards parents as well as patients and effectively communicate purpose of tests.
  • Appropriately communicate emergent findings.

PGY II

  • All the above and learn more complicated fluoro procedures: intussusception reduction, airway fluoro, CVL injection, video swallow while limiting radiation exposure.
  • Be able to interpret the NICU films, basic orthopedic films and hip ultrasound and renal sonograms.
  • Learn basic neurosonography.
  • Understand how genetic disorders and bone dysplasias are evaluated.
  • Be able to expand knowledge of adult CT to common pediatric conditions and guide clinicians in the proper workup of diagnostic dilemmas.
  • Know the multi-system manifestations of sickle cell disease and cystic fibrosis.
  • Be able to catheterize male and female urethra and evaluate chest radiographs in pediatric cardiac disease.
  • Locate Web sites with teaching files.

PGY III/IV

  • All of the above and able to perform basic interventional procedures: biopsy, abscess drainage, percutaneous nephrostomy, intussusception reduction.
  • Know more complex orthopedic conditions: bone tumors, avascular necrosis, SCFE.
  • Know metabolic and genetic bone diseases: OI, metastatic disease, primary bone tumors, calcium/phosphate related metabolic disorders, common dwarfs.
  • Be able to perform and read neurosonography, including head, spine and TCD.
  • Able to interpret head MRI in brain tumors, seizure disorders, developmental delay, sickle cell disease.
  • Know nuclear tumor imaging with MIBG, MDP and Gallium.
  • Understand interpretation of functional nuclear renal examinations, including how to adjust for patient motion, whom to catheterize, etc.
  • Be able to perform an abdominal or pelvic sonogram using gray scale and Doppler imaging.
  • Be well versed on congenital heart disease and its treatment.
  • Be comfortable interpreting neonatal ICU chest and abdominal plain radiographs.
  • Understand the role of three dimensional reconstruction, and be able to interpret basic craniofacial studies, such as craniosynostosis vs. positional molding.
  • Know the major anomalies and acquired diseases of the temporal bone that can reduce hearing and produce organized reports integrating findings with clinical information in creating differential diagnosis.

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