Residency Program
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A Resident's Perspective

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Educational Goals and Objectives for the Diagnostic Radiology Residency Program

The mission of the Diagnostic Radiology Residency Program is to develop within the resident the interpretive, interpersonal and procedural skills necessary to perform as a competent radiologist and to encourage critical thinking applied to medical knowledge to allow development of a life-long process for improvement of radiologic practices.

The resident will develop the interpersonal skills to provide compassionate patient care and the ability to communicate effectively with clinicians. By teaching, attending example, and faculty mentoring, the residents will exhibit professionalism and ethical behavior as well as a caring attitude for their patients. The resident will develop consultative skills to guide the appropriate choice of examinations to practice cost-effective, quality patient care. Early exposure to research will allow the residents to consider fellowship training or academic radiology as a career.

At the end of training, the resident should be able to interpret all diagnostic procedures and be able to perform therapeutic and diagnostic interventions as well as be aware of more unusual procedures that are new or investigational.

Goals and Objectives

1. Prepare residents for the independent practice of radiology
   1. Provide graduated resident responsibility through close faculty supervision in the first PGY year.
   2. Give more senior residents expanded responsibilities commensurate with their competence, knowledge, and experience.
   3. Prepare residents for continuous professional development through independent learning, problem solving, and assessment of skills and knowledge.
   4. Assure procedure proficiencies.
       
2. Promote scholarly activities by residents and faculty
   1. Individual resident research projects mentored by faculty
   2. Presentation of projects at national meetings
   3. Annual CME lecture presentation by residents
   4. Encourage membership in national organizations
   5. Support for attendance at local or regional meetings
   6. Literature searches for resident CME presentations
   7. Opportunities to present at interdepartmental conferences, teach medical students
       
3. Provide a structured educational program that encompasses all aspects of Diagnostic Radiology
   1. Organized schedule of didactic conferences and specialized conferences including review of quality assurance cases in Morbidity and Mortality, dedicated physics and radiobiology lecture series, dedicated subspecialty teaching by other departments, Visiting Professor series for added subspecialty teaching
   2. Rotations chosen for their strengths and quality of teaching material
   3. Formal textbook review for understanding of the fundamentals of diagnostic radiology
   4. Journal club for review of new literature and investigational procedures
   5. Participation in interdepartmental conferences and learning opportunities
   6. Night time Emergency Radiology rotation that is well supervised and of educational benefit to the resident while observing duty hours limits
   7. Radiology-pathology correlation through a 6-week course at the AFIP and neuroanatomy sessions with basic sciences professor
   8. Require resident preparation of formal didactic lecture; assigned textbook reading; journal article presentation at core conference
   9. Require In-service and Raphex examinations for self-assessment and demonstration that goals and objectives of subspecialty rotations are being met
   10. Specialized conference dedicated to addressing topics in the General Competencies
   11. Expansive resident library, teaching file, ACR discs, videotape lecture collections, laser discs, APDR Initiative lecture videos
        
4. Develop skills in consultative service and communication
   1. Presentations and group activities in Beyond Interpretation
   2. Maintaining records of on-call interpretations for QA questions
   3. Observing faculty interactions with referring clinicians
   4. Use of the Radiology Information System, Talk technology, and PACS for improvement in communication of radiologic interpretations
   5. Providing nighttime consultative services for residents on other services
       
5. Providing a nurturing environment for the attainment of resident's goals
   1. Faculty mentor matched to each resident
   2. Access to Program Director during or outside of office hours
   3. Financial support and elective time for research projects
   4. Strict adherence to duty hours requirements with work hours well below the national maximum
   5. Sensitivity for pregnant resident needs to provide safe work environment
   6. Flexibility to allow for unexpected learning opportunities
       
6. Promote cost-effective care
   1. Practice management course provided by EVMS
   2. Special topics and outside lecturers at Beyond Interpretation conference
   3. Discussions with faculty on rotations
       
7. Professionalism
   1. Radiology residency dress code
   2. Attendance record at conferences
   3. Special topics at Beyond Interpretation conference
   4. 360-degree evaluations on selected rotations

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