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Four Year Educational Residency Program of Diagnostic Radiology

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Four Year Educational Residency Program of Diagnostic Radiology YEREVAN STATE MEDICAL UNIVERSITY (DEPARTMENT OF RADIOLOGY) FOUR YEAR EDUCATIONAL RESIDENCY PROGRAM OF DIAGNOSTIC RADIOLOGY The four-year diagnostic radiology residency program is designed to provide residents with direct clinical involvement at graduated levels of responsibility. Imaging has a great impact on disease diagnosis in all medical fields and new advents on different imaging tools have significantly changed the quality of medical diagnostic approaches. Interventional Radiology, or better to say “Image-Guided Microsurgical Procedures” have opened a new world for either diagnose or treat many of diseases in a safer, faster, and more effective way. Considering advances in medical knowledge, modern radiology has a great position. The specialists should acquire enough knowledge and expertise to answer diagnostic and therapeutic needs of patients in all fields and be capable for other colleagues to handle diagnostic and therapeutic procedures and use technology in this way. Obviously, the quality of radiology ward depends on residency programs. In regards to above needs, educational goals of diagnostic radiology are listed as below: A) General goals B) Specific goals: 1) Thorax 2) Musculoskeletal System 3) Digestive System (GI) 4) Genitourinary System (GU) 5) Nervous System 6) Head & Neck 7) Pediatrics 8) Breast 9) Interventional Radiology 10) Nuclear Medicine 11) Physics GENERAL GOALS: Residents initially interpret radiographic studies, which are subsequently reviewed by a faculty attending. Additionally, during most interventional procedures, residents are primary operators under direct supervision of attending physicians. All residents participate in a mentoring program in which they select a faculty member to provide guidance during the training process and to act as a resource for individual needs. Periodic reviews provide a forum to encourage educational progress and professional development. At the end of radiology residency program, the residents should achieve the following goals: 1) Acquiring enough knowledge in radiology as a specialist. 2) Ability to supervise over applied radiological methods and to present a proper report. 3) Ability to make decision in using other necessary radiological interventions to gain more precise results and treatment guidance. 4) Ability to diagnose and treat diseases and give consultation services to their colleagues of same field or other fields. 5) Ability to teach related sciences of radiology. 6) Acquaintance with preventive methods to keep them safe from the risks of ionizing radiation and use these methods for patients and personnel as well. 7) Ability to establish proper relationship with other residents to improve education. SPECIFIC GOALS: A) THORAX Radiology residents should have following capabilities about thorax upon completion of residency program: 1) Having necessary knowledge about anatomy and radiological anatomy of thorax (Including: Lungs, Parenchyma, Air Passages, Mediastinum, Cardiovascular and Thoracic wall) and having good ability to detect above parts and explain their relations through plain or contrast radiographies, fluoroscopy, sonography, tomography, angiography and sectional surveys. 2) Having good knowledge about thorax embryology and being able to express it. 3) Having proper knowledge about thorax physiology and pathophysiology of its diseases and being able to present and interpret radiological findings in details. 4) Being able to create radiographs in proper conditions (KVP, MAS and protection methods). 5) Being able to perform and interpret plain radiography, fluoroscopy and ultrasound (gray scale and Doppler) of thorax. 6) Considering the early changes in thoracic images, they must be able to prepare daily reports of radiographies in the ward. 7) Supervising over administration of CT scan, HRCT and MRI of thorax and suggesting a proper protocol whenever it is necessary and interpreting the results. 8) Being acquainted with pulmonary imaging and familiar with thoracic diagnostic tests such as blood gas analysis , pulmonary function and exercise tests, invasive monitoring and nuclear medicine of thorax. 9) Being able to carry out some interventional procedures when needed, according to physician’s requests. 10) Being able to coordinate with other wards to carry out patient's files and biopsies and follow up the results. 11) Having knowledge of CT-guided or fluoroscopy-guided biopsies. 12) Having proper knowledge about special use of contrast media and its complications and adverse reactions and being able to diagnose and treat these reactions. 13) Being able to explain the presence of following items in thorax images : - Implants and Devices used in thorax - Heart valves - Pacemakers - Cardiac defibrillators - Esophagus, air passages and coronary stents - Orthopedic devices 14) Being able to prepare all radiological methods, interpretational reports and differential diagnoses of thorax, independently. 15) Having good knowledge of thoracic diseases, radiological indications and the best radiological method in different thoracic diseases. 16) Ability to present interesting cases in coordination with other wards in periodical conferences as Case Reporting. 17) Capability of managing educational programs about thoracic imaging. B) MUSCULOSKELETAL SYSTEM Radiology residents should have following capabilities regarding Musculoskeletal System upon completion of residency program: 1) Having necessary knowledge about anatomy and radiological anatomy of Musculoskeletal System and vessels of extremities and having good ability to detect them and explain their relations through plain or contrast- radiography, fluoroscopy, bone densitometry, sonography, tomography, angiography and sectional surveys. 2) Having knowledge of Musculoskeletal System's embryology and being able to express it. 3) Having proper knowledge of Musculoskeletal System physiology and pathophysiology of its diseases and being able to present and interpret radiological findings in details. 4) Being able to create radiographs in proper conditions (KVP, MAS and protection methods). 5) Having ability to properly perform common plain and contrast radiographic methods, and interpret the results. 6) Having good knowledge of different Bone Densitometery methods and ability to interpret the results. 7) Supervising over administration of CT scan and MRI of Musculoskeletal System and suggesting a proper protocol whenever it is necessary and interpreting the results. 8) Being familiar with interventional procedures of Musculoskeletal System. 9) Having proper knowledge of special use and indications of contrast material use, its complications and adverse reactions and being able to diagnose and treat these reactions. 10) Being able to prepare all radiological methods, interpretational report and differential diagnoses of Musculoskeletal System, independently. 11) Having good knowledge of Musculoskeletal System diseases, radiological indications and the best radiological method in different Musculoskeletal diseases. 12) Having proper knowledge about Nuclear Medicine findings of Musculoskeletal System. 13) Being able to manage educational programs on Musculoskeletal imaging. C) DIGESTIVE SYSTEM (GI) Radiology residents should have following capabilities about Digestive System upon completion of the residency program: 1) Having necessary knowledge about anatomy and radiological anatomy of Digestive System and related organs ( salivary glands, liver, pancreas, spleen …), and having good ability to detect them and explain their relations through plain or contrast-radiography, fluoroscopy, ultrasound, tomography, angiography and sectional surveys. 2) Having good knowledge of Digestive System embryology and being able to express it. 3) Having proper knowledge about Digestive System physiology and pathophysiology of related diseases and being able to describe the relationships of Digestive System disorders (such as abnormal peristalsis and icterus) and radiological findings. 4) Being able to create radiographs in proper conditions (KVP, MAS and protection methods). 5) Being able to perform and interpret plain radiography, all methods of contrast or double-contrast radiography, and ultrasound studies of Digestive System, including abdominal (Gray scale, Doppler) or endosonography. 6) Supervising on administration of CT scan and MRI of digestive system and suggesting a proper protocol whenever it is necessary and interpreting the results. 7) Being familiar with interventional procedures of Digestive System. 8) Having good knowledge of special applications of contrast media and their complications and adverse reactions and being able to diagnose and treat these reactions and complications. 9) Being able to prepare all radiological methods, interpretational reports and differential diagnoses of Digestive System, independently. 10) Having good knowledge of Digestive System diseases, radiological indications and the best radiological method in different Digestive System diseases. 11) Having good knowledge of suitable radiographic tools or other experiments in each case and being able to describe their applications. 12) Having proper knowledge of Nuclear Medicine findings of Digestive System. 13) Being able to manage educational programs on Digestive System imaging. D) URINARY AND REPRODUCTIVE SYSTEM Radiology residents should have following capabilities about Urinary and Reproductive system upon completion of the residency program: 1) Having necessary knowledge about anatomy and radiological anatomy of Urinary
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