Advanced Radiology Elective (RD501M.23)

Evguenia Jane Karimova, MD - Director
Ellen Sun, MD - Associate Director

Contact

Scot Morrison - Program Coordinator
  smorrison@bwh.harvard.edu
  617-732-6306

Credits

4.00 Credits (Clinical Elective)

Sites

BWH

Prerequisites

HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent

Offered

Full time for one month.

Open to Exclerks

Yes (may be restricted for international students)

Description

The course provides an opportunity for students who, having completed the core clerkship, wish further instruction in specific radiological subspecialty areas. Programs will be individually tailored to students' interests. The student should email to discuss their areas of interest with either Dr. Karimova or Dr. Sun at least two weeks before the clerkship so that arrangements can be made in advance. Sites of interest will be distributed on a first-come, first-served basis. Students have the opportunity to observe the practice of radiology in action. Students may choose one or two specific subspecialty areas of academic interest including: abdominal, cardiac, thoracic, interventional, musculoskeletal, neuroradiology, nuclear medicine, breast imaging or emergency radiology. Under the supervision of Chief of that section along with section faculty, fellows, and residents the student will participate in daily clinical activities of radiology with an emphasis on image interpretation, observing procedures, attending clinical conferences, and viewing teaching files.

Learning Goals

  1. Intensive exposure to the range of radiology subspecialties currently practiced.
  2. Preparation and delivery of radiology-centered oral presentation.
  3. Demonstration of student ability to use the radiology PACS system for retrieval of studies, use of appropriate tools to demonstrate key radiologic findings, and capability to use appropriate radiologic terminology to communicate these appropriately.

Below are the qualitative grade descriptors for the radiology clerkship as provided by HMS.

Assessment

Honors with Distinction:

More often than not, the student has performed at levels that exceed the expected level for training. While not necessarily unique, s/he has consistently demonstrated excellent to outstanding clinical skills, presentations and oral radiologic case analysis, and fund of knowledge, in particular anatomy and pathophysiology; is highly motivated, reliable, and well-attuned to faculty and staff; reads widely and shows a consistent interest in seeking out and incorporating feedback, extending skills and knowledge, and contributing to the team. The student has demonstrated performance that would typically merit enthusiastic recommendation to a leading residency training program.

Honors:

The student’s work is consistently solid in all respects; in at least several areas, the student’s work has been very good to outstanding, in particular anatomy and pathophysiology. Although not truly exceptional, the student is consistently motivated, reliable, and organized, and works well with staff and faculty. By the end of the rotation, s/he can be trusted to perform and present a thorough, reasonably efficient evaluation of most key radiologic images and generate an appropriate differential diagnosis and treatment plan, as well as deliver a coherent oral presentation on a selected radiologic topic. S/he has completed all expected tasks during the rotation and has sometimes sought out additional opportunities for learning and contributing during the rotation.

Pass:

The student is overall in the lower quartile. The student has generally demonstrated adequate but limited proficiency with the basic material and skills expected of a student at this level of training or has shown limited motivation to learn during the rotation and has demonstrated one or two areas which (though not frankly deficient) would benefit from continued improvement. Examples include occasional failure of timely attendance in the reading room, occasional superficial or disorganized oral radiology presentation, occasional notable omissions or errors in oral radiologic image analysis, some gaps in knowledge of basic anatomy and pathophysiology, and occasional difficulty in interactions with faculty or staff. Any significant deficits that raise serious concern about the student’s ability to function appropriately in a clinical setting warrant a grade of Unsatisfactory rather than Satisfactory. On the other hand, reliable, motivated students who have demonstrated at least adequate proficiency in most areas of assessment and notably superior performance in some areas of assessment should generally receive Honors.

Unsatisfactory:

Student has shown significant deficits in any one of the major areas of assessment including:

  • Attendance at the majority of tutorials
  • Obtaining clinical information
  • Choosing the appropriate radiologic study for a clinical problem
  • Describing radiologic findings in a clear logical manner using appropriate radiologic terminology
  • Generating adequate differential diagnoses and plans for further work-up
  • Exhibiting an adequate fund of knowledge of anatomy and pathophysiology of disease
  • Communicating and interacting appropriately with staff and faculty
  • Demonstrating reliability, integrity, collegiality, and cultural sensitivity
  • Showing motivation to learn and to improve

The deficit(s) observed cause serious concern about the student’s ability to deliver appropriate radiologic work-up of patients, provide correct interpretation of key critical radiologic images, and/or to conduct themselves with the professionalism expected of medical students.

Evaluation

  1. Radiology powerpoint presentation (25%)
  2. Viewbox session (25%)
  3. Reading room faculty evaluations (50%)