Core Clerkship Curriculum - Requirement Checklist

The PCE log was developed as a way to ensure that core topics in each clerkship are covered for all students at all sites during their HMS education. Duty hour monitoring was instituted to prevent students from spending excessive time in the hospital to the detriment of health and rest. It is important that students keep track of their exposure to the key radiologic diagnoses and imaging work-up algorithms which are listed in the PCE log. The clerkship directors use this as a check to be sure that students recall specific disease entities; this list serves as the source for the cases that students will be tested on during the evaluations in this course (case review and the final exam). You should also be aware that the individual student entries in the log and the duty hours are monitored not only by clerkship directors, but also by the dean for medical education. Incomplete entries in either area will result in an incomplete grade for the course; to avoid unnecessary correspondence, please be sure the keep the PCE log up to date. The midcourse feedback which occurs after the case review will include a review of the log entries.

**Note that all PCE log entries should be placed in the CLINICAL category, regardless of whether the diagnosis was seen in case based tutorials, in the reading room, or in lecture.

Item Option
Radiology Topic:
Abdomen diagnosis: GI tract obstruction
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Abdomen diagnosis: kidney stones
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Abdomen scenario: work-up of jaundice
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Abdomen scenario: work-up of pelvic pain
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Chest diagnosis: lung cancer
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Chest diagnosis: pneumonia
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Chest diagnosis: pneumothorax
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Chest scenario: pulmonary embolism
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Chest scenario: work-up of a palpable breast lump
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
MSK diagnosis: arthritis
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
MSK diagnosis: fracture
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
MSK scenario: work-up of trauma patient
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Neuroradiology diagnosis: intracranial hemorrhage
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Neuroradiology scenario: work-up of acute stroke
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)
Radiology Topic:
Radiation safety: Image safely
Clinical (Participated/Observed)
Non-Clinical (Simulation/Case)

Alternative Experiences

Topic/Skill Clerkship Approved Alternative Experience
Radiology Topic: Abdomen diagnosis: GI tract obstruction
  1. UpToDate: Initial Evaluation and Management of Blunt Abdominal Trauma in Adults
  2. ACR: Suspected Small-Bowel Obstruction
  3. Radiopedia: Bowel Obstruction
Radiology Topic: Abdomen diagnosis: kidney stones
  1. UpToDate: Radiologic assessment of renal disease
  2. UpToDate: Diagnosis and acute management of suspected nephrolithiasis in adults
  3. ACR: Stone Disease
Radiology Topic: Abdomen scenario: work-up of jaundice
  1. UpToDate: Diagnostic approach to the adult with jaundice or asymptomatic hyperbilirubinemia
  2. UpToDate: Approach to the patient with postoperative jaundice
  3. ACR: Jaundice
  4. Radiopedia: Jaundice
  5. Radiopedia: Investigating Jaundice
Radiology Topic: Abdomen scenario: work-up of pelvic pain
  1. UpToDate: Evaluation of acute pelvic pain in women
  2. ACR: Acute Pelvic Pain in the Reproductive age group
  3. ACR: Postmenopausal Subacute to chronic pelvic pain
  4. Radiopedia: Acute Pelvic Pain
  5. Radiopedia: Chronic Pelvic Pain
Radiology Topic: Chest diagnosis: lung cancer
  1. UpToDate: Imaging of Lung Cancer
  2. MGH Radiology Rounds: Low Dose CT Screening for Patients at High Risk for Lung Cancer
  3. ACR: Lung cancer screening
  4. ACR: Radiology Detected Solitary Pulmonary Nodule
  5. Radiopedia: Lung Cancer
Radiology Topic: Chest diagnosis: pneumonia
  1. UpToDate: Overview of community-acquired pneumonia in adults
  2. UptoDate: Diagnostic approach to community-acquired pneumonia in adults
  3. ACR: Acute Respiratory Illness in Immunocompetent patient
  4. ACR: Acute Respiratory Illness in Immunocompromised patient
  5. Radiopedia: Pneumonia
Radiology Topic: Chest diagnosis: pneumothorax
  1. UpToDate: Imaging of pneumothorax
  2. Radiopedia: Pneumothorax
Radiology Topic: Chest scenario: pulmonary embolism
  1. UpToDate: Overview of acute pulmonary embolism in adults
  2. UpToDate: Treatment, prognosis, and follow-up of acute pulmonary embolism in adults
  3. MGH Radiology Rounds: Diagnosis of Pulmonary Embolism
  4. ACR: Suspected Pulmonary Embolism
  5. Radiopedia: Pulmonary Embolism
Radiology Topic: Chest scenario: work-up of a palpable breast lump
  1. UpToDate: Screening for breast cancer
  2. UpToDate: MRI of the breast and emerging technologies
  3. UpToDate: Clinical manifestations and diagnosis of a palpable breast mass
  4. UpToDate: Overview of benign breast disease
  5. UpToDate: Clinical features, diagnosis, and staging of newly diagnosed breast cancer
  6. ACR: Palpable Breast Mass
  7. Radiopedia: Screening for Breast Cancer
Radiology Topic: MSK diagnosis: arthritis
  1. UpToDate: Imaging techniques for evaluation of the painful joint
  2. ACR: Chronic Extremity joint pain suspected inflammatory arthritis
  3. Radiopedia: Erosive arthritis
  4. Radiopedia: Gout
Radiology Topic: MSK diagnosis: fracture
  1. UpToDate: General principles of acute fracture management
  2. ACR: Suspected spine trauma
  3. Radiopedia: Fracture
Radiology Topic: MSK scenario: work-up of trauma patient
  1. UpToDate: Overview of inpatient management of the adult trauma patient
  2. ACR: Head Trauma
  3. ACR: Blunt chest trauma
  4. ACR: Blunt abdominal trauma
  5. Radiopedia: Abdominal trauma
Radiology Topic: Neuroradiology diagnosis: intracranial hemorrhage
  1. UpToDate: Spontaneous intracerebral hemorrhage: Pathogenesis, clinical features, and diagnosis
  2. UptoDate: Spontaneous intracerebral hemorrhage: Treatment and prognosis
  3. ACR: Headache
  4. Radiopedia: Intracranial hemorrhage
Radiology Topic: Neuroradiology scenario: work-up of acute stroke
  1. UpToDate: Neuroimaging of Acute Ischemic Stroke
  2. ACR: Cerebrovascualr disease
  3. Radiopedia: Stroke
Radiology Topic: Radiation safety: Imaging Safety
  1. Radiation Safety Module
  2. UpToDate: Radiation Risks