RADIOLOGY RESIDENT INFORMATION and RESPONSIBILITIES ON NEURORADIOLOGY AND MRI ROTATIONS

Rotation Responsibilities

1. The clinical day begins at 7:45 a.m., at which time, the resident is expected to prepare clinical cases for review. This needs to occur before the daily neurosurgery board review.

2. The clinical day never ends before 5:00 p.m., and generally ends after the attending neuroradiologist(s) or fellow(s) complete their clinical work day, whichever is latest. It is the responsibility of the resident to check the MR and CT areas to be sure they do not leave during the acquisition of acute or emergent cases.

3. The following day's CT and MR cases must have their protocols done before the resident leaves for the day, and preferably before 5 pm so that clinicians can be contacted with questions regarding the studies.

4. After the Wednesday PM conferences, be sure to return to the neuroradiology reading room, and determine with the neuroradiology attendings or fellows if the clinical caseload has been completed.

5. We want you to attend noon conferences, but please do not leave the clinical area before noon unless all of the work is up to date. Return to the clinical area as soon as possible.

6. We want you to dictate daytime reviewed cases, but you MUST review and edit on the RIS system on a timely basis, preferrably at least once first thing in the morning and at least once more during the day. Remember, the attendings must officially sign off on the study within 24 hours.

7. Vacation requests, sick leave, calling in sick, etc., must be communicated to Bobbie (ext. 26221, voice mail if necessary).

8. Neuroradiology Database: CT, MR, Angio, or Myelogram cases.

!Do not film or copy studies*. We will copy images onto optical disk library for you.

1. Enter case and relevant information in database.

9. Neuroradiology Web Interesting Cases. For instructions, click here.

10. Exit examination 

11. If a case somehow comes into the reading room without it's jacket or comparisons, please either have the technologists or file room track these down so that we can provide an accurate, relevant reading.

12. Please make sure that all dictated cases have findings written on the jacket and in the log book.

Weekly review conference will be every Thursday morning at 7:30 am SHARP. The resident/fellow responsibilities for this are to pull the cases which have been "starred" (*) in the logbook since the previous conference (ie, the prior Thursday) and bring them. They also need to take a moment and sort the relevant films. If it is unclear what the relevant findings or point of the case is, the report should be reviewed. Please note the history as well. An organized review moves more smoothly and is more beneficial to everyone. This works best if cases are organized the afternoon before (yes, we know you have lectures - before, after or in between lectures works). The conference is in the MRI conference room, in the back office area.

Required additional reading:

A minimum, unless you develop alternative reading curriculum with attending.

A. CT Rotation:

1. Osborn - Neuroradiology
2. Osborn - Angiography
3. Hendrick, et al paper on Basic MR Physics

B.MRI Rotation:

1. Hendrick, Russ, Simon: Teaching File of MRI
2. (First half)
3. Edelman and Hesselink
4. Chapter 1 (Basic Principles)
5. Chapter 2 (Practical MRI)
6. Chapter 3 (Flow)
7. Hendrick, et al paper on Basic MR Physics
8. Plewes - AAPM/RSNA Physics Tutorial for residents

READING GUIDELINE FOR RESIDENT LEVELS

1st Year Residents

1. Infection
2. Ischemia
3. Trauma
4. Hemorrhage

2nd Year Residents

1. Same as 1st year
2. Neoplasm
3. Aneurysm
4. AVM
5. Spine

3rd/4th Year Residents

1. Review all of the reading by the 1st and 2nd year residents.
2. Finish all chapters in Osborn or equivalent
3. Increased utilization of periodicals.

Produced by Ed Escott. Updated: 5/11/98
Send comments or questions to edescott@yahoo.com