MD Courses — Radiology

Michelle Miller-Thomas, MD, Coordinator of Radiology Medical Student Education; 362-5949, thomasm@mir.wustl.edu

Second year

Course master: Michelle Miller-Thomas, MD, 362-5949, thomasm@mir.wustl.edu

Eight hours of lecture are devoted to an introduction to radiology. The majority of the course is devoted to diagnostic radiology, including conventional radiography, computed tomography, ultrasound, nuclear medicine and magnetic resonance imaging. The economics of imaging and radiation biology are introduced. The course also includes review of individual teaching file cases at small group sessions and online.

Third year

M90 701 GENERAL RADIOLOGY CLERKSHIP
Coursemasters: Matthew Parsons, MD, 362-5950, parsonsm@mir.wustl.edu, Michael Friedman, MD, 362-2978, friedmanm@mir.wustl.edu
Contact Person: Melissa Varner, Radiology Staff Library, 362-5139, varnerm@mir.wustl.edu

This four-week introductory radiology elective will be offered to third-year medical students. Each student will rotate through four of the following radiology services: Emergency Department, Pediatric Radiology, Cardiothoracic Imaging, Breast Imaging, Abdominal Imaging, Musculoskeletal Radiology, Neuroradiology, Nuclear Medicine and Interventional Radiology. The primary course objective is to familiarize students with the scope of diagnostic and interventional radiology, including the consulting role radiologists provide to primary care and specialty providers, risks/benefits and cost effectiveness of radiologic examinations, and guidelines for ordering common studies.

Students will report each morning for a service conference. These conferences are both case-based and didactic. Students will have a predominantly observational role in conferences, as they are principally designed for radiology resident teaching. Students will then spend mornings in the reading rooms with residents, fellows and attending radiology faculty. This time will consist of interactive teaching based on daily clinical cases. Each student will keep a log of cases they see to facilitate reading and to provide a vehicle for follow-up of interesting cases. Students will present one case of interest to their peers each Friday at 3 p.m. during the clerkship. These brief (5 to 10 minutes) presentations will be evaluated by a resident or attending radiologist.

Monday through Thursday at 3 p.m., students will meet with a designated radiology resident who will present either a didactic or case-based lecture appropriate for third-year medical student teaching.

Students will select two of their four presented cases for submission to a digital teaching file. Reading lists, references and textbooks will be provided. The first and final days of the elective are mandatory. No high honors will be awarded if a student is absent for more than five days of the rotation.

The course will accommodate four to 10 students each month. The course will not be offered if enrollment falls below four.

Fourth year

Electives

M90 801 / GENERAL RADIOLOGY
Instructor(s): Michael Friedman, MD, 314-362-2978, and Matthew Parsons, MD, 314-362-5950
Location: Radiology Staff Library (First floor Mallinckrodt Tower, Room 117)
Elective Contact: Missi Varner, 314-362-5139

Other Information: Students meet in Mini-Scarpellino, 1st Floor Mallinckrodt Institute of Radiology Building, 8:00 a.m. first day of elective.
Enrollment limit per period: 5
Valid start weeks for four-week blocks are:  Weeks 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This four week introductory radiology elective allows students to rotate through four of the following radiology services; Emergency Radiology, Mammography, Pediatrics, Chest, Abdominal Imaging, Musculoskeletal, Neuroradiology, Interventional Radiology and Nuclear Medicine.  The primary course objective is to familiarize students with the scope of diagnostic and interventional radiology including the consulting role radiologists provide to primary care and specialty providers, risks/benefits and cost effectiveness of radiologic examinations, and guidelines for ordering common studies as well as specific disease entities and their radiologic appearance and work-up.

Students spend the majority of the day in the radiology reading rooms with residents, fellows, and faculty for interactive teaching based on daily clinical cases.  Students will attend morning case-based conferences and noon didactic conferences with the residents.  The students will have an observational role in conferences and in the clinical setting.  At 3:00 p.m., students will convene with a radiology resident for a didactic lecture on a scheduled topic in radiology.  An image-based quiz will be given in the final week of the elective covering topics presented in the daily student didactic lectures.  Fridays at 3:00 p.m., students present an interesting case from the week in Power-Point format.  Two Power-Point presentations will be submitted at the end of the rotation for grading.

Students will keep a logbook of interesting cases seen daily in order to provide a foundation for further reading, as well as an opportunity for clinical or radiologic follow up of cases seen in the reading room.  This log will be submitted to the Coursemaster at the end of the elective.

Students taking this elective for a second time who have a special interest in a particular area of radiology pertinent to their intended career choice may tailor their experience to focus on one or more services if desired (i.e. 4th year student going into neurosurgery may spend up to 2 full weeks in neuroradiology).  This will be considered on a case by case basis by the Coursemaster.  These returning students will be expected to keep a log of cases seen but will be exempt from attending the daily afternoon teaching sessions.  Returning 4th year students will be required to present 4 weekly presentations with the other students in the course and take the end of rotation quiz. Please see the separate course listings for Nuclear Medicine and Interventional Radiology.

Reading lists, references and text books will be provided.  The first and final days of the elective are mandatory.  Grades are based on daily attendance, logbook, end of rotation quiz, and Power-Point presentations.  No honors will be awarded if a student is absent for more than 5 days of the rotation.

Student time distribution: Inpatient 40%; Outpatient 30%; Conferences/ Lectures 30%; Subspecialty Care 100%
Major teaching responsibility: Radiology Faculty, Fellows, and Residents
Patients seen/weekly: N/A
On call/weekend responsibility: None

M90 820 / CLINICAL NUCLEAR MEDICINE
Instructor(s): Akash Sharma, MD, 314-362-2809
Location: 956 West Pavilion
Elective Contact: Akash Sharma, MD, 314-362-2809

Other Information: Students report to 956 West Pavilion, 8:00 a.m. first day of elective.
Enrollment limit per period: 1
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41.

This four-week elective will be offered to third and fourth year medical students.  The clinical service in Nuclear Medicine is divided into five subsections: outpatient general Nuclear Medicine, in-patient general Nuclear Medicine, PET, Pediatric, and Cardiac Nuclear Medicine.  The recommended schedule will be to spend week 1 and 3 on the North Campus, where the emphasis will be on outpatient general and Pediatric Nuclear Medicine with some focused time spent in the PET reading room.  Week 2 will be split between the in-patient general Nuclear Medicine and Cardiac services.  Week 4 schedule will be determined after a preferences discussion with the student.

The primary objective of this rotation is to provide exposure to the full range of clinical nuclear medicine. Under direct supervision of the clinical staff, the student will be able to participate in the planning and interpreting of imaging studies for patients referred to the Division. Opportunity also exists to explore instrumentation techniques, including dedicated computer applications in Nuclear Medicine.

In addition to the clinical experience, the student will attend the daily morning conference, held in the Miller Conference Room in 956 West Pavilion, from 8:30-9:30 a.m.  From 12-1:00 p.m., the student will be excused to attend the daily department-wide conference.  The student is not expected to do any formal presentations but may participate by preparing a case for the Friday follow-up conference.  The student will also be excused to attend any conferences within the Department of Radiology, e.g. the 3:00 p.m. medical student didactic lectures, if desired.

Students may keep a log of interesting cases to use as a guide for additional reading, or for discussions with the Coursemaster or the other staff attendings.

A textbook will be provided.  The first and final days of the elective are mandatory.  No honors will be awarded if a student is absent for more than 5 days of the rotation.

Student time distribution: Inpatient 25%; Outpatient 50%; Conferences/ Lectures 25%; Subspecialty Care 100%
Major teaching responsibility: Attendings, fellows and residents
Patients seen/weekly: ~200
On call/weekend responsibility: None

M90 830 / INTERVENTIONAL RADIOLOGY
Instructor(s): Robert Pallow, MD, 314-362-7877
Location: Mallinckrodt Institute of Radiology
Elective Contact: Robert Pallow, MD, 314-362-7877

Other Information: Students should contact Dr. Pallow to discuss meeting location and time for first day of elective.
Enrollment limit per period: 2
Valid start weeks for four-week blocks are: Weeks 1, 5, 9, 13, 17, 21, 25, 29, 33, 37, and 41

Students will be exposed to all clinical and procedural aspects of interventional radiology including: patient evaluation and consultation, preparation of patients for procedures, performance of a wide range of vascular and non-vascular procedures, post-procedure patient management, and longitudinal patient follow-up. Students will actively participate in interventional procedures. Students will attend the departmental noon conference (daily) and section conferences including didactic lectures, morbidity and mortality conference, and case conferences (3-4 times per week).

Student time distribution: Inpatient 60%; Outpatient 30%; Conferences 10%
Major teaching responsibility: Attending Interventional radiology physicians will provide the majority of teaching. Fellows and residents will provide additional teaching.
Patients seen/weekly: Approximately 150 patients per week are seen in consultation or for procedures in the south campus Interventional facility
On call/weekend responsibility: None