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Kochan-Cohen in IR1 Radiology Radiology Resident

department of radiology

Medical Student Rotations

 

The following diagnostic imaging elective, General Diagnostic Imaging (Radiology 727), is offered to all fourth-year medical students of Temple University School of Medicine.

 

Course Directors

Goals and Objectives

Classroom Instruction

Assignment to Film-Reading Modules

Presentations

The Examination

Student Evaluation

Course Directors

 

Polly Kochan, MD (left) with medical students.

Leon Malmud, MD

Polly S. Kochan, MD

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Goals and Objectives

 

The goals of the Radiology 727 elective are to provide you with:

 

  • Guidlelines to assist you in learning how to review diagnostic imaging examinations;
  • An understanding of the role that the various imaging modalities and their specific examinations can/should play in the overall management of the patient;
  • Fundamental knowledge of the relative indications and contraindications of diagnostic imaging examinations;
  • An appreciation of the role that radiologists can and should play as consulting members of the medical team.

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Classroom Instruction

 

Lectures and film-review sessions are currently held most days from 8 to 9 am and from 1 to 2 pm during the first three weeks of each block. Currently the lectures are held in one of the classrooms in the Rock Pavilion or in the 7th floor conference room of Jones Hall. While these are didactic, they are presented in a manner in which some of the cases are presented as an unknown and answers are solicited from the class as a whole and students are encouraged to ask questions. Students may feel free to bring food and beverages to the lectures and film-review sessions. While the noon-time departmental teaching conferences are geared towards radiology residents, the students are encouraged to attend them; if you even glean one fact or idea from such a conference, it will have been time well spent. The noon hour is occasionally co-opted for a supplemental or "make-up"' Radiology 727 lecture, etc.  While the lecture schedule is currently under revision, a sample of the types and numbers of lectures given in recent blocks include:

  • Chest imaging (4)
  • Bone imaging (4)
  • Gastrointestinal (GI), and genitourinary imaging (GU) (4)
  • Body CT (1)
  • Neuroradiology (4)
  • Angiography/interventional radiology (1)
  • Ultrasound (1)
  • Nuclear medicine (1)
  • Musculoskeletal MRI (1)
  • Body MRI (1)
  • Mammography (1)
  • Radiation oncology (1)
  • Cardiac radiology (1)
  • Basics of radiological physics (3)
  • Three one-hour resident-led "film-review sessions" given by residents, covering bone, chest, and GI topics

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Assignment to Film-Reading Modules

 

Throughout all four weeks, a portion of each day will be spent alongside one of the residents in the Department of Radiology. On most of your assigned rotations, you will be functioning as an observer; however, try to be an active and questioning one. When assigned to "GI/GU", the student should go into the fluoroscopic rooms to see how the different procedures are performed and what the patient must be capable of undergoing; in so doing we hope that you will gain a better appreciation of the information that each procedure can provide and of its limitations.

 

The film-interpretation module assignments are chosen from four of the following:

  • Chest
  • Bone
  • Emergency radiology
  • GI/GU - includes in-room observation of fluoroscopic procedures
  • Mammography
  • Nuclear medicine
  • Pediatric radiology
  • Neuroradiology - CT and MRI modules and diagnostic and interventional neuroangiography, etc.
  • Angiography / interventional radiology
  • Bbody imaging - CT and ultrasound

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Presentations

 

During the last week, each student will make an "audiovisual" presentation to the class.  This should be about 10 to 15 minutes and be accompanied by a hand-out based on your presentation.  While you may choose to make a PowerPoint presentation, you may feel free to make a "film" presentation utilizing cases that you borrow (via Mrs. Washburne, the Department of Radiology librarian) from the Department's teaching file or from members of the faculty. It is also perfectly fine if your presentation is "combined", i.e, you use both PowerPoint' and films. Your grade will not be in any way be affected by media type, as long as you include images.

 

We suggest you follow a "case-presentation" style; that is, choosing an interesting case you have seen while rotating through other departments and presenting the pertinent radiologic findings and pathophysiology. Didactic lectures about radiologic topics are also welcomed. We will be happy to offer any suggestions, advice, etc. regarding your presentation and to meet with you during the week(s) prior to your presentation to review the images you plan to show, etc.

 

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The Examination

 

There will be an examination at the end of the rotation. Generally, it is given at 10:00 am on the last Thursday. The exam will include questions based on images with which you should be familiar, having attended the lectures and paid attention, as well as questions which address material covered in the lectures, film-review sessions, and which we hope you have assimilated from your time at the various examination-interpretation stations.

 

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Student Evaluation

 

Your course grade is based on your:

 

  • Performance in the written examination (1/3)
  • Participation at assigned filmed reading modules (1/3, evaluated by the residents with whom you rotate)
  • Quality of your presentation (1/3)

Attendance at lectures is mandatory; however, active participation in lectures would be to your advantage. Input from faculty with whom you have had significant interaction with is also helpful. You may request they email either Dr. Malmud or Dr. Kochan with a brief evaluation.

 

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For more information, please contact:

 

Polly S. Kochan, MD

pskochan@temple.edu