Internal Medicine Residency Elective Preparation Sheet



Elective Rotation ApplicationPlease complete after reviewing the Elective Rotation – General Information for Residents information sheet and forward to Dr. Lowry with copy to IMCHIEFS 3-6 months prior to your elective rotation. NAME:______________________ PGY:______________________What block/dates will the elective be taken? ______________________________________Briefly describe the elective.I plan an elective rotation in radiology. As the development of skills necessary to read and interpret plain radiographs and a basic knowledge of CT scan interpretation is vital to becoming a proficient internist I believe that a rotation through the radiology department will help me to facilitate these goals. I will report to the radiology department where I will get daily assignments to a senior radiology resident or staff to work alongside them in interpreting plain films and CT scans. I will also spend some time if possible in observation of other commonly ordered radiographic tests such as abdominal ultrasound and MRI (focusing attention on MRI of the thorax, brain when possible).What are the specific goals for the elective? (What will you have accomplished by the end of the month?) Medical Knowledge:Understand and master interpretation of chest roentgenology.Understand and have basic knowledge of interpretation of abdominal roentgenology.Develop ability to recognize common abnormal findings on brain computed tomography images including hemorrhage, ischemia, mass lesions and ventriculomegaly.Understand principles of image “quality” and the implication on ability to formulate readings.Develop ability to locate key anatomical structures on abdominal and pelvic CT to understand “normals” and work to develop understanding of “abnormals”Understand and have basic knowledge of interpretation key abnormal findings on chest computed tomography including infiltrative processes, bronchiectasis, mass lesions, lymphadenopathy and mainstem pulmonary emboli.Patient Care:Develop an understanding of the appropriateness for referral for common imaging procedures.Understand the importance of providing pertinent clinical information when ordering imaging procedures to aid in formulating a radiologic diagnosis.Professionalism: Behave in an ethical mannerRespect patient confidentialityReport promptly to assigned reading rooms to aid in completing the daily work load, and helping to contact ordering physicians when appropriate.Practice-Based Learning and ImprovementRecognize my own knowledge deficits and pursue further education in these areasBe able to utilize various types of technology to access medical informationSystems-Based Learning and Improvement:Advocate for quality patient careBegin to understand the financial impact our behaviors (ordering multiple imaging procedures, ordering ineffective imaging procedures) have on the cost of health care provided to our patients))Interpersonal skills:Discuss cases in clear and concise manner.Accurate and thorough electronic documentation when municate effectively with staff and residents in the department.Faculty Mentor (responsible for evaluation) ____________________________________Does the Mentor know that you will be assigning them this responsibility? ______________ __________(they must send a one-line email to Dr. Lowry accepting this task)Reading List: list 8 specific journal articles as well as 2 book chapters suggested by your faculty mentor or that you have found to be relevant to your elective’s learning goals. (Please attach list to this application or type in below.)Book Chapters:Felson’s Principles of Chest Roentgenology (by Lawrence Goodman, MD) Publisher: Elsevier Health Sciences Pub. Date: December 2006 ISBN-13: 9781416029236Chapter 3: The Normal Chest X-rayChapter 4: Chest CT: Putting it togetherJournal Articles:1. Jean Jeudy, Charles S. White, Reginald F. Munden, and Phillip M. Boiselle Management of Small (3–5-mm) Pulmonary Nodules at Chest CT: Global Survey of Thoracic Radiologists Radiology 2008 247: 847-853. Published online before print April 15 2008, 10.1148/radiol.24730615142. Debra A. Gervais, Diane A. Levis, Peter F. Hahn, Raul N. Uppot, Ronald S. Arellano, and Peter R. Mueller Adjunctive Intrapleural Tissue Plasminogen Activator Administered via Chest Tubes Placed with Imaging Guidance: Effectiveness and Risk for Hemorrhage Radiology 2008 246: 956-963 (DOI: 10.1148/radiol.2463070235)3. David S. Gierada, Thomas K. Pilgram, Melissa Ford, Richard M. Fagerstrom, Timothy R. Church, Hrudaya Nath, Kavita Garg, and Diane C. Strollo Lung Cancer: Interobserver Agreement on Interpretation of Pulmonary Findings at Low-Dose CT Screening Radiology 2008 246: 265-272. Published online before print November 16 2007, 10.1148/radiol.2461062097 4. C Isabela S. Silva, Nestor L. Müller, David A. Lynch, Douglas Curran-Everett, Kevin K. Brown, Kyung Soo Lee, Man Pyo Chung, and Andrew Churg Chronic Hypersensitivity Pneumonitis: Differentiation from Idiopathic Pulmonary Fibrosis and Nonspecific Interstitial Pneumonia by Using Thin-Section CT Radiology 2008 246: 288-297 (DOI: 10.1148/radiol.2453061881)5. H. Dirk Sostman, Paul D. Stein, Alexander Gottschalk, Fadi Matta, Russell Hull, and Larry Goodman Acute Pulmonary Embolism: Sensitivity and Specificity of Ventilation-Perfusion Scintigraphy in PIOPED II Study Radiology 2008 246: 941-946. Published online before print January 14 2008, 10.1148/radiol.2463070270 6. Valencia King, Anjali A. Vaze, Chaya S. Moskowitz, Larry J. Smith, and Michelle S. Ginsberg D-Dimer Assay to Exclude Pulmonary Embolism in High-Risk Oncologic Population: Correlation with CT Pulmonary Angiography in an Urgent Care Setting The results presented here show that, at least in oncologic patients, STA Liatest immunoturbidimetric D-dimer assay results have a high negative predictive value and sensitivity for pulmonary embolism. Radiology 2008 247: 854-861 (DOI: 10.1148/radiol.2473070939)7. Sanjeeva P. Kalva, Jyothi P. Jagannathan, Peter F. Hahn, and Stephan T. Wicky Venous Thromboembolism: Indirect CT Venography during CT Pulmonary Angiography—Should the Pelvis Be Imaged? Radiology 2008 246: 605-611 (DOI: 10.1148/radiol.2462070319)8. Michael T. Lu, Tianxi Cai, Hale Ersoy, Amanda G. Whitmore, Rene Quiroz, Samuel Z. Goldhaber, and Frank J. Rybicki Interval Increase in Right-Left Ventricular Diameter Ratios at CT as a Predictor of 30-day Mortality after Acute Pulmonary Embolism: Initial Experience Radiology 2008 246: 281-287 (DOI: 10.1148/radiol.2461062004)Are you planning to do a research elective? ________Who will be directing the research?___________________________________________Have you discussed the project with the person directing the research? ______________Briefly describe the project.______________________________________________________________________________________________________________________________________________________Has the Human Subjects Committee approval been obtained? _____________________Has HIPPA approval been obtained? _________________________________________Are you planning on writing a paper (review, abstract, other) _________________________If so, briefly describe the paper. ?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________Which faculty member will be supervising the writing? __________________________Do you expect to complete the paper by the end of the elective? ____________________If not, describe what progress will be made? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________9. Are you planning an international elective? ______a. Have you filled out the GME application for an international elective? __________; have you received approval? ___________b. Have you reviewed the International Elective General Information for Residents information sheet and complied with all necessary preparations? __________c. Have you contacted the Travel Audit Office and the Office of International Programs? _________10. Are you planning a reading elective? _______a. Please attach a complete reading list as above. ................
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