Diagnostic Radiology - Curriculum
Michigan State University
Providence residents attend full day didactic sessions at Michigan State University (MSU) in East Lansing, MI each Tuesday during the majority of the academic year (27 weeks). This comprehensive course presented by MSU academic faculty and invited visiting professors supplements the local didactics presented by Providence / MSU College of Human Medicine clinical faculty. As part of the program, residents also attend the annual Head & Neck Radiology review course.
Conferences and Curriculum
A didactic curriculum that spans one and a half years is covered by an extensive conference experience that includes daily morning conferences, afternoon conferences, interdepartmental conferences and board review. The curriculum and interdepartmental conference schedule is based on an organ system approach with reading assignments, lecture topics and video conferences organized around a specific “organ system”. We belong to a visiting professorship consortium that permits our residents to enjoy a visiting professor program at various local hospitals (8 times a year). Rotations are monthly and include a balance of case reading and procedural experience.
|Intradepartmental and Interdepartmental Conferences, Lectures||Day/Time||Responsible for Organization of Session||Core or Subspecialty Teaching Conference|
|Helms Reading Group||Mondays 7am||3rd and 1st Years||Core|
|Teaching/ Case Conference: Organ Group Specific||Tuesdays-Wednesdays-Thursdays: 7am||Staff Radiologists||Core|
|Michigan State University didactics||Tuesdays, all day||MSU Academic Faculty||Core|
|Interesting Case Review||Monthly||Residents||Core|
|VIR Conference||4th Friday 7am||Interventional Radiology||Subspecialty|
|Breast Cancer Conference*||Thursdays 7 am||Dr. Hall||Subspecialty|
|JR/SR Conference||Wednesday 12pm||July to December by Senior Residents||Core|
|Board Review||Wednesday 12pm||January to June by Staff Radiologists||Subspecialty|
|Lung Cancer Working Group*||1st and 3rd Fridays noon and 2nd Thursday at noon||Staff Radiologists||Subspecialty|
|Leukemia/Lymphoma Working Group*||2nd Friday noon||Staff Radiologists||Subspecialty|
|GI Tumor Board||1st and 3rd Fridays 7am||Staff Radiologists||Subspecialty|
|Colorectal Tumor Board||1st and 3rd Thursdays||Staff Radiologists||Subspecialty|
|GU Tumor Board||3rd Thursday 7am||Staff Radiologists||Subspecialty|
|Head and Neck Tumor Board*||1st Monday 7:30am||Staff Radiologists||Subspecialty|
|Ortho Conference||3rd Thursday 7:30am||Dr. Lincoln / Dr. Gonda / Dr. Kinni||Subspecialty|
|Coronary CTA||Last Wednesday 7am||Cardiologists/Radiology||Subspecialty|
|Radiology Peer Review||4th Thursday 4pm||Dr. Gari / Dr. Gonda||Core|
|Afternoon Conference: Staff Lecture||Monday, Tuesday, Wednesday and Thursday at 4pm||Staff Radiologists||Core|
|Resident Research Meeting||Bimonthly, 4th Monday||Dr. Flynn, Research coordinator Dr. Howard Schubiner||Subspecialty|
|Vascular Conference||Last Thursday 7 am||Vascular Surgery||Subspecialty|
|Journal Club||3rd Tuesday 5pm||Dr. Puzsar/ Dr. Hall||Both|
|Tumor Board||2nd Friday 7:30am||Oncologists/Residents||Subspecialty|
|Huda Physics Review||Every Wednesday 7am||Dr. Walter Huda||Core|
|Neurotology Conference||1st Thursday 7am||Dr. Gonda / Dr. Chakko||Michigan Ear Institute Subspecialty|
|Neuro-Oncology Tumor Board||2nd and 4th Monday 7 am||Staff Radiologists||Subspecialty|
|Neuro Clinical Pathologic Correlation||2nd Wednesday 7am||Neurosurgery and Radiology residents||Subspecialty|
An asterisk (*) signifies that resident attendance at this conference is considered optional by the program director.
A monthly journal club is hosted by Dr. Brian Puszar and additional faculty. Articles of contemporary interest are presented by individual residents and discussed “round table” style. The event is typically held after hours at a local pub. This encourages informal discussion and contributes to a friendly, collegial atmosphere.
A weekly reading assignment and review of the assignment occurs at Monday morning conference. The seniors and 3rd year residents have created a one-year revolving curriculum based on the highly regarded text book and has divided salient topics into reading lessons, with discussion. These follow the organ-specific curriculum.
Interesting Case Conference
Residents are assigned to present an interesting case as an unknown with discussion of imaging findings and differential diagnoses in a Power Point format.
Visiting Professor Consortium
The Providence radiology program participates with several other local hospital programs in a Visiting Professor consortium whereby residents from all participating programs meet and spend half a day with a visiting professor. Typically, the visiting professor lectures and gives unknown cases to the residents during an afternoon from which they have been relieved of their hospital duties. This event occurs 8 times a year.
A new laboratory and research facility was opened at the hospital in January of 2002. The Biomedical Research department consists of over 8,000 square feet of dedicated space staffed by several full time employees. There are microvascular, gross anatomy and basic science areas within this space. Click here for more information. New for 2017 is the Simulation and Education center, a surgical skills and education facility of almost 7000 square feet.
Residents participate in a weekly web conference presented by Dr. Walter Huda, PhD through the Dartmouth-Hitchcock Department of Radiology. This interactive course offers comprehensive preparation for the Core examination. This curriculum serves in addition to radiologic physics didactic content at Providence and MSU.
Health Care Economics
Our residents participate in the ACR/Radiology Leadership Institute Health Care Economics Milestones Program. This collaborative, interactive program led by national experts and local faculty moderators provides training in healthcare economics with emphasis on the ACGME milestone requirements.
Financial Support for Residents
The hospital provides a generous yearly stipend of $500 for books and $500-$1250 for meetings or other educational materials depending on their PGY status. If presenting at a meeting the hospital pays for the hotel and air fare. The hospital provides AIRP registration costs and contributes $1500 for living expenses. The staff radiologists provide an $800 stipend for AIRP and contribute funding toward air fare for any resident presenting at a meeting. Dinner is provided for the residents at RSNA at least one night and the registration fee for local interventional radiology meetings and for the Michigan Radiology Society meeting is paid for by the staff radiologists.
An institutionally accumulated teaching file contains some 5000 cases and all are available to the residents. The program owns copies of all of the ACR CD-ROM teaching modules as well as an extensive collection of teaching DVDs and videotapes. Electronic teaching files are available to the residents through the internet to all of the files available through Case in Point on acr.org; Medscape Radiology, learning radiology.com and others as well as the multitude of University Electronic Teaching files that are available online. All residents have STAT dx access for reference and studying, as well as have RAD primer a case based website to assist in board preparation. Each resident contributes at least 4 cases per year to our teaching file repository which is available for everyone to view on a department shared drive. Resources are also available through our Michigan State University affiliation.
Resident evaluations are conducted at the end of a month long rotation. A semi-annual meeting is held with the resident during which the latest evaluations are discussed. Twice a year the residents are also evaluated by the technical and clerical staff. These evaluations are also discussed with the resident during their semiannual evaluations. Residents also evaluate each section and faculty member at the end of their rotation and annually. In addition, residents and faculty evaluate the program as a whole annually.
Each resident has documented, supervised experience in interventional procedures that includes image-guided biopsies, drainages, non-coronary angioplasty, embolization procedures including uterine fibroid embolization, venous access via percutaneous introduction techniques, radiofrequency ablation and vertebroplasty. The documented procedure log is part of the resident learning portfolio.
OB Ultrasound Experience
The residents rotate through Providence Hospital’s Department of Maternal-Fetal Medicine for their second and third trimester ultrasound experience, in their 3rd year.
Providence is affiliated with the Cranio-facial Institute and the Michigan Ear Institute. Both of these are staffed by world class surgeons who are known as top doctors in their specialties. Providence’s Neurosurgical Department has endovascular neurosurgeons and the radiology resident may rotate with them to gain experience in aneurysm coiling and carotid stenting.
Providence Radiology resident duty hours do not exceed 80 hours per week averaged over a four week period.
Providence Radiology residents are provided with at least 1 day in 7 free from all educational and clinical responsibilities, averaged over a four week period.
Adequate time for rest and personal activities is provided for the Providence Radiology resident. A 10 hour period is provided between all daily duty periods and rotation assignments. Continuous in-house duty does not exceed 24 hours for the Providence Radiology Resident. There is no at-home call for the Providence Radiology Resident.
Residents are evaluated using the basic competency tools created by the ACGME.
Patient care (Residents should provide compassionate, appropriate, and effective care for health problems and should make efforts to promote health)
- Develop a management plan based on radiologic findings and clinical information
- Demonstrate proper technique in planning and performing image-guided procedures
Medical knowledge (Residents should be knowledgeable, scholarly, and committed to lifetime learning)
- Recognize and describe relevant radiologic abnormalities
- Synthesize radiologic and clinical information and form an impression
- Utilize information technology to investigate clinical questions and for continuous self-learning
Interpersonal/communication skills (Residents should communicate and teach effectively)
- Show sensitivity to and communicate effectively with all members of the health care team
- Appropriately obtain informed consent
- Recognize, appropriately communicate, and document in the patient record urgent or unexpected radiologic findings
- Produce radiologic reports that are accurate, concise, and grammatically correct
- Effectively teach residents, medical students and other health care professionals
Practice-based learning and improvement (Residents should investigate and evaluate patient care practices, and appraise and assimilate scientific evidence in order to improve their practices)
- Participate in QI (Quality improvement) / QA (quality assurance) activities
- Recognize and correct personal errors
Professionalism (Residents should be altruistic and accountable, and adhere to principles of medical ethics by respecting and protecting patients best interests)
- Demonstrate a responsible work ethic with regard to conference attendance and work assignments
- Demonstrate acceptable personal demeanor and hygiene
Systems-based practice (Residents should understand healthcare practice)
- Demonstrate knowledge of and apply appropriateness criteria and other cost-effective healthcare principles to professional practice
The Providence Radiology Residency is a small community based program with a high volume of studies and procedures and modern equipment. Providence draws from a suburban and urban patient population representing the full spectrum of pathologic conditions. The absence of Radiology Fellows ensures an intense, high volume, “hands on” interventional experience. The presence of world class referring physicians, research facilities and up to date teaching tools creates a superb environment for study of a truly satisfying specialty.
Mathew Chakko, M.D.
Department of Radiology
Ascension Providence Hospital
16001 W. Nine Mile Road
P.O. Box 2043
Southfield, MI 48075
Phone: (248) 849-2203
Fax: (248) 849-5395
Ascension Providence Hospital
16001 W. Nine Mile Road
Southfield, MI 48075
Phone: (248) 849-2203