Ascension Providence Hospital Interventional Radiology
Rotation Director: Sachit Malde, MD
Matthew Osher, MD
Rotation Location: Ascension Providence Hospital, Southfield Campus
Duration of Rotation: 2 weeks (MSUCHM only) or 4 weeks
Students Per Month: 1
Work Hours: Generally, 7 am to 4 pm. Most of the day will be spent in the reading room and procedural suites. Independent study using departmental and web resources is permitted during the afternoons.
Prerequisites: Completion of 2 years of medical school; MCE and RAD 609 completion for MSUCHM students; diagnostic radiology is also a prerequisite for students from other schools. R
MSUCHM Course #: RAD 612
Introduction: Interventional Radiology (IR) is a branch of medicine that diagnoses and treats a variety of diseases throughout the body using percutaneous methods guided by radiologic imaging. The unique clinical and invasive nature of practice in vascular and interventional radiology requires special training and specific skills. The student on this rotation will become familiar with the signs and symptoms of disorders amenable to diagnosis and/or treatment by these techniques. The significance of the symptoms must be understood as well as the pathophysiology and natural history of the disorders. He/she will be exposed to the indications for and contraindications to basic vascular and interventional procedures, and will observe the clinical and technical aspects of their implementation. The student will gain a basic understanding of clinical evaluation, and follow up, imaging methods, including percutaneous image guided procedures, and the fundamentals of radiation physics, radiation biology, and radiation worker and patient protection.
Goals & Objectives of Rotation: At the conclusion of the rotation, the student will:
- Be familiar with the appropriateness of patient selection for a requested basic procedure through review of available history, imaging, laboratory values and proposed/expected outcomes of the procedure.
- Have a basic understanding of history/physical findings or treatment scenarios that would require pre-procedure assistance from other specialty disciplines such as cardiology, anesthesia, surgery and internal medicine.
- Have observed the informed consent process, after a review with the patient of the procedure(s), risks, benefits and alternative therapeutic options/procedures. Additionally, will have observed and practiced the pre-procedure physical exam and evaluation.
- Have a basic understanding of the abnormalities and physical signs/symptoms that need immediate attention during a procedure.
- Have a basic understanding of percutaneous access selection for biopsies/drainages for multiple imaging modalities.
- Have basic understanding of vascular access for device placement, as well as endovascular intervention.
- Have introductory knowledge of endovascular therapies and indications.
- Have introductory knowledge of equipment available for and indicated for interventions i.e. catheters, guidewires, embolization materials
- Have observed post procedure recovery and patient management
- Have an understanding for follow-up and indications for follow up imaging.
- Have a basic understanding of certain pharmacological considerations in this setting:
- Drug/Contrast Reactions
- Antibiotic Therapy
- Conscious Sedation
- Students will be expected to attend the various conferences and didactic lectures provided by the department. Students will also attend interdepartmental conferences involving radiology.
- Students may also attend conferences provided outside the department by other clinical specialties.
- Most of the rotation will be spent shadowing resident and attending radiologists within interventional radiology. There may be a pre-test and a post-test to document learning. The student will also be required to prepare and present a 5 to 10-minute PowerPoint presentation on an agreed upon topic, generally an interesting case encountered during the rotation.
- Students will be required to sign in at daily conferences to document attendance. Rotation Directors will complete all evaluations at the end of the rotation
Evaluation: At the end of the rotation, the Rotation Director will collect data from the supervising physician and other medical team members and complete a written evaluation of the student that is reflective of the student’s academic competence, procedural proficiency and professional attributes. The standard medical school form from the student’s medical school will be used. If required, the student should complete a case log and an evaluation of the rotation and submit them to their medical school. Medical students will be asked to evaluate the rotation at the end of the month.